Impressive physician... I'm on the IT side of healthcare, just thinking about the years and tons of money on servers and software we have put in to make meaningful use happen.
So when it is going say 10 over the speed limit to keep with traffic and gets into a crash due to some unforeseen circumstances that maybe a bit slower wouldn't have had an issue, who wants the liability that it was indeed breaking the law, and was programmed to do so intentionally?
Lawyers would have a field day before and after if they are let off the hook... so minor infractions don't matter as proven in the case of autonomous cars...
This is also leading to the healthcare consolidation that is going on. Larger providers are buying up smaller ones like crazy to improve the economics.
It's happening across the country and was predicted due to the reimbursement changes and everything else going on.
Unreimbursed Cost of Government-Sponsored Programs $115,878,726 Shortfall experienced when payments received are below the cost of treating public beneficiaries through Medicaid and Medicaid HMO.
Charity Care $34,472,456 Free or discounted health services provided to those who cannot afford to pay and who meet all criteria for financial assistance. Charity care is based on actual costs, not charges, and does not include bad debt.
Subsidized Health Services $10,016,482 The negative margin for clinical services that are provided despite a financial loss because of an identified community need that would need to be met by the government or another not-for-profit if it was not offered. The financial losses are so significant that negative margins remain after removing the effects of charity care, bad debt, and Medicaid shortfalls.
Patients don't want to use it... they don't trust it, You don't think about using video chat for anything important as diagnostics are hard because you have a terrible camera that can't get things like feeling for lumps or something that isn't right through a video chat.
Doctors aren't thrilled for the same reasons. There is just too much that can be missed through a webcam (assuming the equipment actually works when you go to use it)
In person will be the best way to see a doc for a long time yet.
Thanks, was trying to figure out just what was being said...
I am not a big fan of the sonic sunglasses deal... Maybe it's just me. Other than that have been liking it. I thought this was going to be the end of Clara and she would stay as a Dalek until she crashed on the ship for an older episode and didn't know she was one till the end... but I may be mistaken but I thought she could say her name at that point. not a huge deal, but I found that sequence to be pretty funny.
be careful of the miracle pills like Adipose. "The fat just walk away" quite literally every night at the same time. and it waives as it walks away, until they decide to speed things up and instead of just making the being from extra fat, they also use all your internal organs and bones in the process to make a bunch right away...
This is how I read it as well... I am adopting a daughter next week friday from foster care for something like $53 total, so was thinking of paying cash... (the $53 is court costs, birth certificate etc...)
Was wondering if they went to a bartering scheme... I will give you 2 dogs for that child.
I couldn't take the badgering to upgrade from free... If it worked well and I liked it I may have, but it was just a frustrating, annoying experience to constantly have it tell me why I should give them money.
If I did, then the next step would be to buy the next level up, because you might be unprotected against something else...
I've moved onto another one that doesn't badger me, so I am close to giving them money instead.
So you have a higher probability of getting this disease due to genes that we don't really understand yet... well the policy that covers that is more expensive or we refuse to cover you.
How bout we sell you a policy that just covers what you are predisposed for to save some money? Sorry, broken legs are not included in your policy...
Idiocracy in action. It's scary how much reality is coming into focus from that movie. It's worth watching again soon and crying about the direction we are all headed...
"Put this one in your mouth and this one in your an*s"
*guy puts one in mouth*
"No wait, put this one in your mouth and this one in your an*s"
companies like Epic CAN, but OMG it costs a crapton for you to interface with them if you aren't on them already... and moving to them is incredibly expensive. it's a 15-20 year+ company decision to go with one of these companies.
Which leader? McKesson, Epic, or Meditech? (I know there are others) but from my view of the world, it looks like Epic is taking over in the past 5-10 years.
Epic does have a crapton of clicks for staff to go through, but McKesson is just outrightly terrible, buying up programs and then trying to mash them together... These two applications must be on the same computer. App A needs Java 1.4 and ONLY Java 1.4 on the PC. App B needs 1.6 and ONLY 1.6 on the PC, Go make that work out. (there are solutions like ThinApp, but it isn't pretty)
A big problem is most of these tried to duplicate the paper form that healthcare is used to.
Computer forms shouldn't mimic paper as the workflow changes by just putting it on a computer... Add to this some crappy other things, like a McKesson program that doesn't show you all the information if the monitor's resolution is under x900... it just cuts it off and doesn't bother to tell you that you can't see everything. Was a very happy day when that was discovered... replacing thousands and thousands of monitors with higher resolution ones because 1024x768 could cause huge problems.
When I read this... My first thought was he is planning to use this to tax everyone based on healthcare... Which isn't a tax unless you talk to the Supreme Court, then and only then it is a tax for not having health care that the IRS watches... (so it is constitutional)
So if you aren't doing your part for environmentalism, will the IRS tax you on that as a healthcare risk someday?
Sounds crazy I know, but just crazy enough for someone to try.
This is what I was thinking... Nerd Herd, Geek Squad... who would want that title for a job?
I never needed a geek card or a man card or anything like that, cuz I determine who I am. No one else gets to bestow or take things away from me, just like no body puts baby in the corner.
Gives plenty of time to transfer responsibilities. The guy I took over for spent 2 weeks going over everything he did (so I could add most of it to what I do as well...)
Then hung around for 2 weeks more doing documentation and taking laps to talk to people. He planned on a year of do whatever time, which from what I hear has turned into 4 years of it...and a pissed off wife.
My credit union does this... I had to go low security, because it couldn't be longer than something like 8 or 10 characters, and I think originally they told me I couldn't have special characters as well... Their argument was that you would be locked out long before you could try many passwords anyway, so it is moot.
I let him know my feelings because just before the whole new system for better security, I could use a 14+ character password with special characters and whatever else I wanted, now the more secure setup says my CU password is the shortest one I use... (I know this is only one part of the security, and I'm sure the backend is where the more important security updates happened)
So with this free upgrade... Will Hyper V still be included on the client side if we have it now or will we have to pay for it? Can't seem to find any answers on that...
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Impressive physician... I'm on the IT side of healthcare, just thinking about the years and tons of money on servers and software we have put in to make meaningful use happen.
it was a TON.
So when it is going say 10 over the speed limit to keep with traffic and gets into a crash due to some unforeseen circumstances that maybe a bit slower wouldn't have had an issue, who wants the liability that it was indeed breaking the law, and was programmed to do so intentionally?
Lawyers would have a field day before and after if they are let off the hook... so minor infractions don't matter as proven in the case of autonomous cars...
This is also leading to the healthcare consolidation that is going on. Larger providers are buying up smaller ones like crazy to improve the economics.
It's happening across the country and was predicted due to the reimbursement changes and everything else going on.
There is a negotiation that happens with private insurance, how about we pay this for this? no? how about this?
with medicare - We will pay this for this. don't like it? okay you get nothing.
This is from a Catholic healthcare company in Wisconsin, Illinois and Iowa
http://www.wfhealthcare.org/wf... [wfhealthcare.org]
Unreimbursed Cost of Government-Sponsored Programs $115,878,726
Shortfall experienced when payments received are below the cost of treating public beneficiaries through Medicaid and Medicaid HMO.
Charity Care $34,472,456
Free or discounted health services provided to those who cannot afford to pay and who meet all criteria for financial assistance. Charity care is based on actual costs, not charges, and does not include bad debt.
Subsidized Health Services $10,016,482
The negative margin for clinical services that are provided despite a financial loss because of an identified community need that would need to be met by the government or another not-for-profit if it was not offered. The financial losses are so significant that negative margins remain after removing the effects of charity care, bad debt, and Medicaid shortfalls.
We gave video doctors a shot... flopped.
Patients don't want to use it... they don't trust it, You don't think about using video chat for anything important as diagnostics are hard because you have a terrible camera that can't get things like feeling for lumps or something that isn't right through a video chat.
Doctors aren't thrilled for the same reasons. There is just too much that can be missed through a webcam (assuming the equipment actually works when you go to use it)
In person will be the best way to see a doc for a long time yet.
Thanks, was trying to figure out just what was being said...
I am not a big fan of the sonic sunglasses deal... Maybe it's just me. Other than that have been liking it. I thought this was going to be the end of Clara and she would stay as a Dalek until she crashed on the ship for an older episode and didn't know she was one till the end... but I may be mistaken but I thought she could say her name at that point. not a huge deal, but I found that sequence to be pretty funny.
Clearly you aren't a Dr Who fan.
be careful of the miracle pills like Adipose. "The fat just walk away" quite literally every night at the same time. and it waives as it walks away, until they decide to speed things up and instead of just making the being from extra fat, they also use all your internal organs and bones in the process to make a bunch right away...
https://www.youtube.com/watch?...
This is how I read it as well... I am adopting a daughter next week friday from foster care for something like $53 total, so was thinking of paying cash... (the $53 is court costs, birth certificate etc...)
Was wondering if they went to a bartering scheme... I will give you 2 dogs for that child.
I couldn't take the badgering to upgrade from free... If it worked well and I liked it I may have, but it was just a frustrating, annoying experience to constantly have it tell me why I should give them money.
If I did, then the next step would be to buy the next level up, because you might be unprotected against something else...
I've moved onto another one that doesn't badger me, so I am close to giving them money instead.
I tried the free Avira... couldn't take it... hourly badgering for buying it...
You might need protection from this type of attack!
You might need protection from Dogs
You might need protection from this
on and on... it never ended till i just got rid of it.
This was my thoughts as well...
So you have a higher probability of getting this disease due to genes that we don't really understand yet... well the policy that covers that is more expensive or we refuse to cover you.
How bout we sell you a policy that just covers what you are predisposed for to save some money? Sorry, broken legs are not included in your policy...
I remember a south park episode like this and the human caterpillar...
YOU NEED TO READ THE EULA. apple will do crazy stuff to you if you don't...
Idiocracy in action. It's scary how much reality is coming into focus from that movie. It's worth watching again soon and crying about the direction we are all headed...
"Put this one in your mouth and this one in your an*s"
*guy puts one in mouth*
"No wait, put this one in your mouth and this one in your an*s"
It happens because Epic burns out employees. Give them good money out of school and work them till they drop.
Still seems a step up from other systems right now.
companies like Epic CAN, but OMG it costs a crapton for you to interface with them if you aren't on them already... and moving to them is incredibly expensive. it's a 15-20 year+ company decision to go with one of these companies.
Which leader? McKesson, Epic, or Meditech? (I know there are others) but from my view of the world, it looks like Epic is taking over in the past 5-10 years.
Epic does have a crapton of clicks for staff to go through, but McKesson is just outrightly terrible, buying up programs and then trying to mash them together... These two applications must be on the same computer. App A needs Java 1.4 and ONLY Java 1.4 on the PC. App B needs 1.6 and ONLY 1.6 on the PC, Go make that work out. (there are solutions like ThinApp, but it isn't pretty)
A big problem is most of these tried to duplicate the paper form that healthcare is used to.
Computer forms shouldn't mimic paper as the workflow changes by just putting it on a computer... Add to this some crappy other things, like a McKesson program that doesn't show you all the information if the monitor's resolution is under x900... it just cuts it off and doesn't bother to tell you that you can't see everything. Was a very happy day when that was discovered... replacing thousands and thousands of monitors with higher resolution ones because 1024x768 could cause huge problems.
When I read this... My first thought was he is planning to use this to tax everyone based on healthcare... Which isn't a tax unless you talk to the Supreme Court, then and only then it is a tax for not having health care that the IRS watches... (so it is constitutional)
So if you aren't doing your part for environmentalism, will the IRS tax you on that as a healthcare risk someday?
Sounds crazy I know, but just crazy enough for someone to try.
I see what you did there... very nice.
This is what I was thinking... Nerd Herd, Geek Squad... who would want that title for a job?
I never needed a geek card or a man card or anything like that, cuz I determine who I am. No one else gets to bestow or take things away from me, just like no body puts baby in the corner.
Escape the 90's man... the wire is just invisible...
In my job they expect 4 weeks notice for IS.
Gives plenty of time to transfer responsibilities. The guy I took over for spent 2 weeks going over everything he did (so I could add most of it to what I do as well...)
Then hung around for 2 weeks more doing documentation and taking laps to talk to people. He planned on a year of do whatever time, which from what I hear has turned into 4 years of it...and a pissed off wife.
My credit union does this... I had to go low security, because it couldn't be longer than something like 8 or 10 characters, and I think originally they told me I couldn't have special characters as well... Their argument was that you would be locked out long before you could try many passwords anyway, so it is moot.
I let him know my feelings because just before the whole new system for better security, I could use a 14+ character password with special characters and whatever else I wanted, now the more secure setup says my CU password is the shortest one I use... (I know this is only one part of the security, and I'm sure the backend is where the more important security updates happened)
So with this free upgrade... Will Hyper V still be included on the client side if we have it now or will we have to pay for it? Can't seem to find any answers on that...