3 Corporations Take on Obamacare, Pelosi Mute

Maybe between Amazon, a tech company, JP Morgan, an investment company and Berkshire Hathaway, a financial think tank and provider could solve the corruption within government healthcare first…Just last year:

The Justice Department charged more than 400 people across the country in a major crackdown on health care fraud, officials said Thursday. The accused individuals cost the federal government $1.3 billion in false Medicare and Medicaid billings, according to authorities

The investigation focused on opioid-related crimes as the government continues to try to address the public health crisis that has been sweeping the country. Many of the health care providers charged had billed Medicaid and Medicare for drugs that were never purchased, while others took advantage of addicts by giving out unnecessary opioid prescriptions for cash or charging for false treatments, according to the Justice Department. More here.

It is pathetic that the FBI has an exclusive division to investigate and prosecute healthcare/government fraud.

The FBI is the primary agency for exposing and investigating health care fraud, with jurisdiction over both federal and private insurance programs. Health care fraud investigations are considered a high priority within the Complex Financial Crime Program, and each of the FBI’s 56 field offices has personnel assigned specifically to investigate health care fraud matters. Our field offices proactively target fraud through coordinated initiatives, task forces and strike teams, and undercover operations.

The Bureau seeks to identify and pursue investigations against the most egregious offenders involved in health care fraud through investigative partnerships with other federal agencies, such as Health and Human Services-Office of Inspector General (HHS-OIG), Food and Drug Administration (FDA), Drug Enforcement Administration (DEA), Defense Criminal Investigative Service (DCIS), Office of Personnel Management-Office of Inspector General (OPM-OIG), and Internal Revenue Service-Criminal Investigation (IRS-CI), along with various state Medicaid Fraud Control Units and other state and local agencies. On the private side, the FBI is actively involved in the Healthcare Fraud Prevention Partnership, an effort to exchange facts and information between the public and private sectors in order to reduce the prevalence of health care fraud. The Bureau also maintains significant liaison with private insurance national groups, such as the National Health Care Anti-Fraud Association, the National Insurance Crime Bureau, and private insurance investigative units. More here.

Another pathetic item is during 2017, when the House repealed Obamacare and the Senate failed to do so….no one spoke to the whole fraud component which is in fact costing the taxpayers billions…..BILLIONS.

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So, will these companies come to the rescue for their own employees or perhaps lay the groundwork for total repeal?

 

“The ballooning costs of health care act as a hungry tapeworm on the American economy,” Berkshire Hathaway (brk-b) chairman and CEO Warren Buffett said in a statement. “Our group does not come to this problem with answers. But we also do not accept it as inevitable.”

Amazon, Berkshire Hathaway, and J.P. Morgan Chase are forming a not-for-profit health care venture to lower health care costs for their U.S. employees, the companies announced Tuesday morning, sparking a slide in the shares of a host of health care-related companies. The initial focus of the independent company will be on technology that will provide their U.S. employees and their families with simplified and high-quality health care at accessible costs, the companies said.

Drug distributors Cardinal Health(cah, -2.80%), AmerisourceBergen(abc, -2.73%) and McKesson(mck, -1.64%) were all down nearly 3%. Health insurers also fell, with the 6.2% drop in UnitedHealth(unh, +0.06%) the steepest.

The move comes amid growing speculation that Amazon is likely to enter the prescription drug business and that has sent tremors through the pharmaceutical supply chain.

“The health care system is complex, and we enter into this challenge open-eyed about the degree of difficulty,” Jeff Bezos, Amazon (amzn, +0.69%) founder and CEO, said in the statement. “Success is going to require talented experts, a beginner’s mind, and a long-term orientation.”

The effort is in its early planning stages, the companies said, and the initial formation of the company would be led by Todd Combs, an investment officer of Berkshire Hathaway; Marvelle Sullivan Berchtold, a managing director of J.P. Morgan Chase; and Beth Galetti, a senior vice president at Amazon.

“Our people want transparency, knowledge and control when it comes to managing their health care,” said Jamie Dimon, chairman and CEO of J.P. Morgan Chase(jpm, +0.48%). “The three of our companies have extraordinary resources, and our goal is to create solutions that benefit our U.S. employees, their families and, potentially, all Americans.”

“The ballooning costs of health care act as a hungry tapeworm on the American economy,” Berkshire Hathaway (brk-b) chairman and CEO Warren Buffett said in a statement. “Our group does not come to this problem with answers. But we also do not accept it as inevitable.”  Drugstore operators CVS Health(cvs, -1.85%) and Walgreen Boots Alliance (wba, -1.10%) as well as pharmacy benefits manager Express Scripts Holding(esrx, -0.13%) dropped between 4.5% to 6% in premarket trading. Hat-tip Forbes.

Maybe Obama, Pelosi and the rest of the Democrats should have consulted with Watson…

Watson Health value-based care offerings deliver innovation designed to help drive value for providers and health care organizations as those providers and organizations work to manage population health, deliver more efficient care, engage patients and consumers, and optimize business performance – through the power of data-driven insights.

Is IBM part of the problem or the solution?

Watson Health offers end-to-end solutions for providers and organizations pursuing greater value in healthcare by offering solutions such as the following.

  • Providers
    Robust data integration and aggregation, risk-stratified analytics, performance measurement reporting, care management and patient engagement tools.
  • Health plans
    Analytics utilized by health plans to: identify consumer insights and support acquisition marketing, support care management, empower consumers for more informed decisions, and execute risk score optimization and compliance reporting.
  • Employers
    Flexible delivery of tools to help employers increase value of benefits and programs and provide employees with personalized, relevant information to help them understand their benefits.
  • Pharmaceutical and bio-tech
    Studies based on real-world evidence to help pharmaceutical and bio-tech companies understand the market landscape. Health economics and outcomes research combined with stakeholder research and engagement and management tools.

In today’s value-based healthcare environments, costs and revenues often depend on how fast and how effectively you can identify and engage at-risk patients, members and employees. Our solutions help you gain insight from your data to stratify your populations, design targeted programs, close care gaps and align with quality measures and initiatives.

  • Outcomes: Leverage insights, outcomes and economics through solutions, expertise and partnerships.
  • Essential connections: Vastly improve your understanding of your members, stakeholders, patients or employees, to gain essential knowledge and data to breakdown silos.
  • Confidence: Provide greater evidence and clarity to help you make informed decisions.

 

CIA Warning on Russia and China

2018-01-29 Treasury Caatsa 241 Final by CNBC.com on Scribd

  The Democrats on The Hill have been complaining for months about the Trump administration easy approach and policy regarding Russia. There may be some truth to that conclusion, however there are some very aggressive actions underway at Treasury and CIA that tell another story of sorts. While there are some additional sanctions that have been applied, there are some key people listed as being close to Putin and the Kremlin that have been identified as people of concern.

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The Democrats need to calm down and recite some facts regarding the actions of the Trump administration with the building approaches regarding shady characters of the Kremlin and Russian influence or operatives.

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MOSCOW (Reuters) – The U.S. Treasury Department named major Russian businessmen including the heads of the two biggest banks, metals magnates and the boss of the state gas monopoly on a list of oligarchs close to the Kremlin.

The list, drawn up as part of a sanctions package signed into law in August last year, does not mean those included will be subject to sanctions, but it casts a potential shadow of sanctions risk over a wide circle of wealthy Russians.

Russian President Vladimir Putin’s inner circle is already subject to personal U.S. sanctions, imposed over Russia’s 2014 annexation of Ukraine‘s’ Crimea region.

But the so-called “oligarchs’ list” that was released on Tuesday, prompted in part by Washington’s belief the Kremlin meddled in the 2016 U.S. presidential election, covers many people beyond Putin’s circle and reaches deep into Russia’s business elite.

LONDON (Reuters) – CIA Director Mike Pompeo said Russia will target U.S. mid-term elections later this year as part of the Kremlin’s attempt to influence domestic politics across the West, and warned the world had to do more to push back against Chinese meddling.

In an interview with the BBC aired on Tuesday, U.S. intelligence chief Pompeo said Russia had a long history of information campaigns and said its threat would not go away.

Asked if Russia would try to influence the mid-term elections, he said: ”Of course. I have every expectation that they will continue to try and do that.

In an interview with the BBC aired on Tuesday, U.S. intelligence chief Pompeo said Russia had a long history of information campaigns and said its threat would not go away.

Asked if Russia would try to influence the mid-term elections, he said: ”Of course. I have every expectation that they will continue to try and do that.

“But I am confident that America will be able to have a free and fair election. That we’ll push back in a way that is sufficiently robust that the impact they have on our election won’t be great.”

He also said the Chinese posed a threat of equal concern, and were “very active” with a world class cyber capability.

“We can watch very focused efforts to steal American information, to infiltrate the United States with spies, with people who are going to work on behalf of the Chinese government against America,” he said.

“We see it in our schools, in our hospitals and medical systems, we see it throughout corporate America. These efforts we have to all be more focused on. We have to do better at pushing back against Chinese efforts to covertly influence the world.”

GLOBAL INFLUENCE

The Kremlin, which under Vladimir Putin has clawed back some of the global influence lost when the Soviet Union collapsed, has denied meddling in elections in the West. It says anti-Russian hysteria is sweeping through the United States and Europe.

In the interview, Pompeo also repeated his message that North Korea was close to developing missiles which could be used in a nuclear attack on the United States.

“I think that we collectively, the United States and our intelligence partners around the world, have developed a pretty clear understanding of (North Korean leader) Kim Jong Un’s capability,” he said.

“We talk about him having the ability to deliver a nuclear weapon to the United States in a matter of a handful of months.” More here.

Another Method on How China Spies

There has been so much domestic chatter about the FISA court granting warrants on U.S. citizens or intercepting communications between foreign nationals/diplomats and Americans, but in related reading –> US and Britain refine their ability to tap into airline passenger’s mobile phones while they are in the air.

Meanwhile…. Image result for chinese computer network african union photo

China built and paid for the African Union’s computer network  but inserted a backdoor allowing it access to the continental organisation’s confidential information

In January 2017, the information technology unit at the African Union’s headquarters in Addis Ababa noticed something strange, according to a stunning investigation in French newspaper Le Monde.

Every night, between midnight and 2am, there was a strange peak in data usage – even though the building was almost entirely empty. Upon further investigation, the technicians noticed something even stranger. That data – which included confidential information – was being sent to servers based in Shanghai.

The African Union’s shiny new headquarters was built and paid for by the Chinese government, as a gift to its “African friends”. But when the building was officially opened in 2012, China left a backdoor into the African Union’s computer network, allowing it to access the institution’s secrets at will.

“According to several sources within the institution, all sensitive content could be spied on by China,” wrote Le Monde. “It’s a spectacular leak of data, spread from January 2012 to January 2017.”

The Chinese mission to the AU did not respond to Le Monde’s request for comment.

Once the problem was discovered, African Union officials acted quickly to fix it. The organisation acquired its own servers, and began encrypting its communications. In July 2017, a team of experts from Algeria – a country with a notoriously efficient intelligence community – along with cybersecurity experts from Ethiopia combed the building from top to bottom, looking for hidden microphones and other potential weaknesses.

China would not be the first supposedly friendly superpower to spy on the African Union. A separate investigation in December 2016, conducted by Le Monde and The Intercept, revealed that African Union officials were targeted for surveillance by British intelligence.

*** The CIA and likely the NSA have a handle on all this but does the White House and the Congress, such that there is a cyber policy? Nope…. Just because there is a Chinese network in the Africa Union, does not mean it does not affect connected networks…..

A senior CIA analyst said China is continuing to conduct aggressive cyberespionage operations against the U.S., contrary to claims by security experts who say Beijing curbed cyberattacks in the past few years.

“We know the Chinese are very active in targeting our government, U.S. industry and those of our partners through cyberespionage,” said Michael Collins, deputy assistant CIA director and head of the agency’s East Asia Mission Center.

“It’s a very real, big problem, and we need to do more about it,” Mr. Collins told a recent security conference in Aspen, Colorado.

Mr. Collins said solving the problem of Chinese cyberattacks will require an “all-of-government, all-of-country approach to pushing back against it.”

The comments contradict a number of cybersecurity experts who have said Beijing’s digital spying and information theft decreased sharply as a result of the 2015 agreement between President Obama and Chinese President Xi Jinping.

The two leaders announced the cyber deal with great fanfare and said both countries had agreed to curtail cyberespionage against businesses.

IS the U.S. Taking Over the 5G Network?

 

 

A 5G network owned by the United States government? It’s not going to happen.

The U.S. government considering its own 5G network is nothing new, frightening, or likely to happen.

Could the Trump White House be pondering a nationalized 5G network? Yes, it’s distinctly possible. But it’s also highly unlikely to happen and the story is being blown dramatically out of proportion.

The latest Twitterverse kerfuffle was kicked up by an Axios report alleging consideration of “an unprecedented federal takeover of a portion of the nation’s mobile network to guard against China”. That’s an alarming claim, no matter what side of the political aisle you’re on. Axios is a relatively new publication, but they’ve made a name for themselves since their 2016 launch with a number high profile exclusives and well-sourced and researched pieces. This 5G report is well-sourced, but also takes a number of alarmist steps that ignore how the U.S. federal government actually functions.

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Here’s what Axios is reporting:

We’ve got our hands on a PowerPoint deck and a memo — both produced by a senior National Security Council official — which were presented recently to senior officials at other agencies in the Trump administration. … The documents say America needs a centralized nationwide 5G network within three years.

Axios goes on to describe two options laid out in the report: that the government builds its own 5G network or that the various competing carriers in the US build their own. It’s worth noting that this is a proposal made by a single NSC member. This is how the government is supposed to work. The NSC is just one of many competing interests in the federal government, and its mandate is to advance strategies to maintain and enhance the security of the United States. It would indeed be in the national defense interests of the U.S. military to have a government-controlled high-speed low-latency nation-wide wireless network — rapid and clear communication is vital for successful military operations, and a 5G network would be enormously useful in that.

But… the NSC is still just one of many loud voices in the United States government. The Departments of State and Commerce and Justice would all have competing opinions on the proposal for a federal network, from international trade implications to pushback from the carriers that spend billions on lobbying. Not to mention the cost of such an endeavor.

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There is historical precedent for large investments that would support both military operations and civilian needs. The Interstate Highway System was funded by the federal government not just to dramatically improve inter-state travel and commerce — the primary impetus for its creation was the need to be able to quickly deploy military force throughout the United States in the event of a foreign invasion. The constellation of GPS satellites we rely on for navigating the world today is a U.S. Air Force project that was originally built for military purposes (and the government still has a switch to downgrade GPS accuracy for non-U.S. military users if deemed necessary).

Talk of a federally owned communications cellular network has been going on for decades, but it was kicked into high gear after the September 11, 2001 terrorist attacks. The strikes on New York City and the Pentagon didn’t just reveal the unpreparedness of the United States for such an unsophisticated attack — it also exposed weaknesses in the civilian-owned and operated cellular networks of the time. On that day the cellular networks in New York and DC were overwhelmed by the sheer number of users trying to access services — and that was well before today’s high-speed wireless internet services.

The biggest pushback would come from cellular network operators. Every U.S. carrier has already invested heavily in 5G, from research to live regional tests to making preparatory upgrades to their transmission infrastructure to handle the eventual roll-out of 5G-capable transceivers and consumer devices. Billions of dollars have already been laid out with the expectation that there will be much more invested in the networks and billions more reaped in profit. You can be certain that Verizon, AT&T, T-Mobile, and Sprint have already contacted their lobbying firms to communicate their displeasure.

Specialized equipment has long been a part of the military’s inventory. Just this weekend the story of expensive new refrigerators for Air Force One provoked outrage once the context of what the purchase actually consisted of (five bespoke flight-grade walk-in cooling units to store up to 3,000 meals on what is essentially a flying White House). Equipment like tanks and aircraft carriers and grenades is all exclusively manufactured for the military, to its specification. But the military has long also used off-the-shelf civilian hardware when it meets its needs and costs. Walk into the Pentagon and you’ll find government-issued HP and Dell laptops and officers walking around with issued iPhones running on Verizon and AT&T.

The United States has long had an interplay between the needs of the federal government and the civilian population. Sometimes there are things that only the government could effectively fund, organize, and operate, like the interstate system or GPS satellites. The costs behind those become easier to justify when they’re also available to civilian users. Conversely, there are things the civilian market is far better at — AT&T, Verizon, Sprint, and T-Mobile all have enormous expertise in cellular networks, they’ve already made huge investments in their network infrastructure that they’ll be able to leverage in building their 5G networks, and they’re already responsive to the needs of their customers — both civilian and government.

This proposal was dead in the water before it was ever presented. It’s almost amusing, following the Trump administration’s push against Net Neutrality being framed as unleashing the potential of web services and internet providers, to now see a proposal to create a national 5G network that the government would then lease to the carriers.

It’s worth repeating: this is just a proposal from one part of the government. Axios notes that it was already presented to other agencies, where I have no doubt it was met with significant resistance, if not outright derision. After all, the Trump government is supposed to be one that gets out of corporate business (for better or worse), and “we’re going to build a 5G network and you’ll just rent access from us because we’re the federal government” runs 100% counter to that.

There’s much the government could do to promote and accelerate the development and deployment of 5G networks in the United States, though it’d have to come with oversight than the billions of government subsidies paid to Verizon for a fiber network it never built. Grants to ensure deployment into rural areas, subsidies for low income access, regulation clean-up to ease the way for new installations, funding of university and corporate research projects in artificial intelligence and domestic development of these technologies — all of this is already within the wheelhouse of what the federal government can do, and sometimes already does.

Proposals like this are just how the government works. The military side of the equation is going to propose everything they can think of to ensure the most efficient and most effective military they can imagine, while the diplomats will propose their own missions and initiatives to promote their goals, and the economists are going to come with an entirely different set of proposals about trade and monetary policy and financial regulations. These will all be simultaneously complementary and contradictory. This is the nature of government — a dozen departments with competing goals in different arenas jockeying for limited resources. Their proposals are just part of what feeds into the decision-making process of the President and Congress, which are supposed to strike a balance between the needs of the military, business, international partners, civilians, and (of course) politics.

I would be utterly shocked if a government-owned 5G network ever comes to fruition. It’d be massively expensive and inefficient, not to mention well outside the government’s expertise and capability. It’d also see immediate and costly legal challenges, not to mention stand on legally tricky ground when the carriers have already paid billions to the government for the frequency licenses they need to deploy their own 5G networks.

The government would also have to pay for this somehow, and after a $1.5 trillion-dollar tax cut, there’s not a lot of spare cash laying around for GovCell.

Updated 10:33 a.m. Jan. 29: Here’s a statement from FCC Commissioner Ajit Pai, who also says it ain’t gonna happen:

“I oppose any proposal for the federal government to build and operate a nationwide 5G network. The main lesson to draw from the wireless sector’s development over the past three decades—including American leadership in 4G—is that the market, not government, is best positioned to drive innovation and investment. What government can and should do is to push spectrum into the commercial marketplace and set rules that encourage the private sector to develop and deploy next-generation infrastructure. Any federal effort to construct a nationalized 5G network would be a costly and counterproductive distraction from the policies we need to help the United States win the 5G future.”

DoJ Sessions’ Letter of Subpoena to Sanctuary Cities

Primer: In part from the New York Times/

Over the past year, the local jurisdictions have pushed back hard on the administration’s attempts to force them to abandon their stance by cutting off federal funding to them, with some like Chicago filing lawsuits against the Justice Department.

Mr. Emanuel’s office has called the Justice Department’s actions “misguided.” And district court judges in California and Illinois have filed preliminary nationwide injunctions blocking the department from denying grant money to sanctuary cities.

On Wednesday, 15 attorneys general filed a brief in support of the Chicago lawsuit, saying that the administration’s efforts to pull federal funds from sanctuary jurisdictions infringes on their right to set their own law enforcement policies.

“The Trump administration cannot strip a city or a police department of these critical funds, simply because they don’t like its policies,” Eric T. Schneiderman, the New York attorney general, said in a statement. More here.

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Office of Public Affairs

FOR IMMEDIATE RELEASE
Wednesday, January 24, 2018

Justice Department Demands Documents and Threatens to Subpoena 23 Jurisdictions As Part of 8 U.S.C. 1373 Compliance Review

The Department of Justice today sent the attached letters to 23 jurisdictions, demanding the production of documents that could show whether each jurisdiction is unlawfully restricting information sharing by its law enforcement officers with federal immigration authorities.

All 23 of these jurisdictions were previously contacted by the Justice Department, when the Department raised concerns about laws, policies, or practices that may violate 8 U.S.C. 1373, a federal statute that promotes information sharing related to immigration enforcement and with which compliance is a condition of FY2016 and FY2017 Byrne JAG awards.

The letters also state that recipient jurisdictions that fail to respond, fail to respond completely, or fail to respond in a timely manner will be subject to a Department of Justice subpoena.

“I continue to urge all jurisdictions under review to reconsider policies that place the safety of their communities and their residents at risk,” said Attorney General Jeff Sessions. “Protecting criminal aliens from federal immigration authorities defies common sense and undermines the rule of law. We have seen too many examples of the threat to public safety represented by jurisdictions that actively thwart the federal government’s immigration enforcement—enough is enough.”

Failure to comply with section 1373 could result in the Justice Department seeking the return of FY2016 grants, requiring additional conditions for receipt of any FY2017 Byrne JAG funding, and/or jurisdictions being deemed ineligible to receive FY2017 Byrne JAG funding.

The following jurisdictions received the document request today:

  • Chicago, Illinois;
  • Cook County, Illinois;
  • New York City, New York;
  • State of California;
  • Albany, New York;
  • Berkeley, California;
  • Bernalillo County, New Mexico;
  • Burlington, Vermont;
  • City and County of Denver, Colorado;
  • Fremont, California;
  • Jackson, Mississippi;
  • King County, Washington;
  • Lawrence, Massachusetts;
  • City of Los Angeles, California;
  • Louisville Metro, Kentucky;
  • Monterey County, California;
  • Sacramento County, California;
  • City and County of San Francisco, California;
  • Sonoma County, California;
  • Watsonville, California;
  • West Palm Beach, Florida;
  • State of Illinois; and
  • State of Oregon.
Attachment(s):
Topic(s):
Immigration
Press Release Number:
18-81