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.

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Employer-sponsored health plans to see 7% jump in premiums, survey finds

Consulting firm Mercer said employers are prepared to deploy cost-cutting measures, including better management of high-cost claims. However, Americans who get insurance through their workplace are likely to face higher out-of-pocket expenses, such as co-pays and deductibles.

house of representatives hearing AI in healthcare

Healthcare AI today: Healthcare AI on Capitol Hill, hospital leadership’s eye on AI, publicly traded AI recalls, more

AI could appreciably improve the delivery of healthcare services to patients—if only people trusted it. For many, the difference-maker would be nicely crafted federal regulations. 

FDA designates recall of Hamilton breathing circuits a Class I

Two lots of breathing circuits manufactured by Hamilton Medical have a defect that could cause the tubing to splinter. The affected devices must be quarantined, as they cannot be safely used on patients.

DOJ accuses nonprofit nursing homes of providing ‘grossly substandard’ care

Four nursing homes operated by ProMedica Health System are alleged to have failed to adequately feed patients, treat wounds and keep patients clean. The DOJ said the facilities falsified records to cover their tracks.

CVS Health announces $10.6B acquisition of Oak Street Health

Massachusetts settles $12M lawsuit against CVS over alleged drug overpricing

The pharmacy chain also agreed to perform an annual audit of billed drug prices to ensure it does not run afoul of the state’s “Most Favored Nation” policy. 

chatgpt artificial intelligence healthcare

Healthcare AI today: Bad diet advice from LLMs, ‘Dawn’ working on cancer vaccine, Generative AI earns $50M, OpenAI’s healthcare push

OpenAI, the developer of ChatGPT, has made a couple of big hires as it prepares for a major expansion into healthcare.

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Report: DOJ investigating business practices of UnitedHealth’s Optum Rx

Bloomberg said the pharmacy benefit manager is being probed as part of a larger look into the “prescription management services” of UnitedHealth. According to sources, this may be related to an ongoing investigation into alleged instances of Medicare Advantage upcoding.

Drugs money scam

New $6B Eversana looks to bypass PBMs and lower drug prices

A merger between Eversana and Waltz Health will create a new entity that CEO Mark Thierer says will upend the “existing oligopoly that I helped build.”