1 Ocak 2013 Salı

As The Fiscal Cliff Approaches, Time To Reflect With A Little Music For Thought: “This Is Not America”

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There was a move made a while back called “The Falcon and the Snowman” and it was about who selling America out and it was a good movie and the soundtrack alone was equally as good as the movie and one song that sticks in my brain today is this one as a “normal” environment we have known for years is changing and are we in a place that is no longer familiar to us in many ways…in watching our government with trying to agree and collaborate with solutions, which doesn’t seem to be going very well, this song keeps kicking around in my head (lyrics below) “this could be a miracle”?  How many snowmen are there out there?  Anyway the lyrics seem to somewhat say this is not the same as the country I grew up in as we watch current events and values get replaced  with new ones that seem to leave out some of the greatness of the past, inequality seems to be the big one that comes to mind. 





A little piece of you
The little peace in me
Will die
For this is not America
Blossom falls to bloom
This season
Promise not to stare
Too long
For this is not a miracle
There was a time
A storm that blew so pure
For this could be the biggest sky
And i could have
The faintest idea
Snowman melting
From the inside
Falcon spirals
To the ground
So bloody red
Tomorrows clouds
A little piece of you
The little piece in me
Will die
For this is not America
There was a time
A wind that blew so young
For this could be the biggest sky
And i could have the faintest idea
This could be the biggest sky
This could be a miracle


http://www.youtube.com/watch?v=MJRF8xGzvj4

Hospital Facility Fees Up for Discussion Again as Out of Pocket Costs Rise for Patients When Hospitals Buy Physician Practices And Appear to be Growing

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Facility fees are allowed by Medicare for hospitals to charge and these are tacked on, separate from medical services received.  More and imagemore of these types of charges are appearing on medical bills, especially ones set up for outpatient services.  Sometimes insurers do not pay the fees and thus some patients begin looking for doctors who do not have this charge.  Facility fees are amounting up to a billion dollars a year that Medicare pays, so you wonder what is accomplished here as practices can charge more that are owned by hospitals too so does Medicare get the double whammy when they are trying to save money? 

So as a patient, pay attention if you can to if your doctor’s practice was sold to a hospital as you may begin seeing those soon.  The story quotes one woman getting a facility or services fee for 8k, so of course that was negotiated down by the insurance company and and she ended up having to pay over a thousand of that fee.  Better disclosure is certainly needed as they are not always posted either.  They all do it and back in 2009 I wrote about the fee that Cleveland Clinics charge and the $55.00 fee looks rather small compared to what is being charged now with some of these fees.  BD

Cleveland Clinic “facility fee” or “hospital services fee” has Patients up in Arms


One family accustomed to paying about $120 in out-of-pocket costs for doctor visits and other medical services was outraged when their costs for similar visits soared to $1,000, Mullin said.

The reason for the increase: The physician practice had been bought by a local hospital, and “all of a sudden everything was charged differently,” said Mullin, a Republican.

The higher bills reflected “facility fees.” For years, hospitals that own physician practices and outpatient clinics have been allowed by Medicare to tack on these fees, separate from bills for doctors’ services, for the use of the facilities. As hospitals buy up medical practices and set up outpatient treatment centers, more of these fees are showing up on patients’ bills.

http://articles.washingtonpost.com/2012-12-23/national/36017221_1_facility-fees-hospitals-face-medicare-costs

Bill McDonough at Zeitgeist '07

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Bill McDonough at Zeitgeist '07 Tube. Duration : 20.22 Mins.

Session Title: The Green Collar Worker We're beginning to realize that all of us aren't just connected by the Internet; we're connected through the things we produce. McDonough, co-author of the seminal "Cradle to Cradle," has for years been a passionate advocate of green supply chains and living buildings. In this session, McDonough will discuss examples where companies have completely rethought their entire process of designing and delivering products to ensure they better mimic the natural world around them.
Keywords: Google, Zeitgeist

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31 Aralık 2012 Pazartesi

FDA Approves New Drug for Multi-Drug Resistant Tuberculosis, Sirturo –First New Drug in 40 Years for TB

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Amongst all the recalls Johnson and Johnson has had a good year with FDA approvals including this one as there has not bee anything new approved in years.  There is an inhaled TB vaccine in the works from a few years back.

Inhaled Tuberculosis Vaccine More Effective Than Traditional Shot


Probably more recent in the news was the “Occupy” location in Atlanta where homeless people were testing positive for TB.  The newimage drug is pretty hefty with warnings as well and is to be used after other medications have failed and carries the black box warning as it is considered a new class of drugs and there could be more deaths attributed to it’s use.    This type of TB is rare in the US but growing in other countries and TB is spread through the air.  BD

Atlanta Occupy Location Tests Positive for Tuberculosis and May Have to Relocate Again


The Food & Drug Administration today approved the first drug to treat multi-drug resistant tuberculosis, Johnson & Johnson’s (NYSE: JNJ) bedaquiline (Sirturo), an important breakthrough in the global fight against one of the world’s deadliest diseases.

Made by J&J’s Janssen Therapeutics division, based in Titusville, NJ, bedaquiline is meant for patients who have failed to respond to all other treatments.

It works by blocking an enzyme critical to the replication of M.tuberculosis bacteria, and the company said it is the first new drug in 40 years to attack TB via a new mechanism of action.

http://www.xconomy.com/new-york/2012/12/31/fda-approves-jj-drug-for-multi-drug-resistant-tuberculosis/

Cathy O’Neil, Mathematician/Quant: Wall Street Quants The Culture, Big Data Mechanics, Algorithms, Data Mining, Lack of Privacy, Web Profiling, Health Insurance Profiles and Modeling Abuse…

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imageThis is pretty good and I felt compelled to include this as she’s the one before the programmers, in other words, Quants build models and programmers design and build it.  In both videos you will find a lot of answers as she’s good and if you read here then you have probably heard a lot of this from a programming side.  She’s the first step ahead and created the model that programmers use to write software.  She has had  a very interesting background and she digs in to big data and that subject I think be renamed, the “data scientist”…same thoughts where in the world do you find these people.  You can find her blog here, MathBabe, like the name. 

“Data Scientists”– An Oxymoron? Is Finding the Value in Data Bases Queried Together in the Business World To Make Money Actually Science?


She gives her background about being a young nerd and she has been a professor and later was hired by a Wall Street Hedge Fund as a Quant.  She worked with Larry Summers who ended up going to work for the Obama Administration.  Her idea at the time was to “fix” the system.  Nobody including the SEC wanted to hire her and she says the same thing I have said many times, get the attorneys out and get the computer scientists folks in there.  She said nobody cared with the models and some of the CDO models were completely broken and gave random numbers.  Clients were never given fair warnings she said and she gave up and left and applied again to the Feds and and she signed forms to where she could not give away the private information on the models but she could talk about “techniques” of models and that’s what she does on her blog.  Her idea is to help people, not exploit them.  She says portfolios are “dummied” down into single numbers so those that think they understand can understand but they don’t really understand:)  My thoughts from a short while back on risk. 

Hiding, Falsifying, And Accelerating Risk Has Become the Achilles Heel of the US Economy As the “Real” World” Clashes With the Values Created From a World of “Fictional Values” Of Formulas and Math


Models are used increase obscurity and are not explained and are abused.  I made my comments on models used out of “context”.  imageAvoid doing harm she states.  She still models and knows the benefits when done correctly.  Nerds are never in charge.  I just talked with someone the other day where a study was done and the data was not supplied to substantiate the abstract and without the data, the recipient determined there were over 500 million available models, data counts and you just can’t take to the bank a report or study you see in the news without offering someone the opportunity to confirm the data origins, etc. 

Big Data/Analytics If Used Out of Context and Without True Values Stand To Be A Huge Discriminatory Practice Against Consumers–More Honest Data Scientists Needed to Formulate Accuracy/Value To Keep Algo Duping For Profit Out of the Game


A little later on she talks about how models get used “that was a really useful model to make a lot of money”…you’ve had heard something like that here before:)  People are trained to think of mathematics as a game you have to “win”, the culture in finance.  No Quants are ever expected to answer or account for the consequences on the effects of normal people.  Modeling has gone crazy and it has and it will. 

You can speed up to around 18 minutes where the healthcare portion comes in.  Think about 15 years from now she says, the information on the web about you never goes away.  De-Identified data, she says the same thing I said a few years ago, people are good at matching up De-Identified data, heck I did it years ago and not for the purpose of selling data or anything of the sort, it was some algorithms that I wrote for integrating software and to check and balance myself I created sample data that would rematch in the system for billing and an automated super bill system. 

Old hat been around a long time and a couple years ago the OMG stuff on the web about this being possible, that’s just when the public woke up. It’s not that we are really that smart it’s just that we have “been there done that” way before a consumer even hears the concept, why we are geeks:)  What is great about her videos is that she does for modeling about the same as I do for programming and there’s nothing like hands on as everyone else just reads other stuff and repeats it. She addresses both sides of healthcare data and says the clinical side is great and of course I agree, but then we have the health insurers who use segmentation in the opposite direction. 



She did some other jobs and a lot with credit risks.  Listen to her job offer about modeling in Hollywood and she’s see right through it with crazy modeling and how it keeps inequality alive.  If you want to hear her points on healthcare move forward to around 16 minutes.  Here’s a second video to where she talks at the Hadoop Strata Conference.  She says you can’t just rebrand people from the inside and turn them into data scientists. 

http://www.youtube.com/watch?v=3up4PezpthU



Here’s the series on the Attack of the Killer Algorithms that go right in line with what Cathy says and watch the videos and they are also on the left hand side of this blog on every page.  If you want a look into reality on how math and formulas rule the world, spend the time and get a tiny bit of education to understand how this works quietly behind the scenes and how the algorithms shift and take your money, a few SQL “strings” at a time.  BD


Attack of the Killer Algorithms–Digest & Links for All Chapters–on How Math and Crafty Formulas Today Running on Servers 24/7 Make Life Impacting Decisions About You

Quants: The Alchemists of Wall Street Video Documentary - Why It Needs to Matter What Companies Do and Not Focus Only On the Price of Stock With So Called Value - Attack of the Killer Algorithms Chapter 44


http://www.youtube.com/watch?v=hXdeRcvz_zE