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.

Some physicians not only avoid burnout but also find fulfillment. Here’s how they do it.
Of surveyed and interviewed U.S. physicians who showed significant six-month improvement in follow-up vs. baseline wellness checks, 47% attributed the gain to active personal changes. Not far behind were those who credited active work-related changes—40% of the field.
Mayo Clinic, Thermo Fisher Scientific launch new AI-supported diagnostics company
The new entity, Precure, will be owned by both groups. Its work in detecting early disease for timely intervention stems from a research project launched this summer. The Mayo Clinic said Precure will make the results of that initiative actionable.
HHS-OIG audit finds that major Medicare Advantage insurers engaged in $180M of alleged upcoding
The payers in question, Humana and UnitedHealthcare, deny any wrongdoing and are not obligated to pay back any money.
$5.2B healthcare RCM giant Waystar seeking buyer, report reveals
Any negotiations are currently in the early stages, sources told Reuters. If a deal closes, Waystar could be taken off the stock market and restructure itself as a private business.
3 ways to cut specialists’ wait times without adding more specialists
Add lanes to a highway and the traffic only gets more congested. Add doctors to a local health system and waiting times increase. What explains these parallel paradoxes?

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?

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.

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.

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.

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 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.

Business Intelligence

Some physicians not only avoid burnout but also find fulfillment. Here’s how they do it.

Mayo Clinic, Thermo Fisher Scientific launch new AI-supported diagnostics company

HHS-OIG audit finds that major Medicare Advantage insurers engaged in $180M of alleged upcoding

$5.2B healthcare RCM giant Waystar seeking buyer, report reveals

3 ways to cut specialists’ wait times without adding more specialists