Pharmacy Benefit Managers Invade Medical Records and Electronically Connect Cash Patients to RX Discount Cards-OptimizeRX-to SingleCare to OptumRX

This should not really come as a big surprise as what hasn’t the pharmacy benefit managment business touched?  So what is Patients Who Pay “Cash” When Filling Prescriptions Are Now Called “outliers, Pharmacists Required to Fix outliers as They Show Up As Non Medication Adherence Compliant With 5 Star Systems Full of Flawed Data…

Medication Adherence Predictions Enter the World of Quantitated Justifications For Things That Are Just Not True, Members of the Proprietary “Code Hosing” Clubs Out There Destroying Your Privacy

So now we have talked about OptimizeRX (which just happens to sound a lot like OptumRX) let’s move to the next step here and talk about the discount card.  Read the press release below, OptimizeRX has a partner called SingleCare, which actually resembles the HealthAllies company that Andy Slavitt and Senator’s Warren’s daughter sold to United Healthcare, except this one is free.  SingleCare includes other available discounts, a few of them but hey well all know it’s about getting the pharma PBM money to support the entire project, not a 20% discount at a gym or free teeth cleaning.

OptimizeRx Partners Exclusively with SingleCare to Bring Patient Savings and Price Transparency to Healthcare Providers at the Point of Prescribe

SingleCare started out much like United Healthcare Having a Big Bond Sale to Finance Purchase of Catamaran Pharmacy Benefit Management Company, Huge 10.5 Billion

United Healthcare Buys Catamaran Pharmacy Benefit Manager Just As the PBM Gets Hit With A Class Action Lawsuit For Low Balling Pharmacy Reimbursements..And More Patient Data to Sell and Analyze For Profit

So what kind of executives does SingleCare employ?  Well you could probably guess this one easyHealth Plans and Claim Clearinghouses With Virtual Credit Cards-Racking Up Additional Fees From Doctors

So what PBM do you think is supporting this?  My guess would be OptumRX but you can’t find that stated anywhere, but hey put two and two together.  So if you use the card, you are added to a PBM data base with data to score and sell and again, we think it’s OptumRX.  If you noticed above, Allscripts is one of the partners and is it not a coincidence that all OptumCare MDs are required to use Allscripts?  Here’s more on that topic along with a picture I snapped of one of their OptumCare owned MDs in the OC.  Don’t forget too that all the Surgical Care Affiliate outpatient surgery facilities are now owned and will be run by OptumCare, so I might guess Allscripts will be over there too, or OptimizeRX will sign up more EHRs to bring in the SingleCare discount card over there too. 

OptumCare Doctors to Get allscripts Medical Records EHR–Optum Continues to Buy More Practices and Manage More Doctors Through Independent Physician Associations, Many of Which They Own

We also have this action going on relative to OptumRX and Catamaran with lawsuits being filed over the price of prescriptions when a cash offering is less expensive than what the PBM is offering.

Cigna & United Healthcare Face Class Action Suits-PBM Over Charging Customers for Prescriptions, OptumRX Pharmacy Benefit Management Software-“Front Running” Consumers With Killer Algorithms at the Drug Store

Pharmaceutical Wholesalers Inc. File Legal Complaint Against OptumRx “Aligning Its Interests” with the Big Three Drug Distributors in US, Thus Acting as an Agent of the Government With Accreditation Processes

Bottom line here is to get the algorithms connected to the EHRs now and get that price locked in and get the data from the folks who are not using a PBM price.

Also the MedExpress urgent care locations are also connected to, guess who, OptumRX and you might be seeing those SingleCare RX discount cards used there as well.  United Healthcare also has another service they market where they want to be the EHR integrator for Allscripts and other medical record companies.

Optum (United Healthcare) Buys MedExpress Urgent Care Business- 141 Full Service Clinics In 11 States–Company Advertises They Are In the Market to Buy Your MD Practice, As A “Too Big To Fail Insurer” Moves Forward With More Acquisitions

United Healthcare (Optum Insight Subsidiary) Wants To Be Your Allscripts, Epic And GE Centricity EHR Consulting Service Starting With Implementation And Beyond

How convenient to be an EHR integrator and get that OptimizeRX connected in there to the medical records to promote the SingleCare discounts and collect data on folks who are not using their PBM program or are paying cash.  By the way too, Optum is also now doing the billing for Quest Labs in case you missed that one.  Optum does the billing of course for their very close partner, the Mayo clinic, who’s CEO just took a board seat with Merck Pharmaceutical.  Are you seeing some kind of a pattern yet, maybe?  Of course if you are insured by United, you have been told to go to LabCorp for years for actual tests.

Quants of Optum Carve Out New Outsourced Billing Deal with Quest Labs, Will Also Serve to Enhance The Scoring & Data Selling Business Conducted by Both Companies via Powerful Subsidiaries

The prescription discount game is heating up out there and The Truth About Pharmacy Benefit Managers and Prescription Discount Cards–Created With Automated Algorithmic Processes That Enable Huge Profits-Consumers at Risk!

So backon topic here with SingleCare benefits, be aware of what’s going on with the algorithms of the PBMs as they are now invading medical records to get that script and and that data about you.  I would be very careful about wanting to use any of the texting and email services they offer as they collect and monitor everything today and will “score” your behavior with their services to toss some kind of risk in a profile about you!  Recently, VC arm of Optum/United Healthcare invested money in another cesspool Silicon Valley risk assessment company, Mindstrong to monitor people with cell phone behavior and when they get done scoring all that type of data, we’ll all be at risk for mental health issues if we “hesitate” on responding to text messages.

So be aware now as the PBMs have infiltrated medical records and stalking you there, with going beyond just regular PBM plans, they want to get data on everyone who pays cash to “score” and sell a data profile about you and your behavior.  Once you get locked with with your doctor doing an automatic send to the pharmacy, the pharmacist may not be able to offer you a less expensive price if they have one to offer on your medication.  BD