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.

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.
FTC settles lawsuit with Optum Rx, ending its campaign against the ‘big three’ PBMs
The agency had been suing the three largest pharmacy benefit managers over their alleged control of insulin prices. It reached agreements with CVS’ Caremark and Cigna’s Express Scripts earlier this year.
Nvidia partners with clinical note-taking company to improve suite of AI models
The collaboration between the chipmaker and Abridge, a developer of generative AI for healthcare, will involve data-sharing to improve Nvidia’s general-purpose models, which in turn will be used to make Abridge’s clinical offerings more efficient.
Humana exits $900M position in end-of-life provider Gentiva
The Kentucky-based insurance giant had owned a 40% stake in the hospice company, stemming from its 2021 acquisition of Kindred Healthcare. Humana said a “consortium of investors" is making the buy, but few details were revealed.
Longest-distance robotic cardiac telesurgery ever performed over 12,500 miles
A left internal mammary artery takedown robot-assisted heart procedure is the latest milestone for an Indian robotics company.

Mangione now faces federal charges, death penalty in murder of UHC CEO

After Luigi Mangione, the man accused of killing UnitedHealthcare CEO Brian Thompson, was extradited to New York, federal prosecutors unsealed a new set of murder charges.

CVS Health announces $10.6B acquisition of Oak Street Health

DOJ sues CVS over unlawful opioid prescriptions and reimbursement

The U.S. Department of Justice said policies at CVS Health forbade pharmacists from discussing patients and providers who may be prescribing opiates in violation of the Controlled Substance Act.

artificial intelligence AI in healthcare

Industry Watcher’s Digest

Nurses are making their peace with workplace AI.

Data breach at chain of clinics impacts 450K patients

The Center for Vein Restoration has notified patients about a data breach that occurred in October, exposing financial and medical information on patients from across the U.S.

Mangione charged with terrorism-related murder in UnitedHealthcare CEO killing

A grand jury in New York has indicted Luigi Mangione, 26, on 11 charges, including murder in the first degree.

Industry Watcher’s Digest

Will the second Trump Administration manage AI’s risks—or ‘unshackle’ AI’s potential?

artificial intelligence AI healthcare regulation FDA

Healthcare AI regulation needs nuance, balance: Research review

When regulating AI-equipped medical devices, the FDA might take a page from the Department of Transportation’s playbook for overseeing AI-equipped vehicles. These run the gamut from assisting human drivers to fully taking the wheel.

Christmas ransomware exposed over 300K patient records to dark web

Last Christmas, Anna Jaques Hospital in Massachusetts suffered a ransomware attack. Now, nearly a year later, it confirms hackers stole personal information on 316,342 patients.

Business Intelligence

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

FTC settles lawsuit with Optum Rx, ending its campaign against the ‘big three’ PBMs

Nvidia partners with clinical note-taking company to improve suite of AI models

Humana exits $900M position in end-of-life provider Gentiva

Longest-distance robotic cardiac telesurgery ever performed over 12,500 miles