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.

Medicare Advantage insurer accused of upcoding by a whistleblower settles False Claims Act lawsuit for $22.5M
Independence Blue Cross, the largest medical insurance provider in the Philadelphia area, does not admit to wrongdoing. It was accused in a lawsuit backed by the U.S. Department of Justice of misrepresenting the severity of patient illnesses to juice risk-adjusted Medicare payments.
Housing AI company hits $4B valuation as it expands into healthcare
With its $350M in new funding, EliseAI said it plans to build out its technology and sales force. It currently works with specialty provider groups to automate practice operations such as scheduling and insurance verification.
Rural cardiology practices struggle to fill vacancies
A new survey put a spotlight on the staffing issues rural cardiology practices and health systems face on a daily basis.
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.

veterans health administration efficiency

DOD contractor hit with $11M fine for health data mismanagement

A U.S. military contractor has agreed to an $11.2 million settlement with the U.S. Department of Justice to resolve allegations it lied about properly securing sensitive patient data tied to the Tricare program.

UnitedHealth pushes back against shareholder transparency proposal

In an SEC filing, the insurer argues that requests by investors for more reporting on claims denials may already be satisfied through its regulatory compliance processes.

shocked surprised social media post defamation

UnitedHealth hires law firm, demands doctor recant statements on social media

According to a report from Bloomberg Law, UnitedHealth has hired a prestigious defamation law firm to police what it deems as misinformation posted online.

Healthcare AI newswatch: UnitedHealth lawsuit, humanized medical AI, mobile AI care clinics, more

A federal judge has vacated five of seven complaints against UnitedHealth Group—yet is allowing the AI-implicated suit to advance.

Superbowl GEHA Field at Arrowhead Stadium

Nonprofit academic hospital receives criticism after running Super Bowl ad

U.S. House Rep. Greg Murphy, MD (R-NC), scolded the CEO of NYU Langone for buying the expensive ad, requesting in an open letter that the hospital release financial data related to its cost.

Private equity tied to 21% of healthcare bankruptcies for second consecutive year

New data from the Private Equity Stakeholder Project reveals that, while 11% of all-sector bankruptcies were filed by organizations with a history of ownership by investment firms, that number rises to 21% for healthcare.

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Mexico, not China, is biggest tariff concern among radiology vendors

If 25% tariffs go into effect, it could have a big impact on the cost of medical imaging and radiotherapy systems, with many manufacturing facilities in Mexico.

artificial intelligence money finance acquisition

Report: Johnson & Johnson wants to sell its stroke business for more than $1B

Johnson & Johnson has reportedly had early discussions with potential buyers about its Cerenovus division of stroke products.

Business Intelligence

Medicare Advantage insurer accused of upcoding by a whistleblower settles False Claims Act lawsuit for $22.5M

Housing AI company hits $4B valuation as it expands into healthcare

Rural cardiology practices struggle to fill vacancies

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