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HMO Patient Receives Letter from HMO in Michigan To Discontinue Life Saving Medication-Patient Being Denied Access Via The “Guideline Algorithm”

Here we go again with technology making automated decisions and this is where a person needs to step in and review the chart, history and information. Guidelines were established by either an insurance company study or one accessed elsewhere and then...

Published Wed, Dec 12 2010 12:56 PM by The Medical Quack

Filed under: Medically Related, Technology, My Commentaries, healthcare, health insurance, HMO, Diabetes, Medicaid, Medications, Algorithms, Greed, Michigan, treatments, ethics, denial of care, pulmonary vasculary disease

Healthcare Reform Getting Pretty Ugly as Nobody Seems To Be Able to Find a “Pool” Large Enough to Spread the Expense–Single Payer by Default An Option When The Fighting is Done?

In writing and following the daily news as to what is taking place here in California and all over the US, it appears reform is getting to be much more complicated than anticipated with waivers and insurance carriers battling with what they want to allow...

Published Thu, Oct 10 2010 12:01 PM by The Medical Quack

Filed under: Medically Related, Insurance, My Commentaries, health insurance, Spoof, Algorithms, formulas, Greed, Profits, ethics, healthcare reform, single payer system, dividends, Spoof for Profit

Three Agents Licenses Revoked over VA/DOD Life Insurance Policies–Illinois

This is yet even another incident with life insurance policies sold to the military. You can read the entire article and see how they were using “raffles” and offering prize money to buy insurance in addition to the similar side funds in the news...

Published Mon, Aug 08 2010 2:06 AM by The Medical Quack

Filed under: Medically Related, Insurance, Other Items of Interest, VA, Nurse, Algorithms, Greed, Profits, military, SEC, life insurance, audit trail, tranparency, JPMorgan, Prudential, death benefits, FDIC, Illionis

Veterans Administration Caught Blind Sided by Life Insurers – Death Benefit Accounts Used For Profits With Survivors Receiving Checks That Are No Good and Funds Not FDIC Insured

I had to stop and read this twice as soldier death benefits paid to families upon death are being monetized to the point of creating profits and the “checks” sent are no good. The life insurance companies are banking on the fact that many families...

Published Thu, Jul 07 2010 1:10 PM by The Medical Quack

Filed under: Medically Related, Insurance, Other Items of Interest, VA, Nurse, Algorithms, Greed, Profits, military, SEC, life insurance, audit trail, tranparency, JPMorgan, Prudential, death benefits, FDIC

Rules on EHR Certification Should Take Back Seat to Certifying Insurance Algorithms At Present – We Need This First

Let’s face it, nothing else takes place until the bills get paid and yes we need to have certified EHR systems that work, I agree, but priorities here just seem to be a little bit out of order. The healthcare business is like any other with hospitals...

Published Fri, Jun 06 2010 1:19 PM by The Medical Quack

Filed under: Medically Related, Insurance, My Commentaries, health insurance, Education, Congress, Legal Suits, CCHIT, Algorithms, Greed, Ingenix, Department of Algorithms, igornant, Algos, computer code, digital laws, ONC

Drug Rep Algorithms Available To Assist in Directing Sales Efforts – “Behavioral Pharma Marketing”

Everybody is using algorithmic formulas today to help them do their job better with less wasted efforts and drug reps can benefit too from the same formulas of evaluation. Let’s face it today in any industry, being in sales is getting to be tough...

Published Thu, May 05 2010 12:18 PM by The Medical Quack

Filed under: Medically Related, Pharma/FDA News, My Commentaries, privacy, health insurance, Physicians, Marketing, HHS, Algorithms, Department of Justice, Greed, drug reps, legal suit, Medicare claims

Not Only Do Members of Congress Need Additional Security – WellPoint CEO Gets Some Too

Is greed creating anger? Is ignorance allowing greed to grow? Those are just a couple questions popping around in my mind today. When one is in a very public position, and especially those that make decisions that impact the well being...

Published Tue, Apr 04 2010 4:06 PM by The Medical Quack

Filed under: Medically Related, Insurance, Other Items of Interest, Security, Congress, Obama, Algorithms, Wellpoint, Greed, Heatlh Insurance, healthcare reform, Magpie Healthcare, High Frequency Healthcare, denia, tech heathens

HealthNet Algorithms – When Do they Prevent Fraud and When Do They Cross the Line and Not Pay Out – Court Case Where the MDs Win

This is a good example with the lawsuit in New Jersey that specifically talks about out of network charges. This has been a hot topic for years and this medical group was charged with “fraud”, mainly because it appeared to be out of network. ...

Published Mon, Dec 12 2009 9:00 PM by The Medical Quack

Filed under: Medically Related, Insurance, health insurance, Lawsuit, Fraud, Health Net, Algorithms, Laws, Greed, Ingenix, healthcare reform, Rockefeller

The Banks Are Recovering – Healthcare Is Nowhere Near Recovery

If you read the news today about the Goldman all time bonuses, like me, it does not make you want to jump up for joy. I agree with this article here, we bailed out the banks and nobody else. I wrote a thought provoking post about a month...

Published Fri, Oct 10 2009 1:38 AM by The Medical Quack

Filed under: Medically Related, Insurance, Other Items of Interest, Hospitals, Economy, Wall Street, Algorithms, Greed, heatlhcare reform, Goldman, robotic investing, dark pools

United Healthcare CEO Profile and HCAN (HealthCare for America Now)

The Huffington Post did a long elaborate listing on the CEO, Hemsley and the company. You can read the entire section at the link below. Interesting too is that his chief lobbying employee came right from Goldman Sachs. Is this yet another...

Published Sat, Oct 10 2009 12:55 AM by The Medical Quack

Filed under: Medically Related, Insurance, Lobbying, Wall Street, Algorithms, United HealthCare, Greed, Ingenix, healthcare reform, Goldman Sachs, HCAN, Hemsley

Michael Moore Speaking Out To Democrats to Support Public HealthCare Option – The New Normal

He brings up some good points and I’ll add mine, education and everyone understanding the use of technology taking from those who do not or cannot attain the same ability. It’s been going on for years. We are living in the “new normal” and...

Published Wed, Sep 09 2009 1:09 PM by The Medical Quack

Filed under: Medically Related, Technology, Insurance, healthcare, Congress, Politics, Wikipedia, Algorithms, formulas, Greed, Michael Moore, Eduation, healthcare reform, Capitalism A Love Story, Los Angeles Times, high freqency healthcare

Senate panel Votes Negative on Public Insurance Option – They Don’t Understand The Algorithms

Yesterday I made a post after looking around the internet to see what picketing, marches, etc. were happening and found enough for the week to fill up a post. Maybe those folks in the Senate might think about adding some extra security as if this...

Published Tue, Sep 09 2009 10:44 PM by The Medical Quack

Filed under: Medically Related, Insurance, health insurance, Education, Congress, Legal Suits, Algorithms, Greed, Ingenix, Department of Algorithms, igornant, Algos, computer code, digital laws

Insurance Companies Under Attack with Lawsuits – Generated by Their Algorithms

What is at the bottom of all of this, the same thing I keep talking about all throughout this blog, the algorithms or formulas that calculate payment rates and provisions, something I try to bring to light so perhaps we can avoid some of the useless Town...

Published Tue, Sep 09 2009 5:45 PM by The Medical Quack

Filed under: Medically Related, Insurance, health insurance, Education, Congress, Legal Suits, Algorithms, Greed, Ingenix, interview, Department of Algorithms, igornant, Algos, computer code, digital laws

Michael Moore on Time Magazine – New Movie Helping Expose Those Algorithms That Take and Deny

We are all waiting for the premiere at the Venice Film Festival. We have seen the trailer but won’t really know the impact until the move is unveiled. We will have it here in a few weeks in Los Angeles. The one comment below about the...

Published Sun, Sep 09 2009 5:17 PM by The Medical Quack

Filed under: Medically Related, Technology, Insurance, Other Items of Interest, My Commentaries, healthcare, Congress, Politics, Wikipedia, Algorithms, formulas, Greed, Michael Moore, Eduation, healthcare reform, Capitalism A Love Story, Los Angeles Times

Those Who Just Take What the Payers Offer May be Missing Out – Money Left on the Table

This is an issue close to my own heart, as years ago and still even today it’s difficult for me to hopefully get the point across of how important business intelligence software is to mine and drill down to find where you may have been short changed and...

Published Thu, May 05 2009 3:57 PM by The Medical Quack

Filed under: Medically Related, Technology, Insurance, Physician, healthcare, Claims, Health Insuance, Algorithms, Greed, payers, accountability, business intellience

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