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WellPoint accused of Misrepresenting Cancellation Practices–We Better Start Certifying Those Algorithms Used By Insurance Carriers–Just Like We Certify Medical Records-The Missing Link

We do spend a lot of time and money getting medical record software certified for use in the fact that it can perform and do what it is slated to do and perhaps we need to look at certifying those algorithms used by insurance carriers too as we just don’t know do we until we get a cancellation or rejection...

Posted to The Medical Quack .... by Barbara Duck by The Medical Quack on Wed, Oct 13 2010
Filed under: Filed under: Medically Related, Insurance, My Commentaries, health insurance, Business Intelligence, Fraud, Breast Cancer, Algorithms, healthcare reform, legal case, judge, insurance reform, Well Point, tech denial, recission, consumer

My Algorithm Didn’t Do That, Did It? Is There a “Department of Algorithms” in Our Future?

If you read the Medical Quack you see that word smack dab in the middle of the site, it has been there for about a year now and I did that to bring an awareness about how healthcare and the financial world uses formulas for profit and measurements. It’s been going on for years. There are...

Posted to The Medical Quack .... by Barbara Duck by The Medical Quack on Mon, Apr 26 2010
Filed under: Filed under: Medically Related, Technology, Insurance, health insurance, Business Intelligence, Fraud, Breast Cancer, Algorithms, HIV, healthcare reform, legal case, judge, insurance reform, Well Point, tech denial, recission, consumer, Assurant

WellPoint Ran a Breast Cancer Algorithm to Target Members for Cancellation of Policies - “Fraud Detection” is the Catch All that Justifies the Reporting

I’m glad to see “algorithms” finally getting some real attention here as this is what I have talked about for the last couple of years here and how the word “fraud” enters the picture to “score” individuals. It’s what has been happening for a long time. Things don’t change until the results...

Posted to The Medical Quack .... by Barbara Duck by The Medical Quack on Thu, Apr 22 2010
Filed under: Filed under: Medically Related, Insurance, health insurance, Business Intelligence, Fraud, Breast Cancer, Algorithms, Sicko, HIV, healthcare reform, legal case, judge, insurance reform, Well Point, tech denial, recission, consumer, Assurant

Health Insurance Company Ran an “HIV” Algorithm To Cancel Consumer’s Policy –An Automatic Fraud Investigation Revealing “False Positives” Or “Unhealthy Patients”

Earlier this week I participated on a blog talk radio show discussing this exact matter and interesting that this case makes the news this week. As I keep saying it’s all about the algorithms. If you don’t come to admit they exist and determine coverage and treatment, you’re missing the boat...

Posted to The Medical Quack .... by Barbara Duck by The Medical Quack on Fri, Mar 19 2010
Filed under: Filed under: Medically Related, Insurance, My Commentaries, health insurance, Business Intelligence, Fraud, Algorithms, Sicko, HIV, healthcare reform, legal case, judge, insurance reform, Fortis, recission, consumer, Assurant