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.

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.
HHS-OIG audit finds that major Medicare Advantage insurers engaged in $180M of alleged upcoding
The payers in question, Humana and UnitedHealthcare, deny any wrongdoing and are not obligated to pay back any money.
$5.2B healthcare RCM giant Waystar seeking buyer, report reveals
Any negotiations are currently in the early stages, sources told Reuters. If a deal closes, Waystar could be taken off the stock market and restructure itself as a private business.
3 ways to cut specialists’ wait times without adding more specialists
Add lanes to a highway and the traffic only gets more congested. Add doctors to a local health system and waiting times increase. What explains these parallel paradoxes?

Melissa Davis, MD, MBA, Yale University, explains her research into private equity market penetration in radiology.

Concerns about private equity's growing influence in radiology

Melissa Davis, MD, vice chair of medical informatics and associate professor at Yale University’s Department of Radiology and Biomedical Imaging, shares her findings from research on private equity market penetration.

Industry Watcher’s Digest

This is the week of DeepSeek.

DOJ settles $17M kickback case with catheter supplier

Liberator Medical Supply was accused of offering doctors kickbacks, such as discounted and free supplies, in exchange for filling prescriptions with its products.

Optum UnitedHealthcare UnitedHealth Group HQ

Number of Americans impacted by Change Healthcare breach nears 200M

The last count submitted to HHS in October pegged the number at 100 million. Now that figure sits at 190 million, and the company continues its investigation.

Medicare Advantage Part C clipboard payment

CMS drops lawsuit against UnitedHealth over Medicare Advantage star rating

The Centers for Medicare & Medicaid Services appealed a court ruling that ordered the agency to change the star rating for UnitedHealthcare's Medicare Part D plans, which had been reduced due to a disputed phone call. CMS has now dropped the appeal.

Industry Watcher’s Digest

When Larry Ellison talks about healthcare AI, people invest. At least, that’s what happened after the Oracle chairman enthused over AI’s potential to cook up vaccines for cancer.

UnitedHealthcare taps company veteran as next CEO

Tim Noel is taking the reins of the insurance giant in the aftermath of the murder of its previous CEO, Brian Thompson. Noel has been with the company since 2007.

Report: 84% of healthcare organizations identified a data breach last year

Phishing incidents were the most common type of attack on a healthcare entity, which is consistent with what's seen across all industries.

Business Intelligence

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

HHS-OIG audit finds that major Medicare Advantage insurers engaged in $180M of alleged upcoding

$5.2B healthcare RCM giant Waystar seeking buyer, report reveals

3 ways to cut specialists’ wait times without adding more specialists