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.

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.
‘Epic’ trademark lawsuit leaves healthcare staffing firm without a name
Epic Systems, the market leading EHR vendor, sued California-based Epic Staffing in 2024, arguing that the company’s name created confusion in the market. The lawsuit was settled out of court, with the employment firm agreeing to a full rebrand.
As Americans tuck into supplements like their health depends on it, specialized products are displacing multivitamins
Some of today’s most popular products promise better immune, adaptogenic, anti-inflammatory, gut, skin or joint health—or combinations of two or more of the above.
Express Scripts sues Tennessee over PBM law that would close specialty pharmacy
The company called the state’s regulation of pharmacy benefit managers “shortsighted,” as it would force the closure of Accredo, a specialty drug dispensary that supplies drugs it says aren’t available anywhere else in the state.
FTC settles lawsuit with Optum Rx, ending its campaign against the ‘big three’ PBMs
The agency had been suing the three largest pharmacy benefit managers over their alleged control of insulin prices. It reached agreements with CVS’ Caremark and Cigna’s Express Scripts earlier this year.

DOJ investigation of UnitedHealth confirmed in SEC filing

The company said in a Securities and Exchange Commission filing that it is cooperating with the Department of Justice’s inquiry into possible incidents of Medicare Advantage upcoding.

Healthcare AI today: Trump’s American AI offensive, healthcare’s lack of regulatory cohesion, chatbots’ silence, more

President Donald Trump has crystallized his No. 1 priority for artificial intelligence. Unshockingly, it’s “winning the AI race.”

Healthcare AI today: AI stink-eye, disrespect for AI-toting docs, super-eager clinical adopters, more

Gen Xers and their elders tend to believe AI will do more harm than good. More than half of American adults 50 and older place themselves in that somewhat cynical category.

Interview with Alan Matsumoto, chair of American College of Radiology (ACR) Board, says Medicare physician payments are not sustainable, forcing many practices to consolidate with health systems or private equity owned companies.

ACR board chair discusses radiology's 'culture clash' between 'suits and white coats'

Alan Matsumoto, MD, explains the pros and cons of consolidation under hospital system and private equity ownership.

Healthcare AI today: Pittsburgh’s bonanza, Bay area’s superstars, Dr. Google’s followers, more

The numbers from Pittsburgh are staggering. And they’re all about blasting American-made AI into the stratosphere, if not to Infinity and beyond.

Medicare Advantage Part C clipboard payment

Two insurers dominate most Medicare Advantage markets, report finds

Over 97% of all counties in the U.S. see high or very high levels of consolidation in Medicare Advantage markets, with UnitedHealthcare and Humana owning the most plans nationwide.

Steward sues former CEO over alleged pilfering that contributed to bankruptcy

Former Steward Health Care CEO Ralph de la Torre, MD, and other executives are accused in a $1.4 billion legal filing of paying themselves hundreds of millions of dollars in bonuses, despite the health system being insolvent.

President Trump artificial intelligence energy policy

Healthcare AI today: Trump’s calculated risks, healthcare’s sluggish revolution, simple AI math, more

In his drive to keep China from sprinting ahead of the U.S. in the AI arms race, President Trump may be willing to cut some risky corners.

Business Intelligence

Major private payer encouraging employees to leave willingly

‘Epic’ trademark lawsuit leaves healthcare staffing firm without a name

As Americans tuck into supplements like their health depends on it, specialized products are displacing multivitamins

Express Scripts sues Tennessee over PBM law that would close specialty pharmacy

FTC settles lawsuit with Optum Rx, ending its campaign against the ‘big three’ PBMs