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.

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.

$3.7B acquisition shakes up urology business

Boston Scientific Corp. is purchasing Axonics in a move the buyer says will allow it to pursue a ripe segment of the urology market.

Industry Watcher’s Digest

Buzzworthy developments of the past few days.

Mark Cuban’s drug company partnering with PBM startup

A pharmacy benefit management company founded less than five years ago is teaming up with a drug pricing disrupter that will mark its second birthday next month.

pope francis artificial intelligence treaty

Industry Watcher’s Digest

Buzzworthy developments of the past few days.

hospitals accounts receivable unpaid claims

Denied claims increasingly saddle hospitals with cashflow lags

Over the past three years, the value of claims waiting longer than 90 days for payment from commercial payers has risen by 33%. Stalled Medicare Advantage claims have spiked by even more.

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