tag:blogger.com,1999:blog-7636722925939130652024-03-04T22:27:28.640-08:00Accretive HealthWelcome to the company profile of Accretive Health. Accretive Health is a leading provider of healthcare revenue cycle management services.Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.comBlogger1095125tag:blogger.com,1999:blog-763672292593913065.post-20317246076039263492014-11-24T02:06:00.000-08:002014-11-24T02:06:00.136-08:00Colon Cleansing - The Most Popular Detox Cleansing Today | Accretive Health<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgyIDd5UuBzdIqnfr1KKe8zZY7fS1JpQFBBPEu7FdMytYHrq2AF-FDTRGp9FnoZ2i3NTkj4V2iZu6hkmbcRNKy9boH5sQVimxKEY15d3VDFKg_P7QhvW2Ek98x0op1ZT4JCFwWXPPg9wFqD/s400/howtoloseweight.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="Vimax Detox Colon Cleanse Trial United States $395 Usa" border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgyIDd5UuBzdIqnfr1KKe8zZY7fS1JpQFBBPEu7FdMytYHrq2AF-FDTRGp9FnoZ2i3NTkj4V2iZu6hkmbcRNKy9boH5sQVimxKEY15d3VDFKg_P7QhvW2Ek98x0op1ZT4JCFwWXPPg9wFqD/s400/howtoloseweight.jpg" height="333" title="Vimax Detox Colon Cleanse Trial United States $395 Usa" width="400" /></a></div>
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Due to careless nutrition, polluted environment and stress, human body is bare to a large number of attackers that determine several embarrassing and painful conditions for your health. The instant cause behind these several diseases deceit in toxin accretion at colon level or the unfeasibility of the elimination of all these substances for getting good. Almost all of the doctors now advise the colon detox for the cleansing the human body from inside. Frequently cleansing is important in order to improve your life and be more beneficial. Colon cleanse is the most popular detox cleansing today.
Greatest danger for the human life is polluted surroundings. The challenge expands to keeping our body fundamentals, which usually faces some continuous dangers and makes negative impacts on the health conditions of human being. The most important threat is colon cleansing detox, as the refinement is subsequently impossible. As you would expect, the colon the digestive system of human body and it carries the body to wastes. </div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiNo5EqUwOX3Egz2YaeMTopLbai7aJhcCfhrFscYjMxi2dBF47mI3rNgGODEc7a71FX4gNEWqiefT8Fg99GCriCvc7ri_Jd4V0Me-ERm08H9B1bqbE0VULhfgJqjWDS3xtt252YBoAdi6s/s320/popular-detox-diets.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="Lemon Detox Diet Also Known As The The Master Cleanse Or Maple Syrup" border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiNo5EqUwOX3Egz2YaeMTopLbai7aJhcCfhrFscYjMxi2dBF47mI3rNgGODEc7a71FX4gNEWqiefT8Fg99GCriCvc7ri_Jd4V0Me-ERm08H9B1bqbE0VULhfgJqjWDS3xtt252YBoAdi6s/s320/popular-detox-diets.jpg" height="400" title="Lemon Detox Diet Also Known As The The Master Cleanse Or Maple Syrup" width="388" /></a></div>
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Doctors Recommend Colon Detox
The old adage avoidance is better than treat, still prevails. Doctors recommend the colon detox as means for cleansing the human system from inside against squander elimination and that is on the contrary not feasible. Detox colon cleansing play the most important role for a full filling and healthy experience.</div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiuTKy5UU2shATL-NyEVOT0veqfQuPEhg8yNixlO0mGM3_m2KSbCeJKWoOnJXFSWJuN_c3QRwXIaLftT6NPpCxfWWcc_EUtO9S6JEPIYtIUZK_GAXjqW5pW1AufbNSUYJZeZywrItFqrbM/s320/colon_cleanse_sm100.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="Colon Cleanse Detox And Lose Weight!" border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiuTKy5UU2shATL-NyEVOT0veqfQuPEhg8yNixlO0mGM3_m2KSbCeJKWoOnJXFSWJuN_c3QRwXIaLftT6NPpCxfWWcc_EUtO9S6JEPIYtIUZK_GAXjqW5pW1AufbNSUYJZeZywrItFqrbM/s320/colon_cleanse_sm100.jpg" height="400" title="Colon Cleanse Detox And Lose Weight!" width="282" /></a></div>
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The medical issues related to the colon are relatively high all the times. The distinguished causes behind these issues are, paying no attention to exercise routine, less fruits and vegetable intake, fast food affinity, work stress ,high sugar intake etc. Be it at work or at home, human body is bare for the environmental conditions and resulting reactions of it.</div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgX_cfo6hFdmVL6Pv4YPss7gF57BTOZW_Tv4STYmf7Vbgmtm9ZmQWr3ecFocO-LrcEJE9WSPG74np88K3xcSspT1NX-SBjUiVMiL_rc-azcpt5HByGkUbqQjcUrY6l_bOXYRJbqUwqkHiU/s1600/Vimax+Detox.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="Water Lemon Cayenne Pepper : Vimax Detox Colon Cleanse" border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgX_cfo6hFdmVL6Pv4YPss7gF57BTOZW_Tv4STYmf7Vbgmtm9ZmQWr3ecFocO-LrcEJE9WSPG74np88K3xcSspT1NX-SBjUiVMiL_rc-azcpt5HByGkUbqQjcUrY6l_bOXYRJbqUwqkHiU/s1600/Vimax+Detox.jpg" height="227" title="Water Lemon Cayenne Pepper : Vimax Detox Colon Cleanse" width="400" /></a></div>
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Main Causes Behind Colon Wall
The main causes behind colon wall are general problems which occurred day-to-day activities and problems resulting these activities. In such colon problems, the toxic junks are filled in colon bags and that is again absorbed into the vessels of blood. That waste material filled in colon bags ills the human body and the main reason behind the sickness, energy deficiency, supplementary diseases and other weakness.
A high volume of the toxic elements exists in the non-maintained bowel. These elements add the unnatural weight and swelling at the lower level of human body. A proper colon cleansing may help you in managed weight defeat after leaving the body by toxic elements. You should treat the most priorities need of your body to the managed and systematic colon cleansing. If you removes the toxic for one time from your body then they never comes back in your body. Positive effects are created by the hygienic colon on your mind. You can fight depression and may feel energetic all the time. You may take experience of your life in a batter and healthy way. Getting rid of the body waste also helps you in reducing chances of joint pains and body aches for you. The toxins caused by body waste may also be the reason behind the untimely headaches to you. Colon cleansing also helps you in getting a better look and glow in your face skin.</div>
Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-72137004027971060702014-11-24T02:04:00.000-08:002014-11-24T02:04:04.834-08:00Not All Proteins Are Created Equal - Part One | Accretive Health<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjnz78ycgjgozEyfxclhRpBd2-gDGLEDIOKvqyIhdgsYVQ7_-5erhqLp6K20MIqprXsKGxywqEUkgZEMxk6raeNdI01ZQ0o6zolIdTmfBohbW028FFSMJsghEUBS3v_jWEd4uUZgCGCrocw/s640/Nutritionist+in+the+making+002.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="Not All Protein Pancakes Are Created Equal I Have Had To Adjust These" border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjnz78ycgjgozEyfxclhRpBd2-gDGLEDIOKvqyIhdgsYVQ7_-5erhqLp6K20MIqprXsKGxywqEUkgZEMxk6raeNdI01ZQ0o6zolIdTmfBohbW028FFSMJsghEUBS3v_jWEd4uUZgCGCrocw/s640/Nutritionist+in+the+making+002.JPG" height="300" title="Not All Protein Pancakes Are Created Equal I Have Had To Adjust These" width="400" /></a></div>
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Protein, protein, protein: Believe it or not, all proteins are NOT created equal! Since this subject is pretty extensive, we have broken this article up into three parts. Part I addresses the different qualities and benefits of protein; Part II addresses Soy Protein specifically (its controversial shortfalls and benefits); and Part III addresses the best time to use each protein source.
Ask any bodybuilder about protein, and they will tell you that "Whey is King." Unfortunately, that is about as far as most people's knowledge about protein goes, and most athletes and fitness enthusiasts, have no idea why whey is the best source of protein or that there are differing qualities and benefits from different types of whey protein.
The major players in the field of protein are (in ascending order of quality) Soy Protein, Casein, Whey Protein Concentrates (WPC), Whey Protein Isolates (WPI-which can come from ion exchange process or microfiltration), and Hydrolyzed Whey Protein (HWP).
Being that soy is the only vegetable protein mentioned, and since it is quite controversial, we will discuss it separately in Part II. We will start by defining casein and the differing types of whey.
So, What is the Difference?
There are differing qualities of proteins that can be derived from milk; these are casein and whey. Whey is the liquid left over during the cheese making process after the casein in milk is converted into curds. The lowest quality and least expensive form of protein is Caseinate, and can be found in the form of Calcium Caseinate, as well as many other variations such as Potassium Caesinate, etc. As the name implies, it comes from "casein" before it is converted into curds.
A 1997 study titled "Slow and Fast Dietary Proteins Differently Modulate Postprandial Protein Accretion" published in the National Academy of Sciences journal indicated casein may be anticatabolic because it prevents protein breakdown. Because of its larger molecules, casein is digested slower than whey protein and maintains elevated amino acid levels in the blood for a longer period of time.
There are many benefits in maintaining elevated amino acid levels in blood as this has been shown to diminish muscle breakdown (catabolism) as well as having an anabolic effect. If your body is trying to repair muscle tissue, it needs amino acids in the bloodstream to be able to do so. It would be hard for a builder to build you a house with no materials; the same holds true for muscle repair and growth: they cannot take place without the presence of adequate amounts of amino acids in our bloodstream.
Although casein is the lowest priced and least refined of the proteins derived from milk, it is a bit higher in glutamine, tyrosine, threonine, and arginine content than whey protein. That is why a good refined whey protein supplement (such as an Isolate, or Hydrolysate) will usually have these amino acids added to it. Casein also moves slower through the digestive tract, which may allow for better absorption of amino acids and growth factors as well as making it a better meal replacement protein due to its longer and slower transit time (which translates to longer satiety or a feeling of being full). By using casein as a meal replacement protein, we are less likely to experience hunger than if we use a protein supplement with a faster gastric emptying time (one that leaves the stomach more quickly).</div>
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The benefit of slower digestion and transit time is that it is thought that slower transit time may allow for a higher absorption of certain components that may not be absorbed from proteins that go through the proximal bowel at a faster rate. Therefore, casein is the best choice to use when our schedule does not allow us to have normal food. Still, normal food would be more beneficial as it takes much longer to leave the stomach and maintains our blood glucose levels better controlled than a "liquid lunch" since the "liquid lunch" does not require much work from the stomach in the form of digestion.
High quality food should be our first choice for breakfast, lunch, and dinner. If your schedule does not allow the "luxury" of setting aside enough time to prepare or purchase an adequate meal, casein is the best choice for a meal replacement if long term satiety is the goal. Possibly the biggest benefit of using a high quality casein protein supplement is its potential in functional properties being researched in hospitalized patients, infants and animals, such as immune enhancing and antiviral properties.
Whey protein concentrate (WPC) is the next step up from caseinate and it comes from the liquid left over during the cheese making process (whey). In its raw form whey contains lactose, fat, salt, and other proteins. Originally all whey protein was made from whey sources left over from the manufacturing of cheese. If supplement manufacturers use this lower quality source of raw materials, harsh acids have been used to separate whey from casein resulting in a lower quality whey protein supplement.
Now there are companies that make whey and casein specifically for supplement manufacturers by extracting it from whole milk for the sole purpose of creating higher quality supplements, making the quality of whey protein today superior to the ones previously available.
There are many different processes designed to separate or filter the valuable fractions of protein found in whey. These range from microfiltration, ultrafiltration, nanofiltration, reverse osmosis filtration, dynamic membrane filtration, ion exchange, as well as many others that are being tested to yield the best product that contains as many of the beneficial health promoting portions of whey while leaving the impurities out.
These beneficial fractions include alpha-lactalbumin, beta-lactoglobulin, glycomacropeptides (GMP), lactoferrin, lactoperoxidase, immunoglobulins, lysozymes, and many more being studied to determine their role in health benefits. Whey protein derived from ultrafiltration is referred to as Whey Protein Concentrate (WPC). The ultrafiltration process does not remove any fat or denatured protein from the whey. For the WPC to be considered high quality, special processing prior to the ultrafiltration is necessary to remove the majority of the fat present in whey as well as separating out denatured protein and casein particles left over from the cheese making process if the raw material (whey) was acquired secondary to the processing of cheese.
WPC's can yield a product ranging from 20% up to 85% protein. They could be 20% protein and 85% fat and lactose, which is usually the case when not specified in a product. If the concentrate consists mostly of protein, it usually states so in the label; if it consists mostly of fat and lactose, your intestines will let you know with gas and bloating.
The way to tell if your WPC is high quality (highest percent protein as opposed to lactose and fat) is by looking at the label and calculating the percentage of protein compared to the total weight of the serving size. As an example, if your protein serving size is 23.5g and it yields 20g of protein per serving, the easy math is 20 ÷ 23.5 = .8510 x 100 = 85.10% which means your protein serving contains 85.10% protein.
Keep in mind that flavoring agents, sweeteners, gums, and even fiber in some supplements take up some of the volume of the total serving weight. This formula is to be used only with WPC supplements or any other supplement that consists of only protein as a way of determining the percentage yield of protein per serving. This formula is NOT to be used with Meal Replacement Powders (MRP's) as these contain fat and carbohydrates in "meal-like-quantities" and would show the protein yield to be very low as it is being compared to the entire serving.<br />
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Because of the many benefits of the differing types of protein that we will cover in this article, most protein supplement manufacturers "blend" or combine proteins for specific purposes ranging from slow gastric emptying time for meal replacement purposes, or quick emptying time for post workout recovery. It is these different blends that can also make a product superior or low quality, depending on the differing qualities and quantities of the proteins used in their blends. The protein yield formula described above CAN and SHOULD be used in single source as well as multi source proteins as long as they DO NOT contain a considerable amount of carbohydrates, fats, fiber, creatine, etc., as these other components will cause the formula to yield a lower and less desired protein per serving value or number. High quality supplements will use WPC with at least 80% protein content.
If the manufacturer is trying to reduce cost, they will use a product yielding a lower percentage of protein, meaning that more fat and lactose will be found in the product. This is easy to determine even without doing the math as these products tend to give you gas and cause bloating due to the lactose and fat content.
Whey Protein Isolates (WPI) are at a higher level than WPCs. Once we have whey protein concentrate (WPC) if we want a higher quality product we move on to making Whey Protein Isolates (WPI). This is a process by which WPC is purified by "isolating" the highly soluble protein found in whey from the fat and lactose leaving less than 1% lactose and less than 2% of the fat found in the WPC, and by completely removing the denatured protein, salt, etc. As noted above, there are many processes by which WPI is produced, yet they fall under either Microfiltration or Ion Exchange. These processes are very different in temperature, pressure, etc. and therefore yield very different end products.
Once the fat, denatured protein and casein particles have been removed, the proteins in whey are separated from the liquid. The ultrafiltration and microfiltration processes use a microscopic filter or membrane to separate the whey proteins from the lactose, salt, and water in the whey causing the protein to become more concentrated and purified, while the ion exchange process separates the proteins out based upon their electrical charge.
The original ion exchange or "column method" consists of pumping whey through a column impregnated with a special resin that has been chemically treated to have a surface electrical or "ionic charge." This causes different ions from the protein to bond or stick to the resin and the remaining impurities flow through the column and are discarded.
The main problem with ion exchange is that some of the beneficial fractions (alpha-lactalbumin, beta-lactoglobulin, glycomacropeptides [GMP], lactoferrin, lactoperoxidase, immunoglobulins, lysozymes, etc) will not bind to resin and will be discarded as they also flow through the column. The column is then rinsed with water containing chemical buffers that change the surface charge of the resin causing the release of the amino acids and protein into the buffered solution.
The protein released into the buffered solution must now undergo another step to remove most of the buffer solution. This additional step is another ultrafiltration system which unfortunately does not remove all of the sodium from the buffer solution.
Yet another problem associated with Ion Exchange whey protein isolate includes high sodium content in the final product, as well as up to 10% denatured protein caused by the chemical reaction between the resin the protein was bound to and the buffer used to release it, and the loss of GMP's and other immune system boosters.
The benefits of the Ion Exchange process is that it is able to remove nearly all the fat and lactose creating a product that is up to 90% pure. A newer method of separating molecules is called a "stirred bead reactor system" and it usually does not cause damage to the active compounds found in whey protein.<br />
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The Ion Exchange process was the first process developed to produce whey protein isolates from Whey Protein Concentrate. Because ion exchange was the only way to produce WPI early on, it was then considered to be the highest quality isolate. After the development of microfiltration, it was found that the whey protein isolates produced via microfiltration had a much higher nutritional profile than that of isolates created via the ion exchange method. There are many reasons why WPI created via microfiltration is a superior product. These reasons range from lower sodium content due to elimination of the use of solvents, to not having chemically denatured protein, and most notably, reclamation of immune boosting fractions as compared to the ion exchange method which loses them.
Microfiltration WPI, one of the highest quality protein supplements, is produced by starting with high quality milk sourced WPC and filtering it through special membranes under low temperature and low pressure. These special membranes allow only soluble protein to pass through its microscopic pores leaving salt, fat, lactose and denatured proteins behind. Although this process is started with a high quality WPC, because it is a WPC it still is turbid due to its salt, fat, lactose, and non soluble protein content.
Once these unwanted particles are isolated from the high quality protein, a crystal clear liquid is all that is left over. The next step is to dry this crystal clear liquid to create a powder, and here is one of the steps where manufacturers can go astray.
The only way to create a superior product is to let the liquid dry into a powder by using a low temperature dryer. A low temperature dryer is a very expensive and slow way of creating a powder from the crystalline liquid. Many manufacturers opt to use a high temperature dryer as it is much faster and cheaper to use than a low temperature one.
It does not take a degree in chemistry to realize that heat denatures (breaks down) protein. The whole idea of running the WPC through a membrane was in part to remove denatured protein, so why add a step that takes your product backwards? High quality WPI will only be dried into a powder using low temperature spray dryers as the high temperature dryers will denature the protein and yield a much lower quality product.
Whey Protein Hydrolysates (WPH), or hydrolyzed whey protein, is further processing of whey isolate by breaking down the long protein chains into smaller portions or peptides. To "hydrolyze" something means to break it down into smaller particles (usually by adding water). The higher the degree or percentage of hydrolysis, the more broken down the whey protein isolate (smaller size), and the faster the absorption. Labeling laws allow manufacturers to call a product "hydrolyzed whey" when it may contain 1/10th of 1% hydrolyzation. The key is to find out what percentage of hydrolyzation the product consists of.
The highest quality hydrolysates will be 100% Whey Protein Hydrolysates which have a bitter taste by definition and therefore are not used in high amounts. Along with the bitter taste, comes a bitter high price as it is the highest quality and most expensive protein available today. Some manufacturers have been able to produce a 100% hydrolysate that does not have a bitter taste, yet is rather expensive compared to other protein supplements.
In the duodenum or proximal bowel where protein is absorbed in the human body, dipeptides and tripeptides (protein "chains" consisting of two and three amino acids) enter freely into intestinal cells to be absorbed into the bloodstream.
This is why a hydrolysate is the best type of protein to use post workout as we want the amino acids to enter our bloodstream and be delivered to muscle cells as quickly as possible so that repair and growth can start right away. Due to the high cost of 100% hydrolyzed whey, a blend consisting of whey isolate and hydrolyzed whey would be optimal for post workout use.
Many manufacturers like to also include Caesinate and WPC in their post workout protein blends as a means of addressing both ends of the spectrum: fast increase of amino acids into the bloodstream by using WPI and HWP, and extended elevated amino acid levels by using Caseinate along with WPC. I personally prefer using the HWP as I want the amino acids to enter my muscle cells right away.
Stay tuned for Part II, where I will move on and discuss Soy Proteins - The Good, The Bad and The Ugly.
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Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-77078129058070020392014-11-24T02:01:00.000-08:002014-11-24T02:01:05.250-08:00 Japan Roulette<div class="separator" style="clear: both; text-align: center;">
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Despite of abundance of the modern market, there is a fish that cannot be bought in shop. And the reason not in its rarity. To the businessman, risked to start a selling this fish, there is a threat to be condemned under clause "involuntary murder". The matter is that in a body of a fish there is a poison in tens times more toxic, than the well-known poison "curare", and in hundreds times is stronger some potassium cyanide. Nevertheless, this fish is edible and is in demand. You, certainly, have already guessed, that it is a legendary fugu fish.
Strictly speaking, "fugu" is the Japanese name of several kinds of the fishes which belong to numerous family of blowfishes which are called also puffers or swell-fishes, and on Latin Tetraodontidae.</div>
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On appearance blowfish it is difficult enough to confuse with habitual for us food fishes. They have usually thick truncated body, a big head, wide round back, absent back and belly fins, and rear back and anal fins are shifted far towards the tail looking short and high. The naked skin, is covered by short thorns here and there. Perhaps, the most characteristic difference - a small mouth, having each jaw supplied by pair of accrete dental plates, which look appear like a short beak. By means of such oral device, fish-dog scratch out from solid surfaces polyps which they eat. Chest fins are supplied by special muscles which allow a fish to move not only forward, but also back, that considerably increases its maneuverability. One more feature tetrodontid - presence in a abdominal cavity of a special big bag which, in case of danger, they can quickly pump up water or air. In inflated state the fish is almost impregnable for predators, and its skin is so strong, that easily stands weight of the adult person. By the way, ancient Egyptians made balls of these fishes.
As Japan's Ministry of Health has informed recently , the Japanese scientists grow a nontoxical kind of fugu fishes (Japanese blowfish).</div>
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Eating fresh meat of this fish was always similar to playing in " Russian roulette " because of the strongest poison, containing in its caviar, a liver and interiors. That's why cooking a fugu was licensed. According to statistics, in 2003 three Japanese have died, having poisoned with a fugu, prepared by non-licensed cooks.</div>
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Researchers from university of Nagasaki in the south of Japan have found a way of elimination of its toxicity by means of change of a fish diet . Blowfish becomes poisonous, eating poisonous food, for example starfishes and shell rocks, instead of making poison in the organism. Therefore we have put it on a nonpoisonous diet ", - such words are given in the message of biologist-oceanologist Osamy Arakava. Since 2001 till 2003 the group of professor Arakava fed about 5 thousand fugus exclusively with a mackerel and other nontoxical food. Analyses taken monthly have shown, that the amount of tetrodoxin in a fish was zero. While the new way of fugu cultivation did not become mass, however popularity of this kind of a fish grows. Resorts on hot wells in area of Nagasaki try to get the sanction from the government to cook to lodgers a liver of nonpoisonous fugu, however officials are very cautious. " Discovery is rather significant from the scientific point of view, but it does not mean, that it is possible to guarantee at once safety, - the representative of Ministry of Health of Japan Masanory Imangava has declared. - When the question is about a fugu, it is impossible to make errors".</div>
Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-32876186518437034062014-11-24T01:59:00.002-08:002014-11-24T01:59:26.400-08:00Cancer Mesothelioma -- It Is A Born Killer<div class="separator" style="clear: both; text-align: center;">
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What is mesothelioma?
The pericardium is the mesothelial tissue that surrounds and acts as a safeguard to the heart. The pleural mesothelium membrane covers the lungs and chest cavity and peritoneum is the mesothelial tissue that enfolds the organs in the abdominal cavity.
What is actually cancer mesothelioma?
Mesothelioma is a type of cancer that affects the mesothelium, a dual layered membrane with which our chest, lungs, abdomen and the heart is wrapped safely.
Cancer Mesothelioma can damage any of these cells, although pleural mesothelioma is more common; it metastasizes and at an advanced stage the disease reach to the other parts of the body like the lymph nodes, lungs, chest wall, or abdominal organs.
How is cancer mesothelioma caused?
Though asbestos exposure is the primary reason in 70% to 80% of the cases, mesothelioma can be caused by other means, like exposure to the chemical zeolite that is also present in asbestos.
Asbestos has become part of our daily life being in cement, brake linings, roof shingles, flooring products, textiles, and insulation. The asbestos fibers take their toll by going into our windpipe and settling in the internal organs causing the formation of carcinogenic tumors.</div>
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The overall scenario regarding cancer mesothelioma
Though there is a ban on certain asbestos products, around 1000 people in France and above 2000 people in the U.S are faced with this nightmare each year.
Mostly, workers from shipyards, asbestos mines and mills are prone to this mishap, due to a constant exposure to asbestos. However, it takes 30 to 50 years for the disease to surface and show symptoms though they are not always accurate.
Cancer mesothelioma is proving more than a menace and the average person live for 12-24 months; the earlier it is detected, the better is the cure process.
The recent picture
Today, the U.S. Occupational Safety and Health Administration (OSHA) have put restrictions towards maintaining acceptable levels of asbestos exposure in the workplace. People who work with asbestos are geared up with individual protective equipment to lower their risk of exposure. Even the family members of the workers are prone to the disease, so they are advised to take a shower before leaving for home.
Symptoms of cancer mesothelioma
- Feeling out of breath and pain in the chest due to an accretion of fluid in the pleura<br />
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- Peritoneal mesothelioma comprises weight loss and abdominal pain and a bulging abdomen due to accumulation of fluid
- Bowel obstruction, blood clotting abnormalities, anemia, and fever
- Pain, trouble swallowing, or swelling of the neck or face
However, a registered medical practitioner can diagnose you correctly.
Diagnosis of cancer mesothelioma
Diagnosis commences with an assessment of the patient's medical history, as well as any history of asbestos exposure. A complete physical examination may be performed, including:
- X-rays of the chest or abdomen
- A CT (or CAT) scan or an MRI may also be useful. A CT scan is a sequence of comprehensive pictures of areas inside the body created by a computer linked to an X-ray machine</div>
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- In an MRI, a strong magnet connected to a computer is used to draw meticulous pictures of areas affected by cancer mesothelioma inside the body. These pictures are viewed on a monitor and can also be printed
- A biopsy regarding the taking out of a sample tissue for examination is needed to verify a diagnosis of mesothelioma. Types of biopsy depending on the location of the tumor are thoracoscopy, peritoneoscopy
Lastly, the stage of the disease is important to the doctor for the correct diagnosis.
Cancer mesothelioma treatment
Treatment of cancer mesothelioma yields results depending on the site of the cancer, the phase of the disease, and the patient's physical condition. The usual treatments for cancer mesothelioma are surgery, radiation therapy, and chemotherapy. Occasionally, these treatments are combined.
Surgery is an effective way to remove tumor but the age of the person matters. Radiation therapy and chemotherapy are good ways to ward off the symptoms.
Often, high-end drugs are given to the patient to reduce the fluid formation in body.
Thus, it is better for the workers to get a medical check up at equal intervals and be aware of its symptoms. If a patient is diagnosed with cancer mesothelioma at the earliest stage, the treatments might do wonders for him.</div>
Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-82047806808253236772014-10-01T08:04:00.001-07:002014-10-01T08:09:43.123-07:00Introduction of Anticatabolics In Sports | Accretive Health<div style="text-align: justify;">
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<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiRJSV24m6vqnz6mGFn85fZb8qaCrFVTcxc6SK5LnWdcK1QNmNcHWKO9CS_T8ZWSpf3KOgHmDZxyuNJ-dZ1vfJzEEYbbnaEUHlTEuRs4LK1wlDQtgopJs2WW55V933A2EmkcMs8o5lZTF4/s1600/Introduction+of+Anticatabolics+In+Sports+2.gif" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img alt="Introduction of Anticatabolics In Sports | Accretive Health" border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiRJSV24m6vqnz6mGFn85fZb8qaCrFVTcxc6SK5LnWdcK1QNmNcHWKO9CS_T8ZWSpf3KOgHmDZxyuNJ-dZ1vfJzEEYbbnaEUHlTEuRs4LK1wlDQtgopJs2WW55V933A2EmkcMs8o5lZTF4/s1600/Introduction+of+Anticatabolics+In+Sports+2.gif" height="400" title="Introduction of Anticatabolics In Sports | Accretive Health" width="328" /></a></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">An
adequate provide of macro nutrients and micro nutrients square measure needed
for survival, growth, and development, and for the upkeep of health and
well-being throughout life. Concerning muscle growth, the accretion of super
molecule (primarily contractile) represents one amongst the first goals that a
get cluster of athletes (e.g., bodybuilders, power lifters, Olympic-style
weightlifters) aim towards. Rates of super molecule accretion (and loss) square
measure a operate of the balance between super molecule synthesis and
degradation. A rise in muscle mass will occur via a rise in synthesis, a
decrease in degradation, or a mix of the 2. Note that every method is
mechanistically distinct. That is, one will occur within the absence of changes
within the different.</span></div>
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<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEglhEFMFnB6lquIyro8x-pWlV9WxaxxtElBKNlSFKtQBVMXihpWg0YWiNg-rqzBZcghXV_l2KskE8OUAYAuNrfWcaQ3TsVAriC9og1ESETZksbZy9Emx8gH85KGU9mobxzDYM5ci-_kAQM/s1600/Introduction+of+Anticatabolics+In+Sports+3.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="Introduction of Anticatabolics In Sports | Accretive Health" border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEglhEFMFnB6lquIyro8x-pWlV9WxaxxtElBKNlSFKtQBVMXihpWg0YWiNg-rqzBZcghXV_l2KskE8OUAYAuNrfWcaQ3TsVAriC9og1ESETZksbZy9Emx8gH85KGU9mobxzDYM5ci-_kAQM/s1600/Introduction+of+Anticatabolics+In+Sports+3.jpg" height="400" title="Introduction of Anticatabolics In Sports | Accretive Health" width="400" /></a></div>
<br />
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Nutritional
standing and therefore the secretion surroundings gift within the body have a
profound impact on however super molecule is employed (i.e., oxidized,
accustomed build further contracted or non contractile super molecule, etc.). Varied
supplements are touted as muscle-builders" supported the notion that they
impact super molecule metabolism, specifically, via associate inhibition of
super molecule degradation. A number of these supplements, it's clear,
liquidate reality ameliorate the decline in super molecule synthesis seen
beneath sure disagreeable states; but, super molecule synthesis can also be
affected once these supplements square measure consumed.</span></div>
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<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgAdUQx9Y-8r9svXxmj2FwYNNBcg8ZhahtzkpxHVGw1tmdttyqfyiNhAV7teWGsCJClZNZ99aTuSkIbpQRR39DsECCaZkNR4P9q2Sr8XVNDQ6LN_T4Zwdbd9DgAWN67p751zEctcEa60zI/s1600/Introduction+of+Anticatabolics+In+Sports.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="Introduction of Anticatabolics In Sports | Accretive Health" border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgAdUQx9Y-8r9svXxmj2FwYNNBcg8ZhahtzkpxHVGw1tmdttyqfyiNhAV7teWGsCJClZNZ99aTuSkIbpQRR39DsECCaZkNR4P9q2Sr8XVNDQ6LN_T4Zwdbd9DgAWN67p751zEctcEa60zI/s1600/Introduction+of+Anticatabolics+In+Sports.jpg" height="400" title="Introduction of Anticatabolics In Sports | Accretive Health" width="400" /></a></div>
<br />
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A couple
factors should be taken under consideration concerning the degradation of
cellular protein? The half-lives of various proteins vary hugely between and at
intervals cells. Also, proteins don't exist at intervals answer intracellular
however square measure a part of distinct structures (e.g., contracted super molecule,
anatomical structure, etc.) at intervals the cell. If the integrity of every
cell is to be maintained, the degradation of varied proteins at intervals a
cell should be regulated swimmingly. concerning muscle, there's proof that
fibrillation and fibrillation super molecule square measure severally
regulated. Thus, once examining the prevailing knowledge on however varied
dietary supplements have an effect on super molecule synthesis and degradation,
one should stay cognizant of the actual fact that whole¬body super molecule
synthesis and degradation could (or could not) mirror changes in muscle super
molecule synthesis and degradation.</span></div>
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<br /></div>
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhch32CLaKeLUd-o9IBMPrXSe3999q-UDOuqMdrF05mrV5185NXsBPZ82JwCBS2Yttt1f1t-icNg2ylgrK1SxSG9UaS4dAcVCqc4iQPaJtXmsmEPFEdemsUgEPG5ldNIftbrO8YT1mtBFM/s1600/Introduction+of+Anticatabolics+In+Sports+4.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="Introduction of Anticatabolics In Sports | Accretive Health" border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhch32CLaKeLUd-o9IBMPrXSe3999q-UDOuqMdrF05mrV5185NXsBPZ82JwCBS2Yttt1f1t-icNg2ylgrK1SxSG9UaS4dAcVCqc4iQPaJtXmsmEPFEdemsUgEPG5ldNIftbrO8YT1mtBFM/s1600/Introduction+of+Anticatabolics+In+Sports+4.jpg" height="300" title="Introduction of Anticatabolics In Sports | Accretive Health" width="170" /></a>
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhAOnwb1nnkyrO23HOXBS6EwwDr1qzfceTd1DhHoBr0OwzT77bH4v0QI40BtJ6N70Rxq2PrRgKQ5Vxbuo_3zQizh8-mzvelFUiKw7juJBACyki5vYxBCo5YerxCps8LiDZ9m0mit0pN_zM/s1600/Introduction+of+Anticatabolics+In+Sports+5.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="Introduction of Anticatabolics In Sports | Accretive Health" border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhAOnwb1nnkyrO23HOXBS6EwwDr1qzfceTd1DhHoBr0OwzT77bH4v0QI40BtJ6N70Rxq2PrRgKQ5Vxbuo_3zQizh8-mzvelFUiKw7juJBACyki5vYxBCo5YerxCps8LiDZ9m0mit0pN_zM/s1600/Introduction+of+Anticatabolics+In+Sports+5.jpg" height="300" title="Introduction of Anticatabolics In Sports | Accretive Health" width="170" /></a>
<br />
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">The
supplements that this chapter can cowl square measure people who are touted as
anticlimactic. it'd appear plausible that a decrease in super molecule
degradation with no modification in super molecule synthesis ought to lead to
the buildup of additional super molecule. This after all would be significantly
necessary for athletes concerned within the strength-power sports (i.e.
exercising, power lifting, Olympic-style muscle building, shot put, discus
throw, etc)</span></div>
Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-78058245701401901172014-09-23T20:58:00.000-07:002014-10-09T07:54:20.001-07:00Running-related injuries<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjOWKhLFuIX5tgUJjFvvLR_MenWQoCp7PEZjfMWnBXI3qX2xjDSS4ZkGx6ao9dWU2rFdXQS45RJKRhVICPByzHNz7d58LQ65BY2EDhgungpSS62julDrJzMUvOUBJHPl4zPImUQA9gcWso/s1600/10703601_10152796887988128_9041054047783826962_n%5B1%5D.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjOWKhLFuIX5tgUJjFvvLR_MenWQoCp7PEZjfMWnBXI3qX2xjDSS4ZkGx6ao9dWU2rFdXQS45RJKRhVICPByzHNz7d58LQ65BY2EDhgungpSS62julDrJzMUvOUBJHPl4zPImUQA9gcWso/s1600/10703601_10152796887988128_9041054047783826962_n%5B1%5D.jpg" width="552" /></a></div><br />Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-81929681278484795092014-09-22T21:53:00.000-07:002014-09-23T11:01:05.286-07:00NueMD Launches A Survey Relative to HIPAA Compliance and Readiness<p>NueMD is conducting a survey of healthcare professionals to gauge their knowledge of HIPAA and help them prepare for an audit.   NueMD is one of the valued sponsors at the Medical Quack so please when you have a moment be sure to take look at the right hand side and see what all have to offer.  Advertisers help keep this blog going.   I also have a link at the bottom of the site with additional information located at the NueMD website.   Nobody ever looks  forward to a HIPAA audit but it’s better to be prepared than to be caught short by all means.  BD  </p> <p><iframe class="wistia_embed" height="340" src="//fast.wistia.net/embed/iframe/c06qsylr61?videoFoam=true" frameborder="0" width="460" allowtransparency="allowtransparency" name="wistia_embed" scrolling="no" msallowfullscreen="msallowfullscreen" oallowfullscreen="oallowfullscreen" webkitallowfullscreen="webkitallowfullscreen" mozallowfullscreen="mozallowfullscreen" allowfullscreen="allowfullscreen"></iframe><script src="//fast.wistia.net/assets/external/iframe-api-v1.js"></script></p> <p><a href="https://www.surveymonkey.com/s/HIPAA-Duck">Click Here To Take the Survey</a></p> <hr /> <p>NueMD is conducting a survey of medical practices, billing companies, and business associates about HIPAA compliance. </p> <p>In anticipation of the upcoming audits by the Office of Civil Rights, researchers at NueMD have teamed up with The Daniel Brown Law Group and Porter Research to conduct a survey that will help small practices prepare for an audit.</p> <p>The survey will gauge respondents’ knowledge of HIPAA’s Privacy and Security regulations, understanding of compliance measures, and how electronic devices are used for communication.</p> <p>Participation is strongly encouraged for care providers, office managers, and office staff of medical practices, as well as those who work for business associates (medical billing companies, software companies, etc) of covered entities.</p> <p>“Our goal with this survey is to understand how knowledgeable small practices are about HIPAA regulations and what they’re doing to prepare for an audit,” said Caleb Clarke, director of strategic development at NueMD. “The results of the survey will also allow practices to benchmark their progress against their peers and learn what areas may require additional attention.”</p> <p>All responses are anonymous, and instructions on how to access the results will be provided upon completion of the survey.</p> <p><a href="http://www.nuemd.com/blog/nuemd-launches-survey-hipaa-compliance-ahead-audits">http://www.nuemd.com/blog/nuemd-launches-survey-hipaa-compliance-ahead-audits</a></p> Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-92066260704872529652014-09-22T20:09:00.000-07:002014-09-23T11:01:05.318-07:00Emerge.MD to Delivery Video Enhanced Telehealth Using Polycom Real Presence Solution<p>Polycom is about as top level as you can get with quality video and has been around for a long time.  The company<img title="image" style="border-top: 0px; border-right: 0px; background-image: none; border-bottom: 0px; float: right; padding-top: 0px; padding-left: 0px; border-left: 0px; display: inline; padding-right: 0px" border="0" alt="image" src="http://lh3.ggpht.com/-7ym8N9cl-LA/VCDkfNf2lsI/AAAAAAABLZY/QpA8PAgnif0/image%25255B3%25255D.png?imgmax=800" width="140" align="right" height="116" /> has partnered with Microsoft and may others over the years and now Emerge.MD is using the platform for telehealth.  It can be used to engage the patient, other doctors and so on.   The video below is a statement from a hospital’s success with the program.  </p> <p>As we all know rural hospitals are really in dire need of telehealth.  Two or more physicians can connect to collaborate.  Also doctors can connect with patients at home, all with a face to face consultation.  BD  </p> <p><strong><u><a href="http://emergemd.com/home-care/">From the website:</a></u></strong></p> <p><em>“With a web browser and a simple web camera, Emerge.MD can plug patients in to a telehealth care network. Chronic disease monitoring devices are made all the more effective when providers can directly contact a patient when they notice a change in their health status, and follow-up with a face-to-face consultation that adheres to federal privacy laws.”</em></p> <p><iframe style="height: 276px; width: 505px" height="315" src="//www.youtube.com/embed/Qq0xu9HHOjU" frameborder="0" width="560" allowfullscreen="allowfullscreen"></iframe></p> <p>The video below gives an example of Consult Accelerator and an explanation of how it works.  BD  </p> <p><iframe style="height: 278px; width: 505px" height="315" src="//www.youtube.com/embed/E5E_POmDJB0" frameborder="0" width="560" allowfullscreen="allowfullscreen"></iframe></p> <p> <hr />PHOENIX, AZ, Sep 22, 2014 (Marketwired via COMTEX) -- Emerge.MD, the only telehealth cloud platform that can connect all the people, processes and technology involved in virtual care with a high degree of security, today announced its products have been demonstrated to interoperate with solutions from Polycom, Inc. PLCM, -2.23% a global leader in video, voice and content collaboration solutions.</p> <p>Emerge.MD is now integrated with Polycom's RealPresence Platform, which creates a seamless user interface for healthcare organizations to take advantage of video-enhanced workflows when engaging with patients and other healthcare professionals. </p> <p><a href="http://www.marketwatch.com/story/emergemd-to-deliver-video-enhanced-telehealth-polycom-ready-solution-to-enhance-patient-care-2014-09-22">http://www.marketwatch.com/story/emergemd-to-deliver-video-enhanced-telehealth-polycom-ready-solution-to-enhance-patient-care-2014-09-22</a></p> Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-48210851897740651862014-09-21T21:38:00.000-07:002014-09-23T11:01:05.333-07:00Antiquated Ways Hospitals Report Cost to Medicare “Really Distorts” The True Cost of Care–New Model Please..<p>Here we go again with the same discussion of antiquated models with way too much math and quantitation.  This is a discussion with several hospitals in the Ohio area as the are talking about the future of hospitals and yet still have the noose around their necks with the government on quality reporting and cost.  We all know HHS and CMS are dealing with outdated models and it’s making everyone nuts.  In addition you have health insurers flipping back and forth on contracts, what they cover, what they don’t cover, what changes today, what won’t be there tomorrow and so forth. <img title="image" style="border-left-width: 0px; border-right-width: 0px; background-image: none; border-bottom-width: 0px; float: right; padding-top: 0px; padding-left: 0px; display: inline; padding-right: 0px; border-top-width: 0px" border="0" alt="image" src="http://lh4.ggpht.com/-IdAb3bFip1U/VB-nx7VlRoI/AAAAAAABLZI/kgXSbFOOTDo/image%25255B7%25255D.png?imgmax=800" width="300" align="right" height="183" /> People are absolutely hating this complexity that has been created just to go get care.  Look at the link below, some hospitals can’t eve get the ER doctor groups and the hospital itself with the same insurers, so people get screwed again on balance bills.  </p> <h5><a href="http://ducknetweb.blogspot.com/2014/09/in-texas-hospitals-having-issues.html">In Texas Hospitals Having Issues Employing In-Network Doctors With United Healthcare & Humana-Found One Insurer Still Listing An In-Network “Dead Doctor”…</a></h5> <p>The article mentions that delivery of care has changed in healthcare and that is true but you’re never going to get away from having hospitals who do have a certain amount of fixed costs that can’t go away either.  Hospitals are anticipating a decrease in the demand for care due to both preventive care and other technologies, perhaps like telehealth that will ease a little on expense.  The one big bogus item we have seen for years though is the projected savings brought by technology and in fact it’s just the opposite as all of it costs money, even if there’s fewer patients being seen at a hospital.  </p> <p><strong>In the group here is also the Cleveland Clinic and basically they are all saying “we don’t know what’s going to happen” down the road</strong> and we don’t know how to measure the quality consistently with all the constant changes.  They agree on one thing, risk is ever so present.  In California , the CMA is telling United Healthcare their Premium Ratings for Doctors are flawed, so there you go again, but as we all know United thinks you can quantitate everything and that is exactly why some of their models and the ones they helped CMS with are failing.  </p> <h5><a href="http://ducknetweb.blogspot.com/2014/09/united-quantitated-california-doctor.html">United “Quantitated” California Doctor Premium Designation Ratings For Consumers, A Few Minor Changes-CMA Still of Opinion Ratings Cause Harm to MDs and Patients With Inaccurate Designations and Flaws…</a></h5> <p>Here’s yet another example of the United quantitation extremes…how can this push-pull work?  Sure there’s obvious workflow predictabilities that are helpful with monitoring disease and care and but again we have read like below about projected savings they state in a proof of concept that never arrive as models expand beyond efficiencies and dive to deep into a non linear type of projection.  </p> <h5><a href="http://ducknetweb.blogspot.com.au/2013/01/united-healthcare-wants-to-expand.html">United Healthcare Wants to Expand Predictive Modeling for Medicare and Medicaid–Billions in Savings Predicted in Report Only As Good as the Day It Is Published</a></h5> <p>We are still seeing rural hospitals running out of money and closing up.  In the rural area of Virginia here they had to rely on the free clinic from Remote Area Medical to help them as their hospital closed and doctors are struggling in the area.  </p> <h5><a href="http://ducknetweb.blogspot.com/2014/09/remote-area-medical-sets-up-at-lee.html">Remote Area Medical Sets Up At Lee County Airport in Virginia For a Free Clinic–Rural Community Needing Care Where The Hospital Has Closed and Doctors Struggle…</a></h5> <p>Again, the “scoring” and reporting from hospitals on non relevant data could certainly ease up a bit and CMS take a hard look at what data they “really” need as this push and pull with outdated models is going to drive everyone nuts.  As you can read below the hospitals can’t predict and they too say the government tracking is not a true indication of their services so a new more flexible model just might be in order.  BD  </p> <hr />Health care providers expect to see fewer patients in the future as care, technology and access to treatment improve. <br />That means less revenue for hospitals — collectively, the country’s largest employers — which find themselves operating in a dramatically changing industry. <p>“The United States is going through the biggest change in its society, probably since the New Deal, affecting the biggest industry in the United States and affecting 100% of the population,” said Dr. Delos M. “Toby” Cosgrove, president and CEO of the Cleveland Clinic. “And as we do that, we recognize that we have to change the delivery system to go to value, increasing in quality and making care affordable. And that is driving change in a very, very big industry.”</p> <p>Boutros said the health care industry is undergoing a metamorphosis as hospitals transition from sick care to a more holistic approach based in preventive care, which is creating as many uncertainties as potential opportunities in the delivery of care. </p> <p>“This whole change from a sick-care model to a well-care model — as you know Akron General has been talking about this for over 20 years — we spent $110 million on that concept. As a doc, I really don’t understand how people are going to judge our individual practitioners in a value-based world,” Stover said. “That sort of calculus of how it’s all going to work out is something I think we’re all struggling with.”</p> <p>The reasons costs are so high to patients, and vary so greatly between hospitals, range from the difficulty of assigning a value to services, Stover said, to a hospital’s costs for research and staff education. Meanwhile, Zenty pointed out, the antiquated way costs are reported to Medicare “really distorts” the true cost of care.</p> <p>And as hospitals see fewer patients, Zenty said, the result is a “decrease in demand and an increase in supply.” That spells bad news for hospitals that receive a large portion of their revenue from the federal government in the form of Medicare and Medicaid, which is expected to be cut next year, Zenty said.</p> <p><a href="http://www.crainscleveland.com/article/20140919/FREE/140919741/hospital-leaders-come-together">http://www.crainscleveland.com/article/20140919/FREE/140919741/hospital-leaders-come-together</a></p> Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-26632770391297319392014-09-21T20:39:00.000-07:002014-09-23T11:01:05.347-07:00One More Reason to License Data Sellers–Income Tax Fraud On the Rise-Who Are You Buying Your Data From And Who’s Buying Your Data? 60 Minutes Report<p>If you read here often enough then you know about the campaign about data selling and the campaign to license data sellers.  We <img title="image" style="border-top: 0px; border-right: 0px; background-image: none; border-bottom: 0px; float: right; padding-top: 0px; padding-left: 0px; border-left: 0px; display: inline; padding-right: 0px" border="0" alt="image" src="http://lh3.ggpht.com/-QWacHu6ITAY/VB-Z9sg5UqI/AAAAAAABLY4/cJsRgRT6Z7I/image%25255B8%25255D.png?imgmax=800" width="280" align="right" height="181" />don’t like this as consumers as the data gets flawed and removes our dignity.  60 Minutes has a good report on Income Tax Fraud and when companies are buying data, where is the data coming from?  This is turning the story around a bit but how much gets recycled?  We don’t know.</p> <p>They did a good job in covering Miami to where it runs wild.  I just did a post on a hospital that had their third data breach in 2 years and it’s all inside jobs with people selling patient data for money.  It’s scary as the former data seller and IRS tax filer tells how easy it is as “people need the money”.  </p> <h5><a href="http://ducknetweb.blogspot.com/2014/09/hospital-in-florida-reports-third-data.html">Hospital in Florida Reports Third Data Breach In Two Years…</a></h5> <p>This also shows how far behind the IRS is with their data systems and not matching up W-2 forms and 1099, the fraudsters can just make them up.  In addition UMPC Medical Center was hit with this type of  scam, again people selling the data as they need the money.  In Pittsburgh they also have the mayor filing a lawsuit to get the tax exempt status away from the hospital as they make more profits than any other in the US.  Employees had their bank accounts drained as well as tax returns filed.</p> <p>It goes on further, even US Attorney General was hit, Eric Holder and someone filed a tax return on his social security.  This can start at the low end but people take data and re-package us over and over and over.  Look at the hassle the innocent people have to go through with all of this.  People<a href="http://www.gofundme.com/auyxd0"><img style="border-top: 0px; border-right: 0px; background-image: none; border-bottom: 0px; float: right; padding-top: 0px; padding-left: 0px; border-left: 0px; display: inline; padding-right: 0px" border="0" src="http://lh5.ggpht.com/-WjSMddBKiho/VAJ2n8h7WcI/AAAAAAABLOU/rTfddMqQxlU/GoFundMe%25255B5%25255D.png?imgmax=800" align="right" /></a> have lost businesses and other things in life they need.</p> <h5><a href="http://ducknetweb.blogspot.com/2014/04/upmc-medical-center-workers-protesting.html">UPMC Medical Center Workers Protesting Low Wages While Investigation of Employee Data Breach Continues With Fake Tax Returns and Bank Accounts Drained..Double Whammy</a></h5> <p>I’m waiting for the next crisis to hit with people that purchased their health insurance through Healthcare.Gov to get hit with this when it comes to verifying income with the IRS, will they lose their subsidies?  You do have to remember that the IRS and many other government agencies still work with COBOL and sufficient middleware is needed to allow data to flow back and forth.  At this point you wonder, why did the government create this model?  It was data novices’ with a “wish list” in control and having novices in charge is getting more dangerous in government every day.  </p> <p>Again this story is about a low level type of data theft but all the data gets recirculated at some point, and what about the Data brokers selling public records?  How’s this going to continue to cause havoc for consumers?  </p> <p><embed src="http://www.cbsnews.com/common/video/cbsnews_video.swf" scale="noscale" salign="lt" type="application/x-shockwave-flash" background="#000000" width="425" height="279" allowFullScreen="true" allowScriptAccess="always" FlashVars="pType=embed&si=254&pid=A_RfvtsPjG99&url=http://www.cbsnews.com/videos/biggest-irs-scam-around-identity-tax-refund-fraud" /></embed></p> <p>Pay attention also to the prepaid credit card connection here as well and how the fraudsters work it.  </p> <p>Again the data business needs a big clean up as data selling is a runaway train.  Medicare payments come via prepaid credit cards.  The IRS can’t tell the difference at times.  With requiring licensing for data sellers again this would give law enforcement yet another leg to stand on with finding and convicting such fraud.  </p> <p>Even those who do buy and sell data are at risk of getting “hot and stolen data” so again, data licensing and distributing should be licensed.  Here’s another case of stolen data traded and sold right in the open on the internet.</p> <h5><a href="http://ducknetweb.blogspot.com/2014/09/medical-records-for-sale-found-on-black.html">Medical Records For Sale Found On the Black Market - Evolution Market Where Narcotics And Stolen Financial Data Is Openly Traded and Sold…</a></h5> <p><a href="http://www.cbsnews.com/news/irs-scam-identity-tax-refund-fraud-60-minutes/">http://www.cbsnews.com/news/irs-scam-identity-tax-refund-fraud-60-minutes/</a></p> Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-72764176281365802492014-09-20T23:24:00.000-07:002014-09-23T11:01:05.361-07:00House Bill Introduced Would Shorten Meaningful Use to a 90 Period Instead of a Full Year in 2015–A Model In Desperate Need Of Repair or Revisions…<p>Let’s hope this get some action as the momentum after a successful Meaningful Use Stage One is beginning to fall off.  Some have told me they have just about given up.  Technology is to blame for some of this and frankly the ONC is overwhelmed with complexities due to some of that along with other things happening in the industry.  90 days is a much more reasonable amount of time as hospitals and doctors are very busy today with a lot on their plates.</p> <p>One hospital in Arkansas received an audit and is asked to return $900,000 based on the fact that they did<img title="image" style="border-top: 0px; border-right: 0px; background-image: none; border-bottom: 0px; float: right; padding-top: 0px; padding-left: 0px; border-left: 0px; display: inline; padding-right: 0px" border="0" alt="image" src="http://lh6.ggpht.com/-7rWhKhLPKhs/VB5vK13Q69I/AAAAAAABLYo/twq2ESGs8Ic/image%25255B4%25255D.png?imgmax=800" width="375" align="right" height="255" /> not do a risk assessment for their Meaningful Use Stage one incentives.  There could be more of these.  They were one of the very early adapters and are planning to write an appeal.  </p> <p>In addition there was the hardship extension which is throwing a bit of confusion out there with again the versions of meaningful use and software used.   It was confusing and I think some didn’t think they needed it when in fact they may have.  In just the simple summaries I write here it’s an effort to keep up on all the rules and regulations.  Hospitals can use the 2011 Edition certified EHR technology or a combination of 2011 and 2014 Edition certified EHR technology for the 2014 reporting period.  Doctors can attest under the 2013 reporting year and use the clinical quality measures from 2013 and will not get a penalty for not moving to meaningful sue Stage 2 during 2014, ok so did you get all that? </p> <p>Doctors using older medical record systems have until October 1st to report.   For those that miss a 1% reduction in Medicare payments will be assessed.  I have heard a couple of doctors tell me, it’s easier that way to take the 1% hit but for hospitals, that could add up to big money.  Less than 4% are certified for meaningful use two so far and doctors are at 1.3 percent, so sounds like there’s a few handing in the towel here and taking the hit on the payments.  Hospitals on the other hand are working to get this done by the end of the month to start collecting data. </p> <p>This just grew to be way too complex after Stage One and again it’s another distraction, with big money attached that takes away from caring for patients.  Stage One was a big success and the rules were pretty clear.  Will there be a stage three, time will tell but I think everyone is tired of Stage Two and wants to move forward and get it out of the way.  This is not how things started with the entire program but as it progressed, a real big mess with CMS and technology entering in here just blew the models out of the sockets and they are not working too well right now.   It’s a mess to even sort out at the ONC I would think as there’s a lot to working with models that have variables that change very frequently and as we see here, they can fail very quickly as well.   BD  </p> <p> <hr />Doctors and hospitals hoping the US Department of Health and Human Services will amend its 2015 reporting requirements for Electronic Health Records may get help in the form of legislation.</p> <p>Rep. Renee Ellmers (R-NC) this week introduced HR 5481, “The Flexibility in Health IT Reporting Act of 2014.” The bill would reverse HHS’s decision to keep a full-year reporting period for its EHR incentive in 2015, replacing it with a 90-day reporting period. Providers have asked for asked for a shorter reporting period because they say the vast majority of doctors and hospitals aren’t prepared to meet Stage 2 Meaningful Use standards by their deadlines.</p> <p>“The Meaningful Use Program has many important provisions that seek to usher our healthcare providers into the digital age,” Ellmers said, in a press release. “But instead of working with doctors and hospitals, HHS is imposing rigid mandates that will cause unbearable financial burdens on the men and women who provide care to millions of Americans.”</p> <p>The bill has attracted 3 co-sponsors, including one Democrat, Rep. Jim Matheson of Utah. Many of the organizations joined the letter to Burwell have also come out in support of Ellmers’ bill. </p> <p><a href="http://www.hcplive.com/physicians-money-digest/practice-management/House-Bill-Would-Shorten-EHR-Reporting-Period">http://www.hcplive.com/physicians-money-digest/practice-management/House-Bill-Would-Shorten-EHR-Reporting-Period</a></p> Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-16974648755395382462014-09-20T20:48:00.000-07:002014-09-23T11:01:05.374-07:00Fewer Blood Transfusions Force American Red Cross To Change It’s Business Model -They Have an App Now That Offers Rewards And Helps With Scheduling..<p>The Red Cross is even having to look at budgets as the need for as much blood has changed.  Of course there’s still always <img title="image" style="border-top: 0px; border-right: 0px; background-image: none; border-bottom: 0px; float: right; padding-top: 0px; padding-left: 0px; margin: 0px; border-left: 0px; display: inline; padding-right: 0px" border="0" alt="image" src="http://lh6.ggpht.com/-kr5Epu84aW4/VB5KfQzSKdI/AAAAAAABLYY/EH-elWECri0/image%25255B2%25255D.png?imgmax=800" width="162" align="right" height="187" />a need but where and how is changing a bit.  People who are injured in crashes and accidents will always be there to need blood.  They are doing more with less and you can read in several areas they have laid off staff.  They have to have plenty of vendors lined up for a blood drive and they need a minimum of 25 people for a blood drive as the cost is around $4000 for each drive.  </p> <p>Thus scheduling in advance is a help and now the Red Cross has an app they hope will assist them with that effort.  You can visit the site and see they already have plenty of apps out there.  </p> <p><a href="http://www.redcross.org/prepare/mobile-apps">Red Cross Mobile Apps</a></p> <p> </p> <script type="text/javascript" src="http://WBMA.images.worldnow.com/interface/js/WNVideo.js?rnd=863600;hostDomain=www.abc3340.com;playerWidth=630;playerHeight=355;isShowIcon=true;clipId=10599211;flvUri=;partnerclipid=;adTag=News;advertisingZone=;enableAds=true;landingPage=;islandingPageoverride=false;playerType=STANDARD_EMBEDDEDscript;controlsType=overlay"></script><a title="ABC 33/40 - Birmingham News, Weather, Sports" href="http://www.abc3340.com">ABC 33/40 - Birmingham News, Weather, Sports</a> <p>Here’s a video on how the Red Cross “Blood” app works.  I’m not too hot on the selfie end of it but like everything else out there you can earn rewards.  I never thought of donating blood deserving a “reward” but rather just something you did for the “good”.  So now the Red Cross has to market themselves as well to ensure there’s enough blood around.  I can see the app helping with scheduling for sure  with adjusting their manpower and drives if everyone shows up as they schedule.  Again I’ve always been motivated to donate to save lives but this is the world we live in.  BD  </p> <p><iframe style="height: 257px; width: 442px" height="315" src="//www.youtube.com/embed/CPXr1u2bJGw" frameborder="0" width="560" allowfullscreen="allowfullscreen"></iframe></p> <p> </p> <hr />An organization that is always there to help people in need is going through a slight transformation. The American red cross says their need is dropping and it is forcing them to make some changes. people who work in the ''blood-banking'' industry might consider it a bad thing. <p>UAB is one of the American Red Cross' biggest customers. Most businesses live and die by keeping up with supply and demand. People who work at blood-banking organizations like the American Red Cross say it's not so simple.</p> <p>Doctors will tell you the medical industry has changed</p> <p>"We've always had 36 management teams or regions. We are down to 19," added Turner.</p> <p>Turners tells ABC 33/40 his chapter is doing more with less.</p> <p>"For example, I am in clinical services, but cover Alabama, Georgia and Puerto Rico instead of just Alabama," added Turner.</p> <p><a href="http://www.abc3340.com/story/26572249/fewer-blood-tranfusions-force-american-red-cross-to-change-how-it-operates">http://www.abc3340.com/story/26572249/fewer-blood-tranfusions-force-american-red-cross-to-change-how-it-operates</a></p> Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-89986723842501202662014-09-20T15:55:00.000-07:002014-09-23T11:01:05.386-07:00Medical Records For Sale Found On the Black Market - Evolution Market Where Narcotics And Stolen Financial Data Is Openly Traded and Sold…<p>This was not from a healthcare company, but rather a life insurance company in Texas.  The fact of the matter here is that there’s enough in there for thieves to make a sale, and another and another.  The story mentions the TOR browser and if you don’t know what it is,<img title="image" style="border-top: 0px; border-right: 0px; background-image: none; border-bottom: 0px; float: right; padding-top: 0px; padding-left: 0px; border-left: 0px; display: inline; padding-right: 0px" border="0" alt="image" src="http://lh3.ggpht.com/-Ns379NHnH1g/VB4FxT5faeI/AAAAAAABLYA/L-OLa1PM2dE/image%25255B7%25255D.png?imgmax=800" width="216" align="right" height="179" /> it’s a fork of Firefox that allows form anonymous browsing and actually the only way the Evolution Market can be browsed.  Tor is a legal browser and government agencies, reporters, etc. all use it and it’s just like anything else out there used for the good or the bad.  </p> <p>What’s interesting here is the terminology the author tells us about as this is something new for me to be reading about.  So now if you hear the word “fullz” you know the street slang here means it’s a load file of all kinds of personal and financial records.  All purchases are done via bitcoin which is kind of bad as it give bitcoin a bit of a bad association.  You can read the article below and see the more you buy, the better the price break too.  </p> <p>By the time this information was related the government had just begun working on the problem.  The dates on the postings and files seemed to indicate the records had been on sale for around 3 months.  One of the victims now is also complaining about the numerous calls she’s now getting over and over about the theft and saying the notification calls are a bit over done too.   As Dr. Halamka at Harvard recently said, it’s become a war keeping patient medical records secure from hackers.  </p> <h5><a href="http://ducknetweb.blogspot.com/2014/09/its-become-war-to-keep-patient-medical.html">It’s Become A war To Keep Patient Medical Records Secure And Out of the Hands of Hackers, Data Selling Epidemic in the US Fuels This Fire…</a></h5> <p>One of the comments in this article too was very astute in asking “I tend to wonder how many “legitimate” companies are buying these data.”  That comes right back around to the need to license all data sellers in the US.  Let’s revisit the Game Data Dealer here just for the heck of it..they do a good job with dramatics to get your attention.  BD   </p> <p><iframe style="height: 239px; width: 483px" height="315" src="//www.youtube.com/embed/x2eCAgQ1DTo" frameborder="0" width="560" allowfullscreen="allowfullscreen"></iframe></p> <h5><a href="http://ducknetweb.blogspot.com/2014/04/two-data-brokers-get-fined-by-ftc-for.html">Two Data Brokers Get Fined by the FTC For Non Compliance, One Gets Most All Of The Million Dollar Fine Reduced as They Could Not Afford To Pay By the Court, But If You Are A Consumer With Medical Bills You Go To Bankruptcy Court..</a></h5> <p> <hr />How much are your medical records worth in the cybercrime underground? This week, KrebsOnSecurity discovered medical records being sold in bulk for as little as $6.40 apiece. The digital documents, several of which were obtained by sources working with this publication, were apparently stolen from a Texas-based life insurance company that now says it is working with federal authorities on an investigation into a possible data breach.</p> <p>Purloined medical records are among the many illicit goods for sale on the Evolution Market, a black market bazaar that traffics mostly in narcotics and fraud-related goods — including plenty of stolen financial data. Evolution cannot be reached from the regular<img title="image" style="border-top: 0px; border-right: 0px; background-image: none; border-bottom: 0px; float: right; padding-top: 0px; padding-left: 0px; border-left: 0px; display: inline; padding-right: 0px" border="0" alt="image" src="http://lh4.ggpht.com/-9CEQ8n5bxe0/VB4Fx4469mI/AAAAAAABLYI/WdK7aZpmquQ/image%25255B3%25255D.png?imgmax=800" width="501" align="right" height="335" /> Internet. Rather, visitors can only browse the site using Tor, software that helps users disguise their identity by bouncing their traffic between different servers, and by encrypting that traffic at every hop along the way.</p> <p>Last week, a reader alerted this author to a merchant on Evolution Market nicknamed “ImperialRussia” who was advertising medical records for sale. ImperialRussia was hawking his goods as “fullz” — street slang for a package of all the personal and financial records that thieves would need to fraudulently open up new lines of credit in a person’s name.</p> <p>Each document for sale by this seller includes the would-be identity theft victim’s name, their medical history, address, phone and driver license number, Social Security number, date of birth, bank name, routing number and checking/savings account number. Customers can purchase the records using the digital currency <a href="http://money.cnn.com/infographic/technology/what-is-bitcoin/">Bitcoin</a>.</p> <p>A set of five fullz retails for $40 ($8 per record). Buy 20 fullz and the price drops to $7 per record. Purchase 50 or more fullz, and the per record cost falls to just $6.40 — roughly the price of a value meal at a fast food restaurant. Incidentally, even at $8 per record, that’s cheaper than the price most stolen credit cards fetch on the underground markets.</p> <p>“Live and Exclusive database of US FULLZ from an insurance company, particularly from NorthWestern region of U.S.,” ImperialRussia’s ad on Evolution enthuses. The pitch continues:</p> <blockquote> <p>“Most of the fullz come with EXTRA FREEBIES inside as additional policyholders. All of the information is accurate and confirmed. Clients are from an insurance company database with GOOD to EXCELLENT credit score! I, myself was able to apply for credit cards valued from $2,000 – $10,000 with my fullz. Info can be used to apply for loans, credit cards, lines of credit, bank withdrawal, assume identity, account takeover.”</p> </blockquote> <p>Sure enough, the source who alerted me to this listing had obtained numerous fullz from this seller. All of them contained the personal and financial information on people in the Northwest United States (mostly in Washington state) who’d applied for life insurance through <a href="http://www.ailife.com/">American Income Life</a>, an insurance firm based in Waco, Texas.</p> <p>American Income Life referred all calls to the company’s parent firm — <strong>Torchmark Corp.,</strong> an insurance holding company in McKinney, Texas.<strong> </strong>This publication shared with Torchmark the records obtained from Imperial Russia. In response, <strong>Michael Majors</strong>, vice president of investor relations at Torchmark, said that the <strong>FBI</strong> and <strong>Secret Service</strong> were assisting the company in an ongoing investigation, and that Torchmark expected to begin the process of notifying affected consumers this week.</p> <p>More than 1.8 million people were victims of medical ID theft in 2013, according to <a href="http://www.ponemon.org/blog/2013-survey-on-medical-identity-theft">a report</a> from the <strong>Ponemon Institute</strong>, an independent research group. I suspect that many of these folks had their medical records stolen and used to open new lines of credit in their names, or to <a href="http://krebsonsecurity.com/?s=refund+fraud&x=0&y=0">conduct tax refund fraud</a> with the Internal Revenue Service (IRS).</p> <p><a href="http://krebsonsecurity.com/2014/09/medical-records-for-sale-in-underground-stolen-from-texas-life-insurance-firm/">http://krebsonsecurity.com/2014/09/medical-records-for-sale-in-underground-stolen-from-texas-life-insurance-firm/</a></p> Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-79026612493451776262014-09-19T21:51:00.000-07:002014-09-23T11:01:05.398-07:00Erlanger Health System in Tennessee Looking to Cut Ties With United Healthcare–Contract Expires at the End of the Month<p>As you can read below there’s a lawsuit that’s pending regarding payments filed by the hospital a few years ago.  Basically the hospital is saying they are not paying adequately.  All physicians would be out of network and again would this be a double whammy for the Medicare<img title="image" style="border-top: 0px; border-right: 0px; background-image: none; border-bottom: 0px; float: right; padding-top: 0px; padding-left: 0px; margin: 0px; border-left: 0px; display: inline; padding-right: 0px" border="0" alt="image" src="http://lh6.ggpht.com/-3lYQ48EV-Z0/VB0HyVpnU3I/AAAAAAABLXo/4wHDpp640dY/image%25255B6%25255D.png?imgmax=800" width="187" align="right" height="119" /> Advantage patients, some of which have already had their primary doctors fired.  If you read the link below you can see where United is working to match patients up with new doctors but the algorithms are doing funny things and giving patients OBGYNs and Neurosurgeons as their new primary care MDs.  </p> <h5><a href="http://ducknetweb.blogspot.com/2014/08/patients-in-tennessee-speak-out-about.html">Patients In Tennessee Speak Out About United Healthcare Firing Their Doctors As the Effort Continues To Reduce Their Own In House Overhead With Managing Fewer Doctor NPI Accounts, Contracts and Billing…More Killer Algorithms At Work Hurting Seniors</a></h5> <p>A couple more weeks and we shall see if they walk away from the Medicaid contract and the rest that also follows.  BD  </p> <p> <hr />The Chattanooga region’s largest hospital system may soon be out of network for thousands of patients with UnitedHealthcare insurance if a bitter dispute with Erlanger Health System over payment rates is not resolved by the end of the month.</p> <p>Erlanger officials say the current dispute, which centers on a contract with United’s Medicaid product, is the final straw in a long-strained relationship between the public hospital and the for-profit insurer.</p> <p>If a deal is not reached, children and pregnant mothers who have United insurance through TennCare<img title="image" style="border-top: 0px; border-right: 0px; background-image: none; border-bottom: 0px; float: right; padding-top: 0px; padding-left: 0px; border-left: 0px; display: inline; padding-right: 0px" border="0" alt="image" src="http://lh5.ggpht.com/-jny4uj4mrpg/VB0HyxDcSfI/AAAAAAABLXw/7Z7n669fFVg/image%25255B3%25255D.png?imgmax=800" width="282" align="right" height="312" /> will be out of network on Oct. 1. Erlanger has the area’s only children’s hospital.</p> <p>But Erlanger officials say the partnership has never been smooth.</p> <p>“No other insurer has been this difficult to work with,” Erlanger CEO Kevin Spiegel said.</p> <p>For patients who have United insurance through their employers or through Medicare Advantage, Erlanger would be out of network as of Jan. 1, 2015. That would include all of Erlanger’s affiliated physician groups and community health centers.</p> <p><strong>United has been paying “pennies on the dollar” of what should be standard for its TennCare patients, Erlanger argues, and repeatedly denies the hospital’s claims. The hospital sued United over this issue five years ago, and the litigation is ongoing</strong>.</p> <p>Hospital officials say they made an offer that was about 75 percent of the highest possible reimbursement. United rejected it.</p> <p>Erlanger is the third-largest TennCare provider in the state, and takes the highest percent of TennCare patients in the region.</p> <p>“They are willing to walk away from the entire Medicaid population in East Tennessee,” Spiegel said.</p> <p>United’s gross profit from TennCare was nearly $422 million in 2013 and $490 million in 2012, according to an equities analysis by CitiBank.</p> <p><a href="http://www.timesfreepress.com/news/2014/sep/18/erlanger-looking-cut-ties-united-healthcare/?breakingnews">http://www.timesfreepress.com/news/2014/sep/18/erlanger-looking-cut-ties-united-healthcare/?breakingnews</a></p> Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-11546919121153467802014-09-19T20:26:00.000-07:002014-09-23T11:01:05.411-07:00US CIO Steven VanRoekel Stepping Down–New Job Is CIO of United States Agency for International Development<p>VanRoekel worked for the agency before being appointed as US CIO.  We’re losing a good engineer with talent but he’s going to a great job as well where he can make a difference .  His work at the government was not really in the focus all the time but that doesn’<img title="image" style="border-top: 0px; border-right: 0px; background-image: none; border-bottom: 0px; float: right; padding-top: 0px; padding-left: 0px; margin: 0px; border-left: 0px; display: inline; padding-right: 0px" border="0" alt="image" src="http://lh5.ggpht.com/-ZQA4IbGo24g/VBzz_Ftkp7I/AAAAAAABLXY/EoyrYxOqUk8/image%25255B2%25255D.png?imgmax=800" width="136" align="right" height="187" />t mean it wasn’t important as it was.  He worked in the background helping government agencies with big engineering and cloud solutions, and that’s big.</p> <p>His background included several years at Microsoft.  So this is our loss and the gain for the USAID.  It was only a few weeks ago we lost Todd Park, the US CTO.  </p> <h5><a href="http://ducknetweb.blogspot.com/2014/08/todd-park-us-cto-leaving-his-post.html">Todd Park US CTO Leaving His Post-Anyone Noticing a Pattern Here With Technologists Jumping Ship One After Another?</a></h5> <p>I have to say I can almost feel some frustrations with these type of folks as they have to deal with others in government who have weird perceptions and kind of really guide them into the right areas at times and at some point it does get laboring.  On a much smaller scale I know exactly what that is and I see it on social networks too.  You don’t always get the perceptions in the news as it really is and part of that is due to the fact that some of what they are reporting on is complex as well and then there’s the political skew that enters as well.  Sometimes you get a story or a study or data news that is really is not any kind of news at all.</p> <p>In part of his new job VanRoekel be working to bring his technology expertise to help battle the government’s Ebola control program.  BD </p> <p> <hr />White House chief information officer Steven VanRoekel is stepping down from that post to advise the government’s response to Ebola, his office confirmed on Friday. <a href="http://www.washingtonpost.com/business/on-it/at-fose-women-leaders-to-discuss-opportunities-in-it/2014/05/09/cae210c0-d562-11e3-95d3-3bcd77cd4e11_story.html">Lisa Schlosser</a>, current deputy administrator for the Office of E-Government and Information Technology, will act as interim CIO. </p> <p>VanRoekel, appointed federal CIO by President Obama in 2011, is returning to the United States Agency for International Development to serve as its CIO. Prior to his White House appointment, VanRoekel led digital communications programs at USAID; he was also previously managing director at the Federal Communications Commission. </p> <p>As federal CIO, VanRoekel recently oversaw the launch of the U.S. Digital Service — a newly formed group whose mission is to help government agencies improve IT projects. Administrator Mikey Dickerson will continue to oversee the U.S. Digital Service, according to the Office of Management and Budget. </p> <p>“When taking the job of U.S. Chief Information Officer, my goal was to help move Federal IT forward into the 21st Century and to bring technology and innovation to bear to improve IT effectiveness and efficiency," VanRoekel said in a statement. </p> <p>Before he joined the public sector, VanRoekel worked at Microsoft between 1994 and 2009, most recently as a senior director. </p> <p><a href="http://www.washingtonpost.com/business/on-it/cio-vanroekel-steps-down-returns-to-usaid-to-work-on-ebola-response/2014/09/19/cc34a7ba-4017-11e4-b03f-de718edeb92f_story.html">http://www.washingtonpost.com/business/on-it/cio-vanroekel-steps-down-returns-to-usaid-to-work-on-ebola-response/2014/09/19/cc34a7ba-4017-11e4-b03f-de718edeb92f_story.html</a></p> Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-14014838470266465922014-09-19T00:02:00.000-07:002014-09-23T11:01:05.423-07:00CMS/ONC Does Some Nice Work and Updates for the Blue Button Campaign, All That’s Needed Now Is People Helping People…<p>There’s a new toolkit in which the intended audience is to assist with both information and marketing tools various groups in healthcare, from hospitals, drug stores and more.  For those entities wanting promotional material and information this makes a good showing. <img title="image" style="border-top: 0px; border-right: 0px; background-image: none; border-bottom: 0px; float: right; padding-top: 0px; padding-left: 0px; border-left: 0px; display: inline; padding-right: 0px" border="0" alt="image" src="http://lh3.ggpht.com/-Y6buxj2I8pw/VBvU5bH-8RI/AAAAAAABLXA/XypG9nh6Bw0/image%25255B6%25255D.png?imgmax=800" width="472" align="right" height="116" /> I have always said the Blue Button is like the best kept secret for seniors.  It’s better known with the VA as there’s a varied age group there and more have advanced internet and computer skills.  They use those skills in the military; however with seniors it’s a little different.  I’ve done a few presentations for seniors and hands down each time, about 99% have no clue what the Blue Button is.  </p> <h5><a href="http://bluebuttontoolkit.healthit.gov/selector/#intro-title">Blue Button Tool Kit - Support for Organizations to Promote the Blue Button</a></h5> <p><strong>Point in case is that seniors are not always going to jump to the internet and find all the resources they may need and want.  Seniors need someone in person to get the drive going and once they see it, there’s immediate interest to learn how to download their records and learn more about what kind of information they can receive with their Medicare records.</strong></p> <p>There’s a nice drop down menu to make your selections to put you into the area of marketing and additional information that would be applicable to the appropriate organization.  </p> <p><strong>Again, all you need is people so this is nice start with materials needed to help humans help other humans.</strong>  Website looks nice as there’s been quite a bit of work done here.  </p> <p>In addition there’s another website and this is to help both consumers and any healthcare entity.  This is called the Blue Button Connector and the intended crowd here is pretty much anyone.  It goes <img title="image" style="border-top: 0px; border-right: 0px; background-image: none; border-bottom: 0px; float: right; padding-top: 0px; padding-left: 0px; border-left: 0px; display: inline; padding-right: 0px" border="0" alt="image" src="http://lh6.ggpht.com/-sett_XRkz5U/VBvU5_3DlEI/AAAAAAABLXE/KOTzN61yD-I/image%25255B11%25255D.png?imgmax=800" width="355" align="right" height="215" />through with drop down menus where you can get an idea of what insurers, labs, pharmacies  and a few others have available for you in the way of being able to get, view or download your records.  You can see on each filter what’s available and just looking at a few of the menu items, there’s quite a few that could use some additional Blue Button Promotions on their websites I think.  </p> <h5><a href="http://bluebuttonconnector.healthit.gov/records/#pharmacy">Blue Button Connector Web Site</a></h5> <p>In addition there are various apps listed that have been created that make it easier to use the Blue Button that are either free or available at a low cost.  </p> <h5><a href="http://bluebuttonconnector.healthit.gov/apps/">Blue Button Mobile and Other Apps</a></h5> <hr /> <p><strong>If you are a developer</strong> there’s additional information at a couple different pages, one is called the Blue Button Plus page.  If you are not a developer you can skip these link as this is where it gets technical:)  </p> <h5><a href="http://bluebuttonplus.org/">Blue Button Plus Site for Developers</a></h5> <p>In addition the Blue Button Connector has resources for developers.</p> <h5><a href="http://bluebuttonconnector.healthit.gov/developers/">Blue Button Connector Developer Resources</a></h5> <p>I took a short minute to go to Github to look at a few code samples and I didn’t spent a lot of time there but did look at some of the app code loaded and it’s a great start for the libraries.  </p> <p>Again, all we need is people here for the seniors to give them a hand.  It’s interesting when I have given presentations, you may have all levels of technology in the crowd but again 99% when I ask if they have ever heard of the Blue Button say “what’s that”.  So there’s enough said on the extra human outreach that is needed for seniors, other than directing them to buy a dummied down marketing AARP tablet.  Seniors want to use the same computers and tablets we do and I guess time will tell if it becomes a tool or not.  BD  </p> Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-61478111991569771732014-09-18T21:34:00.000-07:002014-09-23T11:01:05.434-07:00FDA Approves Faster Acting ED Drug–More Need For Speed?<p>Well I guess 15 minutes extra can be a long wait so here’s a new approval that cuts the wait time down to 15 minutes instead<img title="image" style="border-top: 0px; border-right: 0px; background-image: none; border-bottom: 0px; float: right; padding-top: 0px; padding-left: 0px; border-left: 0px; display: inline; padding-right: 0px" border="0" alt="image" src="http://lh3.ggpht.com/-hNEJpjZLrtg/VBuyOKrDfoI/AAAAAAABLWw/m2Gb41w-DLw/image%25255B3%25255D.png?imgmax=800" width="99" align="right" height="136" /> of 30 minutes.  BD</p> <p> <hr />An erectile dysfunction drug that reduces by half the time patients need to take the pill before sexual activity has won approval for marketing in the United States.</p> <p>The drug, Stendra, is the first erectile dysfunction drug approved by the U.S. Food and Drug Administration that can be taken about 15 minutes prior to sexual activity.</p> <p>Stendra was first approved in 2012 when it was indicated for use 30 minutes before sexual activity.</p> <p><a href="http://www.foxnews.com/health/2014/09/18/faster-acting-erectile-dysfunction-drug-gets-fda-approval/">http://www.foxnews.com/health/2014/09/18/faster-acting-erectile-dysfunction-drug-gets-fda-approval/</a></p> Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-35187050355926640292014-09-18T21:24:00.000-07:002014-09-23T11:01:05.444-07:00FDA Approves New Drug For Treating Diabetes 2 As A Stand Alone Or Combined With Other Therapies<p>Trulicity is manufactured by Indianapolis-based Eli Lilly and Company and is not for treatment of diabetes one. <img title="image" style="border-top: 0px; border-right: 0px; background-image: none; border-bottom: 0px; float: right; padding-top: 0px; padding-left: 0px; margin: 0px; border-left: 0px; display: inline; padding-right: 0px" border="0" alt="image" src="http://lh5.ggpht.com/-GsaghGOPYy0/VBuwGJNl6II/AAAAAAABLWk/Qn1a9HH3crM/image%25255B2%25255D.png?imgmax=800" width="172" align="right" height="187" /> The drug is a weekly injection and part of a new class of drugs that induce the pancreas to create extra insulin after meals. </p> <p>There will be  a boxed warning that rats tested with the drug had cases of thyroid cancer and post studies will be required as listed below.  BD  </p> <p> <hr />The U.S. Food and Drug Administration today approved Trulicity (dulaglutide), a once-weekly subcutaneous injection to improve glycemic control (blood sugar levels), along with diet and exercise, in adults with type 2 diabetes.</p> <p>Type 2 diabetes affects about 26 million people and accounts for more than 90 percent of diabetes cases diagnosed in the United States. Over time, high blood sugar levels can increase the risk for serious complications, including heart disease, blindness, and nerve and kidney damage.</p> <p>"Type 2 diabetes is a serious chronic condition that causes blood glucose levels to rise higher than normal,” said Mary Parks, M.D., deputy director of the Office of Drug Evaluation II in the FDA’s Center for Drug Evaluation and Research. “Trulicity is a new treatment option, which can be used alone or added to existing treatment regimens to control blood sugar levels in the overall management of type 2 diabetes.”</p> <p>Trulicity has been studied as a stand-alone therapy and in combination with other type 2 diabetes therapies, including metformin, sulfonylurea, thiazolidinedione, and prandial insulin. Trulicity should not be used to treat people with type 1 diabetes; those who have increased ketones in their blood or urine (diabetic ketoacidosis); those with severe stomach or intestinal problems; or as first-line therapy for patients who cannot be managed with diet and exercise.</p> <p>The FDA is requiring the following post-marketing studies for Trulicity:</p> <ul> <li>a clinical trial to evaluate dosing, efficacy, and safety in pediatric patients;  </li> <li>a study to assess potential effects on sexual maturation, reproduction, and CNS development and function in immature rats; </li> <li>a medullary thyroid carcinoma (MTC) case registry of at least 15 years duration to identify any increase in MTC incidence related to Trulicity;  </li> <li>a clinical trial comparing Trulicity with insulin glargine on glycemic control in patients with type 2 diabetes and moderate or severe renal impairment; and </li> <li>a cardiovascular outcomes trial to evaluate the cardiovascular risk of Trulicity in patients with high baseline risk of cardiovascular disease.</li> </ul> <p>The FDA approved Trulicity with a Risk Evaluation and Mitigation Strategy (REMS), which consists of a communication plan to inform health care professionals about the serious risks associated with Trulicity.</p> <p><a href="http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm415180.htm">http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm415180.htm</a></p> Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-66508174982348390322014-09-17T23:18:00.000-07:002014-09-23T11:01:05.455-07:00Hospital in Florida Reports Third Data Breach In Two Years…<p>This appears from what I have read to all be internal theft problems, in other words not hackers, insiders stealing records.<img title="image" style="border-top: 0px; border-right: 0px; background-image: none; border-bottom: 0px; float: right; padding-top: 0px; padding-left: 0px; border-left: 0px; display: inline; padding-right: 0px" border="0" alt="image" src="http://lh3.ggpht.com/-N11r0lq7SNw/VBp5FyxhJiI/AAAAAAABLWU/Sj3ggzMSmw0/image%25255B3%25255D.png?imgmax=800" width="152" align="right" height="150" />  This takes me back to the game called “Data Dealer” where fictitious nurse Mildred wants to earn some extra cash but in this case it’s real.  </p> <p>Valesco a staffing agency might be the source here of the problems with screening?  It’s hard to say but they sent the letter to patients so it kind of looks that way.  </p> <p>These are good sized breaches as well and ones to take seriously.  The last breaches were back to back.  </p> <p>The report was made to HHS and the data was used to file tax returns for some of the patients.  The Feds are now involved with investigating the case.  BD  </p> <p><object name="kaltura_player_1411020853" id="kaltura_player_1411020853" type="application/x-shockwave-flash" allowScriptAccess="always" allowNetworking="all" allowFullScreen="true" height="345" width="560" data="http://www.kaltura.com/index.php/kwidget/wid/0_4qq5d5jy/uiconf_id/12411322"><param name="allowScriptAccess" value="always" /><param name="allowNetworking" value="all" /><param name="allowFullScreen" value="true" /><param name="bgcolor" value="#000000" /><param name="movie" value="http://www.kaltura.com/index.php/kwidget/wid/0_4qq5d5jy/uiconf_id/12411322" /><param name="flashVars" value="" /><a href="http://corp.kaltura.com">video platform</a><a href="http://corp.kaltura.com/video_platform/video_management">video management</a><a href="http://corp.kaltura.com/solutions/video_solution">video solutions</a><a href="http://corp.kaltura.com/video_platform/video_publishing">video player</a></object></p> <p> <hr />For the third time in two years, U.S. Health and Human Services records show Aventura Hospital and Medical Center has reported a data breach.</p> <p>What is more, the start date the latest data breach is exactly one day after a former data breach ended that impacted 2,560 individuals.</p> <p>There was also a report impacting 948 people from Oct. 1, 2012 to Dec. 31, 2012. </p> <p>A company called Valesco Ventures sent a letter to Aventura Hospital and Medical Center patients about the most recent case of identify theft.</p> <p>Valesco "provides hospital staffing and ancillary services" according to the letter dated Sept. 9, 2014.</p> <p>According to Valesco manager Terry Meadows, M.D., the company was told last May "an employee may have improperly accessed the personal identifying information of a number of patients of Aventura Hospital." </p> <p><a href="http://www.local10.com/news/aventura-hospital-medical-center-reports-data-breach/28082920">http://www.local10.com/news/aventura-hospital-medical-center-reports-data-breach/28082920</a></p> Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-37777803858585354452014-09-17T22:34:00.000-07:002014-09-23T11:01:05.466-07:00FDA Approves Oral Drug To Combat Constipation For Patients On Long Term Opioid Painkillers–Personalized Medicine..<p>Ok with the title a little sarcasm but I really didn’t know that this was a specific type of constipation and that a special drug was needed for relief?  As you read the article the design of the drug is to ensure you don’t lose any painkilling ability of the Opioid drug.  I didn’t even<img title="image" style="border-top: 0px; border-right: 0px; background-image: none; border-bottom: 0px; float: right; padding-top: 0px; padding-left: 0px; margin: 0px; border-left: 0px; display: inline; padding-right: 0px" border="0" alt="image" src="http://lh4.ggpht.com/-38KzK-0KMI4/VBpu5rg_L2I/AAAAAAABLWE/TE4MEuN1IyM/image%25255B2%25255D.png?imgmax=800" width="187" align="right" height="98" /> know that was a side effect of taking a drug to relieve constipation if one were taking an Opioid.  Guess the ones off the shelf are not as good anymore?  </p> <p>The drug is due to release the first quarter of 2015 and was first approved to treat severely ill patients receiving palliative care where the off the shelf remedies did not provide relief.  The drug is not for patients being  treated for cancer.  BD  </p> <p> <hr />(Reuters) - The U.S. Food and Drug Administration approved an oral therapy to treat opioid-induced constipation developed by Nectar Therapeutics and AstraZeneca Plc .</p> <p>The decision opens the door for peripherally acting mu opioid receptor antagonists, which have been linked with cardiovascular risk in the past.</p> <p>This class of opioid-induced constipation (OIC) drugs are designed to fight the effects of opioid painkillers on the gut without compromising centrally mediated pain relief.</p> <p>The agency on Tuesday asked the developers to conduct a postmarketing study to further evaluate the potential risk of heart-related side-effects.</p> <p>"If you look at the way they structured the deal with Nektar, clearly they think this is a multi-billion dollar drug," he said.</p> <p><a href="http://www.reuters.com/article/2014/09/16/astrazeneca-fda-idUSL3N0RG4TT20140916">http://www.reuters.com/article/2014/09/16/astrazeneca-fda-idUSL3N0RG4TT20140916</a></p> Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-55154149646011048782014-09-17T06:56:00.000-07:002014-10-09T07:54:20.040-07:00The Latest Guidelines on Statins for High Cholesterol<br /><div class="separator" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em; text-align: center;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJvIy2U3UsmYX60N-sUVMTRbEVzRpd0ShDE6UMF7gs6NO3RZkG2wLHeyEWOwQGhsCTbaI8DGyn70Utjv0FAynu7yyOkA60q4dFGNxOVDjkvIOBhb5c-AxudLr8IZ8H2zqzlqRK2HV5TZ8/s1600/highcholesterol260%5B2%5D.jpg" /></div><br /><div style="background-color: white; border: 0px; line-height: 21px; margin-bottom: 1.5em; padding: 0px; vertical-align: baseline;"><span style="font-family: inherit;">The <a href="http://www.fda.gov/forconsumers/consumerupdates/ucm293330.htm" style="border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="_blank">FDA’s advice to patients and healthcare professionals</a> include:</span></div><ul style="background-color: white; border: 0px; line-height: 21px; list-style-image: initial; list-style-position: outside; margin: 0px 0px 1.5em; overflow: hidden; padding: 0px 0px 0px 35px; vertical-align: baseline;"><li style="border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><span style="font-family: inherit;">a warning that statins may cause cognitive impairment. These issues include memory loss, confusion, and forgetfulness.</span></li><li style="border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><span style="font-family: inherit;">a notice that routine liver enzyme monitoring is no longer necessary. Liver enzyme tests were used for decades as a way to catch potential liver damage. However, the FDA has found that these checks are not effective. The new recommendation: doctors should perform a liver enzyme test before statin use begins. Then patients should be checked again if symptoms of liver damage appear.</span></li><li style="border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><span style="font-family: inherit;">a warning that people taking statins may experience increased blood sugar levels and may develop type 2 diabetes. People taking statins should have their blood-sugar levels checked regularly.</span></li><li style="border: 0px; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><span style="font-family: inherit;">a warning that patients taking lovastatin, a type of statin medication, are at risk for muscle damage. Patients taking this type of medicine should be aware of this possible drug interaction.</span></li></ul><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj-JivINBA3eoi7bFvTwrBwor0nWxkdZdtHE2hyphenhyphenXuh3nYYD9utGt4VpeWgIaZ02xz4phGkieXCD2sNGzPa9XcNVRtREw2oaz6v2NAq3nUxTgrar8IimGf2c8TC7W8Av_oKgZHaAbIPzFqM/s1600/Non-Statin-Cholesterol-Drugs%5B1%5D.png" /></div><br /><div><span style="line-height: 21px;"><br /></span></div>Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-23067876393362078922014-09-16T21:44:00.000-07:002014-09-23T11:01:05.476-07:00Anthem Blue Cross Creates Yet One More New Insurance Plan–Vivity, Partnering With 7 Major Hospitals in Los Angeles<p>Well did they did one thing right and got CalPERS on board so that a lot of business to start out with effective January 1, 2015.  CalPERS was just in the news with getting rid of all their hedge fund investments to the tune of $4 billion as well.   MemorialCare and<img title="image" style="border-top: 0px; border-right: 0px; background-image: none; border-bottom: 0px; float: right; padding-top: 0px; padding-left: 0px; border-left: 0px; display: inline; padding-right: 0px" border="0" alt="image" src="http://lh3.ggpht.com/-6Dtn2vvpU-Q/VBkRxQasxCI/AAAAAAABLVs/dWOi4zuBcJM/image%25255B3%25255D.png?imgmax=800" width="252" align="right" height="124" /> Cedars already have a few things going together like this Venture Capital fund created a few months ago.  </p> <h5><a href="http://ducknetweb.blogspot.com/2014/05/cedars-sinai-and-memorialcare-health.html">Cedars-Sinai and MemorialCare Health System Create New Venture Capital Company-Sounds Like A Little Influence of From The United Healthcare Manifesto Is Moving Up to LA, Maybe More Cash For Code for Developers?</a></h5> <p>The whole idea here is to take on Kaiser as they have a lot of business and are self contained with both insurance and medical care in one.  It will be called the <strong><u>Vivity Health Plan</u></strong> and will be about 10 percent less in cost than a standard Anthem Blue Cross HMO plan.  Nobody knows if this will save any money or not and right now in that area it’s just a proof of concept.  There will be around  6000 doctors and 14 hospitals all together in the group.  Already with UCLA and Cedars they both invested in a rehab hospital so they can move you over to the old Century City Hospital to get you out the door faster.</p> <h5><a href="http://ducknetweb.blogspot.com/2013/12/century-city-hospital-in-west-la-to-get.html">Century City Hospital In West LA To Get a New Life, A Rehab Hospital Investment For UCLA and Cedar Sinai Hospitals</a></h5> <p>This probably explains the madness behind the new big data base Blue Cross is paying $80 million to start as well and I have no clue on how it will work and have my doubts on that one as well unless now these hospitals decide to kick in for an HIE type of operation.</p> <h5><a href="http://ducknetweb.blogspot.com/2014/08/anthem-blue-cross-blue-shield-of.html">Anthem Blue Cross & Blue Shield of California Going to Create “Yet Another Big Data Base of Patient Medical Records” - Be Ready for Premiums to Go Up As Health IT Eats Up the Healthcare System</a></h5> <p>Also I would imagine the $350 a month kick back to the Oncologists will play in here too with all the doctors<img title="image" style="border-top: 0px; border-right: 0px; background-image: none; border-bottom: 0px; float: right; padding-top: 0px; padding-left: 0px; border-left: 0px; display: inline; padding-right: 0px" border="0" alt="image" src="http://lh5.ggpht.com/-r9oHZ_QVJKc/VBkRx4fwr1I/AAAAAAABLV0/1dp-N_EoGow/image%25255B7%25255D.png?imgmax=800" width="133" align="right" height="98" /> seeing cancer patients where they agree to use the Blue Cross methods of recommended treatment.  Anthem Blue Cross is a licensed reseller of IBM Watson and a couple years ago pretty much foot the bill for the use at Cedars to get it started. </p> <h5><a href="http://ducknetweb.blogspot.com/2014/05/wellpoint-begins-new-oncology-program.html">WellPoint Begins New Oncology Program For Providers Offering Doctors $350 Monthly Payment For Each Patient Treated Using Insurers Recommendations - Is This A Kickback Offer?</a></h5> <p>I can understand what they are doing here and at least they are being honest and saying “this is just a stab in the dark” venture.  Obviously having CalPERS as base is big help by all means if a great number of their insured sign up.  This will get interesting as there will be one more plan to check eligibility with.  This gets kind of interesting as MemorialCare in more ways than one has some pretty strong ties to United Healthcare too.  MemorialCare owns the management company that runs the Cedars Doctor’s IPA group, Nautilus, which also runs Greater Newport Physicians in the OC.   BD    </p> <p> <hr />Taking aim at HMO giant Kaiser Permanente, insurer Anthem Blue Cross is joining forces with several big-name hospitals and their doctors to create an unusual health plan option for employers in Southern California.</p> <p>The joint venture being announced Wednesday brings together seven rival hospital groups in Los Angeles and Orange counties, including well-known institutions Cedars-Sinai Medical Center and the UCLA Health System. The deal reflects the pressure insurers and hospitals alike are facing to hold down healthcare costs for employers and their workers.</p> <p>The California Public Employees' Retirement System, the giant pension fund and the nation's second-largest healthcare buyer, has already signed on as the first major customer in the Southland starting Jan. 1.</p> <p><strong>The new Vivity health plan also includes MemorialCare Health System, Good Samaritan Hospital, Huntington Memorial Hospital, Torrance Memorial Medical Center and PIH Health. In addition to their hospitals, this Anthem HMO includes all of their affiliated physicians offices, surgery centers, clinics and other outpatient facilities.</strong></p> <p>"We will have a price point similar to Kaiser or better," said Barry Arbuckle, chief executive of MemorialCare, which runs Long Beach Memorial and five other area hospitals. "This is the next major step for managed care”.</p> <p>The seven hospital partners and Anthem, the state's largest for-profit health insurer and a unit of WellPoint Inc., will share in any profits and losses from this joint venture.</p> <p><a href="http://www.latimes.com/business/la-fi-anthem-hospitals-deal-20140917-story.html#page=1">http://www.latimes.com/business/la-fi-anthem-hospitals-deal-20140917-story.html#page=1</a></p> Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-70649780602699564732014-09-16T21:22:00.000-07:002014-09-23T11:01:05.486-07:00Two Kaiser Permanente Executives, CIO And VP of Digital Health Jump Ship and Go For the Money at AIG<p>I guess you could say that CIO Philip Fasano brought Epic to Kaiser as their medical records<img title="image" style="border-top: 0px; border-right: 0px; background-image: none; border-bottom: 0px; float: right; padding-top: 0px; padding-left: 0px; margin: 0px; border-left: 0px; display: inline; padding-right: 0px" border="0" alt="image" src="http://lh6.ggpht.com/-XaSDlrx065M/VBkMbKzEBaI/AAAAAAABLVc/4WC8hOc9uHo/image%25255B2%25255D.png?imgmax=800" width="141" align="right" height="187" /> programs was one of his projects.  He was a banker before Kaiser and worked at Capitol One and JP Morgan in IT.  </p> <p>Madhu Nutakki, KP’s VP of digital health is also leaving and going to AIG.  The whole world knows who AIG is as all you have to do is think about subprime loans and the crash.  </p> <p>This makes 2 key folks in the Kaiser IT business leaving.  BD  </p> <p><a href="http://online.wsj.com/public/quotes/main.html?type=djn&symbol=AIG"> <hr />American International Group</a> Inc. Monday named Philip Fasano chief information officer and executive vice president. He begins in October and will report to CEO Peter D. Hancock, who took the helm earlier this month.</p> <p>Mr. Fasano’s responsibilities will include guiding AIG’s Big Data strategy, powered by the property-casualty, life and retirement insurer’s vast amounts of customer data. <a href="http://www.i-cio.com/profession/latest-appointments/item/zurich-grabs-aig-tech-head-and-other-recent-appointments">He replaces Robert Dickie, who left the company for AIG rival </a><a href="http://online.wsj.com/public/quotes/main.html?type=djn&symbol=ZURN.VX">Zurich Insurance Group</a> Ltd. in February.</p> <p>Mr. Fasano joins the insurance giant from Kaiser Permanente, where, as EVP and CIO since 2007, he led a number of data projects, including the <a href="http://www.infoworld.com/d/the-industry-standard/how-kaiser-bet-4-billion-electronic-health-records-and-won-217731">$4 billion construction of Kaiser’s electronic health records system for 9 million patients</a>. Kaiser analyzes <a href="http://sciencebusiness.technewslit.com/?p=14829">data captured from the EHR system</a> to improve patient outcomes and help the health-care provider monitor patient activities, such as failure to refill prescriptions.</p> <p><a href="http://blogs.wsj.com/cio/2014/09/15/aig-finds-new-cio-philip-fasano-at-kaiser-permanente/">http://blogs.wsj.com/cio/2014/09/15/aig-finds-new-cio-philip-fasano-at-kaiser-permanente/</a></p> Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-55513368510363250182014-09-16T21:02:00.000-07:002014-09-23T11:01:05.496-07:00Tim Cook From Apple Talks Privacy, We All Deserve That Dignity, And Our Product Is Not You..<p>He stated we have right to be worried and to be concerned and the companies should be very transparent.  He says it’s going to be a very key topic and of course it’s been a key topic at the Medical Quack for 3 years and counting now as I predicted all this, just following the data and money, and thinking like jerk programmer would do.  I wrote earlier that this is a good time to really look at getting a law to license data sellers, as how do you kno<a href="http://www.gofundme.com/auyxd0"><img style="border-top: 0px; border-right: 0px; background-image: none; border-bottom: 0px; float: right; padding-top: 0px; padding-left: 0px; border-left: 0px; display: inline; padding-right: 0px" border="0" src="http://lh5.ggpht.com/-WjSMddBKiho/VAJ2n8h7WcI/AAAAAAABLOU/rTfddMqQxlU/GoFundMe%25255B5%25255D.png?imgmax=800" width="235" align="right" height="170" /></a>w who they are?  </p> <h5><a href="http://ducknetweb.blogspot.com/2014/08/apple-updates-healthkit-privacy.html">Apple Updates HealthKit Privacy Policies–Could Be A Good Time to Also Embrace Support For the Government to License All Data Sellers, Apple Will Be Conducting “Due Diligence” With Those Writing Apps For the Platform As Part of Their Business</a></h5> <p>The video below is a clip of the Charlie Rose interview part 2, where he talks about privacy.  He states that Apple’s business is not collecting data but rather about selling hardware and software.   Before the event it was on the web that Apple was talking to insurers and oh boy that’s the last thing we want there with any collaboration there with writing any kind of code or software.   Everyone agrees on that one as we are living with their data quantitated models that are not working anymore with insurers, same problem hedge funds are having today with not being able to create a model to return desired profits.  </p> <h5><a href="http://ducknetweb.blogspot.com/2014/08/apple-in-talks-with-insurers-now.html">Apple In Talks With Insurers Now Relative to Healthkit? If So We’re Going The Other Way As Consumers Are Waking Up to the US Data Selling Epidemic Along With Profit Making Algorithms That Generate “Secret Consumer Scores” That Benefit Corporations - A Big Factor With Inequality Acceleration</a></h5> <p>After the Healthkit information and the watch, we kind of all know that people don’t work that way and look how long it took tablets to catch on, long time as I was a tablet user from way back but it was the Ipad Model that had everything take off.  So there you go with models and the watch may or may not do it and time will tell but for gosh sakes I hope quantitated selves can at least put a partial gag on themselves realize we are not all like them:)  It was said too at the big Stanford MedX meeting too that wellness does not depend on apps and wearables and that it more or less caters to curiosity which I feel is a very true statement.  </p> <p>So yes it’s time for another little pretty please to help me out with my project of working on Congress<strong><u> (click on picture above)</u></strong>  to pass a law that will require all data sellers to buy a license and disclose to consumers what kind of data they sell and to who, it won’t stop it.  <strong>With all the repackaging of data going on today, the flaws are growing and this is dangers and now the internet is giving people a “flawed diagnosis” and you can’t trace it back once you have been flipped a few times and someone’s going to believe that data is truthful, all for the sake of banks and companies making billions selling data</strong>, i.e. Walgreens makes 1-2 billion a year selling data and that’s just one company so add in banks, credit cards and billions are flowing to their profit lines while we are stuck with no way to even monitor or fix the flawed data that gets the same price as good data.  We’re screwed and dignity is removed with data selling epidemic.    More about that at the link below.  BD  </p> <h5><a href="http://ducknetweb.blogspot.com/2014/09/data-brokers-are-now-diagnosing.html">Data Brokers Are Now Diagnosing Consumers With Diabetes And Other Chronic Conditions–”Over Rated And Broken Predictive Behavioral Math Models” Providing a Diagnosis That Should Always Be Documented From Your Doctor, Not From The Web</a></h5> <p><iframe height="315" src="//www.youtube.com/embed/Bmm5faI_mLo" frameborder="0" width="560" allowfullscreen="allowfullscreen"></iframe></p> Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0tag:blogger.com,1999:blog-763672292593913065.post-17998343827551830372014-09-15T21:11:00.000-07:002014-09-23T11:01:05.506-07:00In Texas Hospitals Having Issues Employing In-Network Doctors With United Healthcare & Humana-Found One Insurer Still Listing An In-Network “Dead Doctor”…<p>Sometimes the ER doctors and hospitals have different contracts and this is beginning to be an issue in Texas as it ends up with patients getting sometimes huge unexpected bills.  I had to laugh when I saw a “dead” doctor listed at<strong> I thought Healthgrades and Vitals were the kings of dead doctor listings</strong> but look like insurers leave in them in network for some amount of time. </p> <h5><a href="http://ducknetweb.blogspot.com/2014/07/healthgrades-partners-with-athena.html">Healthgrades Partners With Athena Health To Provide Easier Access to Book Appointments, Like Maybe Doing Better With Sorting Out Some of the “Dead doctors” Seeing Patients in the After Life?</a></h5> <p>At some point this has to change as consumers can’t continue to work with this and keep shifting and know<img style="float: right; display: inline" src="http://lh6.ggpht.com/_v3zjJigoAPE/TLZdsFwnFqI/AAAAAAAAiIY/NIhj9oaZrLo/image_thumb%5B4%5D.png?imgmax=800" width="134" align="right" height="189" /> when every tiny change is made, it’s too much anymore based on contracts that change at the drop of a a business intelligence algorithm.  That’s what’s going on.  At United we have the “secret scoring” where they are being fired and given no reason why, so you know it’s an algorithm making that decision.</p> <h5><a href="http://ducknetweb.blogspot.com/2014/08/the-secret-scoring-of-americas.html">“The Secret Scoring of America’s Physicians” - Algorithmic Math Models For Insurance Network Contractual Exclusions, Relating to MDs Who See Medicare Advantage Patients..</a></h5> <p>Oh and they all cite the patients who can’t the right information, even though websites are not fully updated an so on, it’s always the patients fault.  Here in California the CMA is also up in arms with United, heck they are using as they stated a model to grade doctors that’s been in use since 2005.  I found it funny they said that as models don’t last that long and continue to work for that many years in healthcare or finance for that matter, ask a hedge fund quant. </p> <h5><a href="http://ducknetweb.blogspot.com/2014/09/united-quantitated-california-doctor.html">United “Quantitated” California Doctor Premium Designation Ratings For Consumers, A Few Minor Changes-CMA Still of Opinion Ratings Cause Harm to MDs and Patients With Inaccurate Designations and Flaws…</a></h5> <p>Here’s a link from a short while back where United is shuffling patients around and firing doctors, trying to match patients up with other primary doctors but their algorithms are not doing too well as Medicare Advantage folks found themselves getting letters referring them to an OBGN and a neurosurgeon as their new family practice doctors.  </p> <h5><a href="http://ducknetweb.blogspot.com/2014/08/patients-in-tennessee-speak-out-about.html">Patients In Tennessee Speak Out About United Healthcare Firing Their Doctors As the Effort Continues To Reduce Their Own In House Overhead With Managing Fewer Doctor NPI Accounts, Contracts and Billing…More Killer Algorithms At Work Hurting Seniors</a></h5> <p>Patients are not only over whelmed in Texas but all over the US and again this has to stop with optimization of networks and the AAFP recently wrote to insurers about this topic as well.  Doctors and patients are people and they can’t jump and run when algorithm comes calling.  This is exactly what’s happening and the insurers business models themselves are failing if they can’t do better data matches and bring the human elements into the picture.  This is not the patients fault as insurers and many have said this besides me, thrive on complexities as it means profit so there’s no incentive for them to really stop it either.  </p> <h5><a href="http://ducknetweb.blogspot.com/2014/07/aafp-says-were-not-going-to-take-it.html"><strong>AAFP Says We’re Not Going To Take It Anymore With Optimization of Provider Networks - Specifically United Healthcare’s Doctor Dumping That Disrupts Continuity of Care</strong></a></h5> <hr />Trey Berndt, an associate state director for advocacy with AARP, told lawmakers emergency-room visits present special challenges for price transparency because hospitals sometimes contract with emergency-room doctors who do not participate in the same insurance plans as the hospital. A website listing which hospitals have in-network doctors in their emergency rooms is not going to help a patient undergoing a stroke, he said. <p>“The transparency stuff does not work in an emergency situation. You don't have time," said Berndt, whose organization advocates for people of retirement age.</p> <p>The report found that in emergency rooms at roughly half of in-network hospitals for United Healthcare and Humana, two of the state’s three largest insurers, there were no in-network physicians.</p> <p>Lawmakers also considered the transparency issue outside of emergency rooms. State Sen. Leticia Van de Putte, D-San Antonio, called on insurers to regularly update their lists of in-network doctors.<strong> She cited an example of a dead doctor who was still listed on one insurer's network.</strong> She also said the state's current transparency requirements — including a rule that insurers give written notice to patients who could face higher costs from out-of-network providers — are insufficient.</p> <p>Charles Bailey, representing the Texas Hospital Association, said consumers were often overwhelmed by how complicated the health care system can be, but that “hospitals are doing their best to help educate” them. He acknowledged it was a problem that hospitals are “not always able” to employ in-network physicians.</p> <p><a href="http://www.texastribune.org/2014/09/15/lawmakers-take-transparency-health-care-costs/">http://www.texastribune.org/2014/09/15/lawmakers-take-transparency-health-care-costs/</a></p> Anonymoushttp://www.blogger.com/profile/12733419906868088870noreply@blogger.com0