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.

Medicare Advantage insurer accused of upcoding by a whistleblower settles False Claims Act lawsuit for $22.5M
Independence Blue Cross, the largest medical insurance provider in the Philadelphia area, does not admit to wrongdoing. It was accused in a lawsuit backed by the U.S. Department of Justice of misrepresenting the severity of patient illnesses to juice risk-adjusted Medicare payments.
Housing AI company hits $4B valuation as it expands into healthcare
With its $350M in new funding, EliseAI said it plans to build out its technology and sales force. It currently works with specialty provider groups to automate practice operations such as scheduling and insurance verification.
Rural cardiology practices struggle to fill vacancies
A new survey put a spotlight on the staffing issues rural cardiology practices and health systems face on a daily basis.
Some physicians not only avoid burnout but also find fulfillment. Here’s how they do it.
Of surveyed and interviewed U.S. physicians who showed significant six-month improvement in follow-up vs. baseline wellness checks, 47% attributed the gain to active personal changes. Not far behind were those who credited active work-related changes—40% of the field.
Mayo Clinic, Thermo Fisher Scientific launch new AI-supported diagnostics company
The new entity, Precure, will be owned by both groups. Its work in detecting early disease for timely intervention stems from a research project launched this summer. The Mayo Clinic said Precure will make the results of that initiative actionable.

GE HealthCare’s contrast media manufacturing site in Cork Ireland

Report: GE HealthCare to buy Sofie Biosciences for $1 billion as part of pharmaceutical diagnostics expansion

The deal, which sources told reporters could be finalized as early as next week, would mean GE HealthCare would become the sole owner of the private-equity backed radiopharmaceutical developer.

mergers and acquisitions handshake deal business

Lyric AI catches eye of private equity buyer as potential valuation reaches $5B

The company’s artificial intelligence is used by payers to aid in the development of health plans and to automatically scan medical claims for accuracy. According to a media report, the investment firm TPG is looking into buying the business.

Fairfield Medical Center joins Adena Health after FTC pushback on OhioHealth merger

The Federal Trade Commission was concerned a buyout by OhioHealth would over-consolidate services in rural parts of the state. With the acquisition, Adena brings its hospital count to five, as opposed to OhioHealth’s 16.

UnitedHealthcare eliminates prior authorization requirements linked to 1,700 procedure codes

The change will begin Oct. 1, impacting 11 states. The effort is part of a plan to eliminate prior authorization approvals for 30% of healthcare services by the end of the year, the insurer confirmed.

Hackers say McKesson data breach exposed records from tens of millions of patients

The group ShinyHunters has claimed credit for the attack, threatening to leak the data trove if McKesson doesn’t pay $55 million. It claims to have highly sensitive records on patients, including autopsy details.

Optum headquarters in Eden Prairie, Minnesota.

‘Ghost employee’ scheme earns former senior director at Optum 3 years in prison

A former senior director at Optum has been found guilty for his role in a scam by which a friend received a six-figure salary despite doing no work. The verdict included a conviction for money laundering as well as fraud.

Sword Health to expand virtual mental health portfolio with Headspace acquisition

According to Axios, the deal could be worth $300 million. The buyout was revealed in a regulatory filing.

Arizona Heart Arrhythmia Associates has joined with ASC management company Regent Surgical to expand outpatient EP ablation procedures in the Phoenix area.

ASC operator Regent Surgical embraces outpatient EP ablation services after CMS policy change

This new partnership provides an early look at how the field of electrophysiology is evolving in 2026 and beyond.

Business Intelligence

Medicare Advantage insurer accused of upcoding by a whistleblower settles False Claims Act lawsuit for $22.5M

Housing AI company hits $4B valuation as it expands into healthcare

Rural cardiology practices struggle to fill vacancies

Some physicians not only avoid burnout but also find fulfillment. Here’s how they do it.

Mayo Clinic, Thermo Fisher Scientific launch new AI-supported diagnostics company