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.

Blue Cross Blue Shield of Michigan accused of ‘anticompetitive conduct’ as part of a ‘Blue Conspiracy’
The state is accusing the insurer of colluding with the broader Blue Cross Blue Shield network to stifle competition and control prices. BCBSM denies the allegations.
Last year’s healthcare data breach at Oracle impacted 20M people: Report
The hack, which was revealed earlier this year in a report from Bleeping Computer, is said to have been limited to a legacy server. Oracle denied its cloud environment had been compromised.
FTC sends warning to dozens of hospitals over price transparency failures
The agency is warning hospitals that failing to publicly post the prices they charge for services will not only elicit the ire of HHS.
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.

Large language AI ChatGPT concerns thought leaders

Generative AI: 5 concerns voiced by healthcare thought leaders

Every industry on earth is buzzing over the promise and potential of ChatGPT and similarly sharp AI models, whether “large language” or another generative form. Healthcare is no exception. But shouldn’t it be?

Movers & Shakers: Kaiser Permanente, Corewell Health, Allina Health name new leadership

Welcome to Movers & Shakers, a roundup of the latest executive movements in the healthcare industry.

ambient clinical documentation technology smart speaker

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.

Business Intelligence

Blue Cross Blue Shield of Michigan accused of ‘anticompetitive conduct’ as part of a ‘Blue Conspiracy’

Last year’s healthcare data breach at Oracle impacted 20M people: Report

FTC sends warning to dozens of hospitals over price transparency failures

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