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.

Samsung buys Xealth to integrate consumer wearables and clinical data
Xealth’s data sharing platform will be used to make use of health information gathered from everyday devices like the Samsung Galaxy Smartwatch, the companies said.
CVS hit with $949M judgment over fraudulent Omnicare prescriptions
The pharmacy chain said it plans to appeal the ruling. The complaint was brought by a former employee turned whistleblower who alleged that Omnicare had billed the government for millions of unnecessary prescriptions.
Report: DOJ questioning doctors linked to possible Medicare fraud at UnitedHealth
According to the Wall Street Journal, the OIG and FBI are also involved in the DOJ's criminal probe into alleged incidents of upcoding by the Medicare Advantage insurer. UnitedHealth denied any wrongdoing.
Private equity firm buys health data analytics company Arcadia
With the buyout, global private equity investor Nordic Capital makes a big bet on healthcare AI. Arcadia said the influx of cash will be used to improve its technology and find new sources for data it can use for quality care initiatives.
Healthcare AI today: Mayo book, fraud busting, ‘shapeless monsters,’ more
Some AI researchers have taken to calling certain LLMs ‘Shoggoths.’ Be afraid. Be very afraid.

Louisiana insurer ordered to pay $421M for breast reconstruction surgeries

Blue Cross and Blue Shield of Louisiana failed to fully reimburse St. Charles Surgical Hospital for 7,800 procedures, despite authorizing them.

Walmart workers sue over tobacco fees levied for health plan trust

The class action lawsuit argues employees cannot escape the fees even after they stop using tobacco, a violation of labor regulations.

artificial intelligence AI in healthcare

Industry Watcher’s Digest

Primary care could use a break. AI might be able to supply it.

artificial intelligence AI in the C suite

It’s 2024. Does the C-suite know—or care—what workers are doing with generative AI?

In the rush to do something, anything with AI, are America’s business leaders playing fast and loose with the risks?

Epic sued by interoperability startup following dispute over patient data

Particle Health has accused Epic Systems of monopolistic business practices that hinder data-driven initiatives to improve patient care. Epic calls the complaint “baseless.”

FDA announces Class I recall for compounding inlets due to risk of death

Baxter’s disposable inlets for automated compounding systems could pose a serious risk to patients if not properly inspected before use.

Q&A: Healthcare attorney skeptical of California’s new private equity regulation

AB 3129 grants the Attorney General of California oversight of private equity transactions in healthcare. An attorney with Holland & Knight is concerned about the unintended consequences of the proposed law.

Atrium Health forgives patient debts, withdraws liens on 11,500 homes

The nonprofit hospital system stopped suing patients in 2022 and called debt cancellation the “next logical step.”

Business Intelligence

Samsung buys Xealth to integrate consumer wearables and clinical data

CVS hit with $949M judgment over fraudulent Omnicare prescriptions

Report: DOJ questioning doctors linked to possible Medicare fraud at UnitedHealth

Private equity firm buys health data analytics company Arcadia

Healthcare AI today: Mayo book, fraud busting, ‘shapeless monsters,’ more