Business Intelligence

Providers utilize business intelligence to monitor referral patterns and collaborate with clinicians who order their services. Such analytics tools have also been deployed in the specialty to improve productivity, track patient satisfaction and bolster quality.

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Fabric acquires UMC Digital Health to expand its virtual care customer base

The financial terms were not disclosed. The acquisition adds 400 new payers, health systems and employers who offer virtual care benefits to Fabric's portfolio.

Illustration showing how procizumab captures circulating dipeptidyl peptidase 3 (cDPP3) to block this key molecular driver of shock. Illustrations courtesy of 4TEEN4

$64M raised for new cardiogenic shock drug—research already underway

Procizumab was developed to change the trajectory of shock by addressing an underlying molecular driver rather than just managing symptoms.

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UnitedHealthcare bucks Medicare, ends reimbursement for most RPM services

Starting in 2026, patients covered by UnitedHealthcare's Medicare Advantage and commercial plans will not have care reimbursed for instances of remote patient monitoring unless they have diagnosed heart failure or are pregnant and experiencing hypertension. The shift stands at odds with traditional Medicare, which added new claims codes for providers to use next year.

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Healthcare supply giant Medline announces IPO, valued at $50B

The company announced its IPO filing on Tuesday. Medline said it expects new investors to bring in a $5 billion influx of funds. A date has not been set for the stock’s listing on NASDAQ. 

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Former CEO of Unite Us tapped as CMS’ Medicaid and CHIP lead

Dan Brillman, the former CEO and co-founder of coordinated care support service Unite Us, has left his position for a role in the Centers for Medicare & Medicaid Services, where he will be responsible for overseeing the federal government's safety net healthcare programs.

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Hospital system sues UnitedHealth over ‘denied, delayed’ Medicare Advantage reimbursement

Tennessee-based Ballad Health said it's tried for years to resolve the issues with the insurer but now has 'no choice' but to take legal action, as denied claims are leading to longer hospital stays and higher expenses.

Humana

Humana, Providence unveil interoperable data-sharing framework

The two companies said their model for exchanging payer and provider data will be “easily replicable” and could be adopted across the healthcare space. The initial rollout of the system will be focused on automatically identifying Medicare Advantage patients. 

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Combined AI chatbot, telehealth app earns $25M investment

Physician-founded Counsel Health said it will use the funds to hire more doctors as it expands the userbase for its AI, which allows patients to ask questions and get answers from a real doctor.