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.

Notable names in the news: From Avenda and CMS to UltraSight and Whiterabbit

Developments that broke softly but may soon make waves in radiology.

U.S. News & World Report children’s hospitals cardiology heart surgery

New Orleans looks to Cleveland for pediatric coverage

Children’s Hospital New Orleans is tapping Cleveland Clinic as a way to make sure Pelican State families have ready access to board-certified pediatric radiologists.

Carestream seeking Chapter 11 protection

Radiography OEM Carestream Health Inc. has filed for voluntary Chapter 11 reorganization with a federal bankruptcy court in Delaware.

Chinese medical imaging OEM raises $1.6B on first day of trading

United Imaging Healthcare of Shanghai just became the seventh Chinese company this year to enjoy an IPO topping $1 billion—and the third best-performing of the bunch.

Notable names in the news: From AIRS Medical to Sectra and a few in between

Radiology business developments that broke softly but may soon make waves.

ACR, other groups cry foul over insurers’ methods for calculating out-of-network payments

Payers have been using rates agreed to by PCPs to justify underpaying specialists such as anesthesiologists, emergency physicians and, yes, radiologists.

Nuance and Covera join forces to improve radiology quality ‘at scale’

PowerScribe purveyor Nuance is partnering on widescale care improvement with a healthcare AI startup that made its name showing Walmart where, and where not, to send its employees for high-accuracy radiology.

Enrolling with Medicare as an IDTF? Dot i’s and cross t’s around physician supervision, advises healthcare attorney

Why does CMS allow radiologists to provide imaging supervision at an unlimited number of sites?

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