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Thread: The Default Thread

  1. #23371
    Member chbludevil's Avatar
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    Default Re: The Default Thread

    Someone get The Worm to North Korea to mend relations ASAP.

  2. #23372

    Default Re: The Default Thread

    It’s the latest Seth Rogen James Franco comic bromance. They somehow end up with the CIA and are sent to North Korea to assassinate Kim Jong-un. Hilarity ensues.

    And then WWIII, for reals (I made up that last part).

    I don’t know, though, this has all the makings of another Benghazi scandal. Obama and Crew are probably working on their talking points/coverup as we speak. You know, to give Congress something new to investigate.

    Did really like Rogen and Franco’s last one, “This is the End”. That was pretty funny. So this one has a chance, I think.

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    Quote Originally Posted by DFH no.6 View Post

    And then WWIII, for reals (I made up that last part).
    Sick (joke) brah
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    Quote Originally Posted by Drinkey McDrinkerstein View Post
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    Default Re: The Default Thread

    thanks for ruining the movie, you dick.
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    Thumbs down Re: The Default Thread

    i guess it was just a matter of time.

    http://www.bloomberg.com/news/2014-0...or-health.html

    Your Doctor Knows You're Killing Yourself. The Data Brokers Told Her
    By Shannon Pettypiece and Jordan Robertson
    Jun 26, 2014 9:35 AM MT

    You may soon get a call from your doctor if you’ve let your gym membership lapse, made a habit of picking up candy bars at the check-out counter or begin shopping at plus-sized stores.

    That’s because some hospitals are starting to use detailed consumer data to create profiles on current and potential patients to identify those most likely to get sick, so the hospitals can intervene before they do.

    Information compiled by data brokers from public records and credit card transactions can reveal where a person shops, the food they buy, and whether they smoke. The largest hospital chain in the Carolinas is plugging data for 2 million people into algorithms designed to identify high-risk patients, while Pennsylvania’s biggest system uses household and demographic data. Patients and their advocates, meanwhile, say they’re concerned that big data’s expansion into medical care will hurt the doctor-patient relationship and threaten privacy.

    “It is one thing to have a number I can call if I have a problem or question, it is another thing to get unsolicited phone calls. I don’t like that,” said Jorjanne Murry, an accountant in Charlotte, North Carolina, who has Type 1 diabetes. “I think it is intrusive.”

    Acxiom Corp. (ACXM) and LexisNexis are two of the largest data brokers who collect such information on individuals. Acxiom says their data is supposed to be used only for marketing, not for medical purposes or to be included in medical records. LexisNexis said it doesn’t sell consumer information to health insurers for the purposes of identifying patients at risk.

    Bigger Picture

    Much of the information on consumer spending may seem irrelevant for a hospital or doctor, but it can provide a bigger picture beyond the brief glimpse that doctors get during an office visit or through lab results, said Michael Dulin, chief clinical officer for analytics and outcomes at Carolinas HealthCare System.

    Carolinas HealthCare System operates the largest group of medical centers in North Carolina and South Carolina, with more than 900 care centers, including hospitals, nursing homes, doctors’ offices and surgical centers. The health system is placing its data, which include purchases a patient has made using a credit card or store loyalty card, into predictive models that give a risk score to patients.

    Within the next two years, Dulin plans for that score to be regularly passed to doctors and nurses who can reach out to high-risk patients to suggest interventions before patients fall ill.

    Buying Cigarettes

    For a patient with asthma, the hospital would be able to score how likely they are to arrive at the emergency room by looking at whether they’ve refilled their asthma medication at the pharmacy, been buying cigarettes at the grocery store and live in an area with a high pollen count, Dulin said.

    The system may also score the probability of someone having a heart attack by considering factors such as the type of foods they buy and if they have a gym membership, he said.

    “What we are looking to find are people before they end up in trouble,” said Dulin, who is also a practicing physician. “The idea is to use big data and predictive models to think about population health and drill down to the individual levels to find someone running into trouble that we can reach out to and try to help out.”

    While the hospital can share a patient’s risk assessment with their doctor, they aren’t allowed to disclose details of the data, such as specific transactions by an individual, under the hospital’s contract with its data provider. Dulin declined to name the data provider.

    Greater Detail

    If the early steps are successful, though, Dulin said he would like to renegotiate to get the data provider to share more specific details on patient spending with doctors.

    “The data is already used to market to people to get them to do things that might not always be in the best interest of the consumer, we are looking to apply this for something good,” Dulin said.

    While all information would be bound by doctor-patient confidentiality, he said he’s aware some people may be uncomfortable with data going to doctors and hospitals. For these people, the system is considering an opt-out mechanism that will keep their data private, Dulin said.

    ‘Feels Creepy’

    “You have to have a relationship, it just can’t be a phone call from someone saying ‘do this’ or it just feels creepy,” he said. “The data itself doesn’t tell you the story of the person, you have to use it to find a way to connect with that person.”

    Murry, the diabetes patient from Charlotte, said she already gets calls from her health insurer to try to discuss her daily habits. She usually ignores them, she said. She doesn’t see what her doctors can learn from her spending practices that they can’t find out from her quarterly visits.

    “Most of these things you can find out just by looking at the patient and seeing if they are overweight or asking them if they exercise and discussing that with them,” Murry said. “I think it is a waste of time.”

    While the patients may gain from the strategy, hospitals also have a growing financial stake in knowing more about the people they care for.

    Under the Patient Protection and Affordable Care Act, known as Obamacare, hospital pay is becoming increasingly linked to quality metrics rather than the traditional fee-for-service model where hospitals were paid based on their numbers of tests or procedures.

    Hospital Fines

    As a result, the U.S. has begun levying fines against hospitals that have too many patients readmitted within a month, and rewarding hospitals that do well on a benchmark of clinical outcomes and patient surveys.

    University of Pittsburgh Medical Center, which operates more than 20 hospitals in Pennsylvania and a health insurance plan, is using demographic and household information to try to improve patients’ health. It says it doesn’t have spending details or information from credit card transactions on individuals.

    The UPMC Insurance Services Division, the health system’s insurance provider, has acquired demographic and household data, such as whether someone owns a car and how many people live in their home, on more than 2 million of its members to make predictions about which individuals are most likely to use the emergency room or an urgent care center, said Pamela Peele, the system’s chief analytics officer.

    Emergency Rooms

    Studies show that people with no children in the home who make less than $50,000 a year are more likely to use the emergency room, rather than a private doctor, Peele said.

    UPMC wants to make sure those patients have access to a primary care physician or nurse practitioner they can contact before heading to the ER, Peele said. UPMC may also be interested in patients who don’t own a car, which could indicate they’ll have trouble getting routine, preventable care, she said.

    Being able to predict which patients are likely to get sick or end up at the emergency room has become particularly valuable for hospitals that also insure their patients, a new phenomenon that’s growing in popularity. UPMC, which offers this option, would be able to save money by keeping patients out of the emergency room.

    Obamacare prevents insurers from denying coverage because of pre-existing conditions or charging patients more based on their health status, meaning the data can’t be used to raise rates or drop policies.

    New Model

    “The traditional rating and underwriting has gone away with health-care reform,” said Robert Booz, an analyst at the technology research and consulting firm Gartner Inc. (IT) “What they are trying to do is proactive care management where we know you are a patient at risk for diabetes so even before the symptoms show up we are going to try to intervene.”

    Hospitals and insurers need to be mindful about crossing the “creepiness line” on how much to pry into their patients’ lives with big data, he said. It could also interfere with the doctor-patient relationship.

    The strategy “is very paternalistic toward individuals, inclined to see human beings as simply the sum of data points about them,” Irina Raicu, director of the Internet ethics program at the Markkula Center for Applied Ethics at Santa Clara University, said in a telephone interview.

    To contact the reporters on this story: Shannon Pettypiece in New York at spettypiece@bloomberg.net; Jordan Robertson in San Francisco at jrobertson40@bloomberg.net

    To contact the editors responsible for this story: Reg Gale at rgale5@bloomberg.net Andrew Pollack
    Quote Originally Posted by malcolmjamalawesome View Post
    It's when we discuss Coachella that we are at our collective dipshittiest.

  6. #23376
    Banned thelastgreatman's Avatar
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    Default Re: The Default Thread

    I have no idea how that is remotely allowable under HIPAA.
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  7. #23377
    Coachella Junkie heart cooks brain's Avatar
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    Default Re: The Default Thread

    you have no idea how a credit card company can compile purchasing data and sell it to a business to use it to its advantage?
    Quote Originally Posted by canexplain View Post
    If moles had subways, molestation wouldn't be one of the creepiest words there is ....
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    Default Re: The Default Thread

    I have no idea how it's legal under the protections of HIPAA. Huh, maybe that's the loophole though--HIPAA thoroughly regulates what health insurance companies and health providers are allowed to disclose about YOU... but I have no idea if it makes any of the same promises about what OTHER companies can disclose to THEM.
    Quote Originally Posted by schoolofruckus View Post
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  9. #23379
    Coachella Junkie heart cooks brain's Avatar
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    Default Re: The Default Thread

    there's no loophole. if i want to sell cigarettes i buy a list of people who purchase cigarettes and market to them. if i want to treat lung cancer i buy a list of older people who buy cigarettes, call them, ell them they should come in for some test or other, find cancer, and treat it.
    Quote Originally Posted by canexplain View Post
    If moles had subways, molestation wouldn't be one of the creepiest words there is ....
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  10. #23380
    zeezus amyzzz's Avatar
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    Default Re: The Default Thread

    Holy shit that is really fucking creepy and an overreach.
    Quote Originally Posted by guedita View Post
    Because fucking millenials that's what

  11. #23381
    Coachella Junkie heart cooks brain's Avatar
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    Default Re: The Default Thread

    well it's been happening for decades in other industries. like ivy said, it was only a matter of time.
    Quote Originally Posted by canexplain View Post
    If moles had subways, molestation wouldn't be one of the creepiest words there is ....
    Quote Originally Posted by canexplain View Post
    Eat don't chat ...When I figure out what windlowless is, I'll respond .
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  12. #23382
    Coachella Junkie chairmenmeow47's Avatar
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    Default Re: The Default Thread

    it still seems pretty hypothetical. i am not sure what they can do other than take "proactive" approaches to talk with patients about their choices. this is more about hospitals than insurance companies, for now. the ACA as far as i understand won't let anyone use this data to deny coverage.

    but the data has to be hard to sift through. i have never paid for a gym membership, but know people who have, but never go. i walk outside or use my apartment gym which costs me nothing. or sometimes i buy things like diapers for a baby shower at work, does that mean i have a baby?
    Quote Originally Posted by malcolmjamalawesome View Post
    It's when we discuss Coachella that we are at our collective dipshittiest.

  13. #23383
    Banned thelastgreatman's Avatar
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    Default Re: The Default Thread

    I need to start buying all my cigarettes and liquor straight cash.
    Quote Originally Posted by schoolofruckus View Post
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  14. #23384
    Coachella Junkie algunz's Avatar
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    Default Re: The Default Thread

    Good plan. Keep all your drugs under the table.

  15. #23385
    Peaceful Oasis TomAz's Avatar
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    Default Re: The Default Thread

    Quote Originally Posted by chairmenmeow47 View Post
    i guess it was just a matter of time.

    http://www.bloomberg.com/news/2014-0...or-health.html
    Eh. First, this is not really anything new; people in my field have been talking about this sort of thing for probably 10 years. Second, the reason it hasn't really gone anywhere in those 10 years is that the predictive power of these measures, while certainly greater than zero, is not all that impressive.

    I personally find it creepy as hell and have lobbied my colleagues that the potential negative PR tradeoff vs the very lukewarm gains that might be had makes it not worth doing.
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    Coachella Junkie heart cooks brain's Avatar
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    Default Re: The Default Thread

    Quote Originally Posted by chairmenmeow47 View Post

    but the data has to be hard to sift through. i have never paid for a gym membership, but know people who have, but never go. i walk outside or use my apartment gym which costs me nothing. or sometimes i buy things like diapers for a baby shower at work, does that mean i have a baby?
    no, but it's not like one transaction sets off an alarm. say target sells purchasing data to a large conglomerate that can basically produce any product you may need. they notice trends inbuying habits and use that information to their advantage, whatever that may be.
    Quote Originally Posted by canexplain View Post
    If moles had subways, molestation wouldn't be one of the creepiest words there is ....
    Quote Originally Posted by canexplain View Post
    Eat don't chat ...When I figure out what windlowless is, I'll respond .
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    Default Re: The Default Thread

    Quote Originally Posted by heart cooks brain View Post
    no, but it's not like one transaction sets off an alarm. say target sells purchasing data to a large conglomerate that can basically produce any product you may need. they notice trends inbuying habits and use that information to their advantage, whatever that may be.
    right, but let's say i throw a party ever three months and buy a bunch of soda. i never drink it, but i buy it for others who don't drink when i have a party. that may have been a bad example, but tom said it better. it seems hard to predict behavior based on individual purchases.

    and i remember taking a database design class ten years ago and we talked about this as an ethical issue.
    Quote Originally Posted by malcolmjamalawesome View Post
    It's when we discuss Coachella that we are at our collective dipshittiest.

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    Default Re: The Default Thread

    I need this to be my avatar. Dani, can you make an exception to the file size rule? Because goddamn.

    Odi profanum vulgus et arceo. I hate the unholy rabble and keep them away - Horace.
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    old school ThatGirl's Avatar
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    Default Re: The Default Thread

    That looks fake. The kids head looks freakishly big for his body. It's creepy. But awesome.
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    Quote Originally Posted by TomAz View Post
    hey. get your own colonoscopy thread, bitch.

  20. #23390
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    Default Re: The Default Thread

    June 2014

    Denver to Seattle and back

    Denver to the Ozarks (Wakarusa) and back

    Denver to Seattle and back

    All vacation and having mostly fun.

    I hope July is as fun and rewarding ..... cr****
    Have Another Hit Of Colorado Sunshine

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    Default Re: The Default Thread

    And how many children were left in your wake of pedophiliac destruction this past month?
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    Default Re: The Default Thread

    last.fm
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    Default Re: The Default Thread

    Can some people give me "advice" on a house without the usual bs I get here ? (TomAz or the other financial buffs) cr****
    Have Another Hit Of Colorado Sunshine

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    Default Re: The Default Thread

    Quote Originally Posted by canexplain View Post
    Can some people give me "advice" on a house without the usual bs I get here ? (TomAz or the other financial buffs) cr****
    Do you honestly expect anything different at this point?
    Quote Originally Posted by Drinkey McDrinkerstein View Post
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    Quote Originally Posted by canexplain View Post
    Can some people give me "advice" on a house without the usual bs I get here ? (TomAz or the other financial buffs) cr****
    Nobody wants to give you advice. Everybody hates you except Brokendoll. Why you haven't figured it out at this point is mind boggling.
    Odi profanum vulgus et arceo. I hate the unholy rabble and keep them away - Horace.
    Quote Originally Posted by Drinkey McDrinkerstein View Post
    Arcade FIre are a bunch of dicks, Deadmau5 is a dick, bands are dicks, David Bowie sucks dicks, Daft Punk is two human buttholes with semen for brains (that was loaded into a butthole from a dick that grew out of their moms), we're all dicks that fucked our moms assholes, God is going to put a giant dick down and fuck our mouths

  26. #23396
    Coachella Junkie chairmenmeow47's Avatar
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    Default Re: The Default Thread

    can we just start a thread already called "ask a grown up" and by that i mean tom? christ, if you're older than woodstock and need to go to someone who mocks you endlessly that works in the health care industry just for advice on buying/selling a house, that's a problem.
    Quote Originally Posted by malcolmjamalawesome View Post
    It's when we discuss Coachella that we are at our collective dipshittiest.

  27. #23397
    zeezus amyzzz's Avatar
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    Default Re: The Default Thread

    Ron, why do you keep coming here? Nobody likes you. I'm not sure how else to put it.
    Quote Originally Posted by guedita View Post
    Because fucking millenials that's what

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    Default Re: The Default Thread

    My advice to Ron is to buy a house with a good, soundproof, easily concealed cellar. You know, somewhere they won't find the little girls.
    Quote Originally Posted by schoolofruckus View Post
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    Default Re: The Default Thread

    Quote Originally Posted by canexplain View Post
    Can some people give me "advice" on a house without the usual bs I get here ? (TomAz or the other financial buffs) cr****
    Well, if you want a basement I'd probably move out of Colorado. They don't have those there.
    Quote Originally Posted by canexplain View Post
    Remember Hitler? I don't but here we are again .. cr****

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    Default Re: The Default Thread

    Let's hear him out, you guys. I want to know "what" he needs to be advised on.

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