If you have watched the news of late, drug prices that we pay are a big item as the price of drugs keeps United Healthcare Hits the Bottom of the Barrel Linking Doctor Information to Healthgrades Flawed Data Of course in this video, which pharmacy benefit ma…
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 ReadingYou know they are going to use these flawed medication adherence scores to determine who gets what with medications. This is horrifically flawed. Regulation won’t work and CMS should work towards getting lower drug prices instead of this model that comes ba…
Continue ReadingYou may or may not be aware of what’s going on with Big Data here but in China this is the deal, a Citizen Score that will determine everyone’s worth by using all sources of data available. So this is happening only in China? Wrong..we have Excess Scoring fo…
Continue ReadingThe long and short of the OptumRX agreement is to allow patients to be able to pick up and fill a prescription in a retail store versus mail order. That in inself tells me that there’s folks who don’t care for mail order services? In addition, Walgreens wi…
Continue ReadingYou can read the CMS Sanctions Cigna-No More Selling Any New Medicare Advantage Policies Until Algo Problems Denying Medical Coverage and Prescription Denials Are Fixed United Healthcare Having a Big Bond Sale to Finance Purchase of Catamaran Pharmacy Benefi…
Continue ReadingSeveral other drugs will be removed as well effective January 1st. Viagra of course is a big name drug that we have all known for years, so now it’s the battle of the ED drugs. There’s also a lawsuit filed in California with CVS overcharging consumer for dr…
Continue ReadingOne thing we all hate is the high prices we pay in the US today for our prescriptions. Sure we do get some discounts, but that too has become an effort in algorithmic shopping to click here and click there to get the best price. It shouldn’t have to be that…
Continue ReadingIf you read here often enough then you know I address this topic from time to time as companies and people do cheat with their software. If you watch the markets you see folks like Nanex post charts every day giving out visuals on where the cheating is. Un…
Continue ReadingWhen IBMWatson first came out I thought it was great and still do for cancer research and other areas requiring deep data mining to find cures, but this, with “excess scoring” and selling of data mining has reached the limit. If you read the article they don…
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