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.

Samsung buys Xealth to integrate consumer wearables and clinical data
Xealth’s data sharing platform will be used to make use of health information gathered from everyday devices like the Samsung Galaxy Smartwatch, the companies said.
CVS hit with $949M judgment over fraudulent Omnicare prescriptions
The pharmacy chain said it plans to appeal the ruling. The complaint was brought by a former employee turned whistleblower who alleged that Omnicare had billed the government for millions of unnecessary prescriptions.
Report: DOJ questioning doctors linked to possible Medicare fraud at UnitedHealth
According to the Wall Street Journal, the OIG and FBI are also involved in the DOJ's criminal probe into alleged incidents of upcoding by the Medicare Advantage insurer. UnitedHealth denied any wrongdoing.
Private equity firm buys health data analytics company Arcadia
With the buyout, global private equity investor Nordic Capital makes a big bet on healthcare AI. Arcadia said the influx of cash will be used to improve its technology and find new sources for data it can use for quality care initiatives.
Healthcare AI today: Mayo book, fraud busting, ‘shapeless monsters,’ more
Some AI researchers have taken to calling certain LLMs ‘Shoggoths.’ Be afraid. Be very afraid.

Credentialing is burdening small hospitals—and underserved communities pay the price

There is no way to automate the credential check when a hospital hires a new provider, and the process can sometimes take months to do manually.

Senators introduce bill to criminalize private equity ‘looting’ in healthcare

Senators Ed Markey and Elizabeth Warren are co-sponsoring legislation that would put executives in jail if their business practices result in the death of a patient.

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Industry Watcher’s Digest

Buzzworthy developments of the past few days.

CVS Health announces $10.6B acquisition of Oak Street Health

CVS generic drugs twice as likely to be recalled over safety concerns, investigation finds

CVS generics have been linked to more than 15 manufacturers cited for producing allegedly contaminated drugs.

Coalition seeks to simplify prior authorizations and improve Medicare Advantage coverage

More than 380 organizations have expressed support for the bipartisan Improving Seniors’ Timely Access to Care Act, which unanimously passed a House vote in 2022.

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Industry Watcher’s Digest

Buzzworthy developments of the past few days.

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California bill: Private equity firms must seek AG approval for healthcare buyouts

California Assembly bill AB-3129 requires private equity investors to send an application to the state attorney general 90 days before they purchase a hospital or provider group.

Industry Watcher’s Digest

Buzzworthy developments of the past few days.

Business Intelligence

Samsung buys Xealth to integrate consumer wearables and clinical data

CVS hit with $949M judgment over fraudulent Omnicare prescriptions

Report: DOJ questioning doctors linked to possible Medicare fraud at UnitedHealth

Private equity firm buys health data analytics company Arcadia

Healthcare AI today: Mayo book, fraud busting, ‘shapeless monsters,’ more