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.

artificial intelligence pharmaceutical industry

Industry Watcher’s Digest

Buzzworthy developments of the past few days.

Industry Watcher’s Digest

Buzzworthy developments of the past few days.

google cloud mayo clinic artificial intelligence

What the heck? (And what else tech watchers are saying about Google’s glaring fumble with Gemini)

When asked to depict people by various descriptors, the image generator delivered lots of results that were unintentionally hilarious for their wild inaccuracy.

CMS rule proposed for 2025 offers big upsides for dually eligible individuals: Analysis

Patient advocates state the updated governance would not only integrate coverage for underserved populations but also clamp down on the “games” that Medicare Advantage plans have been known to “play” with Medicaid patients.

Industry Watcher’s Digest

Buzzworthy developments of the past few days.

As Nvidia’s worth hits the stratosphere, AI innovators eyeball new orbits

Here’s what people have been saying about Nvidia’s gradual-then-sudden rise to riches—and what it says about expectations around AI in 2024.

uchealth sues patients for unpaid medical bills faces public scrutiny

Academic medical institution sues patients for unpaid medical bills, faces hot light of public scrutiny

The largest hospital system in a large Western state is feeling the heat of negative publicity over how it goes after patients who owe the system money.

The Reprieve System using intelligent software and automation to manage diuretic dosing and fluid replacement for patients with acute decompensated heart failure (ADHF).

Heart failure startup emerges with $42 million in financing for its intelligent fluid management system

Reprieve Cardiovascular emerged from stealth mode this week with sizable financial backing and some big name board members to advance development for its intelligent, automated diuretic and fluid management system for heart failure.

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