This is an interview asking the Governor how they are decreasing cost and he addresses the premium costs and states they are making progress. Fee for Service is discussed as it is all over the country. Limited networks plans encourage people to go to community settings he states. Not all of Harvard Teaching facilities are on the “high”list though and some of the community hospitals ended up on the high list too. On the Blue Cross Study, Massachusetts General was on the “high” list. Limited Network Plans mean a smaller network of providers, in other words those with contracts that are acceptable. BD
Blue Cross Launching New Health Coverage Option in Massachusetts-Encourages Consumers Via Employer Plans to Avoid 15 Named High Cost Hospitals
Massachusetts Governor Patrick discusses how they are cutting healthcare costs by encouraging limited network plans that do not include Harvard and other teaching hospitals, as well as getting away from fee for service.
http://currentmedicine.tv/2012/other-categories/policy/how-to-cut-healthcare-costs-in-massachusetts-ban-harvard-from-insurance-plans/
back with the CEO responding about a patient and making a little too much information available relative to her diabetes records. They were responding to a news report and it also ended up in the Los Angeles Times. Prime was already being watched for the Kwashiorkor Malnutrition billing codes they were using. I’ve done other posts too on billing software and the algorithms used for billing so there’s a little of both involved here with input and how the software does the ultimate coding as well. 
The official name is “SignatureValue Alliance” in California so I guess this means the doctors and hospitals have signed on the dotted line <grin>. It mentions evidence based medicine and for what I see most are already practicing that way and have for years. The rating algorithms come in here and again we all know how ratings go these days and depends on who’s algorithms are being use and the integrity of the data collected along with accuracy. 
The white powder tested positive for cocaine. The box showed no signs of tampering either so again this one of those to be tracked and solved. The store is probably clue less of course as they buy products to liquidate and hopefully we have no “blind shipping” documents here, which is where a point of origin is not shown, but the common carriers, if this is the case can track it through and find all that information out. BD 
to hear more on this topic as folks dig in. Investors beware of what some software folks claim when you have projects of a big magnitude as this. I don’t think that maybe they lied outright, they may not have said anything as heck investors and consumers buying this kind of stock don’t understand it anyway and how it all has to come together, they just want money. 
. I say part because to do an entire 4 year curriculum online with no other human intervention would be insane, but who knows it might get to that some day, but I don’t think so as you would have folks that may have all the intellect but know zap about how to work with other people. Just social networks kind of give us a hint of that today as a matter of fact. 
else finally touch this topic as with massive daisy chains of subsidiaries most consumers have a not a clue on how they function today and it’s not all about insurance as it could be Health IT for an example as UnitedHealthCare has 3 EMRS they sell through subsidiaries they purchased, plus their own CareTracker. They also have a bank with over a billion or more on deposit. Again search “subsidiary watch” here and you will find a wealth of information as well as searching by carrier name too. Harvard was supposed to do a study and maybe they still are on the impact of mergers and acquisitions in healthcare. 
” subsidiary functions but hat is one of many and United by far is the biggest of all of them as they started analytics and risk management by the algorithms long before others even thought of it. With the old Ingenix data base they had which low balled customary fees, all the insurers licensed it so they were making money both ways, but there are a lot of lawsuits out there. They do own some “killer algorithms” out there for sure. They took the DOD to court over the Tri-Care agreement, it was all about those risk analysis reports. They recently hired the former Assistant Attorney General as General Counsel a few months back. Where does that leave us? 
in here so that folks who are buying services know when their money spent hits a corporate bottom line. When you work around a lot of data, like I did a few years ago writing an EMR and integrating billing software with it you see a lot of stuff that the consumer would never see. With the number of subsidiaries they have and with perfect conditions of winning every contract they company could start with their consulting services who help introduce a drug to the FDA and handle almost every step right down to MD reimbursement. 
that they combine data from very different kinds of companies so what’s to stop insurers other than HIPAA and everything is not covered by HIPAA. United makes a ton of money selling your data too and has for years under the Ingenix (now Optum) subsidiary. 
a ton of information here if you are curious about United and some of the others and all the types of companies they own and how they do business. Use the words “subsidiary watch” and they’ll all come up and many posts have more links inside the post with even more information. In some parts of the country they even have pay for performance for pharmacists too who sign you up with the YMCA or one of their other wellness programs as they own a bunch of those companies too. 
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Math–This Could be a Subject for Michael Moore to Explore and Document In a Movie
Screenings Too–Killer Algorithms Part 12–Medical Billing Codes Style
Assessing Consumer Credit Scores–Attack of the Killer Algorithms Chapter 21 With Flawed Data
Duping” Society Combined With A World of Rogue Algorithms & Flawed Data Continues In Markets As Seen With Knight Capital This Week-Attack of the Killer Algorithms Chapter 36
Study Fraud With EHR Technologies, Namely Medical Records/Billing Software Used by Hospitals– HHS And SEC Continue Getting Their Non-Algorithmic Fannies Kicked–Attack of the Killer Algorithms Chapter 46
SilverScript Senior Drug Program Sanctioned by Medicare Until the Payment And Billing Algorithms are Cleaned Up-Killer Algorithms Chapter 53
