It was changed in a hotfix about a week or so after 4.3 came out.
For the OP and anyone else, here is a summary of how the buff/debuff works *currently* as there's a lot of outdated information in various guides.
Shortly after each Amalgamation spawn a random player will be given the debuff Blood Corruption: Death with a duration of 15 seconds. If this ticks down to 0 the raid wipes. When this buff is dispelled it has a chance to mutate into Blood Corruption Earth. This will happen on either the 2nd or 4th dispel. When it cahnges into Earth it will then continue to tick down until it expires. When it expire it places a
buff called Blood of Neltharion on the affected player which increases their health.
This is a lot simpler to deal with now than it was in it's original form. Earth can no longer morph back into Death. You always get the maximum number of stacks of Blood of Neltharion on a target in 25 man when Blod Corruption: Earth expires.
To get the buff onto your tanks you simply have the raid stack on one side of the boss and the tanks on the other after the first roll when there are 3 debuffs active. Dispel until all the debuffs are Earth and there's one on each tank. Let them expire and bingo, you're done. The rest of the fight you just dispel any Deaths and if you have the spare GCDs try to get Earth on your healers. It's not the end of the world if you don't.
Make sure you have your raid frames set up to show the Blood of Neltharion buff. I use a dot indicator at the bottom of Grid to track it in my UI.
Hope this has helped someone