20 Aralık 2012 Perşembe

Attack of the Killer Algorithms! Digest & Links for All Chapters–Read About Math and Crafty Formulas Running on Servers 24/7 Making Life Impacting Decisions About You– Updated

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If you have not caught up with this yet, I started this series by accident as an awareness outreach, I know just like everyone else has out there, but having been a former software writer, hopefully some of this will explain in layman’s terms how some of this works behind the scenes it may offer some answers.  It’s not going to make you happy but it will open your eyes as to how the world of technology functions today with decision making and perhaps give you an idea of where it’s headed too.

Be sure to watch the videos at the bottom of this post…reinforces more about bogus formulas and how naïve we are believing any of it-people lie their asses off on polls…Polls are designed to tell us what we want to hear to sell us something…they are lies in number form…errors undermine the quality of the information…

I like technology and how it makes me smarter and more observant but as with everything today, there’s the dark side of how formulas and math are used for profit with some very intelligent and crafty programmers and developers out there and we get fooled.  Everything in here is all public knowledge so there was no digging for any exclusive interviews and so forth, just stuff you can find on the web as well and I’m just connecting some “big dots” to where you may not see this otherwise. 

This blog can be a source of discomfort at times as along with years ago in learning about math, code and formulas, it transitioned me into something very scary indeed, a female that uses logic <grin>. 

So if you have wondered why the Medical Quack is different, there you have it and I have to laugh at myself too as I never intended to become logical and think back quite bit of the days before logic entered the picture and those are some fine memories too.  So there you have it, what’s wrong with this blog…<grin> a female using logic.  I have also been pondering this question since August of 2009….this is a “one duck” think tank <grin>.

 
“Department of Algorithms – Do We Need One of These to Regulate Upcoming Laws?

So without further chat, here’

  

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the Attacks as I see them as it’s all in the math and formulas…Nothing will happen until new code runs through those servers and I feel this is truly the backbone of what started the “Occupy” movement, frustration and nowhere to go for answers as we have leaders in denial that don’t have a clue of how all of this works.   Today I am adding 5 more chapters since the last update. BD


Occupying Wall Street–It’s All About the “Attack of the Killer Algorithms”–The Unfair and Marketing Exploit of Ethics Using Math–This Could be a Subject for Michael Moore to Explore and Document In a Movie

 
“Killer Algorithms: Part 2” Disturbing News for Consumers With Credit Scoring Adding New Data Analytics–Some of the Same Methodologies Used by Insurers With Flawed/Potential Erroneous Data–One More Reason to Continue Occupying Wall Street


 
“Attack of the Killer Algorithms” Part 3–Vatican Doesn’t Like It Either–Occupy Wall Street Belongs in New York As They Don’t Do Code or Algorithms in Washington–Only Find time To Talk Abortions


 
Attack of the Killer Algorithms-Occupy Wall Street Part 4 Health Insurance Style - One More App For Folks Who Are Tired of Flawed Algorithms That Require A Ton of Work and Research Time To Create “Perfect” Data Files for Insurers And Others Analytics Processes

 
“Occupy Algorithms”–”The Attack of the Killer Algorithms Part 5” - Nothing Will Improve Until Audits and Actions Takes Place To Correct Formulas Built for Profit Only by Corporations And We Battle Back With Math

 
Attack of the Killer Algorithms Part 6–Discrimination With Consumer Credit-Same As Health Insurance Wanting Consumers to Reconstruct Records From Many Years Past As Middle Class Turns Into Data Chasers-Days of Taking Risks to Get Ahead Will Be Limited For Most…Occupy Algorithms


 
Flawed Data–Mined by Corporations Online Provides Background Checks Riddled With Errors–Attack of the Killer Algorithms Part 7


 
Consumers Lose More Privacy With New CoreLogic Credit Reporting–”Score” Marketed For Insurers and Employers To Gain Information-California Prohibits Potential Employers – From Using As Jan 1 - Killer Algorithms Part 8


 

Freddie Mac Found to be Betting Against Home Owners Being Able to Refinance - “Attack of the Killer Algorithms” On Consumers Part Nine–Home Mortgage Style


 

Komen Reverses Decision With Planned Parenthood–Hard Lesson on How Business Analytics Are Misunderstood And/Or Abused–Attack of the Killer Algorithms Chapter 10


 

Gamification–You Have Won and Now We Know All About You - It Didn’t Cost One Cent-Insurance Companies Have Games To Find Out More About You Too– “Attack of Killer Algorithms” Chapter 11


 

Colonoscopies–The Bait and Switch on Screenings–If Polyps Are Found You Get A Bill-Some Other Screenings Too–Killer Algorithms Part 12–Medical Billing Codes Style

 

Attack of the Killer Algorithms Part 13–Bank of America Style - Flawed Data With Credit Scoring Agencies–Dead Man Banking And Currently A Consumer Under Attack


 
Insurers to Provide User Friendly Summaries of What’s Covered–Good Luck As Constant Revisions Will Be Required as Business Intelligence Algorithms For Profit Change–Attack of the Killer Algorithms Chapter 14

 

Story of Duke University - The Sad Case of Flawed Data Published in Medical Journals That Was Declared Inaccurate 60 Minutes –Attack of the Killer Algorithms Chapter 15


 

Medicare Low Safety Rankings At Harvard Teaching Hospitals Disputed and Flawed–Attack of the Killer Algorithms Chapter 16


 

Start Licensing and Taxing the Data Sellers of the Internet Making Billions of Profit Dollars Mining “Free Taxpayer Data”–Attack of the Killer Algorithms Chapter 17 - “Occupy Algorithms”– Help Stop Inequality in the US 

 

Pharmacies File Suit Against Texas Human and Health Services Commission - Managed Care Contracts Begin Delegating Reimbursements Too Soon – Attack of the Killer Algorithms Chapter 18


 

AMA Announces Doctors And Patients Can Expect To See the UnitedHealthCare/Ingenix Class Action Settlement Checks In the Mail Soon - Out of Network Short Payments–Attack of the Killer Algorithms Chapter 19


 

Healthcare Blogger Gets Spammed by Hedge Fund Using Internet “Reputation Restore” With Some Really Bad Algos–Attack of the Killer Algorithms Chapter 20


 

Senator Introduces Bill to Prohibit Companies From Using Medical Debt With Assessing Consumer Credit Scores–Attack of the Killer Algorithms Chapter 21 With Flawed Data


 

IBM Watson Going to Work At Citigroup on Wall Street–Congress Didn’t See Big Data As A Tool (Hadoop Framework) When They Had Their Chance…For Consumers The Attack of the Killer Algorithms–Chapter 22


 

Independent Pharmacies Not Able to Compete with Big Chains and Fear Going Out of Business–They Don’t Have Same High Levels of Data To Sell to Profit- Attack of the Killer Algorithms Chapter 23


CVS/Caremark Sends Letters to Tufts Members Containing Personal Information Like Medical Conditions/Meds Info to Wrong Patients–Attack of the Killer Algorithms Chapter 24


Aetna States Letters Mailed to Thousands of California Customers Were A Mistake–Their Doctors Are Still In Network–”Rogue Algorithms and Flawed Data”–Attack of the Killer Algorithms Chapter 25



Medicare Agrees to Settle Hospital Reimbursement Dispute With 2,200 Hospitals in the US To Receive Approximately $3 Billion–Hospitals Paid Short–Killer Algorithms Chapter 26


 

UnitedHealthCare Sends Letter to Teenager Telling Her She Had Diabetes With No Parent or Doctor Involvement–Only Blood Test Was For Lyme Disease–Analytic Attack of the Killer Algorithms?–Reader Writes



 

Accretive Medical Collections and Analytics Cited by Minnesota by Attorney General For Collecting from Patients At Bedside and Worse–Employees on Pay for Performance Too? Killer Algorithms Chapter 28

 

San Diego Hospitals Having Issues With Anthem Blue Cross Refusing Claims for Psychiatric Emergency Services–Attack of the Killer Algorithms Chapter 29
 


Colbert Talks Accretive Care–Collections in the Hospital ER (Video) Attack of the Killer Algorithms Chapter 30!



Insurers Add 4th Tier to Prescription Pricing–Higher Costs for Patients–Attack of the Killer Algorithms Part 31 As That is What Calculates the Cost


image

Facebook IPO – The Ultimate “Attack of the Killer Algorithms” Chapter 32 - Nobody is Immune In the World of Complicated Computer Code and Formulas Today


Predictive Modeling–Business and Consumer Algorithmic Data Screening Parameters Used With Insurance Underwriting–Same Stuff Wall Street Does - Attack of Killer Algorithms Chapter 33



BATS Stock Exchange IPO Rogue Algos–Attack of the Killer Algorithms Chapter 34–See How Other Killer Algorithms Occur in Every Day Life With Healthcare & Credit



New York Subway Worker, Dubbed as a Hero Has Pension Reduced to $5.00 a Month–Retirement System Error–Attack of the Killer Algorithms Chapter 35

Complexities in Data Systems Growing Beyond Control –“Algo Duping” Society Combined With A World of Rogue Algorithms & Flawed Data Continues In Markets As Seen With Knight Capital This Week-Attack of the Killer Algorithms Chapter 36



No Pity For Knight Capital As Code Made the Markets and It Will Also Destroy the Markets–Let The Quants Choke As They Should Run No Code Before It’s Time For Sake of Greed and Money To Be First To Grab a Dollar–Attack of the Killer Algorithms Chapter 37



Southwest Airlines Multiple Books Passengers Via Advertised Discount And Ran Up Consumer Credit Cards and Charged Bank Accounts – Attack of the Killer Algorithms Chapter 38



Government Chasing Social Security Retirees to Dock Checks for Outstanding Student Loans–Killer Algorithms Chapter 39–Excise Tax Data Sellers Where the Real Money Is Today & Fix Government Formulas


The Automatic Prescription Refill Algorithm Causing Havoc at CVS When Not Personally Authorized By the Patient–Attack of the Killer Algorithms Chapter 40


Helium Shortage Stands to Create Supply Shortages and Affordability With MRIs and Some Clinical Trials– Congress Needs to Act Soon And Tax “The Other Miners”–Attack of the Killer Algorithms Chapter 41

E-Scoring Credit Algorithms Invisible To Consumers Used to Market and Evaluate, Does Not Fall Under Federal Law And Such Are Used by Insurance Companies - How Will This Work With Exchanges –Attack of the Killer Algorithms Chapter 42

Copyright Algorithms–Video Copyright Censoring Bots Wired In To Video Infrastructure Could Stand to Threaten The Future of Live Streaming–Attack of the Killer Algorithms Chapter 43

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


Insurance Company Data Mining With Automated Transactions? What Is Being Done With Consumer Data–My Flawed Corporate America Data Shows Up -Attack of the Killer Algorithms Chapter 45


Office of Inspector General Publishes Survey To Help Study Fraud With EHR Technologies, Namely Medical Records/Billing Software Used by Hospitals– HHS And SEC Continue Getting Their Non-Algorithmic Fannies Kicked–Attack of the Killer Algorithms Chapter 46

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 Killer Algorithms Part 47



Hospital Admission Rates at HMA Hospitals - Doctors Pressured to Meet Admission Percentages–Algorithms Pushing the Processes Requiring Explanations for Overriding & Not Admitting-Killer Algorithms Chapter 48




FTC to Investigate Data Brokers: Flawed Data Attacking Consumers-Need To Dig In To The Algorithmic Bots Slowing Down Government Servers to a Crawl & Stop Processes That Keep Inequality Alive in the US–Attack of the Killer Algorithms Chapter 49



Woman Moves 10 Miles in California, Blue Cross Raises Premiums From $418 a Month to $524–Quantified “Crap Algorithm” For Geographic Risk, Killer Algorithms Chapter 50 That Sustain Inequality In The US

A little video homework…

This is a great video below and a must watch for sure as you can see how companies, and keep in mind insurers use a heck of a lot of “quants” as well as Wall Street use formulas partly based on fiction to make money.  Listen to the quants tell you about the fiction, that is built into business models. 







And for a little more education material….this is a great lecture given at Google’s offices in New York.  It’s hard to tell the difference sometimes between the good stuff and the algorithms created solely for profit as again their crafters are very good and collaborate with media to ensure we have a full diet every day.  The second video is algo very good from Kevin Slavin about how Algorithms shape our lives.  BD 

Context is Everything–More About the Dark Arts of Mathematical Deception–Professor Siefe Lecture Given at Google’s New York Office–Big Healthcare Focus


NYU Siefe talks at Google


How Algorithms Affect Shape Our lives….


Technorati Tags: algoirthms,mathmatics,12 step addictions,healthcare,desired results,rogue algorithm,Charles Seife,books,numbers,analytics,journalism,Google,drugs

The AAFP Confronts United Healthcare On Reimbursements, Some Are Below Medicare Rates In Parts of the US–Payment Algorithms/Formulas Calculated Deep Within IT Infrastructures Do the Job

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The burden was on the AAFP to present the findings here but the article states that United was surprised that they were paying less than Medicare.  I guess they don’t compare here and there?  United said they were going to do something about it but what remains a mystery as of yet.  When will the move from fee for service take place?  I think all insurers would like to move to that one but in the complex world today, it’s the IT infrastructure that has to be built to carry it before any changes are made.  The article continues on with suggestions on for doctors on how to negotiate better contracts.  If you read the comments, the doctors writing in on comments say it’s a waste of time as they don’t get that opportunity.

One doctor commented and stated that in south Florida they are paying 75% of what Medicare pays using a 2001 Medicare fee schedule.  Right now we have the annual issue with the SGR Medicare cuts on the table for doctors and just a couple weeks ago United posted this on where they look for saving…if those folks in Florida are only getting 75% of Medicare and have more cuts to look forward to?  They hired from HHS, Steve Larsen who was primarily responsible for writing the healthcare law, so now he sits as a VP at United. 
 

UnitedHealthCare Looks at Doctor’s Pay for Savings, Nothing New There Been Doing It for Years But Keep In Mind We Have the Annual Medicare Cut Fix on the Floor Again with Congress–Timing?

You tell me where the trust is after the 15 years of short paying doctors and hospitals was settled by the AMA, a real use of technology used against those who did not have it at the time.  Sounds like these folks are just like Jamie Dimon and Jon Corzine…”I don’t know” when you ask about money and business models. 

AMA Announces Doctors And Patients Can Expect To See the UnitedHealthCare/Ingenix Class Action Settlement Checks In the Mail Soon - Out of Network Short Payments–Attack of the Killer Algorithms Chapter 19

With all the analytics they sell and develop I would imagine their “quant” payroll has to be good sized when you bring in all their subsidiaries and their “quants” too as more money is coming from that end of the business than selling policies last I read.  Perhaps this reimbursement issue was one of those non linear calculations to match where there are relatively no matches or relationships in data?  By the way if you would like to see the credentials that your doctor has to meet with united to gain premium recognition or if you are a doctor and have not seen this, here’s the link to their pdf.  BD


 
A little more than a year ago, AAFP leaders and staff members met with representatives of UnitedHealthcare at our headquarters in Leawood, Kan. During that meeting, the Academy spelled out for the large private payer that its policy of paying fee-for-service rates that are below Medicare rates creates distressed practice environments and jeopardizes patients' access to care. 

At the time, United's leaders expressed surprise that the insurer was paying less -- in some cases far less -- than Medicare in some markets.

So where does that leave America's family physicians? Those of us who contract with UnitedHealthcare should be aware that when our contracts are up for renewal, there is an opportunity for re-negotiation, especially for those who practice in areas where the company has been paying less than Medicare rates.

United has said that it ultimately intends to move away from a strict fee-for-service system to a "value-based contracting model" that will offer physicians rewards based on quality of care. The health plan hopes to have up to 70 percent of the patients it covers affected by this approach within the next three years.

http://blogs.aafp.org/cfr/leadervoices/entry/united_healthcare_acknowledges_payment_shortcomings?sf7967619=1

FDA Approves New Anthrax Drug From Glaxo -Raxibacumab

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This is a little humorous in stating clinical trials are not possibleimage for humans, of course not for a drug like this.  There were over 300 volunteers who took the drug that did not have Anthrax exposure to test the safety of the drug with side effects, etc.  BD



For the first time, the agency has approved a monoclonal antibody to treat an infection under the FDA's Animal Efficacy Rule. A monoclonal antibody is a protein that resembles a human antibody that identifies and neutralizes foreign bodies like bacteria and viruses.

The approval came after controlled studies were conducted on animals. This is because anthrax is a rare, lethal disease and it is not possible to conduct drug trials on human test subjects.

http://www.medicaldaily.com/articles/13532/20121215/fda-approves-new-anthrax-drug.htm#XosebSXO6AwehbRM.99

FDA Put Out Warning on Fatal Rash Originating from the Use of Incivek for Hepatitis C, Deaths Reported

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imageApparently the rash is occurring when the drug Incivek is taken in combination with the drugs peginterferon alfa and ribavirin.  The patients who were taking the drug combination developed rashes and then continued without any clinical consult and the fact that the rash kept getting worse, and that’s not a good idea.  A box warning will now be included about the potential development of the rash.   It seems that this is a rare occurrence and that those who notice it and are treated recover.  More can be read at the website for Incivek. BD
 

Dec. 19, 2012 -- The FDA warned people taking the hepatitis C drug Incivek (telaprevir) that it has received reports of a serious skin rash from the medication, which has led to several deaths.

The deaths occurred in people taking Incivek combination treatment.

This antiviral treatment includes the drug Incivek in combination with the drugs peginterferon alfa and ribavirin.

This combination treatment is most commonly used for genotype 1 chronic hepatitis C in adults with compensated liver disease (meaning the liver has some damage but still works), including those who have cirrhosis (scarring of the liver) or those who have previously received interferon-based treatment.

The FDA says some people had developed a serious skin rash while on the combination drug treatment, yet they continued to take the three medications despite the rash worsening and leading to life-threatening symptoms

http://www.webmd.com/hepatitis/news/20121219/fatal-rash-hep-c-incivek

Food Stamp Fraud in New Haven , CT?

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According to an article written in the New Haven Register, there might be an organized effort to keep people from receiving Connecticut Food Stamps.

Apparently, when a person receives food stamps in Connecticut, they have to reapply every three months. However, a problem occurs shortly after they visit the Connecticut Department of Social Services to make their application...their food stamp benefits end.

Applicants contact their workers and they are told that their Connecticut food stamps have been cancelled because the department did not receive their application. Applicants have cited dates, and receipts but they are still told that they must wait for another 3 months to reapply.

Allegedly, this type of mayhem happens all of the time and there is no recourse...

Click the following link to read the original article that appeared in the New Haven Register:

Not All Food Stamp Scams Get Reported.


16 Aralık 2012 Pazar

Practice Fusion Spends Time with Dr. Oz With Supplying the Medical Records Used For the 15 Minute Physical–To Be Featured on the Dr. Oz Television Show

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This was a pretty neat function and once upon a time I was on a conference call with Dr. Oz when he began his diet program and there’s no loss of energy and enthusiasm on his part at all.  imageIn the 15 Minute Physical, the patients are the winners here as I understand from reading how this works they offer free 15 minute physicals using the medical records program from Practice Fusion and it has been successfully screening quite a few chronic conditions that need attention from diabetes to high blood pressure.  Let’s face it in today’s world there’s a pretty good chance that many of us will be diagnosed and treatment and lifestyle changes suggested by the doctors is a great idea.

Dr. Oz Talks About Attacking the Battle of the Bulge With the 11 Week Weight Challenge


What is is fascinating here too was the quick learning curve of the medical students and doctors and how fast they were ready to go.  In addition there was some technical work to be done by Practice Fusion to set up the integration which as it reads went well in Philadelphia and other cites to where the 15 Minute physical is being used.  BD 




This is pretty fascinating in what the technology team had to do with creating an API integration process with Alere’s lab device,image get the doctors and coordinate.  Who would not jump at the chance to work with Dr. Oz.  They trained 75 medical students on the system basics and how to document notes and talk about a crash course of medical training, this was it.  By the way perhaps this was a record training window time as it was all done in a half an hour and they had to train Dr. Oz too.



To show what a 15 minute physical found the results were a bit shocking with a large number being over weight, diabetic and many with hypertension.  The good news was that all doctors stated their consultations with the patients were productive and 2 patients had to be rushed off to an emergency room. 


http://www.ehrscope.com/blog/dr-oz-saving-lives-with-free-technologypractice-fusion-ehr-with-the-15-minute-physical/

Philanthropist David Geffen Gives Record $100 Million Dollar to Create Scholarship Fund to Expand Opportunities for UCLA Medical Students–Video

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What a game changer this is with medical students being able to get a scholarship and have the education process paid for so they can practice medicine without the huge debt.  We need imagemore doctors and technology is not running them out the door as a replacement like some seem to think on the web.  Technology is bringing a lot of good things that help with healthcare like tele-health, making access possible. I laugh at all these projections on how technology is going to save so much money.  It does save money but on the other side with innovative devices, new drugs, that need to available the price goes back up.  Nobody is the villain here, it is what it is

It frustrates the heck out of budgets as things are changing so rapidly and the dollars to pay are growing shorter since the Wall Street Algorithms re-arranged the money in the US over the last number of years.  You know UCLA is that hospital that does all kinds of treatments that are not available at other facilities that ends up with a “C” on the ratings game <grin>.  Those ratings need to go away as far as the grading portion, but reports and listings should remain.  This is really great and the scholarships are merit earned so it goes to the top achievers.  Information on how to apply is at the link at the bottom of this post.  BD 



Entertainment executive and philanthropist David Geffen has established an unprecedented $100 million scholarship fund that will cover the entire cost of education for the very best medical students attending the David Geffen School of Medicine at UCLA (DGSOM). The school was named in his honor after his $200 million unrestricted gift in 2002. With this recent gift, Geffen's total philanthropic support to UCLA exceeds $300 million, making him the largest individual donor to UCLA and to any single UC campus. 

 

"The cost of a world-class medical education should not deter our future innovators, doctors and scientists from the path they hope to pursue," Geffen said. "We need the students at this world-class institution to be driven by determination and the desire to do their best work and not by the fear of crushing debt. I hope in doing this that others will be inspired to do the same." 

"With this game-changing gift, Mr. Geffen has invested in the medical education and training of some of the world's brightest and most talented young people, influencing medical research and patient care for generations to come," said UCLA Chancellor Gene Block. "We are inspired by his vision and grateful for his generosity, which places UCLA's David Geffen School of Medicine at the forefront in the competitive marketplace for top medical school applicants and enhances health care and biomedical research for generations."  

The $100 million David Geffen Medical Scholarship Fund will provide four-year financial support - covering 100 percent of tuition, room and board, books and supplies, and other expenses - for up to 33 M.D. students (representing 20 percent of the available spots), starting with the entering class of 2013-14. Included in this group will be those students pursuing an eight-year M.D.-Ph.D. educational track as part of UCLA's renowned Medical Scientist Training Program. All the David Geffen Medical Scholarships will be awarded based on merit. 



http://www.uclahealth.org/body.cfm?id=561&action=detail&ref=2063