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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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In California we are well aware of this with the recent news with Prime Health Care being challenged on this practice as they have no contracts with the insurers and charge their published rates for out of network care, and the patient is stuck in the middle, but from the other side of the coin, some...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
08-29-2008
Filed under:
Filed under: Medically Related, Insurance, My Commentaries, Hospital, health insurance, Physicians, Quest Labs, bankruptcy, Balance Billing, Health Insurance Coverage, Not for Profit Hospitals, Prime Healthcare
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Read up here if you have not heard of the MIB, and you might just find you have a file, that is if you have been to a physician and had insurance cover the visits or any other health issues. This is an exchange between all insurance companies with a data base where they can all exchange notes, so if...
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Interestingly enough, while I was watching this video, my cell phone rings from Anthem Blue Cross with an automated questioning system about taking care of my health, somewhat of a parody as I was reviewing the video for the blog. I went through the system and first off I do have to make one comment...
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More additional affiliations for the FDA to gather information. In the news recently have been other agreements with companies such as Blue Cross and others who will be providing data to also study the effects of drugs through medical record information in their files, based on claims, etc. No...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
08-18-2008
Filed under:
Filed under: Medically Related, Technology, Insurance, Pharma/FDA News, health insurance, healthcare IT, Pharma, Biotech, FDA, Medco, Pharmacogonomics
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This brings up an interesting question, what do you go for relief or bankruptcy? Although now it is not real wide spread, but as the Biomed business continues to grow with new break throughs, how will this process continue? Is this more justification for biosimilars, the Biomed side of generic...
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This goes back to the situation with Prime Health Care hospitals. Prime owns several hospitals in California and does not have contracts with the insurance companies, and has the ER rooms to accommodate all. When the insurer pays what they feel is owed and the charges go beyond this...
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Employers made penalty payments of only about $7 million in the past year, so are they opting to pay penalties versus providing insurance? Is it cheaper to pay a penalty than to provide coverage? In a downtime for the economy it's getting difficult to force compliance when the money is...
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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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Stories like this are sad indeed. It comes back to the dollar and someone playing "God" to determine who gets treatment and who does not. Granted personalized medicine tests will help in time, not only from the actual treatment side, but from the information side of things as well...
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This brings up one big issue, something I have been aware of for a while, collecting data for one purpose and being used for another, think this doesn't happen, think again. When you sign up for health insurance, you sign you life away for all this data to be collected and reviewed for the...
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This sounds like some of the data perhaps used for P4P being made available. With the information on the patient prescriptions refills, etc, it tells all about whether or not a patient fills a prescription or note, unless they pay cash for the $4.00 generic brand, in which case that will not show...
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One more way for the information to run queries to cherry pick applicants is accomplished. When you apply for insurance, the fine writing will usually state that you are giving permission to check any medical information and records and, yes, this includes prescriptions. Even the $4.00 generic...
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It used to be we would hear some type of concern, but the comments here sound like a torrid of anger, hope this is not a sign of the times when it comes to working with carriers for health care. It makes it sound more like a war than a negotiation process towards working to achieve better healthcare...
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Over 30 insurance companies have registered for the event in September, along with 100 hospitals. Insurance companies are attending to meet the hospitals, not the hospitals here in the US, those abroad. I did see the AMA mentioned as an attendee. After the meeting, who knows what will be...