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💧🌏 Greg Cocks<p>Observations Reveal Changing Coastal Storm Extremes Around The United States<br>--<br><a href="https://doi.org/10.1038/s41558-025-02315-z" rel="nofollow noopener" translate="no" target="_blank"><span class="invisible">https://</span><span class="ellipsis">doi.org/10.1038/s41558-025-023</span><span class="invisible">15-z</span></a> <-- shared paper<br>--<br><a href="https://techhub.social/tags/GIS" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>GIS</span></a> <a href="https://techhub.social/tags/spatial" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>spatial</span></a> <a href="https://techhub.social/tags/mapping" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>mapping</span></a> <a href="https://techhub.social/tags/extremeweather" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>extremeweather</span></a> <a href="https://techhub.social/tags/coast" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>coast</span></a> <a href="https://techhub.social/tags/coastal" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>coastal</span></a> <a href="https://techhub.social/tags/spatialanalysis" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>spatialanalysis</span></a> <a href="https://techhub.social/tags/spatiotemporal" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>spatiotemporal</span></a> <a href="https://techhub.social/tags/model" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>model</span></a> <a href="https://techhub.social/tags/modeling" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>modeling</span></a> <a href="https://techhub.social/tags/communities" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>communities</span></a> <a href="https://techhub.social/tags/publicsafety" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>publicsafety</span></a> <a href="https://techhub.social/tags/climatechange" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>climatechange</span></a> <a href="https://techhub.social/tags/stormsurge" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>stormsurge</span></a> <a href="https://techhub.social/tags/USA" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>USA</span></a> <a href="https://techhub.social/tags/flood" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>flood</span></a> <a href="https://techhub.social/tags/flooding" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>flooding</span></a> <a href="https://techhub.social/tags/risk" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>risk</span></a> <a href="https://techhub.social/tags/hazard" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>hazard</span></a> <a href="https://techhub.social/tags/damage" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>damage</span></a> <a href="https://techhub.social/tags/infrastructure" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>infrastructure</span></a> <a href="https://techhub.social/tags/cost" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>cost</span></a> <a href="https://techhub.social/tags/economics" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>economics</span></a> <a href="https://techhub.social/tags/mitigation" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>mitigation</span></a> <a href="https://techhub.social/tags/insurance" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>insurance</span></a> <a href="https://techhub.social/tags/sealevel" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>sealevel</span></a> <a href="https://techhub.social/tags/SLR" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>SLR</span></a> <a href="https://techhub.social/tags/sealevelrise" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>sealevelrise</span></a> <a href="https://techhub.social/tags/Bayesian" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>Bayesian</span></a> <a href="https://techhub.social/tags/hierarchical" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>hierarchical</span></a> <a href="https://techhub.social/tags/framework" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>framework</span></a> <a href="https://techhub.social/tags/tideguage" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>tideguage</span></a> <a href="https://techhub.social/tags/tide" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>tide</span></a> <a href="https://techhub.social/tags/tidal" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>tidal</span></a> <a href="https://techhub.social/tags/water" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>water</span></a> <a href="https://techhub.social/tags/hydrology" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>hydrology</span></a> <a href="https://techhub.social/tags/hydrography" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>hydrography</span></a> <a href="https://techhub.social/tags/extremes" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>extremes</span></a> <a href="https://techhub.social/tags/intensity" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>intensity</span></a> <a href="https://techhub.social/tags/monitoring" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>monitoring</span></a></p>
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#hierarchical
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Chuck Darwin<p><a href="https://c.im/tags/Epic" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>Epic</span></a> <a href="https://c.im/tags/Systems" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>Systems</span></a> epitomizes everything perverse about the commercialized mess that American medicine has become. </p><p>“Epic’s clients are not doctors. <br>They are the CEOs and CFOs who write the checks to Epic,” says Dr. Bill Stead, who created pioneering <a href="https://c.im/tags/electronic" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>electronic</span></a> <a href="https://c.im/tags/health" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>health</span></a> <a href="https://c.im/tags/record" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>record</span></a> systems at Duke and then at Vanderbilt University Medical Center, <br>both eventually supplanted by Epic.</p><p>Epic became the dominant vendor of databases because it was better than anyone else at combining regulatory compliance with 🔸maximizing hospital income. <br>Epic enables the hospital to maximize the use of codes that determine the payment. <br>“Before Epic, nobody was able to systematize upcoding,” says an executive of one hospital system.<br>🔥Epic’s software can enable doctors and hospitals to overcharge patients, insurers, and Medicare and Medicaid.</p><p>There are about 10,000 possible billing codes that indicate conditions and complications. <br>These <a href="https://c.im/tags/Hierarchical" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>Hierarchical</span></a> <a href="https://c.im/tags/Condition" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>Condition</span></a> <a href="https://c.im/tags/Category" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>Category</span></a> (HCC) codes allow increased payments based on risk. <br>For instance, diabetes with no complications, HCC code 19, pays a capitation rate of $894.40 -- while diabetes combined with kidney failure can use 2 HCC codes, 18 and 136, <br>which increases the capitation rate to $1,273.60. <br>Doctors have the ability to also use codes for past patient conditions that have nothing to do with current presenting symptoms.</p><p>Assigning codes to each patient health malady is more of an art or artifice than a science, where doctors’ judgment calls can bleed into Medicare fraud. </p><p>Payments are based partly on time spent with a patient, on a scale from 1 to 5. <br>One doctor told me that her supervisor, who gets reports from Epic on her billing practices, regularly contacts her and says things like “That appointment was a 2. Don’t you think it might be a 3?”</p><p>Epic’s software can thus enable doctors and hospitals to overcharge patients, insurers, and government agencies such as Medicare and Medicaid. <br>Before a doctor can complete the record of a patient visit, they must respond to every question and check every required box. <br>🆘 Hospitals have financial incentives to make patients look sicker so that they can maximize revenue, and Epic’s software facilitates this.</p><p><a href="https://prospect.org/health/2024-10-01-epic-dystopia/" rel="nofollow noopener" translate="no" target="_blank"><span class="invisible">https://</span><span class="ellipsis">prospect.org/health/2024-10-01</span><span class="invisible">-epic-dystopia/</span></a></p>
Bertrand Charpentier<p><a href="https://sigmoid.social/tags/introduction" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>introduction</span></a> </p><p>I am a Ph.D. student in <a href="https://sigmoid.social/tags/MachineLearning" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>MachineLearning</span></a>. My research interests cover <a href="https://sigmoid.social/tags/uncertainty" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>uncertainty</span></a> / <a href="https://sigmoid.social/tags/robustness" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>robustness</span></a> in machine learning, <a href="https://sigmoid.social/tags/hierarchical" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>hierarchical</span></a> / <a href="https://sigmoid.social/tags/causal" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>causal</span></a> inference, and <a href="https://sigmoid.social/tags/efficient" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>efficient</span></a> machine learning :)</p>
IT News<p>Organise Your Hacks With TreeSheets: An Open Source Hierarchical Spreadsheet - Some people may have heard of Dutch programmer [Wouter Van Oortmerssen] since he’s... - <a href="https://hackaday.com/2022/09/07/organise-your-hacks-with-treesheets-an-open-source-hierarchical-spreadsheet/" rel="nofollow noopener" target="_blank"><span class="invisible">https://</span><span class="ellipsis">hackaday.com/2022/09/07/organi</span><span class="invisible">se-your-hacks-with-treesheets-an-open-source-hierarchical-spreadsheet/</span></a> <a href="https://schleuss.online/tags/softwarehacks" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>softwarehacks</span></a> <a href="https://schleuss.online/tags/hierarchical" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>hierarchical</span></a> <a href="https://schleuss.online/tags/productivity" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>productivity</span></a> <a href="https://schleuss.online/tags/spreadsheet" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>spreadsheet</span></a> <a href="https://schleuss.online/tags/mindmap" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>mindmap</span></a></p>
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