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.

Hospital system sues UnitedHealth over ‘denied, delayed’ Medicare Advantage reimbursement
Tennessee-based Ballad Health said it's tried for years to resolve the issues with the insurer but now has 'no choice' but to take legal action, as denied claims are leading to longer hospital stays and higher expenses.
Humana, Providence unveil interoperable data-sharing framework
The two companies said their model for exchanging payer and provider data will be “easily replicable” and could be adopted across the healthcare space. The initial rollout of the system will be focused on automatically identifying Medicare Advantage patients.
Combined AI chatbot, telehealth app earns $25M investment
Physician-founded Counsel Health said it will use the funds to hire more doctors as it expands the userbase for its AI, which allows patients to ask questions and get answers from a real doctor.
CVS finalizes buyout of Rite Aid prescription data, 63 retail stores
The prescription information comes from 626 pharmacies in 15 states. CVS said it could gain access to 9 million new customers.
Johnson & Johnson to spin off $9.2B DePuy orthopedics division into independent company
The division develops and manufactures knee and hip replacements, along with other surgical implants. J&J said it will separate DePuy within 18 to 24 months, at which point it will be the largest orthopedics company in the world.

$3.3B merger of UnitedHealth and Amedisys delayed by DOJ lawsuit

The new deadline for the deal to be finalized is Dec. 31, 2025. However, the ultimate fate of UnitedHealth's acquisition of Amedisys will be decided in a federal court.

artificial intelligence AI infrastructure

Industry Watcher’s Digest

New Year’s Day brought the go-live for California’s new law forbidding the use of AI to deny health insurance claims.

FDA AI enabled medical devices approval clearance

FDA to hopeful marketers of AI-equipped medical devices: Think beyond your initial approval

Some FDA-approved medical devices age more safely than others. That’s no less true of AI-enabled technologies than of any others. The agency spells out the ramifications in draft guidance issued this week.

Mayo Clinic sues insurer over $740K in medical bills for patient

The nonprofit health system accused Sanford Health Plan of failing to pay for a patient’s 52 days of treatment, despite approval and authorization.

Industry Watcher’s Digest

Hospital boards of trustees should be grilling their CEOs about AI.

artificial intelligence ai in healthcare

5 healthcare AI predictions for 2025 from Wolters Kluwer Health

Watch for healthcare AI to increase its footprint in the patient-safety domain over the coming year.

infrastructure for AI emerging technologies

Industry Watcher’s Digest

Healthcare AI startups that earn FDA approval are like jobseekers after landing a new job.

2024 in AI weirdness: ‘Insane’ ChatGPT and mutant rat genitals were only the beginning

The past 12 months have brought numerous exciting advances involving AI and related emerging technologies. Let us not fail to take a short last look at some of the more spectacular flops.

Business Intelligence

Hospital system sues UnitedHealth over ‘denied, delayed’ Medicare Advantage reimbursement

Humana, Providence unveil interoperable data-sharing framework

Combined AI chatbot, telehealth app earns $25M investment

CVS finalizes buyout of Rite Aid prescription data, 63 retail stores

Johnson & Johnson to spin off $9.2B DePuy orthopedics division into independent company