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.

Medtronic acquires non-opioid nerve pain treatment company for $650M
The acquisition of SPR Therapeutics will allow Medtronic to expand its portfolio of neuromodulator medical devices. The deal is expected to close in 2027.
Medicare Advantage grows into a $10B-plus opportunity for go-getter brokers selling plans for private insurers
These third-party marketers earn commissions from their insurer clients not only upon initial signups but also every time “their” enrollees renew without changing plans.
Trump’s SEC eliminates 50-year-old ‘gag rule’ for enforcement settlements
The agency cited free speech as its reasoning for rescinding the long-standing policy. While in place, the rule barred companies that agreed to settlements with the Securities and Exchange Commission from publicly denying allegations made by regulators.
Why RadNet is betting heavily on AI to reshape radiology workflows
RadNet Chaiman and CEO Howard Berger, MD, explains why the company has invested tens of millions into DeepHealth to rapidly build up a new business model.
Optum Rx outlines changes to PBM business model, promising price transparency
The company made the changes after its manufacturer rebates for insulin were challenged by the Federal Trade Commission. Among other shifts, Optum said 100% of all rebates will be distributed to customers by 2028.

Optum UnitedHealthcare UnitedHealth Group HQ

UnitedHealth, Amedisys ask federal judge to dismiss DOJ lawsuit blocking $3.3B merger

The companies argue that the U.S. Department of Justice has failed to adequately demonstrate how, and in which regions of the country, the merger would harm competition. They are asking a federal court to throw out the case.

UnitedHealth shareholders push company to report on impact of claims denials

The motion is being advanced by religious groups and hedge funds alike, with the decision to develop a report set to be voted on at the UnitedHealth Group 2025 annual meeting.

Healthcare private equity reporting act signed into law by Mass. governor

The new law will require private equity firms to make disclosures related to organizational structure and finances if they intend to operate a medical facility or provider organization in the state.

Industry Watcher’s Digest

Is AI adoption a marathon or a sprint?

Healthcare systems set up at the ACC.24 career fair in hopes of filling open positions, including a large and growing number of general cardiologist positions. Photo by Dave Fornell #ACC24 #ACC2024

Healthcare, AI top list of fastest growing jobs

While artificial intelligence engineers and consultants took the top two spots, physical therapists and advanced practice providers also landed among the 25 fastest growing jobs in the U.S.

$49B in medical debt to be erased from credit reports

A new final rule from the Consumer Financial Protection Bureau bans reporting agencies from including medical debts on credit reports or factoring them into credit scores.

$3.3B merger of UnitedHealth and Amedisys delayed by DOJ lawsuit

The new deadline for the deal to be finalized is Dec. 31, 2025. However, the ultimate fate of UnitedHealth's acquisition of Amedisys will be decided in a federal court.

artificial intelligence AI infrastructure

Industry Watcher’s Digest

New Year’s Day brought the go-live for California’s new law forbidding the use of AI to deny health insurance claims.

Business Intelligence

Medtronic acquires non-opioid nerve pain treatment company for $650M

Medicare Advantage grows into a $10B-plus opportunity for go-getter brokers selling plans for private insurers

Trump’s SEC eliminates 50-year-old ‘gag rule’ for enforcement settlements

Why RadNet is betting heavily on AI to reshape radiology workflows

Optum Rx outlines changes to PBM business model, promising price transparency