Ok here we go first out of the box to connect and want you vital stats with using Apple Health is Humana. Well first of all what happened to the doctor in the picture here? As this article goes on to say, Humana wants to catch particular items about your h…
Continue ReadingEveryone now has made the big change to convert from ICD9 to ICD10 Coding for medical billing. When all of this was taking place, many said it would really not improve care and so far, that’s what we have seen. The big coding change has not any impact in th…
Continue ReadingSo we are all watching to see how insurance merger mania goes and here’s the next after Centene bought Health Net a couple days ago. In the Medicare Advantage market Aetna is the distant third behind United and Humana so with purchasing the #2 Medicare Advan…
Continue ReadingHere’s the press release below and I myself am not a patent expert here and may not understand how far reaching licensing may go here with with where this would apply, but back a couple years ago Bob Lorsch and I did speak on an interview process. The origi…
Continue ReadingIt’s been a while since I hit this one but since last time, of course, things are getting worse out there. With prediction tools and apps being all the rage today, their reliability and accuracy are not always there. Before the word “prediction” took over, …
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 ReadingWith prediction tools and apps being all the rage today, their reliability and accuracy are not always there. Before the word “prediction” took over, we used to have words like “trending” and number crunches used for a lot of what we saw, but today it’s the …
Continue ReadingI have said this many times here but a lot of insurers are moving the next step up from actuaries to hiring Quants to create news models as most actuaries don’t write code but some are today. Quants can actually audit the actuary function as well . Sometim…
Continue Reading
