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Cerner CEO calls for a change with insurers

Cerner president speaks out about the insurance business, "they need to be redefined". Amgen CEO and President Kevin Sharer called for a better structured FDA . Overall the summary statement says the same thing I have brought...

Published Sun, Aug 08 2008 11:48 AM by The Medical Quack

Filed under: Medically Related, Insurance, Pharma/FDA News, Other Items of Interest, medicare, health insurance, FDA, Cerner, Amgen, Fixiing Healthcare

Medical Bills You Shouldn't Pay - The balance billing issue is alive and well

In California we are well aware of this with the recent news with Prime Health Care being challenged on this practice as they have no contracts with the insurers and charge their published rates for out of network care, and the patient is stuck in the...

Published Fri, Aug 08 2008 1:13 PM by The Medical Quack

Filed under: Medically Related, Insurance, My Commentaries, Hospital, health insurance, Physicians, Quest Labs, bankruptcy, Balance Billing, Health Insurance Coverage, Not for Profit Hospitals, Prime Healthcare

What is the MIB - Medical Insurance Bureau - and how does it affect qualifying for insurance?

Read up here if you have not heard of the MIB, and you might just find you have a file, that is if you have been to a physician and had insurance cover the visits or any other health issues. This is an exchange between all insurance companies with a data...

Published Tue, Aug 08 2008 12:09 AM by The Medical Quack

Filed under: Medically Related, Insurance, health insurance, Coding Errors, Health Insurance Coverage, Health Claims, MIB

Primary Cause of Personal Bankruptcy in America - Healthcare

Interestingly enough, while I was watching this video, my cell phone rings from Anthem Blue Cross with an automated questioning system about taking care of my health, somewhat of a parody as I was reviewing the video for the blog. I went through...

Published Tue, Aug 08 2008 12:17 PM by The Medical Quack

Filed under: Medically Related, Insurance, My Commentaries, healthcare, privacy, health insurance, Marketing, Blue Cross, bankruptcy

Medco Health, FDA To Study Genetic Testing For Medications

More additional affiliations for the FDA to gather information. In the news recently have been other agreements with companies such as Blue Cross and others who will be providing data to also study the effects of drugs through medical record information...

Published Mon, Aug 08 2008 11:34 PM by The Medical Quack

Filed under: Medically Related, Technology, Insurance, Pharma/FDA News, health insurance, healthcare IT, Pharma, Biotech, FDA, Medco, Pharmacogonomics

The newest generation of drugs: Who can afford them?

This brings up an interesting question, what do you go for relief or bankruptcy? Although now it is not real wide spread, but as the Biomed business continues to grow with new break throughs, how will this process continue? Is this more justification...

Published Mon, Aug 08 2008 4:24 PM by The Medical Quack

Filed under: Medically Related, Insurance, Pharma/FDA News, drugs, health insurance, Generic Drugs, Biomed, Biosimilars, 4 tier

California and Balance Billing

This goes back to the situation with Prime Health Care hospitals. Prime owns several hospitals in California and does not have contracts with the insurance companies, and has the ER rooms to accommodate all. When the insurer pays what...

Published Tue, Aug 08 2008 10:57 AM by The Medical Quack

Filed under: Medically Related, Insurance, health insurance, Hospitals, California, Balance Billing, Department of Managed Care

Businesses rip healthcare proposal - Massachusetts

Employers made penalty payments of only about $7 million in the past year, so are they opting to pay penalties versus providing insurance? Is it cheaper to pay a penalty than to provide coverage? In a downtime for the economy it's getting...

Published Tue, Aug 08 2008 10:40 AM by The Medical Quack

Filed under: Medically Related, Insurance, healthcare, health insurance, Massachusetts

Medicare Plan Changing - PFFS - Private Fee For Service

PFFS plans now cost the government more per patient than traditional Medicare. Be informed and watch for the rate increases to perhaps roll in. There is a a little time left before this is law, but as the article states, insurers could...

Published Sun, Aug 08 2008 1:01 PM by The Medical Quack

Filed under: Medically Related, Insurance, Other Items of Interest, healthcare, medicare, health insurance, Private Fee for Service

Drugs for Death, Not Life

Stories like this are sad indeed. It comes back to the dollar and someone playing "God" to determine who gets treatment and who does not. Granted personalized medicine tests will help in time, not only from the actual treatment side...

Published Wed, Aug 08 2008 10:47 AM by The Medical Quack

Filed under: Medically Related, Insurance, drugs, healthcare, health insurance, Prescriptions, Cancer

Prescription Data Used To Assess Consumers - No Privacy Unless You Pay Cash...

This brings up one big issue, something I have been aware of for a while, collecting data for one purpose and being used for another, think this doesn't happen, think again. When you sign up for health insurance, you sign you life away for all...

Published Mon, Aug 08 2008 9:36 PM by The Medical Quack

Filed under: Medically Related, Insurance, drugs, health insurance, Prescriptions, Cash

Payer Offers Patient Data on CDs

This sounds like some of the data perhaps used for P4P being made available. With the information on the patient prescriptions refills, etc, it tells all about whether or not a patient fills a prescription or note, unless they pay cash for the ...

Published Mon, Aug 08 2008 8:16 PM by The Medical Quack

Filed under: Medically Related, Insurance, healthcare, health insurance

Insurance companies deny coverage based on medications a patient is taking obtained from marketing reports…

One more way for the information to run queries to cherry pick applicants is accomplished. When you apply for insurance, the fine writing will usually state that you are giving permission to check any medical information and records and, yes, this...

Published Fri, Jul 07 2008 5:32 PM by The Medical Quack

Filed under: Medically Related, Insurance, drugs, healthcare, health insurance, Prescriptions, Pharmaceuticals, Medications

Blue Shield sued for allegedly lying about its coverage – Are those fightin’ words…

It used to be we would hear some type of concern, but the comments here sound like a torrid of anger, hope this is not a sign of the times when it comes to working with carriers for health care. It makes it sound more like a war than a negotiation...

Published Fri, Jul 07 2008 12:19 PM by The Medical Quack

Filed under: Medically Related, Insurance, My Commentaries, healthcare, health insurance, Blue Cross

World Medical Tourism Congress Announces Two New Speakers From AETNA and CIGNA

Over 30 insurance companies have registered for the event in September, along with 100 hospitals. Insurance companies are attending to meet the hospitals, not the hospitals here in the US, those abroad. I did see the AMA mentioned as an attendee...

Published Thu, Jul 07 2008 5:28 PM by The Medical Quack

Filed under: Medically Related, Insurance, health insurance, Aetna, Medical Tourism, Cigna

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