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.

Industry Watcher’s Digest

Buzzworthy developments of the past few days.

transparency in artificial intelligence CDRH

Healthcare stakeholders to AI-equipped devices: We don’t trust you if we don’t know what you don’t know

It’s not easy to get patients, providers, payers, vendors and regulators to agree on any one aspect of healthcare delivery. But the CDRH recently managed to get everyone to settle on a working definition of transparency.

Industry Watcher’s Digest

Buzzworthy developments of the past few days.

If you haven’t met your chief AI officer yet, chances are you soon will

Members of C-suites around the world are making room for a new teammate: the CAIO. In healthcare, some organizations are hiring for the even more specialized position of CHAIO, for chief health AI officer.

kaufman hall financial forecast healthcare

Finance specialists: In 2024, hospitals and health systems ‘will not be able to cut their way to profitability’

Along with the obvious hits to patient traffic and population health, the COVID-19 pandemic delivered a financial upending to U.S. healthcare. Is it over yet?

24 hospitals earn ‘A+’ or ‘A’ for overall performance

Going by criteria set and applied by Money magazine, only two of America’s 6,000 or so hospitals deserve the title “best of the best.”

food insecurity social determinants of health

Instacart, DispatchHealth launch joint effort to mitigate food insecurity

A grocery-delivery giant is partnering with a commercial provider of medical house calls to bring healthy meals to patients in their homes.

Amazon rolls out proactive virtual care for undermanaged chronic conditions

Next time you browse Amazon for a health-related product, don’t be surprised when you get prompted to consider consulting with a personal care team.

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