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.

Healthcare AI today: AI-enabled layoffs, following the AI money, AI to unscrew healthcare, more
A network of more than 100 clinics is leveraging AI to lay off more than 175 of its 2,500 or so nonclinical staff by early November.
Data-blocking antitrust lawsuit against Epic can move forward, judge rules
Epic’s attempt to have a lawsuit filed by startup Particle Health dismissed was unsuccessful. However, a U.S. district court judge narrowed the claims and rejected accusations that Epic engaged in defamation.
Employer-sponsored health plans to see 7% jump in premiums, survey finds
Consulting firm Mercer said employers are prepared to deploy cost-cutting measures, including better management of high-cost claims. However, Americans who get insurance through their workplace are likely to face higher out-of-pocket expenses, such as co-pays and deductibles.
Healthcare AI today: Healthcare AI on Capitol Hill, hospital leadership’s eye on AI, publicly traded AI recalls, more
AI could appreciably improve the delivery of healthcare services to patients—if only people trusted it. For many, the difference-maker would be nicely crafted federal regulations.
FDA designates recall of Hamilton breathing circuits a Class I
Two lots of breathing circuits manufactured by Hamilton Medical have a defect that could cause the tubing to splinter. The affected devices must be quarantined, as they cannot be safely used on patients.

CVS Health sued by coalition of states alleging Medicaid fraud by pharmacies

A whistleblower lawsuit claims CVS pharmacies have overbilled state Medicaid programs for prescription drugs—a practice allegedly ongoing since 2016. The company denies any wrongdoing.

Optum UnitedHealthcare UnitedHealth Group HQ

UnitedHealth, Amedisys offer divestitures as $3.3B merger advances

Pennant and BrightSpring Health Services have agreed to purchase some healthcare businesses from UnitedHealth and Amedisys. However, it remains unclear whether this will be enough for the DOJ to drop its lawsuit blocking the merger.

Healthcare AI newswatch: FDA’s AI gambit, FDA’s blind spot, everybody’s agentic AI, more

The FDA is getting AI-aggressive about speeding up device reviews. Its plan is to unleash generative AI on tedious and repetitive tasks.

Video of how capital investments firms are partnering with hospitals.

Private equity firm Deerfield earmarks $600M for healthcare investments

Deerfield Management released details on its latest Healthcare Innovations Fund program, promising to finance “promising therapeutics” and “elevating emerging technologies," including artificial intelligence.

UnitedHealth sued by shareholders over concealing fallout of CEO's murder

In a lawsuit, plaintiffs allege the company changed course from a long-standing policy of denying medical claims, hiding from investors its impact on profits. The insurer denies any wrongdoing and vowed to defend itself in court.

U.S. iodine contrast supply may not be subject to proposed 25% tariffs

If President Trump initiates a 25% tariff against pharmaceuticals imported from Ireland, it might impact the price for X-ray iodine contrast agents in the U.S. depending what rules are put in place.

Report: Former TV writer exploiting ACA to sell bare-bones insurance plans

Bloomberg writes about a company, Quick Health, run by a former comedy writer, who through a loophole in the law is accused of "hiring" members for fake jobs to enroll them in junk insurance policies.

Florida hospitals sue nonprofit over ‘pay-to-play’ safety rankings

Five Tenet Healthcare hospitals are suing the Leapfrog Group, accusing the organization of pressuring hospitals to share internal data in exchange for higher scores in its annual safety rankings. The watchdog outright denies the claim.

Business Intelligence

Healthcare AI today: AI-enabled layoffs, following the AI money, AI to unscrew healthcare, more

Data-blocking antitrust lawsuit against Epic can move forward, judge rules

Employer-sponsored health plans to see 7% jump in premiums, survey finds

Healthcare AI today: Healthcare AI on Capitol Hill, hospital leadership’s eye on AI, publicly traded AI recalls, more

FDA designates recall of Hamilton breathing circuits a Class I