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WellPoint accused of Misrepresenting Cancellation Practices–We Better Start Certifying Those Algorithms Used By Insurance Carriers–Just Like We Certify Medical Records-The Missing Link

We do spend a lot of time and money getting medical record software certified for use in the fact that it can perform and do what it is slated to do and perhaps we need to look at certifying those algorithms used by insurance carriers too as we just don...

Published Wed, Oct 10 2010 8:48 PM by The Medical Quack

Filed under: Medically Related, Insurance, My Commentaries, health insurance, Business Intelligence, Fraud, Breast Cancer, Algorithms, healthcare reform, legal case, judge, insurance reform, Well Point, tech denial, recission, consumer

Walgreens and Omnicare Swap Businesses–Giving Long Term Pharmacy Care to Omni and They Get Omni’s Home Infusion Business

Walgreen said it has also agreed to acquire ApothecaryRx pharmacies from Graymark Healthcare systems as Graymark wants to focus on their sleep apnea business. Omnicare has not been quiet this week either with buying Continuing Care RX which...

Published Fri, Sep 09 2010 10:27 PM by The Medical Quack

Filed under: Medically Related, Pharma/FDA News, healthcare, Nursing Homes, Walgreens, legal case, Omnicare, drug patent, kick backs, Total Pharmacy, Continuing Care RX

Omnicare Kickbacks Payments to Illinois Nursing Homes – Alleged Violation of Medicare/Medicaid

Omnicare is back in the news again over the same issues, drugs and potential kickbacks. The last problems were with Johnson and Johnson with promoting Risperdal via a whistle blower case. This time it looks like price is the issue and profiteering...

Published Mon, Jul 07 2010 5:33 PM by The Medical Quack

Filed under: Medically Related, Insurance, Pharma/FDA News, healthcare, Nursing Homes, Johnson and Johnson, legal case, Omnicare, drug patent, Ortho-McNeil-Jansen, kick backs, Risperdal, Total Pharmacy

Bayer Claim That Vitamins Prevent Prostate Cancer Is Now A Class Action Lawsuit – False Advertising

The FDA does not have jurisdiction over the advertisements relative to vitamin supplements, thus this fell under the area of the FTC and it sat around for a while, even with cancer researchers writing to the FTC. The attorneys are on it now and...

Published Wed, Jun 06 2010 10:37 AM by The Medical Quack

Filed under: Medically Related, Pharma/FDA News, Lawsuit, FDA, Prostate Cancer, Advertising, Vitamins, Bayer, FTC, legal case, litigation

Porn Stars on Medical Record Privacy – Legal Suit Filed Claiming Unauthorized Employees Viewed Charts

The stars do not agree with the release forms and to work in the industry they must be tested for disease and in essence I guess there could be exposure of other medical information at risk too. Long and short of it, they want privacy too as patients...

Published Mon, Jun 06 2010 9:48 PM by The Medical Quack

Filed under: Medically Related, Technology, Other Items of Interest, healthcare, privacy, HIPAA, Lab Tests, legal case, porn, legal system, patient charts

FDA Loses in Court With Violating First Amendment – Alliance for Natural Health Vs Kathleen Sebelius – Selenium Supplements

The court case stated the FDA violated the first amendment of freedom of speech when censoring truthful scientifically backed claims about how selenium can help reduce the risk of cancer. We see a lot of advertising where the train runs away with...

Published Fri, Jun 06 2010 12:05 PM by The Medical Quack

Filed under: Medically Related, Pharma/FDA News, healthcare, FDA, legal case, Sebelius, supplements, natural healthcare, selenium

Ortho-McNeill Pleads Guilty to Illegal Promotion of Topamax – $6.14M Fine And $75.37M For Payment of Civil Allegations

The fine appears small compared to also having to pay $75.37 million to resolve civil allegations related to the false medical claims that were generated due to off label illegally promoted use. The ‘Doctor For A Day Program” is listed as...

Published Fri, May 05 2010 6:16 PM by The Medical Quack

Filed under: Medically Related, Pharma/FDA News, Other Items of Interest, drugs, Claims, Prescriptions, FDA, Marketing, Johnson and Johnson, FBI, legal case, Topamax, billing, off label marketing, epilepsy, Orth-McNeil-Janssen

Man Received Kidney Transplant That Was Infected With Cancer – He Too Developed Cancer

This by all counts is depressing all the way around to receive a “life saving” organ only to find out that the organ had not undergone sufficient screening and then come down with cancer after the transplant. Getting a transplant with the hope of...

Published Thu, May 05 2010 5:36 PM by The Medical Quack

Filed under: Medically Related, Technology, Surgery, healthcare, Cancer, tumors, kidney, Transplants, screening, legal case, death, donor

My Algorithm Didn’t Do That, Did It? Is There a “Department of Algorithms” in Our Future?

If you read the Medical Quack you see that word smack dab in the middle of the site, it has been there for about a year now and I did that to bring an awareness about how healthcare and the financial world uses formulas for profit and measurements. ...

Published Mon, Apr 04 2010 4:10 PM by The Medical Quack

Filed under: Medically Related, Technology, Insurance, health insurance, Business Intelligence, Fraud, Breast Cancer, Algorithms, HIV, healthcare reform, legal case, judge, insurance reform, Well Point, tech denial, recission, consumer, Assurant

WellPoint Ran a Breast Cancer Algorithm to Target Members for Cancellation of Policies - “Fraud Detection” is the Catch All that Justifies the Reporting

I’m glad to see “algorithms” finally getting some real attention here as this is what I have talked about for the last couple of years here and how the word “fraud” enters the picture to “score” individuals. It’s what has been happening for a long...

Published Thu, Apr 04 2010 11:32 AM by The Medical Quack

Filed under: Medically Related, Insurance, health insurance, Business Intelligence, Fraud, Breast Cancer, Algorithms, Sicko, HIV, healthcare reform, legal case, judge, insurance reform, Well Point, tech denial, recission, consumer, Assurant

Abbott Laboratories Investigation With Off Label Drug Marketing for Depakote Invokes Judge to Call for CEO’s Email Messages

Abbott, and likely the IT folks added in here, said it would be very cumbersome to go back and get 53 back up tapes to find all of the messages, but the judge doesn’t care and feels it is important enough to the case. It is a job though and will...

Published Tue, Apr 04 2010 2:40 AM by The Medical Quack

Filed under: Medically Related, Pharma/FDA News, healthcare, Pharma, Seniors, migraine, Drug Companies, legal case, judge, Abbott Labs, off label marketing, emails, Depakote

Five More States Join Lawsuit Challenging US Healthcare Reform – Healthcare for Profit Is a “Legally Inspired” Paradigm With Little Morality Left At Hand

There have been many posts on the web about the states now challenging healthcare reform and some say it’s a bit of a cover up to raise money. The only item that I see as having grounds here is the fact that when compliance and the laws state that...

Published Thu, Apr 04 2010 11:10 AM by The Medical Quack

Filed under: Medically Related, Insurance, healthcare, Wall Street, legal case, morality, states, non profits, healthcare refrom

Arkansas Surgical Hospital Suing United HealthCare and Blue Cross For Abusing Public Servants By Supplying Benefits and Gifts to Former State Insurance Commissioner

The court case states this is a potential felony by accepting gifts and benefits from the insurers. From what the article says here United gave her a job, and I am guessing this was after her tenure of insurance commissioner was completed. ...

Published Sun, Apr 04 2010 11:36 PM by The Medical Quack

Filed under: Insurance, Microsoft/Windows News, Hospital, health insurance, Blue Cross, Court, United HealthCare, healthcare reform, legal case, Arkansas, insurance commissioner

Health Insurance Company Ran an “HIV” Algorithm To Cancel Consumer’s Policy –An Automatic Fraud Investigation Revealing “False Positives” Or “Unhealthy Patients”

Earlier this week I participated on a blog talk radio show discussing this exact matter and interesting that this case makes the news this week. As I keep saying it’s all about the algorithms. If you don’t come to admit they exist and determine...

Published Fri, Mar 03 2010 8:06 PM by The Medical Quack

Filed under: Medically Related, Insurance, My Commentaries, health insurance, Business Intelligence, Fraud, Algorithms, Sicko, HIV, healthcare reform, legal case, judge, insurance reform, Fortis, recission, consumer, Assurant

Omnicare, Johnson & Johnson, Risperdal, Whistleblowers and Legal Woes Back in the News Again

This has not been a good day for J and J today. In addition to the Tylenol recall, another case investigating marketing and kickbacks in now in the courts. Omnicare is no stranger to kick backs and it was just in November they admitted no...

Published Fri, Jan 01 2010 5:12 PM by The Medical Quack

Filed under: Medically Related, Pharma/FDA News, healthcare, Nursing Homes, Johnson and Johnson, legal case, Omnicare, drug patent, Ortho-McNeil-Jansen, kick backs, Risperdal

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