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This might have a bit to say about the IT departments, or the antiquated equipment in place, but with all the large profits being made by health insurers I would guess the have invested heavily as they have with all their reporting services and claim algorithms for calculating claims and approvals for...
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One more program to confuse us when needing a prescription, although I’m sure there is money to be saved here, but shoot I like the $4.00 or $10.00 generic prescriptions offered by others, no enrollment and no questions asked, simple. For the monthly fee, you might need to be a patient with some...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
11-06-2008
Filed under:
Filed under: Medically Related, Insurance, Pharma/FDA News, Other Items of Interest, drugs, healthcare, health insurance, Prescriptions, Medicare Part D, Aetna, Pharmacy, Costco
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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
11-06-2008
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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This is one update I do not look forward to posting, but the list and updates keep growing and coming in. We have Prime Healthcare here in California buying hospitals that would otherwise be gone, and the solutions offered by Prime are not particularly attractive due to the current balance billing...
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I have posted here several times on the X-PRIZE FOUNDATION relative to genomics research. More on this portion of the competition in the area of genomics can be read here. In genomics, there are also new advancements coming along too from those who are not participants as well, so it could...
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As the article states, you don’t need marketing for cancer drugs, as the need is unfortunately already there, thus marketing for cancer drugs does not necessarily carry the same sales expense as do other drugs. We have all seen the “tiered plans” on what level drugs are listed with insurance coverage...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
10-13-2008
Filed under:
Filed under: Medically Related, Insurance, Other Items of Interest, My Commentaries, personalized medicine, Genomics, health insurance, Pharma, Prescriptions, Cancer, R and D, Science 2.0
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The Human audit trail has arrived or I should say will arrive in January. Will we someday all be walking around with a device like this clipped to our clothing? This looks like an item that could be integrated in to one of the online Personal Healthcare Records programs as a next step . ...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
10-12-2008
Filed under:
Filed under: Medically Related, Technology, Insurance, Other Items of Interest, My Commentaries, healthcare, Medical Records, health insurance, PHR, Google Health, HealthVault, software, fitness monitoring, Fitness, Big Brother, Employer health InsuranceInsurance
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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 up time and time again, who's going to to...
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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 possibly start ahead of time with creating networks...
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This sounds a lot like here in the US, consumers dropping their private health insurance due to rising costs, except they have a public health care system to go to when ending their private health care insurance. BD ONE of the architects of Medicare has predicted 750,000 people will leave private...
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The lawsuit states they “broke the law” by acting like a for profit organization and shifting funds to buy a California insurance company. It appears as if Blue Cross operates similar to an assigned risk carrier as they cannot deny coverage as long as the patient pays , unlike out here in California...
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Prime Healthcare is growing in size, lagging just a bit behind Kaiser in size. By not having signed contracts, the hospitals can bill at their rate of service charge, so there are no breaks for the insurance companies. The hospitals see everyone in the ER rooms and are pretty much a lot of...
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There’s a lot of focus this week on the Medicare reductions, but in California there’s also the Medi-Cal cuts. Already it is very difficult to find physicians who will still take Medi-Cal today, that battle through attrition has already be done, but the biggest potential losers in California are...