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.

artificial intelligence AI in healthcare

Healthcare AI newswatch: UnitedHealth hearts AI, agentic AI again, healthcare AI dependency, more

Give healthcare workers AI to do their jobs and you might make them AI-dependent. Give them AI anyway?

Humana

DOJ sues Aetna, Humana and Elevance for allegedly paying illegal kickbacks

The three insurance giants are accused of conspiring with brokers to enroll profitable patients in Medicare Advantage plans, in exchange for "hundreds of millions" in kickbacks.

overpromising AI artificial intelligence capabilities

Healthcare AI newswatch: Devices of unknown generalizability, promises of uncertain keepability, more

Overpromising AI capabilities to hospital stakeholders—now there’s a mistake healthcare AI enthusiasts have been known to make.

Photo of a closed hospital

AHA warns ‘perfect storm’ threatens hospitals with rising costs, reimbursement cuts

In a new report, the AHA said strains from President Trump’s tariffs and struggles with Medicare Advantage plans are creating “financial headwinds” that could shake the economic stability of hospitals nationwide. 

Aetna

CVS Health’s Aetna to withdraw from ACA insurance marketplaces next year

The company cited declining enrollment as the reason for exiting the exchanges, including from patients seeking Medicare options. 

Optum UnitedHealthcare UnitedHealth Group HQ

Optum names pediatrician and healthcare policy veteran as new CEO

Patrick Conway, MD, has been with Optum since 2020, previously serving in federal healthcare agencies under George W. Bush and Barack Obama. He takes over as the company’s new CEO, effective May 6.

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Blue Shield’s advertising integration exposes data on 4.7M members to Google

The insurer said its connection to Google Analytics and Google Ads led to the sharing of personal protected information, including patient names and details on their health plans. 

GE HealthCare

GE HealthCare expects $500M revenue reduction from tariffs

Despite newly implemented tariffs, the manufacturer says it was profitable in Q1 of 2025, but a greater impact on its operations looms later this year.