The Medical Quack

November-20-2014

23:40

Well I thought we were trying to crack down on hydrocodone abuse and maybe the deterrent properties are the key here.  In the last couple imageof years I seem to remember more of these types of products being approved or maybe I’m just imagining things?  It comes from Purdue labs, one of the long time manufacturers of hydrocodone.   Granted we need pain killers for short term after surgeries, etc. and some folks with long term use needed to where there’s not any other alternatives so they can’t go away.  BD 


The U.S. Food and Drug Administration today approved Hysingla ER (hydrocodone bitartrate), an extended-release (ER) opioid analgesic to treat pain severe enough to require daily, around-the-clock, long-term opioid treatment and for which alternative treatment options are inadequate. Hysingla ER has approved labeling describing the product’s abuse-deterrent properties consistent with the FDA’s 2013 draft guidance for industry, Abuse-Deterrent Opioids – Evaluation and Labeling.

Hysingla ER has properties that are expected to reduce, but not totally prevent, abuse of the drug when chewed and then taken orally, or crushed and snorted or injected. The tablet is difficult to crush, break or dissolve. It also forms a viscous hydrogel (thick gel) and cannot be easily prepared for injection. The FDA has determined that the physical and chemical properties of Hysingla ER are expected to make abuse by these routes difficult. However, abuse of Hysingla ER by these routes is still possible. It is important to note that taking too much Hysingla ER, whether by intentional abuse or by accident, can cause an overdose that may result in death.

http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm423977.htm

November-20-2014

2:03

I have never seen anything like this and I’m not happy with either party.  I can understand the battle a bit though as the Democratic Dupers have sucked in so much “junk science” that it has irritated the other side to be the party of no with almost any science.  I get irritated with what I called the Sebelius Syndrome as you can’t find anyone that was more of a repeated “public duper”, not once but over and overimage and I can’t figure out for the life of me where in the heck she came up with some of her rationalizations and actions.  She had some smart people and and dupers working for her, but I must say the dupers won, either that or she listened to neither and was left to her own duped perceptions.

Folks in tech used to just sit and roll at some of what she said and it wasn’t for the fact that it was really messing with some big systems, it might have actually been funny.  One of the best ones though is the letter sent out telling all hospitals and they were billing liars, along with software vendors in the Health IT business.  In that case she even went so far as to duped Holder into signing the letter too:)

HHS and DOJ Send Letters to Hospital Trade Associations Warning of Gaming Billing System Via Use of Electronic Medical Records–Hospitals Just Learned How to Bill Better & Hired Consultants–Case of Being Algo Duped With Numbers?

What’s funny about this too is that just a couple months ago CMS found an insurer that billed up $70 billion in “said fraud” using a risk fiddler and soaked them over 5 years so all the billing fraud inquiries and investigations couldn’t even touch this number, so we had a case of Algo Duping deluxe, and again those wacky perceptions we had to listen for a number of years:) 

CMS Discovers That Insurers Offering Medicare Advantage “Really Know How To Sharp Shoot A Model With Adjusting Risk For Profit”, A Common Everyday Occurrence in Financial Markets…

So there’s the Democratic Dupers who believe all the stats and formulas insurers tell them, while they algorithmically cash in.  Health insurers have armies of Quants that really know how to work “the virtual” value world and the dupers never questioned it.  I go back to my first sales manager I had when I was young who told me “throw numbers at them and you’ll get your sale” and that what we have with the Democrats here.  Even the White House aggravated me with using junk science numbers with Climate Control and I have no problem with it but it made me mad to see duper stats that nobody can predict, insulted my intelligence but I wrote it off as that came from the Democratic Dupers.  I don’t mean any disrespect here but damn this stuff is getting thick and you sit and wonder how much more will they dupe on in?  Don’t put 2300 less hospitalizations will take place with one year of Climate Control as nobody and I mean me or anyone else can predict that because we have this little element called “variables” out there. 

Junk Science Appearing Everywhere, Even The White House “PR Templated” Correspondence Creates Spurious Correlations…

The best I could figure on that one is that the geeks at the White House were mirroring what we see in the news every day and were following a dupe pattern as everyone could be duped right?

Here’s another matter, does either party realize “the machines” are running the Affordable Care Act?  From what I read, and it might be part media too, they don’t get it and still think a big shout down or another “he said she said” deal in the news is going to make a difference? 

The Affordable Care Act Is Run By the Machines–So Now What Do Human Lawmakers Think They Are Going To Do About It?

So let’s cut the crap here and get the Democrats out of their virtual worlds of sucking any set of numbers you toss at them and maybe the GOP won’t be so mad all the time and hang way at the other side?  You think?  Again I can see the aggravation here as I’m a Democrat and I get mad a their dupes!  It’s stupid and I know better and there’s folks out there a lot smarter than me that read this stuff too, so stop the dupes!  The GOP can stop being party of the “NO”.  The more the Democrats dupe on us, the madder the GOP get and nothing happens. 

We have healthcare models at CMS failing right and left and need to be redone and it’s all those over quantitated formulas that United Healthcare mentored over there for years and they don’t work anymore, just like the quantitative formulas for hedge funds, they’re not working anymore and everyone’s on this quest for some magical algorithms and they won’t find them to make big money like they used to. 

We have way too many folks confusing virtual world values with the real world, so much to the point to where doctors are just about choked at the neck with all of this and nobody’s getting any better care but the Health IT bills are going up.  Some of that needed to be weeded out so we have “relative” data and not just data that can be sold to make money. 

Watch this video from Paul Wilmott and think “population health” and relate it to what’s he’s saying with all this big data and you’ll see how hard it is with all the numbers to “really” find a pot of gold as how would you find a relationship with such a huge number of patients? This is where this so called “science” fails as queries with small data might do just as well.  Science need to dig around in big data like this as well as the folks in genomics but it’s way over done with giving patient care and thinking there’s some big scientific breakthrough to arrive with running the business of healthcare.

Scientists do their share of cheating too and mess with risk fiddlers and P Values as well to tweak “statistical significance” and add that on to this the Democratic Dupers and the GOP perceptions and then we really have a mess:)  When the models get too complex for some non linear work, Quants and Data Scientists guess, especially if their job’s on the line.  With all the complexities out there today, I might think we have a bit of guessing going on out there in healthcare, science and the financial world. 

When The Models Are Too Complex With Too Many Bits of Data-Sometimes Quants, Data Scientists Just Guess and Assign a Number Value And “That’s Not Science At All “

I’d like to see the day return to where I didn’t have to read through and pick off the dupes out there and the spurious correlations that people confuse for “real news” on some little number crunch that people mistake for science, that’s not science, it’s number crunch.  So can these two parties get their heads together and start looking at the “real” world here so both parties can create laws that are not based on flawed and fake numbers? 

Can the GOP quit saying “No” to everything and being a skeptic about anything?  We do need good numbers and we are not getting that now as the sides are so far apart and it does nothing for the country.  There’s sites besides mine that just rip on folks and their virtual world perceptions and yet they still keep doing it as again they have been confusing virtual values with the real world when they don’t belong and can’t tell the difference anymore.. You have to also remember the business world likes that confusion as it means profits as they will work both sides as needed. 

“ People Don’t Work That Way” A World of Broken Software Models That Don’t Align To the Human Side,Too Much Push At Times With Only A Proof of Concept That Fails in the Real World..

We don’t need any more Bloomberg Big Gulp failed models and see how he was duped in and all the money and power couldn’t shove a broken model down the throats, literally of consumers.   BD

November-18-2014

22:31

I few days ago I posted with information from the insurer themselves that doctors will be compensated at a rateimage slightly above what Medicaid pays, so I’m sure that’s what’s going on here as it’s all contracts and price.  Other United Healthcare polices via employers and I’m guessing Medicare Advantage plans are still ok and accepted.  Insurance carriers have had a busy year with hiring armies of quants and have zeroed in on the restrictive parameters of policies they will offer and making more of them carry a very high deductible which is basically coverage for a major event for most.

Here Come the Dead Doctors Again Located In Flawed Directories–Now It’s From Insurance Companies Who Can’t Produce Semi Accurate Listings And They Pay These People…

We did get away from pre-existing conditions with the ACA law but now the insurer modelers have just moved that segmentation over to narrow networks to model with. 

“Also there’s another reason for all of this and that has to do with the “Secret Scoring of America’s Doctors” to where the armies of Quants that have been hired by insurers use pure analytics of some type to determine risk, costs, etc. and knock them off the network.  The link below has more on the number of quants that have been hired by insurers.  They want us as doctors and patients to move like algos and the result is flawed data.

Data Scientists/Quants in the Health Insurance Business–Modeling Beyond the Speed and Capabilities of Humans To Keep Up With The Affordable Care Act–Turning Into A World of Killer Algorithms That We All Hate..
“The Secret Scoring of America’s Physicians” - Algorithmic Math Models For Insurance Network Contractual Exclusions, Relating to MDs Who See Medicare Advantage Patients..

As a matter of fact the data at times with insurers due to frequent model changes that are also hard on us, we have cases like this in Maryland, where United bid and won a contract but then the left quant didn’t know what the right quant was doing and the doctors in the area had already been fired so they lost the contract as they nobody to see patients.  This is how the constant shuffling of insurance data, they do on purpose for profits is shuffling out to consumers.

Howard County School Board in Maryland Rescinds United Healthcare Contract As Retirees Didn’t Want the Medicare Advantage Plan, No Providers Available..

So again, those buying a United Healthcare policy via an insurance exchange in Maryland, looks like you are out of luck for Hopkins and their doctors.  BD


Consumers who buy certain policies from UnitedHealthcare through the Maryland health exchange will not be able to use Johns Hopkins physicians or hospitals, the health system and insurer said Thursday.

Hopkins, one of the biggest systems in the state, is not excluded from all of the insurer's plans or by the other carriers on the exchange, created under the Affordable Care Act for people who don't get their insurance through their employers.

"We believe patients have the right to make informed decisions regarding their health care," said Patricia M.C. Brown, senior vice president of managed care and population health for Johns Hopkins Medicine. "Unless this limitation is clearly communicated, consumers who consider plans based on price alone may not realize they are restricting their access to the quality care and expertise that Johns Hopkins provides."

UnitedHealthcare is also still negotiating with the University of Maryland Medical System.

Other carriers may yet exclude some other health systems, though officials from CareFirst BlueCross BlueShield, the state's dominant carrier, said its networks were not narrowed for exchange policies and include about 45,000 providers.

http://www.baltimoresun.com/health/health-care/bs-hs-exchange-exclusions-20141113-story.html

November-18-2014

20:29

What’s the matter with people anymore with being stuck in stat rat world?  Do they think an obese person is going to look at this as something positive?  With as bad as companies have been today with little concern for the people they employ at times (and this is not all employers) do they think this is a positive to motivate people to lose weight?  The key to losing weight is not the expense of an obese personimage, it’s hitting the right key note to get the person motivated to lose weight for themselves and then everyone wins and you don’t need stupid websites like this.  When a person loses weight for their own self esteem, that’s the best by all means.  I wrote a while back too about another sick bunch that likes to sit around and map the obese in the US.  Well it’s not like they are hiding anywhere and it takes one glance to recognize one who is obese so why all the infographics?  It’s because the people who do them are suffer from narcissism and want you to see their “beautiful” work and the obese who are mapped, well they could be mapping anything really as it doesn’t matter.

Obesity Just As Big As Ever In the US–More Failed Ineffective Models As Technology Is Not The Cure With, Many Proof of Concepts Not Working, Obesity Algorithms Are Not the Answer

Actually the head of CDC was the same one who dreamed up the Bloomberg Big Gulp failed model too so again people do things by example and if you remember, look at all we went through over that failed proof of concept.  Bloomberg and Frieden didn’t know when to stop.  I put this Obesity site right in there with being another failed Bloomberg failed proof of concept. 

How Many More “Bloomberg Big Gulp” Failed “Proof of Concept” Models Can We Sustain Before Everyone Splits a Gasket?

Attraction is the means to motivate someone to lose weight and there are much better ways to accomplish that versus segmentation like this.  The obesity calculator is gone and from what I am reading it’s a standard BMI that you can find by the groves anywhere.   That’s ok but when you start directing this type of segmentation to employers, it becomes a different story.  As a matter of fact, I absolutely hate the term “human capital” and wish folks would just reduce it to one word “human” as that’s what we are talking about here. 

It’s to the point to where people who are not obese look at those who are with minus dollar signsimage in their eyes and that’s not right as the obese need a little compassion and a reason to care, not this.  We have way many lost today in virtual world values this is the prime example right here.  Heck look at the example the White House produces and this one got my attention as again folks confusing virtual values with real world values.  Now go take a look at the fatties in Congress and nobody’s on their case are they? 

Junk Science Appearing Everywhere, Even The White House “PR Templated” Correspondence Creates Spurious Correlations…

The CDC already has their Work Place Health Promotion page and that’s enough and they go over board too with a “work place scorecard” and more over there too.  Heck if I were an employer, the reading is fine but I wouldn’t want to put any more information about my company on the CDC site.  They claim their data is “science based” but I didn’t have time to read it all but doubt all of it is, more or less some of it is just number crunching and stats.  There’s more stuff and resources over there to read and again how many employers will use and read it?  I’m talking beyond healthcare information to be specific to the Healthy Worksite. 

Again the information is ok but it will be misleading for some as well as again they want you to share and share and share more data, and I’m out of that ball game and again I don’t any employers are going to dig into that either and we have folks that just went over the edge a bit here.  I can barely stand to be in a CVS or Walgreens store anymore as all of this is just in my face constantly and I can’t browse and shop like I used too and those may be just the stores near me but I started going to Rite Aid for that reason as I get tackled over and over for flu shots and I even get that a bit in the grocery store where I go which has a pharmacy in it.  When things are slow they have the pharmacist handing out coupons…yuk. 

Stop the flu Shot Harassment At Drug Stores–I’ve Had It! Put Take the Corporate Data Scientists Off the flu Shot Model And Give Us a Break..

So again we had some folks living just a bit too virtual and didn’t even think how this site would be accepted in “the real world”.  You have give people some space and get out of their faces and quit selling our data right and left as well.  BD


The CDC has taken down a website that offered an “obesity cost calculator” to help American bosses tally financial losses linked to their overweight employees, a spokeswoman for the agency confirmed Tuesday.

Called Lean Works!, the federal program drew recent criticism from some nutritionists and advocates for overweight Americans who claimed the site and its obesity calculator fueled workplace discrimination and perhaps even led some companies to fire fat people. NBC News first reported those concerns Nov. 2.

Brittany Behm, a spokesperson for the U.S. Centers for Disease Control and Prevention, said via email that content once posted at Lean Works! “is under review,” adding: “The calculator is also under review and will be potentially updated with new information, technology.”

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