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.
The Medicare Advantage insurer said the payout is equal to what a CMS audit stated was the total amount the company was overpaid for patient care services. Despite receiving the cash, the agency has yet to officially withdraw its enforcement action, as the two parties are still negotiating.
A report from Trilliant Health looking at payer data found that, as prescriptions for the popular weight loss drugs spike, so rises the number of approved benefits.
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.
Medaxiom CEO Jerry Blackwell, MD, MBA, FACC, discusses investor's interest in buying cardiology practices, noting that PE ownership remains relatively low.
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.
Atlanta General Hospital does not admit wrongdoing. However, it has agreed to settle a class-action lawsuit brought by victims of a January 2023 data breach.
AI and patient care are “top of mind” for healthcare executives in 2024. The pairing seems opportune, since the surveyed leaders see the burgeoning technology as a key tool for improving the perennial mission.
The company has entered into a definitive agreement to purchase Core Ventures, resulting in the Florida Cancer Specialists & Research Institute aligning with its oncology network.
Kaiser Permanente AI exec Daniel Yang, MD: ‘With a focus on building trust, we use AI only when it advances our core mission of delivering high-quality, affordable healthcare services.’
On Tuesday, a federal court in Texas ruled the Federal Trade Commission overstepped its statutory authority in issuing the ban. It’s been officially halted, pending appeal.
Gina Congi was told her daughter was discharged from Mercy San Juan Medical Center. A year later, Jessie Peterson’s body was found in cold storage, a pending lawsuit claims.