I think they should have their day in court to submit their findings and substantiate the use of Avastin for breast cancer . This is not a new product and has been used to treat breast cancer and it has helped many women. Now what other data could the FDA have looking at? Did one of the...
Posted to
The Medical Quack .... by Barbara Duck
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The Medical Quack
on
Tue, Dec 28 2010
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Filed under: Medically Related, Pharma/FDA News, health insurance, Claims, Cancer, Oncology, Breast Cancer, Roche, United HealthCare, healthcare reform, Susan G. Komen, Avastic, FDA. Genentech
Profits increased 23% as membership gained and the lack of patients going for care added to a lesser payout of benefits. The actual profit was $1.28 Billion. The company also has many subsidiaries that contributed to the bottom line and this y ear United has been on shopping spree too. ...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Wed, Oct 20 2010
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Filed under: Medically Related, Insurance, healthcare, Claims, Algorithms, Laws, United HealthCare, audits, legislation, bills, medical care, New Jersy
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
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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
Once again the drive and race for data is on the move, insurers will fall over themselves 10 times over to get a hold of data to analyze. I agree with the comments from the Komen Foundation, an insurance company should not be doing this type of evaluation, it’s easy to be a Monday morning quarterback...
Posted to
The Medical Quack .... by Barbara Duck
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The Medical Quack
on
Tue, Feb 9 2010
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Filed under: Medically Related, Insurance, My Commentaries, health insurance, Claims, Cancer, Oncology, Breast Cancer, Roche, United HealthCare, healthcare reform, Susan G. Komen, Avastic
To help fight fraud, your healthcare claim could be getting a big “score”. In other words we are once again depending on those algorithms to determine what could be determined as fraud. If your claim gets a “big” score, then perhaps the red tape and battle is on. This is somewhat the...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Sun, Aug 30 2009
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Filed under: Medically Related, Technology, Insurance, My Commentaries, healthcare, CEO, Physicians, Claims, Hospitals, Fraud, Doctors, Algorithms, United HealthCare, Ingenix, healthcare reform, margins, what if, Customary fees
This whole business is very strange, and they are making room for Ingenix to move in and handle some business, the subsidiary of United Health Care and stated others would be added later. Cigna is where Wendell Potter worked for years. BD CIGNA has announced it will end its five...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Wed, Aug 26 2009
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Filed under: Medically Related, Insurance, healthcare, health insurance, Claims, Cigna, Emdeon, United HealthCare, Ingenix, EDI, clearinghouse