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The systems keep getting more complicated and as human bodies we are shoved into data bases, analyzed and sometimes treated less than human when inquires are sent or claim denials are questioned. Unfortunately our health insurance industry sees us humans as “numbers” first it seems. That...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Thu, Nov 18 2010
Filed under:
Filed under: Medically Related, Insurance, healthcare, medicare, health insurance, Survey, formulas, healthcare reform, WebMD, algoirthms
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There’s a few big healthcare companies in here who got in line, to include insurance companies themselves to take advantage to join in. The program runs until 2014 and this fills in the blanks for those who retire but are not of age yet to participate in Medicare. The part with the insurers...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Tue, Oct 5 2010
Filed under:
Filed under: Medically Related, Insurance, healthcare, medicare, health insurance, HHS, White House, Grant, Early Retiree Reinsurance Program, Patient protection and affordable care
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Here’s the latest results and more so than most insurers, United is a big conglomerate today of many types of businesses and sometimes it’s hard to see all the type of businesses they own due to subsidiary action, which is a key to watch today in order to get some type of idea where projections may go...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Tue, Jul 20 2010
Filed under:
Filed under: Medically Related, Insurance, My Commentaries, healthcare, medicare, health insurance, Hospitals, UnitedHealthcare, Lobbying, Doctors, Algorithms, healthcare reform, shareholders, vote, dividends, meeting, executives
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We keep hearing about how some doctors might drop Medicare, well in this instances Humana is doing the dumping with Advantage Plan contracted physicians. The company responded that this is quite normal that they add and drop providers all the time! What is happening here is much like what is going...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Sun, Apr 18 2010
Filed under:
Filed under: Medically Related, Insurance, healthcare, medicare, health insurance, Claims, HMO, Fraud, Dermatology, Money, Profits, Humana, Contracts, Florida, scoring business intelligence
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If you are a senior and were looking for a Part D supplement policy, Aetna is one carrier that won’t be able to accommodate you effective April 21st. This does not affect anyone who is currently enrolled in either the Advantage Plans or Prescription plans. I’m sure they want to get back on...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Fri, Apr 9 2010
Filed under:
Filed under: Medically Related, Insurance, healthcare, medicare, health insurance, Pharma, Aetna, CMS, Seniors, healthcare reform, drugs discounts, Formularies, Advantage Plans, Prescription plans
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I posted about the court suit filing back during the holidays at the link below. Now it appears that the legal suit cannot be heard in court. This is definitely a set back for the ACC, but they are determined to keep fighting against the proposed reimbursement cuts for cardiologists. ...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Wed, Jan 13 2010
Filed under:
Filed under: Medically Related, Insurance, healthcare, medicare, health insurance, Cardiology, Hospitals, Pay Cuts, Politics, healthcare reform, legal suit, American College of Cardiology, ACC
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These are a few charts that show the US compared to Canada and a few countries in Europe, the UK, France, Spain and the Netherlands. The US leads the way in cost in all areas. The column for the US is also broken down into low ranges, averages and some charts show Medicare reimbursement along...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Tue, Dec 1 2009
Filed under:
Filed under: Medically Related, Insurance, Hospital, drugs, healthcare, medicare, health insurance, Cost, physician fees, hospital fees
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This in no way reflects that Mayo is doing anything wrong, they have financial obligations like all the rest of the hospitals in the US. At last check if you are not aware 55% of the hospitals in the country are in the red now, pay attention to this fact. Mayo has had to make some cutbacks...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Mon, Oct 12 2009
Filed under:
Filed under: Medically Related, Insurance, healthcare, medicare, health insurance, Medicaid, Obama, Mayo Clinic, Patients, Algorithms, healthcare reform, patient focused, results oriented
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It appears the costs are now under the microscope here, granted in the Los Angeles area we do have a great number of physicians and hospitals, just population would make relevance there. Now we have Cedars wanting to explore the matter too. "Letting people die early is actually more...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Sun, Sep 20 2009
Filed under:
Filed under: Medically Related, Insurance, healthcare, medicare, health insurance, Hospitals, Kaiser Permanente, Cedar Sinai Hospital, heatlhcare reform, Downey Regional Medical Center, costs
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You may or may not have read about the “tea parties” in the news, if not, check out the link below. Good interaction from Al Franken here on handling their questions, unexpectedly. I do agree with his comments too on allowing Medicare to negotiate directly with the drug companies as that...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Sun, Sep 6 2009
Filed under:
Filed under: Medically Related, Insurance, My Commentaries, healthcare, medicare, health insurance, Pharma, Obama, part D, healthcare reform, town hall meetings, Coburn, Franken, Tea
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I’m trying to understand what Grassley is really doing here and exactly what is the plan and/or benefits to be derived. Let’s go back a few months and look at his investigation of AARP and the insurance they offer. Senator opens investigation into AARP insurance His investigation lead to...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Mon, Aug 17 2009
Filed under:
Filed under: Medically Related, Insurance, healthcare, medicare, health insurance, AARP, Congress, Medicaid, Patient Advocacy, United HealthCare, healthcare reform
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Nobody likes fraud, and good to see the law catch up with those that make it difficult for others. The one item that is finally mentioned here is not having update computer systems to track some of this or prevent it in the first place. One particular story from last year was the fraud committed...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Thu, Jun 25 2009
Filed under:
Filed under: Medically Related, Technology, Insurance, Computers, healthcare, medicare, health insurance, Health IT, Medicaid, Fraud
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Wait one second, the computer system caused the problem, I am just curious as it takes algorithms to run and query , so who did the programming to cause the errors? It seems there’s been a lot of this going on of late, with the computer glitches creating errors. Do we not run these queries...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Thu, Jan 15 2009
Filed under:
Filed under: Medically Related, Insurance, healthcare, medicare, health insurance, Business Intelligence, part D, Programming, Algorithms, Wellpoint, computer glitch
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Two featured posts this week. Court Blocks White House Push on Medicare Expenses This particular statement really bothers me, is CMS now going to take on the role of “doctor here? “The Bush administration argued that Medicare officials had the right to decide whether the expense incurred...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Thu, Nov 6 2008
Filed under:
Filed under: Medically Related, Insurance, Other Items of Interest, healthcare, medicare, health insurance, AARP, CMS, Medical Quack, Bush Administration, Risk Management, WSJ
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A qualified system is not faxing! Many offices who are set up with an EMR or EHR are already covered and are either set up and ready to go or have the capabilities. For those who are not, there’s a permanent link on this page to NEPSI, the free e-prescribing initiative where you can sign...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Fri, Oct 31 2008
Filed under:
Filed under: Medically Related, Technology, Insurance, Pharma/FDA News, drugs, healthcare, medicare, health insurance, Physicians, Prescriptions, e-prescribing