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.

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.
Rural cardiology practices struggle to fill vacancies
A new survey put a spotlight on the staffing issues rural cardiology practices and health systems face on a daily basis.
Some physicians not only avoid burnout but also find fulfillment. Here’s how they do it.
Of surveyed and interviewed U.S. physicians who showed significant six-month improvement in follow-up vs. baseline wellness checks, 47% attributed the gain to active personal changes. Not far behind were those who credited active work-related changes—40% of the field.
Mayo Clinic, Thermo Fisher Scientific launch new AI-supported diagnostics company
The new entity, Precure, will be owned by both groups. Its work in detecting early disease for timely intervention stems from a research project launched this summer. The Mayo Clinic said Precure will make the results of that initiative actionable.

mergers and acquisitions M&A consolidation puzzle business deal

Healthcare data analytics firm Premier sold to private equity for $2.6B

Patient Square Capital will be taking the company private when the all-cash deal closes in the first quarter of 2026, pending approval from Premier’s shareholders.

CVS’ Omnicare files for bankruptcy after $949M judgment

In May, a jury found the CVS subsidiary liable for filing 3.3 million fraudulent insurance claims between 2010 and 2018. The $949 million judgment was imposed in July.

chatgpt for patient questions about radiology

Doximity and OpenEvidence sue each other in spat over medical AI trade secrets

Both companies are working on ChatGPT-like platforms designed exclusively for medical professionals. OpenEvidence accuses Doximity of attempting to steal its proprietary code, while the latter fires back with a defamation claim.

money cybersecurity ransomware health IT data breach hacker

Number of healthcare organizations that lost over $200K from data breaches rises 400%

The data comes from a new report by cybersecurity firm Netwrix, which found that healthcare continues to outpace other sectors in both number of breaches and associated financial losses.

Robin the Robot from Expper Technologies

Robin the Robot serves up smiles at nursing homes, children’s hospitals

The AI-powered device is helping alleviate staff shortages by making rounds and checking on patients.

Dana Smetherman, MD, MPH, MBA, FACR, chief executive officer of the American College of Radiology, explains how the consolidation of radiology practices into larger corporate entities now makes up more than 50% of how radiologists are employed. This led to changes in how ACR accredits sites.

ACR changing its accreditation process in response to corporate consolidation

CEO Dana Smetherman, MD, MPH, MBA, explains how the consolidation of radiology practices has shifted how the college thinks about its processes.

WSJ: UnitedHealth seeks meeting with Trump as part of lobbying effort

The Wall Street Journal said that President Donald Trump has yet to meet with company representatives. However, UnitedHealth CEO Stephen Hemsley reportedly met with members of the administration in Washington.

Joysticks recalled after power wheelchairs move on their own, injuring a patient

The U.S. Food and Drug Administration announced a recall of Mo-Vis BVBA joysticks after a faulty firmware version was linked to the malfunction. Users will need to have their devices upgraded.

Business Intelligence

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

Rural cardiology practices struggle to fill vacancies

Some physicians not only avoid burnout but also find fulfillment. Here’s how they do it.

Mayo Clinic, Thermo Fisher Scientific launch new AI-supported diagnostics company