How many companies used the Ingenix Data Base one has to question. While current Ingenix had a name change to Optum Insights a couple years ago and I think all the lawsuits might have had something to do with that. Another United Healthcare (Ingenix) Laws…
Continue ReadingHere we go again. If you haven’t figured this out yet, when you buy a Cigna Health insurance policy you get a two for one with 2 insurers. Cigna provides the insurance benefits and then it’s pharmacy benefit manager, PBM OptumRX (biggest revenue sector subs…
Continue ReadingBy now we should all know the insurers are looking at ways to keep the cost of healthcare down and now it’s coming down to pretty much an “algorithm stick” for the doctors to deal with. This new company, interestingly enough is being headed from a former Whi…
Continue ReadingThis is unbelievable if I am reading this correctly as I had assumed that all insurers who licensed the data bases and software from United had agreed to switch to to the new “Fair” data base, but it looks like Horizon Blue Cross/Blue Shield was still using i…
Continue ReadingHere we go again, back to those Ingenix algorithms and business models, getting a rerun of sorts of what occurred in 2011. In 2011 there was one main lawsuit from the AMA along with many others that were filed (some being still settled) over using formulas t…
Continue ReadingSo let’s get down to what’s really happening here. Once upon a time the PBM models were a different type of creature but as time moved on they became less about a better and affordable price for prescriptions and more about and algorithmic machine to create …
Continue ReadingHow many people know that Optum has a bank? They don’t offer any retail services outside of an Health Savings Account to the public but many companies offer this for people who have a high deductible health insurance policy. You can Argus Analytics Produces…
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