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.

UnitedHealthcare bucks Medicare, ends reimbursement for most RPM services
Starting in 2026, patients covered by UnitedHealthcare's Medicare Advantage and commercial plans will not have care reimbursed for instances of remote patient monitoring, unless they have diagnosed heart failure or are pregnant and experiencing hypertension. The shift stands at odds with traditional Medicare, which added new claims codes for providers to use next year.
Healthcare supply giant Medline announces IPO, valued at $50B
The company announced its IPO filing on Tuesday. Medline said it expects new investors to bring in a $5 billion influx of funds. A date has not been set for the stock’s listing on NASDAQ.
Former CEO of Unite Us tapped as CMS’ Medicaid and CHIP lead
Dan Brillman, the former CEO and co-founder of coordinated care support service Unite Us, has left his position for a role in the Centers for Medicare & Medicaid Services, where he will be responsible for overseeing the federal government's safety net healthcare programs.
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.

Credit forecast: Hospitals will recover only slowly from lingering ‘labor-demic’

In its annual outlook report released this week, Fitch Ratings says the coming calendar year will probably strike much of the sector as “another make or break” period.

Industry Watcher’s Digest

Buzzworthy developments of the past few days.

Healthcare hiring may save the US economy

If the country avoids slipping into an economic recession over the next few months or even years, it could have the healthcare job market to thank.

Industry Watcher’s Digest

Buzzworthy developments of the past few days.

Even facing hefty fines, many hospitals punt on price transparency. Why is that?

Seeking to uncover the rationale driving hospitals to flout compliance, researchers interviewed hospital informants at 12 nonprofit institutions.

Amazon expands telehealth presence, offers primary care for $9 a month

Televisits will cost $9 a month or $99 per year and are facilitated by One Medical.

Industry Watcher’s Digest

Buzzworthy developments of the past few days.

ChatGPT neurology interview with neurologist

Experienced neurologist interviews generative AI, comes away impressed but not intimidated

ChatGPT can be a little sneaky. Recently asked if it’s ever messed up when helping physicians make clinical decisions, it only came clean with examples of stumbles after being pressed on the matter.

Business Intelligence

UnitedHealthcare bucks Medicare, ends reimbursement for most RPM services

Healthcare supply giant Medline announces IPO, valued at $50B

Former CEO of Unite Us tapped as CMS’ Medicaid and CHIP lead

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

Humana, Providence unveil interoperable data-sharing framework