The main rules changes to provide the casino with the advantage are even money payouts on blackjack (compared to 3:2 at normal tables) and ties losing (compared to pushing in standard blackjack).
Other rules changes also exist to the detriment of players. Certain tables restrict doubling down and splitting, and do not allow doubles after splits.
The game was invented by Bob Stupak, former owner of Vegas World and Stratosphere casinos.