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Introduction of Anticatabolics In Sports | Accretive Health
Selasa, 23 September 2014
Senin, 22 September 2014
NueMD Launches A Survey Relative to HIPAA Compliance and Readiness
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
NueMD is conducting a survey of medical practices, billing companies, and business associates about HIPAA compliance.
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.
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.
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.
“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.”
All responses are anonymous, and instructions on how to access the results will be provided upon completion of the survey.
http://www.nuemd.com/blog/nuemd-launches-survey-hipaa-compliance-ahead-audits
Emerge.MD to Delivery Video Enhanced Telehealth Using Polycom Real Presence Solution
Polycom is about as top level as you can get with quality video and has been around for a long time. The company
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.
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
“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.”
The video below gives an example of Consult Accelerator and an explanation of how it works. BD
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.
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.
Minggu, 21 September 2014
Antiquated Ways Hospitals Report Cost to Medicare “Really Distorts” The True Cost of Care–New Model Please..
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.
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.
In Texas Hospitals Having Issues Employing In-Network Doctors With United Healthcare & Humana-Found One Insurer Still Listing An In-Network “Dead Doctor”…
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.
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 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.
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…
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.
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
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.
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…
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
Health care providers expect to see fewer patients in the future as care, technology and access to treatment improve.
That means less revenue for hospitals — collectively, the country’s largest employers — which find themselves operating in a dramatically changing industry.
“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.”
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.
“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.”
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.
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.
http://www.crainscleveland.com/article/20140919/FREE/140919741/hospital-leaders-come-together
One 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
If you read here often enough then you know about the campaign about data selling and the campaign to license data sellers. We
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.
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”.
Hospital in Florida Reports Third Data Breach In Two Years…
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.
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
have lost businesses and other things in life they need.
UPMC Medical Center Workers Protesting Low Wages While Investigation of Employee Data Breach Continues With Fake Tax Returns and Bank Accounts Drained..Double Whammy
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.
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?
Pay attention also to the prepaid credit card connection here as well and how the fraudsters work it.
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.
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.
Medical Records For Sale Found On the Black Market - Evolution Market Where Narcotics And Stolen Financial Data Is Openly Traded and Sold…
http://www.cbsnews.com/news/irs-scam-identity-tax-refund-fraud-60-minutes/
Sabtu, 20 September 2014
House 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…
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.
One hospital in Arkansas received an audit and is asked to return $900,000 based on the fact that they did
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.
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?
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.
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
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.
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.
“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.”
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.
Fewer Blood Transfusions Force American Red Cross To Change It’s Business Model -They Have an App Now That Offers Rewards And Helps With Scheduling..
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
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.
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.
ABC 33/40 - Birmingham News, Weather, Sports
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
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.
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.
Doctors will tell you the medical industry has changed
"We've always had 36 management teams or regions. We are down to 19," added Turner.
Turners tells ABC 33/40 his chapter is doing more with less.
"For example, I am in clinical services, but cover Alabama, Georgia and Puerto Rico instead of just Alabama," added Turner.
Medical Records For Sale Found On the Black Market - Evolution Market Where Narcotics And Stolen Financial Data Is Openly Traded and Sold…
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,
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.
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.
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.
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…
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
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..
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.
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
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.
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.
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 Bitcoin.
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.
“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:
“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.”
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 American Income Life, an insurance firm based in Waco, Texas.
American Income Life referred all calls to the company’s parent firm — Torchmark Corp., an insurance holding company in McKinney, Texas. This publication shared with Torchmark the records obtained from Imperial Russia. In response, Michael Majors, vice president of investor relations at Torchmark, said that the FBI and Secret Service were assisting the company in an ongoing investigation, and that Torchmark expected to begin the process of notifying affected consumers this week.
More than 1.8 million people were victims of medical ID theft in 2013, according to a report from the Ponemon Institute, 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 conduct tax refund fraud with the Internal Revenue Service (IRS).

















