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View Diary: Obama Administration Delays Out-Of-Pocket Caps To Grant Insurance Companies Transition 'Relief' (308 comments)

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  •  you are not a programmer (or a very experienced (1+ / 0-)
    Recommended by:
    nchristine

    one, if you write comments like this).

    a "few lines of code" - really?  to re-classify what the billing ratio is now?  to remove caps? to interact with all other aspects of medical care, from pharmacy to anesthesiologists to specialists to doctors who all see ONE patient on an issue such as a meniscus tear?

    ALL those programs have to friggin' TALK to each other - the billing has to match - the programs have to be in sync -

    just a few lines of code?

    jeesh!

    and then those programs have to talk to federal programs like medicare, medicaid, medical, etc.  

    just a few lines of code.

    hey, if you can do it in a few lines of code, go offer your services and you can be the newest member of the 1% - you'd be right up there at the top IF you could do that!

    the real issue here is talking bs to people who know what they are talking about and i call your comment  out as BS in a few lines of comment!

    EdriesShop Is it kind? is it true? is it necessary?

    by edrie on Tue Aug 13, 2013 at 12:38:33 PM PDT

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    •  See my comment above. (0+ / 0-)

      Like I said , There are assholes all over IT

      “ Success has a great tendency to conceal and throw a veil over the evil of men. ” — Demosthenes

      by Dburn on Tue Aug 13, 2013 at 02:03:05 PM PDT

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    •  We are talking about billing cap totals (4+ / 0-)
      Recommended by:
      qofdisks, greenbell, nyceve, JVolvo

      Not about interactions with procedures.  How much as one customer paid in a single year. Is it over X? Thats a binary question.

      If a program isn't written with an admin back end that allows people to modify rules than it's a cranky old system made by old fashioned thinking where assholes like you and agent up there seem to think IT starts and ends with you.

       After all if a TOTAL cap changes on a single customer or a customer GROUP because they make a policy change , no one would have a system that requires a source code change each time and survive in a competitive environment as today.

      If an insurance company wants an across the board rate change upwards, any IT team that came up with your Bullshit would be out of a job.

      You are , after all , are the reason why so much is outsourced.

      “ Success has a great tendency to conceal and throw a veil over the evil of men. ” — Demosthenes

      by Dburn on Tue Aug 13, 2013 at 02:11:13 PM PDT

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      •  and where do they get those numbers? from their (0+ / 0-)

        providers of service, of course - those who ALSO have to make THEIR systems work and talk to others - and they have to have common programs to make sure the numbers justify.

        jeebus h. christ on a pogo stick!  

        think sku numbers of merchandise that goes to different stores that have different pricing structures - EACH of those end retailers need different codes that have to be programmed - so so insurance companies.

        you have a very poor grasp of retail, my friend - nor do you understand the manufacturing costs that go into the wholesale that end up on the retail shelves - and, yes, insurance is ALSO retail.

        now if you continue to claim i don't know what i'm talking about, i can get VERY detailed for you - right down to the original spec'ing out a program, researching the needs, developing the tools, implementing the code, compiling and then re-compiling to correct what was missed all the way up to the little scanner you use when you order your coffee at starbucks or any other vendor.

        don't make me do that.  my fingers are tired.  BUT if you continue in this vein, you leave me little choice but to write that dissertation on how the f*ck this stuff gets put together and the time frame it takes to do it.

        the choice is yours.

        mine?  i'm going to the barn.

        EdriesShop Is it kind? is it true? is it necessary?

        by edrie on Tue Aug 13, 2013 at 03:53:54 PM PDT

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        •  Typical reaction (1+ / 0-)
          Recommended by:
          JVolvo

          You are deliberately trying to make this much more complicated. You ,mentioned systems that has to interact with Medicare (prior post).  This has nothing to do with Medicare . Now you are talking about SKUs that have to interact with different systems. The diary discussed global payment caps. It had nothing to do with Medicare or SKUs for a tangible goods seller.

           I'm calling Bullshit on your Bullshit. We are talking about payment caps that is currently on most insurance policies anyway. Come to think of it . It wouldn't require more than a database admin to make the fucking changes, if that. One query to change all caps under a certain groupid would be all that is required for bills to go out paid instead of leaving a balance. Because all insurance companies have max pay caps and that was one change made on ACA. It was a global Change. This is what we are talking about. A global change that covers three separate groups of plans as laid out by the govt.

          If there is a global increase in rates, they don't go to the source code. You do write front-ends &  back-ends, many web based,  for Large systems so management can use it or you are out of a job. So I take back what I said about a few lines of code. The DB admin would at most have to add a new column and then change a few SQL queries and then make a change to the front end.  

          Beyond   SQL, which we all know is a fairly simply language to master, If a programmer has to get involved with something like this, then the system is built out of bailing wire and chewing gum and the company won't be around much longer . It probably means that too many variable values  are hard coded into the program.  That means , thank God, people like you won't have jobs.

          We are not talking about the granular detail of system interaction with all kinds of different systems. Besides there have been more than enough middle-ware languages developed to handle that type of problem that you apparently have no concept of.

          I 've seen this same thing before with people that profess knowledge in big iron. They have no concept of what is being done to make their jobs obsolete.

          “ Success has a great tendency to conceal and throw a veil over the evil of men. ” — Demosthenes

          by Dburn on Tue Aug 13, 2013 at 04:11:01 PM PDT

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      •  oh, and I'M the reason so much is outsourced? (1+ / 0-)
        Recommended by:
        nchristine

        well, yeah.  the companies didn't want to pay those of us who made class 22 salaries and above when they could outsource for less than a dollar a day overseas (and look at what they got for that outsourcing - software that doesn't play well with others).

        really, dear, you are stepping into arrogancy here.  you should stop trying to make this personal.  you really don't want to do that.

        as i said, dissertation - novel - trilogy - your choice. i can keep adding facts to your suppositions until there is a perpetual loop.

        at least with my "facts", folks will actually learn a bit about how software programming really works.

        EdriesShop Is it kind? is it true? is it necessary?

        by edrie on Tue Aug 13, 2013 at 03:56:26 PM PDT

        [ Parent ]

        •  Do you understand that no one cares to learn (1+ / 0-)
          Recommended by:
          JVolvo

          about how software operates. Especially the garbage that you call software. I always find that people with large egos always resort to techno-geek whenever they get caught with their pants down.

          <---end---!>

          “ Success has a great tendency to conceal and throw a veil over the evil of men. ” — Demosthenes

          by Dburn on Tue Aug 13, 2013 at 04:14:22 PM PDT

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          •  you are an arrogant and rude person with whom (0+ / 0-)

            i will no longer engage.  unfortunately, this conversation COULD have been informative, however, you chose to make it personal and i've now vowed i will not interact with those who cannot discuss issues and have to resort to rude personal attacks.

            we're done.

            EdriesShop Is it kind? is it true? is it necessary?

            by edrie on Tue Aug 13, 2013 at 04:18:04 PM PDT

            [ Parent ]

        •  I'd recommend a few hundred times....... (1+ / 0-)
          Recommended by:
          edrie

          Says one that has spent hours cleaning up some slap happy force coded crap of code.....  2.5 pgms left to get just readable then to go through again and clean out the working storage area of worthless, meaningless crap.

          •  but but but, you only had to change a few lines of (0+ / 0-)

            CODE!!!!!

            this is what drives me batty with computer folks who know a little bit but haven't had to deal in real world experience on a large scale of integrated platforms.

            when i worked with wang - we were the provider - we had good and bad programmers on board - the bad ones slapped sh*t together quickly and walked away leaving the good programmers to come in and muck out the hard drives and try to "fix" the problems the created.  often, it was just easier to start over, but due to the hooks into the customer databases (many customized to work with the "bad" programs) that wasn't possible.

            i watched us have two accounts throw us out on less than 3 days notice.  one, silor optical, called and said we needed to pick up our new voice system in three days (friday) or it would be sitting on the street corner.  we got there.  they meant it.

            people who talk about writing "queries" are still "querying" existing programs and not modifying them.

            sheesh - i am going to bed soon.  this is giving me a massive headache.

            thanks for what you still do - finding the crap in a program is tough, but very satisfying to find the dead end.

            i remember once being told our wang vs was no faster than a batch processor.  couldn't understand why the company was so down on the vs - it was the fastest processor at the time of ALL companies...then i took a look at the program he was running.  a few lines into it was the copyright for the ibm batch processing program that his "cousin" who sold him the program had put in a wang compatible shell.

            no wonder the thing ran like an ibm!  pulled out all the copyright statement all through the program and showed them to him - he called his cousin and i was there with the printouts.  they refunded his money.

            unfortunately for me but fortunately for him, he didn't stay with wang, he bought pcs (new on the market).  within a year, wang's new ceo, richard miller, killed the value added trade by sending all potential buyers a letter telling them if they bought from anyone other than wang, the cost of using the software would be more than the entire system was worth.

            instead of buying both old AND new from wang, people just dumped them for pcs.  took out the necessity for a clean room, power protectors, large IT staffs and software use fees and hardware maintenence costs.  if the pc breaks, throw it out and buy a new one!

            ah, those were the days....

            EdriesShop Is it kind? is it true? is it necessary?

            by edrie on Tue Aug 13, 2013 at 09:01:30 PM PDT

            [ Parent ]

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