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.

Hospital system sues UnitedHealth over ‘denied, delayed’ Medicare Advantage reimbursement
Tennessee-based Ballad Health said it's tried for years to resolve the issues with the insurer but now has 'no choice' but to take legal action, as denied claims are leading to longer hospital stays and higher expenses.
Humana, Providence unveil interoperable data-sharing framework
The two companies said their model for exchanging payer and provider data will be “easily replicable” and could be adopted across the healthcare space. The initial rollout of the system will be focused on automatically identifying Medicare Advantage patients.
Combined AI chatbot, telehealth app earns $25M investment
Physician-founded Counsel Health said it will use the funds to hire more doctors as it expands the userbase for its AI, which allows patients to ask questions and get answers from a real doctor.
CVS finalizes buyout of Rite Aid prescription data, 63 retail stores
The prescription information comes from 626 pharmacies in 15 states. CVS said it could gain access to 9 million new customers.
Johnson & Johnson to spin off $9.2B DePuy orthopedics division into independent company
The division develops and manufactures knee and hip replacements, along with other surgical implants. J&J said it will separate DePuy within 18 to 24 months, at which point it will be the largest orthopedics company in the world.

AI represents the single biggest opportunity to fundamentally transform healthcare since antibiotics.

Brainstorm, collaborate to save healthcare AI from a ‘failure of imagination’

The suggestion comes from a strategic communications professional who specializes in thinking creatively about how to unlock opportunities—including those that are, at present, hard to see.

House lawmakers want to relax ban on physician-owned hospitals

The bipartisan Physician Led and Rural Access to Quality Care Act would amend the Social Security Act to allow physicians to open new hospitals in hard-to-reach communities.

Medicare Money dollar payment reimbursement

Humana buys stake in Healthpilot to expand Medicare Advantage portfolio

Healthpilot will remain an independent, payer-agnostic company despite Humana’s minority stake.

Nationwide IT outage leaves hospitals without EHRs

Many hospitals that use Epic were unable to access services, forcing them to operate on pen-and-paper and cancel non-emergency care delivery. The disruption was caused by an error with security vendor CrowdStrike.

Industry Watcher’s Digest

Buzzworthy developments of the past few days: Mayo Clinic leads the league in AI readiness

healthcare money economics dollar stethoscope acquire merger

Private equity firms back less than 4% of healthcare providers, report finds

According to an analysis from PitchBook, providers backed by private equity make up only 3.3% of the total market by revenue.

Industry Watcher’s Digest

Buzzworthy developments of the past few days. The Sam Altman-Arianna Huffington ‘AI health coach’ has attracted detractors ...

DOJ investigating Steward Health Care over ties to foreign government

Citing two sources familiar with the matter, journalists at CBS News said the health system is suspected of violating the Foreign Corrupt Practices Act. No charges have been filed.

Business Intelligence

Hospital system sues UnitedHealth over ‘denied, delayed’ Medicare Advantage reimbursement

Humana, Providence unveil interoperable data-sharing framework

Combined AI chatbot, telehealth app earns $25M investment

CVS finalizes buyout of Rite Aid prescription data, 63 retail stores

Johnson & Johnson to spin off $9.2B DePuy orthopedics division into independent company