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.

Wegovy and happy people walking

Prescription drug commercials anger some, please others

Pharmaceutical companies are spending close to $10 billion per year on direct-to-consumer advertising in the U.S. Only the entertainment industry spends more. Is that a good thing? 

california usa

California Democrats propose new corporate tax to offset Medicaid cuts

The idea was floated as part of a proposed budget for the state released by Democrats in the Senate. If passed, only the top 2% of corporations in California would be impacted. The levy would generate $5 billion to $8 billion annually for Medicaid. 

Cardiology practice launches walk-in clinic in Pennsylvania

The new clinic wants to keep patients out of hospital EDs when possible and provide care at a lower cost.

overweight patient seeking health advice

Novo Nordisk partners with OpenAI to speed development of new weight loss drugs

The maker of popular GLP-1 agonists Wegovy and Ozempic said technology from OpenAI, the company behind ChatGPT, will allow it to sift through and make sense of massive datasets to identify potential new uses for its diabetes and obesity treatments.

Medicare navigation company raises $100M to improve its AI, launch new financial products

Chapter, a technology company based in New York City, said it tripled its revenue last year by filling a market niche designing technology for seniors—specifically, those who have questions about the Medicare program.

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CareCloud hit by data breach that could impact millions

The publicly traded EHR and cloud healthcare IT infrastructure company confirmed in a filing with the U.S. Securities and Exchange Commission that hackers were able to breach its network in March for roughly eight hours, gaining partial access to patient record stores. The incident is being investigated.

Aetna

Pennsylvania health system sues Aetna over alleged ‘downcoding’ of inpatient hospital care

The policy shift by Aetna to reimburse hospital stays of fewer than five days as outpatient observation encounters went into effect in January. The insurer implemented the policy to reduce friction with hospitals that previously had to seek approval for inpatient reimbursement, which was often denied. Jefferson Health is challenging the changes in court.

legal liability malpractice artificial intelligence

Lawsuit against Elevance Health alleging use of ‘ghost networks’ officially moving forward

On Tuesday, a judge formally rejected a motion by the company to have the case dismissed. Carelon Behavioral Health, a subsidiary of Elevance, is accused of publishing an inaccurate directory of providers for those seeking mental health services.