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.

Florida probes CVS Health in latest crackdown on PBMs
State Attorney General James Uthmeier is forcing the company to hand over thousands of documents related to its pharmacy contracts and reimbursement policies to see if the retail giant is abusing its position in the market as both a pharmacy benefit manager and a retail chain of drug stores.
Private equity unlikely to dominate cardiology despite hype
Medaxiom CEO Jerry Blackwell, MD, MBA, FACC, discusses investor's interest in buying cardiology practices, noting that PE ownership remains relatively low.
OIG warns of ‘ghost network’ trouble in maternal health managed care
Looking at the three largest Medicaid managed care plans related to maternal health, the Office of Inspector General found instances of ineligible providers being included in directories, as well as other errors such as incorrect contact information.
OhioHealth agrees to void contracts that allegedly punished payers for including competitors in-network
The U.S. Department of Justice said the settlement will save citizens of the state money and open up the market to competition.
Major private payer encouraging employees to leave willingly
The largest Medicaid-specialized managed care organization in the U.S. is offering buyout packages to most of its 60,000 or so staff workers.

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Industry Watcher’s Digest

Buzzworthy developments of the past few days.

Moderna throws in with IBM over quantum computing, generative AI for healthcare

Fresh off its success using AI to develop a blockbuster COVID vaccine, up-and-coming biotech player Moderna (founded 2010) has won the confidence of 112-year-old Big Blue as a strategic partner.

Health editors quit in protest over high publishing charges

The editors said they have tried to get the high charges reduced, but they were ultimately unsuccessful.

Private equity-backed cardiology groups merge to form new-look entity with presence in 8 states

Cardiovascular Associates of America and Novocardia have joined forces to form what they describe as the "strongest cardiovascular network in America."

Poverty is a leading cause of death

Poverty was associated with 183,000 deaths in the United States in 2019 among people 15 years and older, according to a recent study published in JAMA.

Startup aiming to simplify the process for booking imaging appointments raises $12M

Scan.com is expanding into 5 new states with the goal of making scheduling an appointment as easy as securing a hotel room on the web.

Moderna, Merck say new combination treatment boosts skin cancer survival

The new findings come after Moderna accused other pharmaceutical companies of stealing its mRNA technology for COVID-19 vaccines.

New efforts to tackle imaging contrast shortages focus on vertical integration

For one pharmaceutical company, a plan to independently source barium and iodine from North America may offer protection from global supply chain disruptions.

Business Intelligence

Florida probes CVS Health in latest crackdown on PBMs

Private equity unlikely to dominate cardiology despite hype

OIG warns of ‘ghost network’ trouble in maternal health managed care

OhioHealth agrees to void contracts that allegedly punished payers for including competitors in-network

Major private payer encouraging employees to leave willingly