The patients affected that will have to change doctors are the members who bought their coverage from AARP. This doesn’t appear to be as large as the numbers of doctors cut in other states, but still if it’s you, it has an impact. This appears to give a litt…
Continue ReadingThere are a couple insurance companies using this already in their call centers, Aetna and Humana. Back in 2011 Cigna was all over it too so I guess you can add them in there too. I remember writing about this technology when it first Computational Speech B…
Continue ReadingThis is a great watch and lot of information from Cathy O’Neil, author of “Weapons of Math Destruction” and computer scientist Jaron Lanier. Nobody is minding the shop as you can’t ask a machine for an appeal or know how the machine computed “One Trick Algo…
Continue ReadingThis has been a long case and just goes to show you how far back insurers have been using sophisticated and non sophisticated algorithms to cut payment to doctors. I saw this in the early HMO days in California with what we called the “floating patients” on …
Continue ReadingOk 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 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 ReadingHeck Acxiom and LexisNexis will do anything to make a buck and just make our lives miserable. So now it sounds like they have hospitals convinced they need this data as well. It’s bad enough with insurers for goodness sakes with all their data analytics and…
Continue ReadingI read this story and it’s hardly news worthy and I’m not saying I approve of fraud by any means, but look at the dollar amount? The woman is a registered nurse, so folks wise up, she deal with claims and is on the inside track so if she’s getting caught, we…
Continue ReadingHere we go again and at some point in time this over globalization is going to bite back and we have already seen some of this in healthcare. There are some things that are better left in the US and I might think this could be one of them. Total people gett…
Continue ReadingAccording the filing below, this change took place effective January 1st of this year so as I read this all patient records, documentation, etc. would need some type of update to reflect the new names, policies and coverage. As we all follow data trails toda…
Continue ReadingThis is just taking this a little too far and we know when you let Quants go wild, they will go, and go and go and quantitate and create spurious correlations and sell and market you on the fact they they have value and they do not. If you read around the we…
Continue Reading
