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.

Florida probes CVS Health in latest crackdown on PBMs
State Attorney General James Uthmeier is forcing the company to hand over thousands of documents related to its pharmacy contracts and reimbursement policies to see if the retail giant is abusing its position in the market as both a pharmacy benefit manager and a retail chain of drug stores.
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.

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.

2024 in AI weirdness: ‘Insane’ ChatGPT and mutant rat genitals were only the beginning

The past 12 months have brought numerous exciting advances involving AI and related emerging technologies. Let us not fail to take a short last look at some of the more spectacular flops.

artificial intelligence ai in healthcare coding

Industry Watcher’s Digest

Who is Sriram Krishnan, and why is he headed to the White House?

artificial intelligence pharmaceutical industry

Q&A: Proposed changes to Social Security Act would recognize pharmacists as healthcare providers

Pharmacist Jason Ausili discusses the expanding role of pharmacies as one-stop-shop patient care centers for every community.

10 signs AI is ‘eating the world (of venture capital)’

Some investment analysts are predicting a more permissive M&A market, deregulation as a catalyst for growth and fiscal policies that stimulate economic activity. And they see AI as a catalyst in the shift.

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.

Business Intelligence

Florida probes CVS Health in latest crackdown on PBMs

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