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Kaiser Permanente of Georgia Undergoing Major Expansion of Medical Offices and Hiring New Physicians

Being in California I always think of the company’s presence here since this is where they began but they also have been expanding into several other regions of the country and Georgia is one where they are expanding to serve more of the community. ...

Published Sun, Mar 03 2011 3:06 AM by The Medical Quack

Filed under: Medically Related, Insurance, medicare, Physicians, Kaiser Permanente, Georgia, integrated care, bundled payments, medical offices

Loyola University Chicago Sells Hospital Business to Catholic Trinity Health Care

Catholic ownership of hospitals is renewing in the US in some areas. Trinity updates 48 acute care hospitals and is the 4th largest non profit Catholic Healthcare system in the US. In other recent news Ascension Health has announced a joint...

Published Sun, Mar 03 2011 2:44 AM by The Medical Quack

Filed under: Medically Related, Insurance, Hospital, Budgets, Job cuts, Michigan, Loyola University, Catholic Health care, Trinity Heatlh Care

Anthem Blue Cross Rate Increase in California Becomes Effective May 1, 2011-As High as 39% For Cumulative Year

Individual plan members have been sent letters advising of the increase. Anthem Blue Cross still states they have not made any profits on individual policies and thus we have another increase coming. Last year rates increased by 14% after...

Published Sun, Mar 03 2011 2:00 AM by The Medical Quack

Filed under: Medically Related, Insurance, healthcare, health insurance, California, Blue Cross, policies, premiums, Co-Pays, rate increase

FDA Approves Intel-GE Innovations Software And Home Monitoring Device-Engaging of Consumers Lacking Here - Payer Benefits Taking Center Stage With Current Marketing

We have a lot of choices today for devices for remote and home monitoring but one suggestion for those who create these products would be to go lightly on the payer benefits, as with rising health insurance costs, do consumers care if they benefit, not...

Published Fri, Mar 03 2011 11:52 AM by The Medical Quack

Filed under: Medically Related, Technology, Insurance, Pharma/FDA News, healthcare, Intel, GE, software, Patients, Video Conferencing, wireless, Computer, monitoring devices, vital signs

NYC Hospital Falling Between the Profitability Algorithms as Bronx Obstetricians Have Been Threatened With Non Renewal on Malpractice

As the article states below, 8 of the 13 received letters, so do we now have “cherry picking” starting for mal practice insurance like it exists for health insurance beginning? The 8 doctors specifically deal with high risk deliveries so go figure...

Published Wed, Mar 03 2011 7:43 PM by The Medical Quack

Filed under: Medically Related, Insurance, healthcare, Doctors, Algorithms, New York, Bronx, malpractice, obgyn, babies, Medical Liability Mutual Insurance

Pennsylvania Adult Basic Health Insurance Plan Shuts Down-Ran Out of Money

Former members are being accepted with pre-existing conditions until May 2nd with Blue Cross/Blue Shield who operated the Adult Basic Plan for the state. The plan had over 40,000 subscribers, quite a few. Premiums were are low as $36 a month...

Published Wed, Mar 03 2011 2:01 PM by The Medical Quack

Filed under: Medically Related, Insurance, Medicaid, Blue Cross, Budget, policies, funds, Pennsylvania, low income, bare bones, Adult Basic health insurance

Blue Cross Transaction Fees Go To Court in Michigan-Contracted Administrator Services-Algorithms For “Self Insured” Claims

It seems we are beginning to dig in to those transaction fees that are charged on medical claim processing and it may not be an easy one to understand and get to the bottom on some of these. When a medical claim is processed, it is run through several...

Published Wed, Mar 03 2011 11:31 AM by The Medical Quack

Filed under: Insurance, My Commentaries, health insurance, Health IT, Blue Cross, Algorithms, Michigan, Contracts, healthcare reform, administrators

Lawmakers Finally Asking About Medicare Contractor Conflict of Interests-Subsidiary Watch and Inquiries-Mergers and Acquisitions

This is something that is long over due. With all the mergers and acquisitions that have occurred in the last 2 years, the companies are not the same in structure and subsidiaries as they were just a few years ago. Not only do we have subsidiaries...

Published Tue, Mar 03 2011 3:36 AM by The Medical Quack

Filed under: Medically Related, Insurance, My Commentaries, healthcare, medicare, Congress, Business Intelligence, Fraud, Data, Profits, Mergers and Acquisitions, subsidiary watch, relationships, conflicts of interest

HHS announces $200 Million in State Grants To Help Fight Health Insurance Rate Hikes-Time to Apply and Buy Some More Business Intelligence Health IT Reporting Algorithms

Back in June of 2010 HHS announced $51 Million in grants and that was not enough it appears. This is a tough battle as health insurers come back with their business intelligence generated reports that substantiate their demands for premiums increase...

Published Mon, Feb 02 2011 8:53 PM by The Medical Quack

Filed under: Medically Related, Technology, Insurance, My Commentaries, health insurance, Health IT, Education, Congress, Business Intelligence, Algorithms, United HealthCare, Venture Capital, health reform, balance

IHA Receives $2.9M AHRQ Grant to Pursue Demo on Bundled Payments

Last August 2 hospitals were to start the project but I have not heard much more than the announcement that was made at that time between Cedars-Sinai Medical Center, the UCLA Health System and Hoag Memorial Hospital Presbyterian in Newport Beach for...

Published Mon, Feb 02 2011 8:34 PM by The Medical Quack

Filed under: Medically Related, Technology, Insurance, Surgery, healthcare, health insurance, medical billing, Knee replacement, Pricing, Hoag Hospital, knee, hip replacement, hip, Cedar Sinai, tourism, UCLA Medical

Privacy on the Internet–Tracking User History With Cookies and Flash Cookies And More-Use a Program Like CCleaner to Fight Back

Everyone is marketing to try and predict and of course in healthcare this is prevalent too and “why they market their ass off”. Tracking and snooping is part of marketing if you have not figured that out yet today. In the video below even...

Published Mon, Feb 02 2011 4:17 PM by The Medical Quack

Filed under: Medically Related, Insurance, My Commentaries, EMR, drugs, privacy, EHR, Pharma, PHR, Prescriptions, data bases, Business Intelligence, Data Mining, personal health record, Algorithms, formulas, CCleaner, Flash cookies, do not track

Humana Keeps Tricare In The South And Back in May of 2010 HealthNet Was Able to Keep the Northeast-Both Companies Filed Appeals

This makes for somewhat of an interesting story as Tri-Care went up for bid and Aetna and United were awarded new contracts; however, Humana and HealthNet filed appeals and both Aetna and United lost the bids and they reverted back to the incumbent insurance...

Published Mon, Feb 02 2011 3:22 PM by The Medical Quack

Filed under: Medically Related, Insurance, health insurance, Aetna, Tri-Care, Health Net, United HealthCare, Humana, pentagon, TriCare, GAO

Cleveland Clinic Offering Global Care Air Rescue and Evacuation Services Program For an Annual Fee

This is yet one more service I have not seen yet and perhaps Cleveland Clinic is the first to offer. If one were traveling a lot, especially out of the country this could be something to look at. If you are in the US they will still come and...

Published Thu, Feb 02 2011 8:06 PM by The Medical Quack

Filed under: Medically Related, Insurance, Travel, Cleveland Clinic, emergency, transport, evacuation, Global Care Air Rescue and Evacuation (CARE) program

Aetna Members In Texas and Florida Now Have Access Through TeleDoc for Non Emergency Consultations

Co-pays and deductibles apply according to the press release. Allergies, stuffy noses and sinus problems are listed as examples on where the TeleDoc service could fill in if the primary care doctor is not available. You can log on and receive...

Published Wed, Feb 02 2011 4:22 PM by The Medical Quack

Filed under: Medically Related, Technology, Insurance, healthcare, EHR, Health IT, PHR, Telemedicine, Aetna, Florida, Texas, medical reocrds, TeleDoc

Part Time CFOs Hired By Biotech and Pharmaceutical Businesses-Virtual Executive Business Model To Work the Algorithms for Profit & Crunch Data

In healthcare we call this locum tenens and it looks like this move is going up the executive ladder. This is an interesting article as it looks at the individual having let’s say 4 different companies to where they are the CFO, they could choose...

Published Tue, Feb 02 2011 2:43 PM by The Medical Quack

Filed under: Technology, Insurance, Other Items of Interest, My Commentaries, Biotech, Pharmaceuticals, Heatlhcare, Benefits, Profits, bean counters, management, CFO, retainer, economic conditions

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