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.

Private equity unlikely to dominate cardiology despite hype
Medaxiom CEO Jerry Blackwell, MD, MBA, FACC, discusses investor's interest in buying cardiology practices, noting that PE ownership remains relatively low.
OIG warns of ‘ghost network’ trouble in maternal health managed care
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.
OhioHealth agrees to void contracts that allegedly punished payers for including competitors in-network
The U.S. Department of Justice said the settlement will save citizens of the state money and open up the market to competition.
Major private payer encouraging employees to leave willingly
The largest Medicaid-specialized managed care organization in the U.S. is offering buyout packages to most of its 60,000 or so staff workers.
‘Epic’ trademark lawsuit leaves healthcare staffing firm without a name
Epic Systems, the market leading EHR vendor, sued California-based Epic Staffing in 2024, arguing that the company’s name created confusion in the market. The lawsuit was settled out of court, with the employment firm agreeing to a full rebrand.

Northwell Health launches film studio backed by Creative Artists Agency

The newly founded Northwell Studios will work on documentary and scripted projects that creatively “humanize” the healthcare experience for patients and clinicians.

M&A mergers and acquisitions business deal

Molina Healthcare to buy Connecticut insurer for $350M

The cost represents “25% of expected 2024 premium revenue of $1.4 billion,” with Molina adding 140,000 members through plans in the state.

Industry Watcher’s Digest

Physicians shouldn’t think of AI as a tool to wield and sharpen. They should think of it as a medical student to mold and mentor.

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

Business Intelligence

Private equity unlikely to dominate cardiology despite hype

OIG warns of ‘ghost network’ trouble in maternal health managed care

OhioHealth agrees to void contracts that allegedly punished payers for including competitors in-network

Major private payer encouraging employees to leave willingly

‘Epic’ trademark lawsuit leaves healthcare staffing firm without a name