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Tuesday, June 4, 2013

Judge Rules Medicare Data on Doctors Can Be Accessed by the Public–Methodologies Not Defined–Good for News Media But Little “Real”Value for the Average Consumer, Too Many Other Priorities

This has been kicking around out there for quite a while and when the lawsuit was filed, things were a little different then too.  Medicare didn’t have some of their new technologies in place yet with using software audits to find fraud yet, but now they do.  When you think about it, what is the consumer going to do with this?  As I read below it appears it might be on a case by case situation which is probably what it should be if there is “really” a need to have the information from Medicare about a doctor.  We all know as technology moves forward, what was important yesterday, might be over shadowed by something else today.  So it appears you might be able to see how much your doctor gets paid from Medicare, but at this point as a consumer, who cares!  We are too busy with other items at hand with our own care, insurance literature and so forth.  So is this a big deal, not really.

Dow Jones Files Lawsuit Against HHS To Overturn Ruling To Keep Medicare Physician Compensation Confidential In the False Name of Transparency-Distraction is More Like It

As the case was initially filed, journalists might have more of an interest than consumers.  Think of it, what would you “really” do with a dollar number with what your doctor gets paid from Medicare, probably not much.  Since this time we also have the “Most Wanted” list out there for fraud and they just caught one yesterday.

One of the Medicare “Most Wanted” Arrested In Los Angeles

We live in an age where the use of the word “transparency” calls more more data to be available which is fine, but we come back around to the same old word “value” and today consumers have to pick and choose their “data” needs wisely and not get distracted because someone else says this is the “greatest thing since sliced bread” if you will.  We see all kinds of studies and reports that tell you that you”just have to have this data” and of course every individual is different. 

What’s more important today is “what gets covered” for consumers and what their doctor gets from Medicare is truly a back seat piece of information.  Again I see where by handling on a case by case situation this could be ok, but to roll it out there on a web site to search, well we end up with more data that few consumers will use but may have more value in reality to the press. So what?  Again, when this lawsuit initiated for the access, things were a lot different so it’s lost it’s punch I feel and again maybe more information out there but where’s real value for the consumer in being information “they really need”.  The issues with Medicare are really in Washington and there are some very good things being done to fight fraud and digital literacy of law makers is more or less a much bigger and pressing issue with healthcare today than this. 

Senators Letter to HHS Regarding Fraud Reform Tools–Oddest Thing I Have Read in a Long Time and Really Makes A Huge Case for Reinstating the Office of Technology Assessment!

If this helps the press on news, then so be it, but don’t get distracted in thinking that this is something you as a consumer absolutely “has” to know…marketing at it’s best and the big guys at the AMA and Wall Street Journal can continue to duke it out I guess:)  BD

Medicaid Fraud–With Numbers This Good Using Anti Fraud Analytics To Help Identify Patterns, Maybe Some Cheating Obsessions Might Lighten Up A Little


A federal judge vacated a 33-year-old injunction that had barred the government from releasing Medicare information on individual doctors to the public.

Dow Jones & Co., The Wall Street Journal's parent company, challenged the injunction in 2011 after the Journal published a series of articles showing how the information could be used to expose fraud and abuse in the $549 billion health-care program for the elderly and disabled.

In a ruling issued Friday, U.S. District Judge Marcia Morales Howard said this was no longer the case, citing case law that had narrowed the scope of the Privacy Act over the ensuing three decades and no longer supported such a broad injunction.

The ruling doesn't mean doctor-specific Medicare data will immediately become public. The AMA, which continues to oppose such releases, may decide to appeal the ruling. "Medicine has stood its ground during the last 34 years to defend an injunction that favored individual rights and protected innocent physicians from becoming targets of suspicion. The American Medical Association is considering its options on how best to continue to defend the personal privacy interests of all physicians," said AMA President-elect Ardis Dee Hoven.

Whether or not the AMA appeals, the Journal and other news organizations will have to file Freedom of Information Act requests to gain access to the data. The Department of Health and Human Services, which oversees Medicare, could still decide to deny requests on a case-by-case basis. A government spokeswoman declined to comment.

http://online.wsj.com/article/SB10001424127887324682204578517653435889448.html

One of the Medicare “Most Wanted” Arrested In Los Angeles

This speaks pretty well of the Most Wanted list for catching those committing Medicare Fraud.  Medicare is now using software as well to help identify patterns but sometimes a combination of both old and new technology gets the job done.  As you can read below efforts are coordinated with Interpol via the Inspector General’s Office.  In 2011 the list was created.  This fugitive went back to Korea and upon his return he was caught at LAX.  The most wanted list still has about 170 fugitives on the active list.  BD

HHS Creates 'Most Wanted' List Website for Healthcare Fraud - Office of the Inspector General

One of Medicare's most-wanted fugitives, a former clinic owner in the Los Angeles area, was arrested on his return from South Korea, authorities said.

Federal investigators said Won Suk Lee, 44, was taken into custody Saturday at Los Angeles International Airport.

Authorities said Lee was an acupuncturist and owner of two medical clinics in Huntington Park who billed Medicare for $2.1 million in false claims and got paid about $1.2 million.image

“Since launching our most wanted list in February 2011, we’ve caught 41 fugitives,” said Steve Ryan, assistant special agent in charge in Los Angeles for the U.S. Department of Health and Human Services' inspector general. “Our Office of Inspector General fugitive operations are worldwide, with one of our senior agents stationed full time at Interpol to coordinate international investigations.”

http://www.latimes.com/business/money/la-fi-mo-medicare-most-wanted-fugitive-arrest-20130603,0,7474342.story

Monday, June 3, 2013

Durex Condoms Creates Vibrating Underwear Controlled With a Mobile Smartphone App

Time to lighten it up a bit, but Durex has found yet another way to market imagecondoms it appears:)  Ok so how long before the technology finds some use in Health apps I wonder with strapping on some sensors for an exam to “see if it hurts here or there”.  .  Will they be wrapping up some kind of therapy using touch in a phone?  The article says the product is not out yet, but you can watch the video and see how it works.  Oh boy, bras and underwear with touch actuators and it all goes through an Amazon server.  Gives a new meaning to phone sex.  BD


The condom manufacturer unveiled its new “Fundawear” product yesterday, which is basically a set of undergarments (bras, panties, briefs, and such)  that will vibrate whenever your partner decides you need some sexual attention. Oh, and you can control it from your smartphone — this sort of brings new meaning to the definition of “phone sex.”

According to the demo video, the vibration sensors are supposed to mimic real human touch. You use the smartphone app to specify the portions of your partners body you’d like to stimulate, which are represented through circles on those body parts. When you touch those circles, it activates the underwear’s vibration sensors.

http://venturebeat.com/2013/04/19/durex-creates-vibrating-underwear-you-can-control-via-smartphone-apps/

Solid Gel Creates Scaffold for Stem Cells To Grow to Help Develop Cartilage And Bone For Injuries

This is very interesting as someone with an injury is not going to be putting weight on bone that is broken so the gel helps the stem imagecells for the scaffold or platform to grow.  It’s an injection right into an injury and the magnetic bandage is applied.  The stem cells come from the patient’s own body and are placed inside the gel.

The part about replicating exercise is interesting too with developing bone and in the next 5 years trials are due to begin.  5 years is a long time but who knows it could be sooner.  The process in the gel is similar to the normal processes in the body.  BD


In Harry Potter it took a wave of a wand and an incantation, but now doctors could soon be able to regrow patients bones for real with the help of some magnets.

Scientists have developed an injectable gel containing stem cells that could be used to repair broken bones and damaged cartilage.

They have found that they can recreate the conditions that cause new cartilage and bone to develop in babies by attaching tiny magnetic particles to the surface of the stem cells.

“You normally have cartilage that develops first to form a kind of template that the bone grows around. Then the more you exercise the denser your bones become.

“Patients with an injury are not going to be walking around and putting weight on their bones so they have problems building up dense bone.

“If they inject a solution containing stem cells into their injury and then strap on a magnetic bandage, this could do the work for them while they are still too injured to get out of bed.”

http://www.telegraph.co.uk/science/science-news/10093188/Skele-Gro-how-scientists-are-attempting-to-regrow-bones.html

Sunday, June 2, 2013

Man in Texas Dies After Being Stung By About 40,000 Bees

This is so sad as he probably never saw it coming.  The neighbors trying to help also got stung.  There was not any skin visible that had not been stung.  It was a Killer Bee hive in an old chicken coop. .  BD

 kcentv.com - KCEN HD - Waco, Temple, and Killeen


Allen Miller's Bees be Gone removed the killer bees from the yard yesterday. image

According to Miller killer bees are still extremely rare but he's seen at least five cases of Africanized hives in the last month.

http://www.kcentv.com/story/22480833/family-and-friends-shocked-by-death-of

Vinegar Used As an Inexpensive Screening Test for Cervical Cancer Makes Big News at ASCO

This is pretty amazing and the technique can be used in places where a standard PAP test may not be available or in some cases affordable.  89 percent was a pretty high rating as well.  BD


(Reuters) - A simple screening program for cervical cancer using vinegar and visual exams helped reduce deaths caused by the cancer by 31 percent in a group of 150,000 poor women in India, researchers reported on Sunday.

If implemented broadly, the screening program imagecould lead to the prevention of 22,000 deaths from cervical cancer in India, and 72,000 deaths in the developing world each year, the team reported at the American Society of Clinical Oncology meeting in Chicago.

"We had a 31 percent reduction in cervical cancer death. That was very significant," Dr Surendra Shastri of Tata Memorial Hospital in Mumbai, India, who led the study and presented the findings at the meeting. The study also showed a 7 percent reduction in deaths from any cause, although that finding was not statistically significant.

Cervical cancer is the leading cause of cancer deaths among women in India and in many parts of the developing world.

http://in.reuters.com/article/2013/06/02/us-cancer-cervical-idINBRE95109P20130602?feedType=RSS&feedName=health&utm_source=dlvr.it&utm_medium=twitter&dlvrit=309303

Saturday, June 1, 2013

Scanadu Tricoder Scout–One mHealth Device Not Selling Data For Profit Goes To Crowdfunding, Will the FDA Consider Privacy in Their Mobile Device Approval System

This is like a breath of fresh air for sure as patients and consumers should have control over what and who gets to see their data.  imageNow the company has gone to crowdsourcing it before an FDA approval is given.  I say go for it.  This also brings up the question too with FDA approval of mHealth devices, are they going to take into consideration privacy?  I think this could stand to be a million dollar question.  The FDA already has their own issues with compiling data for safe drugs and devices and now has competition from an insurer who is doing it for profit competing with the Sentinel program instead of contributing it appears. 

In doing this blog I read a lot and look at all kinds of software, devices and so on and if you read here often enough then you have seen my campaign for licensing and taxing data sellers who make billions with selling your data.  This is becoming even more controversial with the use of a “Faceprint” as well, more stuff to match and data to sell.  Also a while back I made a post about taking HIPAA out of the HHS silo, in other words make the rules and regulations more visible in other areas as we have entities that never fell under HIPAA before, right there now at square one as data is aggregated.  We talk about aggregating medical record data, so why not the laws and rules that apply to make access easier?

Time to Take HIPAA Out of the Healthcare Silo–Needs to Be Integrated In Overall Privacy Laws Healthcare Information Is All Over The Place And Privacy Efforts Will Fail Without Real Algorithmic Levels of Regulation

After all when it comes to any kind of privacy law, you need to establish who the players are and a license on data sellers would name them and add imageaccountability for sure.  I do get so tired of reading those legal privacy statements that kind of go around in circles that confuse consumers and if I get confused with some of them, I can imagine how the consumer with minimal tech knowledge feels today.  In the meantime we have DC just stumbling all over themselves listening to lobbyists and can’t come up with a proposed bill that can in effect do much of anything. 

Privacy Relative to Tracking Apps and Data Mining Legislation Will Fail If There is No Regulation Path Created–License and Excise Tax Data Miners & Sellers Otherwise It’s “Laws With No Balls”

So speaking of this product and the question of the FDA approving devices that do or do not sell data,  just one more great reason to license and tax data sellers to help fund this new and extra time consuming effort at both the NIH and FDA too. 

image

I’m also starting to wonder if the business models of some of these mHealth devices could stand alone, in other words could they make a profit as a business and produce a device without having to rely on the revenue from the data they sell?  I think this is something investors might want to kick around as privacy rules and conversations grow.  Again we keep seeing this kicked around and you need an IT infrastructure with everything today and this is no different. 

One More Good Reason to Tax the Data Sellers– Create Additional Funding for the NIH and FDA From Sources That Otherwise Are Too Greedy to Share & Contribute

Walter de Brouwer, Scanadu founder and CEO of the company said “we need an instrument or tool in that battle for the ownership of all the data that comes out of our body”…good stuff!   A good old fashioned concept of providing a device with value without selling the consumer down the river and the ability to use and share the information with your doctor.  You may have read where I have made the comments many times over to see if you can find a device that connects directly to a PHR as well, where you are in control and not having your data or data profile mass marketed to the profiteers of banks and big business.  BD


You’ll be able to analyze and track your health using the Scanadu Scout app.

Scanadu’s funding campaign website says that you will be the only person who has access to the data and that you can openly share the data with doctors and friends if you feel comfortable.

Scanadu has surpassed its goal on a fundraising website and plans to file for FDA approval to make Scanadu Scout an over-the-counter medical diagnostic tool.

You can still sign up to support the device and reserve a Scanadu Scout; the first shipments are expected to start in March of next year.

http://www.wxyz.com/dpp/news/tricoder-scanadu-scout-can-measure-your-vitals#ixzz2UyqfgqWk