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.

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.
As Americans tuck into supplements like their health depends on it, specialized products are displacing multivitamins
Some of today’s most popular products promise better immune, adaptogenic, anti-inflammatory, gut, skin or joint health—or combinations of two or more of the above.
Express Scripts sues Tennessee over PBM law that would close specialty pharmacy
The company called the state’s regulation of pharmacy benefit managers “shortsighted,” as it would force the closure of Accredo, a specialty drug dispensary that supplies drugs it says aren’t available anywhere else in the state.

$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.

FDA AI enabled medical devices approval clearance

FDA to hopeful marketers of AI-equipped medical devices: Think beyond your initial approval

Some FDA-approved medical devices age more safely than others. That’s no less true of AI-enabled technologies than of any others. The agency spells out the ramifications in draft guidance issued this week.

Mayo Clinic sues insurer over $740K in medical bills for patient

The nonprofit health system accused Sanford Health Plan of failing to pay for a patient’s 52 days of treatment, despite approval and authorization.

Industry Watcher’s Digest

Hospital boards of trustees should be grilling their CEOs about AI.

artificial intelligence ai in healthcare

5 healthcare AI predictions for 2025 from Wolters Kluwer Health

Watch for healthcare AI to increase its footprint in the patient-safety domain over the coming year.

infrastructure for AI emerging technologies

Industry Watcher’s Digest

Healthcare AI startups that earn FDA approval are like jobseekers after landing a new job.

Business Intelligence

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

As Americans tuck into supplements like their health depends on it, specialized products are displacing multivitamins

Express Scripts sues Tennessee over PBM law that would close specialty pharmacy