This should not really come as a big surprise as what hasn’t the pharmacy benefit managment business touched? So what is Patients Who Pay “Cash” When Filling Prescriptions Are Now Called “outliers, Pharmacists Required to Fix outliers as They Show Up As Non …
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As if there’s not enough pharmacy benefit management taking place at United, the company owns Optum, RX which was formerly known as prescriptive solutions and in some areas that PBM has put some smaller pharmacy benefit managers out of business. Here’s fro…
Continue ReadingClickFreeMD Selling Software EHR, Practice Management Bundled Records Solution–Emphasis on AMA Endorsement And Software “Powered” by Ingenix–Tethered or Untethered Now we have this data plague as I call it of an issue of Excess Scoring. I wrote about that …
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Prime Healthcare as well as other investors are buying up hospitals and the rates are going up on what insurers pay. Meadowlands hospital has been one that has been in the news quite a bit for one example. The last CEO who just left was there for 3 months. …
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This has been kicking around out there since Whistleblower lawsuits were filed. Initially Humana was the first target and between United and Humana they have the most at stake here because they have most covered by Medicare Advantage Plans. This goes back to…
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There has to be a way to keep shareholder interesting rolling right? What makes this story interesting is the fact that other insurers are already covering the device and United, who preaches preventional medicine doesn’t seem to be in line with what most …
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The state medical association put out a release to notify consumers who have Medicare Advantage Policies with United Healthcare, that their state is next on the hit list. If you go back all of this started in Connecticut and there’s still lawsuits pending on…
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When you read through one person gets the health insurance side and the other person gets the other side, Optum. Optum as you know does all kinds of things from wellness, to cheap hearing aids, owns a custodial bank, sells software, integrates EMRs and all…
Continue ReadingHere we go again, the Big Brother push and of course could all these “motion” scores be combined and queried with medical claims and other information on hand at United? Sure they could and we now would have an entire new bunch of risk assessment scores to A…
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It doesn’t stop does it? We all know by now that the savings and rewards cards are trackers and create data on our behaviors that is sold and scored, so here’s another one. Push folks into high bills for their healthcare, then they need these cards to eat r…
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You may be living under a rock as most of the press is with watching subsidiary actions of big corporations and this one here is huge. Of late some are now brought under the Optum umbrella so they may or may no longer show as separate subsidiaries as they ha…
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So 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…
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