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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 ABC has finally come out to state how insurance tracks...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Mon, Feb 28 2011
Filed under:
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
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Patrick Soon-Shiong M.D. is the Los Angeles billionaire investor who has scooped up the company. Overall the product is a good thing as far as the reminder system and keep folks on track. My only concerns is the privacy factors and the data that it creates for sale. In today’s world...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Fri, Feb 4 2011
Filed under:
Filed under: Medically Related, Technology, Insurance, Pharma/FDA News, EMR, drugs, healthcare, EHR, Pharma, PHR, Prescriptions, data bases, Business Intelligence, Fines, personal health record, Algorithms, formulas, Express Scripts, overcharges, Vitality, Cobert Report, nsurance
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Here’s definitely an area for budget cuts where nobody will complain or get hurt. The reality here though is the fact that IT infrastructure of the government is in sad shape but they are working on the solutions and this has a lot to do with perhaps outsourcing data and IT work when perhaps some...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Fri, Oct 29 2010
Filed under:
Filed under: Medically Related, Insurance, Other Items of Interest, My Commentaries, health insurance, data bases, employer insurance, Human Resources, Coburn, tech denial, Healthgrades, infrastrucure, lazy, employer insurance HealthGrades
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We have been reading about acquisitions and now it appears Ingenix (a wholly owned subsidiary of United Healthcare) is selling one arm of their software/analysis resources to a company that has business in the same area. This business would be related to settling medical claims as a result of auto...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Mon, Oct 25 2010
Filed under:
Filed under: Technology, Insurance, Other Items of Interest, healthcare, Lawsuit, data bases, Mergers and Acquisitions, Ingenix, Chiropractor, breach of contract, corrupt data base, class action, Mitchell
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Nobody likes fraud and me included but with having information floating around out there that includes “dead doctors” and other erroneous information, this is scouting ground for crooks to look around and figure out where fake and fraudulent claims can be sent. If someone is already working in...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Thu, Oct 21 2010
Filed under:
Filed under: Medically Related, Insurance, My Commentaries, health insurance, data bases, employer insurance, Human Resources, tech denial, Healthgrades, infrastrucure, lazy, employer insurance HealthGrades
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Well it might cost you just a bit more to have the assurance that your office, hospital or other healthcare facility is coding correctly if you subscribe to the services (algorithms) offered by A-Life Medical which is now part of Ingenix. The United Behemoth grows again with acquisition number...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Tue, Sep 21 2010
Filed under:
Filed under: Medically Related, Technology, Insurance, data bases, Business Intelligence, Health, Heatlhcare, UnitedHealthcare, Balance Billing, Algorithms, formulas, Ingenix, i3, algoirthms, United Health Group
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This just goes to show you can’t really believe every thing you read on the web. I came across this by accident when doing some searches relative to the Medical Quack. I went to an obgyn doctor for many years and was very happy with her and would still be a patient today except for the fact...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Fri, Sep 10 2010
Filed under:
Filed under: Medically Related, Insurance, My Commentaries, health insurance, data bases, employer insurance, Human Resources, tech denial, infrastrucure, lazy, HealthGrades - Guiding America to Better Healthcare
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Ok we have all these anti-fraud software companies, some are subsidiaries of insurance companies that are supposed to be checking for this type of fraud, but the problem here lies with cutting profitable revenue in catching fraud. In other words is it time to catch these folks and cut off the stream...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Fri, Sep 10 2010
Filed under:
Filed under: Medically Related, Insurance, healthcare, health insurance, medical billing, data bases, HHS, Algorithms, Medicare fraud, subsidiares
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When we combine insurer information we need to make sure we have “live” patients here so the information is not skewed. I mention this as a couple weeks ago the city found 2 million dollars worth of money spent on insuring patients who had been dead for a number of years. When participating...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Thu, Aug 26 2010
Filed under:
Filed under: Medically Related, Technology, Insurance, health insurance, data bases, Grants, Social Security, employer insurance, Human Resources, tech denial, Beacons, Buffalo, infrastrucure, lazy
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The city is blaming Human Resources for this big oversight here and I ask too what about the insurers who kept collecting the money? If some of the people were covered under an HMO, didn’t some of those folks come up for a mammogram screening? Actually this is a disconnect here too as I know...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Fri, Aug 13 2010
Filed under:
Filed under: Medically Related, Technology, Insurance, health insurance, data bases, Social Security, employer insurance, Human Resources, tech denial, Buffalo, infrastrucure, lazy
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I try to see both side of this coin and yes having reminders and helpers is not a bad thing at all, it’s just the data side with privacy issues that seem to be the bug here as health insurance companies provide “behavioral underwriting” today to analyze every small item on your agenda. Companies...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Thu, Jun 24 2010
Filed under:
Filed under: Medically Related, Insurance, Pharma/FDA News, EMR, drugs, healthcare, EHR, Pharma, PHR, Prescriptions, data bases, Business Intelligence, Fines, personal health record, Algorithms, formulas, overcharges, Vitality
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Additional more joys of hospital use of data and while this is not bad as they are looking for donations, there’s just something that is a bit irritating, especially if you are a patient who’s in the process of battling your insurance company over what they covered on your hospital visit. If I...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Mon, May 24 2010
Filed under:
Filed under: Medically Related, Insurance, Other Items of Interest, Hospital, data bases, HIPAA, Heatlhcare, Money, Philanthropy, solicitors, fundraisers
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You would think by now we would have infrastructure within the US government to develop something like this, but we don’t and it is just one more reminder of what the US government is going through right now to get caught up after 8 years of being on “snooze” control with an administration that saw little...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Mon, May 17 2010
Filed under:
Filed under: Medically Related, Technology, Insurance, health insurance, data bases, CMS, Doctors, Outsourcing, Data, Meaningful Use, infrastructure, Northrop Grumman, contractors
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This is a new lawsuit against the Ingenix data base and not the same as the settlement by the AMA. This suit reflects specifically on outpatient surgery centers and has been initiated in California by 2 surgery centers. In this case we have some administrators who run employer plans also...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Mon, May 10 2010
Filed under:
Filed under: Medically Related, Insurance, health insurance, Claims, data bases, California, AMA, Fraud, Law Suit, Data, Algorithms, United HealthCare, Ingenix, class action, administrators, underpayments, surgical centers
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This is similar to the recent case where in New York the algorithms resulted in underpayments to patients and doctors with healthcare claims with the use of Ingenix (a wholly owned subsidiary of United Healthcare) payment formulas. We have the same/similar problem here when it comes...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Fri, Apr 23 2010
Filed under:
Filed under: Medically Related, Technology, Insurance, healthcare, Lawsuit, data bases, Ingenix, Chiropractor, breach of contract, corrupt data base, class action