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.

Private equity unlikely to dominate cardiology despite hype
Medaxiom CEO Jerry Blackwell, MD, MBA, FACC, discusses investor's interest in buying cardiology practices, noting that PE ownership remains relatively low.
OIG warns of ‘ghost network’ trouble in maternal health managed care
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.
OhioHealth agrees to void contracts that allegedly punished payers for including competitors in-network
The U.S. Department of Justice said the settlement will save citizens of the state money and open up the market to competition.
Major private payer encouraging employees to leave willingly
The largest Medicaid-specialized managed care organization in the U.S. is offering buyout packages to most of its 60,000 or so staff workers.
‘Epic’ trademark lawsuit leaves healthcare staffing firm without a name
Epic Systems, the market leading EHR vendor, sued California-based Epic Staffing in 2024, arguing that the company’s name created confusion in the market. The lawsuit was settled out of court, with the employment firm agreeing to a full rebrand.

FTC halts case against PBMs, citing lack of commissioners

The FTC has back-burnered its price collusion case against CVS Caremark, Optum Rx and Express Scripts after significant staff departures at the agency left it uncertain how to proceed.

Oracle Health denies cloud breached as second attack confirmed

Questions remain about the alleged breach on a legacy server at Oracle Health, as the nature of the attacks and scope of stolen data are still being investigated.

Healthcare AI newswatch: Apple’s AI Doctor, AI’s expectant medical specialties, AI-watching teens, more

Apple’s AI Doctor had better be one good virtual physician.

Data breach at Oracle Health leads to extortion of hospitals

A legacy server accessed with stolen credentials is being blamed for the incident. However, the nature and scope of the attack are still being investigated, with Oracle reportedly working with the FBI to gather details.

Optum UnitedHealthcare UnitedHealth Group HQ

Change Healthcare files to have federal lawsuits dismissed

There are at least 65 consolidated cases pending in federal courts that stem from the 2024 data breach on the claims processor's network. A judge in Minnesota has asked that the lawsuits be coordinated and consolidated as much as possible.

betting big on AI artificial intelligence in healthcare

Healthcare AI newswatch: Great expectations for GenAI, disaster-ready AI, Dr. Oz on payer AI, more

Investors are betting on generative AI to solve costly provider workflow inefficiencies. So are provider executives.

wearable health AI artificial intelligence

When health accessories grow up, they want to be wearable AI

Wearable health gadgets equipped with AI present myriad opportunities and challenges to healthcare consumers and the healthcare professionals who diagnose, treat and track them.

ISIS is not launching terrorist attacks against hospitals, FBI says

Trade groups released a statement denying the claim's credibility, but they fear some may be inspired by a widely shared social media post.

Business Intelligence

Private equity unlikely to dominate cardiology despite hype

OIG warns of ‘ghost network’ trouble in maternal health managed care

OhioHealth agrees to void contracts that allegedly punished payers for including competitors in-network

Major private payer encouraging employees to leave willingly

‘Epic’ trademark lawsuit leaves healthcare staffing firm without a name