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.
The Medicare Advantage insurer said the payout is equal to what a CMS audit stated was the total amount the company was overpaid for patient care services. Despite receiving the cash, the agency has yet to officially withdraw its enforcement action, as the two parties are still negotiating.
A report from Trilliant Health looking at payer data found that, as prescriptions for the popular weight loss drugs spike, so rises the number of approved benefits.
State Attorney General James Uthmeier is forcing the company to hand over thousands of documents related to its pharmacy contracts and reimbursement policies to see if the retail giant is abusing its position in the market as both a pharmacy benefit manager and a retail chain of drug stores.
Medaxiom CEO Jerry Blackwell, MD, MBA, FACC, discusses investor's interest in buying cardiology practices, noting that PE ownership remains relatively low.
Looking at the three largest Medicaid managed care plans related to maternal health, the Office of Inspector General found instances of ineligible providers being included in directories, as well as other errors such as incorrect contact information.
Variation in head CT use may be unnecessarily overtaxing hospital resources and increasing costs to patients, according to a new study from Brigham and Women's Hospital and Harvard Medical School.
Breast pain alone is not necessarily an underlying indication of breast cancer, say Boston University researchers; thus, physicians who order repeat diagnostic studies for women exhibiting this lone symptom may not be doing them any good.
A new study from MDx, the medical diagnostics business of GE, demonstrates strides the company has taken to reduce radiation exposure and iodine concentration in abdominal CT scan patients.
Emily Sonnenblick, MD, a co-founder of New York City's Rosetta Radiology, is among three women honored this week as "Mother of the Year" by the American Cancer Society.
A new study published this month in the American Journal of Roentgenology adds to the ongoing debate over whether the availability of prior imaging exams makes a difference in utilization.
The national coordinator for health information technology fired back against a study published this week in Health Affairs, which stated that electronic health records may actually lead to more diagnostic testing rather than less.