As if there’s not enough pharmacy benefit management taking place at United, the company owns Optum, RX which was formerly known as prescriptive solutions and in some areas that PBM has put some smaller pharmacy benefit managers out of business.
Here’s from the website, same old pharmacy benefit management marketing if you ask me…not 
much new here, just stats, stats and more stats..
“Catamaran offers a true alternative to the status quo in pharmacy benefit management. You don’t have to choose between the scale and purchasing power of the largest providers and the flexibility and agility of smaller ones. We offer the best of both. At Catamaran we put your individual needs — and those of your members — at the center of our services. We connect pharmacists, doctors and caregivers with prescription data to improve health outcomes, offering the clinical intelligence, technology and scale to lower payer costs while improving member health. Only Catamaran brings together the industry’s best technology with the industry’s most renowned client service model to offer true innovation, real flexibility and powerful results. Stay well ahead of costs. Stay well ahead of health issues. Stay well ahead with Catamaran.”
About the Catamaran lawsuit, you can read more here on how that goes. The matter of low balling somehow reminds me of the AMA lawsuit where Ingenix, the former subsidiary of United Healthcare had to settle their class action suit of lowballing doctor payments for 15 years. That occurred just a few years ago.
Ingenix (Optum-United Healthcare) Lawsuits Still Bouncing Around Out There–One Recently Settled in New Jersey With Horizon Blue Cross Blue Shield That Was Still Using the Flawed and Corrupt Data Base for Out of Network Payment Calculations
“In court documents, the pharmacies claim Catamaran inflates the patient’s cost for prescription drugs through overcharging insurance plans while underpaying the pharmacies that dispense the drugs. Catamaran’s practice of not disclosing new pricing until a claim adjudicates constitutes bad faith and unfair dealing, the claim says, because it denies pharmacies the opportunity to plan for changes in reimbursement and will inevitably cause financial harm to those pharmacies.”
Of late the company has been putting out press releases about giving away Easter baskets and having an all day city baby shower? I think that’s all distraction from the business of healthcare that Untied runs. They make more money selling data than most out there. Here’s something of contrast worth a look at Johns Hopkins “wants” to be in their network for folks why buy insurance from the exchanges and United fired them.
Johns Hopkins -Insurance Plans From United Healthcare Bought Via Exchanges Will Not Be Able to Use Johns Hopkins Physicians or Medical System–Filed Lawsuit To Sue United, Stating Violation of 1997 Contract
Also worth noting is this huge big conglomerate also tries it’s best to “dupe” young developers into writing code for them for free too, they always have a way to get something for almost nothing over there and sell the heck out of your data to make billions in profits. When you read this “write for the Longevity network pimp article, you know exactly they want apps to mine more data to sell. That’s 1/3 of the United
business today and 2/3rd of what they do is insurance.
AARP and United HealthCare Form “Longevity Network”–Time To Find Some More “Cheap Code” Looking For Millennials Still Living At Home Who Can Afford The Time To Write…Cash For Code Again
Every time you fill a prescription, the amount of “data for sale” that comes out from that transaction is amazing and mounts up to a ton of profits, meanwhile you and I aren’t getting any healthier overall and sure there’s some basic analytics that offer insights which is good, but Untied is way beyond that. I was told for years that Medicare/CMS depended on they heavily to help them create their business models by some former employees. It makes sense to me a they have truckloads of subsidiary companies that operate where you don’t even see it. About a year ago I had a hospital CEO fall off his chair when he realized how many Untied subsidiaries they were writing check to. Anyway, see the link below as here’s how this “buy and conquer” data selling thing works…and people lose jobs too. Heck who knows maybe they’ll be buying this outfit next:) 
Express Scripts To Lay Off 400 People Tampa As United Healthcare Moves Patients To Their Own pharmacy benefit Management Company-Subsidiary Watch
Keep in mind that insurers have hired armies of quants now that design policies as this way they get both the long and the short projections too, the long from the actuaries and the short value from the quants so they can correlate those numbers with stock prices. That can really be of value right now with the record numbers of stock buy backs taking place.
Data Scientists/Quants in the Health Insurance Business–Modeling Beyond the Speed and Capabilities of Humans To Keep Up With The Affordable Care Act–Turning Into A World of Killer Algorithms That We All Hate..
So all in in, you’re just another script in the wall…and of course the pharmacy benefit mangers run a lot of United/Optum software to score you for medication adherence and other items about you they can sell for profit. Optum and Milleman have had software doing analytics hooked up to pharmacy benefit management companies for years selling all kinds of prescription data that is not protected by HIPAA as this is not a protected entity in case you thought it was with privacy. See look at this, even if they don’t own the pharmacy benefit manager, they sell them software so United wins and gets money everyway around the hook anymore. By the way, the company mentioned in the link below, Ingenix is now called Optum and their former
CEO is now running Medicare, Andy Slavitt.
If you go back in time there were tons of Ingenix lawsuits against Ingenix and their false positives on fraud that put a lot of doctors out of business and then too we had the AMA settlement. The AMA class action settlement was for short paying doctors for 15 years on out of network payments, and again that was all during the time when current Medicare Chief Andy Slavitt was CEO of Ingenix. HHS blessed him every which way but loose when they hired him as they had to stop the conflict of interests as he would not be able to do his job with everyone after his former efforts at his prior employer, United. By the way, Mr. Slavitt started his career as a Goldman Sachs banker.
Express Scripts- New Program to Contact and Predict Patients Who May Not Be Taking Their Medicine Based On Ingenix Algorithms–We Want the Revenue Please Don’t Stop
Last but not least, don’t forget that Pharmacy Benefit Managers are in the business to sell drugs so again United has more money coming in from that direction and there’s hungry IMS who wants to buy up and sell all kinds of prescription data out there as well. So there’s more money that goes into the United profit pot, and oh by the way, IMS had an IPO last year, that $180 billion dollar a year data selling business hurting consumers is growing like a weed. Look at the image at the left, just a bunch of software acquisitions and merging of such…same old same old in that respect. BD
The largest US health insurer is to spend almost $13bn to buy a company that manages prescription medicines for 35m patients, the biggest in a series of healthcare deals announced on Monday as consolidation in the industry continues at a blistering pace.
UnitedHealth said it would acquire Catamaran Rx, the fourth-biggest US pharmacy-benefits manager, for $61.50 per share in cash and combine it with OptumRx, its own pharmacy business. The $12.8bn offer represents a 27 per cent premium to Catamaran’s closing price on Friday.
now it’s working. Sure there’s some trial and error but who would have ever thought the disease we worked to eradicate would play a role in curing cancer. 
ones still realize that a little bit of luck was on their side too and that occurs in all walks of life. The basics of people working together has not changed. It is interesting to hear what they have to say. We can all agree on Capitalism not working but what some of the VCs interviewed here forgot to mention is the cooperation of Wall Street and the financial markets they have. They wouldn’t have their money without it:) 
I have an entire different view of “the real world” and kind of align myself with 
and bills and the folks on the technology side completely get this. Look at how Google has successfully figured out how to work both sides and they do it well and toss enough money out there to get some open ears. There’s no such thing as “sharing for the good” any more as it’s all shifted to “sharing for the good money”, not ours, their money:) Further more read this link below and see how news manipulation is the next ‘big rig”. It’s all about using technology to coerce and give the impression that you are “doing it for the good”. Not every company though is like this and there are some outstanding companies that really are doing things for the good.
I said three years ago that Congress needed to restore the Office of Technology Assessment and get up to speed here and stop distracting consumers with their political garbage. I agree with the Silicon Valley on that end of it as I grow very tired of the nonsense and what we see in the news. One example here is the Supreme Court decision on the Affordable Care Act. I thought most news accountings of this were like morons discussing it. 
math and code and run for the hills. This is not saying everyone needs to be a coder or mathematician but understand the concept and how it works. Sniff some data and choose the news you read carefully and stay away from the distractions that do nothing, i.e. Hilary email dumps for one:) What impact does that have on you? Absolutely nothing, but it capture way too much of your time and keep you distracted from what’s really taking place today. 
given by Larry Ellison, CEO of Oracle and he was first out there with his warning “be careful with artificial intelligence that’s smarter than you”, and after all it was his daughter who made the move “HER” to bring this to the forefront. What kind of a “natural” world do we want? Good points made at the end, could someone like Mark Zuckerberg embrace the real natural world lying in the grass picking flowers? They don’t think so according to this video. 
ever needed to go to the doctor or hospital. Every American needs to be aware of this issue to speak up to protect themselves and their families from this almost entirely avoidable situation. 
make this stuff up. Oh but there’s good news, the debtors swear up and down they won’t repackage and sell you again..right! I have a couple bridges I could sell on that one. Repackaging data is a big deal and you can end up with counterfeit data, just like counterfeit drugs float around in the system. This is especially the case with the Anthem breach as hackers are getting smarter and know they can use some minor SQL skills and repackage all the data and sell it, with no mention that it came from Anthem and make a lot of money. You can read more at the link below and so far the only ones who have a real interest seem to be the security folks while the general public continues to sleep on their laurels. 
The public and government entities are certainly looking like they are keeping a much closer eye on “excess revenues” which is what you call profits for the non profits. 
developers to write apps for them too and even has tabs on the site where you can “upload apps” and I would say for now they might have those shut down. Connexion also has a referral fee to pay out to businesses for referrals to them. So hey just the kind of companies you want to spend your time writing apps for right? 
exaggerated and I’m sure somewhere along the line under the supervision of a Vet that Cannabis will have some merit but things are very new right now and let’s wait and see how the clinical and medical data shuffles in before you get Fido stones. Actually I think the part of cannabis that gives the high has been removed from the product from what the video says but you never know about what you read and see anymore either. 
See what a difference 10 extra minutes of time makes and the code that goes with it to get a claim paid! Interesting too with all the technology Optum boasts about all the time in the fact that the patient received a snail mail letter as well. On the other side of the coin if you are the wife of a banker and the doctor files a $75,000.00 claim for a hammertoe procedure that normally runs between 10-15k, no problem check was sent right out. It was an out of network visit too. 
It’s a known fact that businesses, banks, insurers and more are out to make buck any way they can selling your data and they don’t care if the data is correct or flawed. A few years ago I wrote about the Social Security Death Index and at that time it was estimated there were more than 30,000 people listed as dead who were still alive. This story also looks at the other side with people who should be dead, and are dead, that still existing as living at the Social Security Administration.
all about the “repackaging” of our personal data and this video tells that story pretty well. Read the link below and be especially cognizant of this if you were in the Anthem data breach. 
keep building on themselves so this start up is the perfect example of a new built based on activities of past algorithmic activity. 
they’ll do it. We have enough history for sure on the code hosers but the public doesn’t seem ready to believe the folks that tell them the truth when it comes to code and math sadly.
me as the dupers at those high levels have not a clue on how the smart people perceive the nonsense of publishing stats and numbers that nobody can predict. Come clean and do it right and don’t shoot yourself in the foot.
patient to go. The NIH Clinical Center's Special Clinical Studies Unit in Bethesda, Maryland is where the patient will be treated as they are fully set up for isolation. BD 
it’s largely because they are out of touch. The current administration seems to be captivated with “selfies” as we see one after another and then yesterday we had the head of Health and Human Services and the Surgeon General just so proud of themselves for posting a selfie:) You can’t make this stuff up, just watch the news every day.
websites where data is for sale. They would need to make no mention of Anthem either as there’s tons of other queries to be written to sell of some data.