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.
The state is accusing the insurer of colluding with the broader Blue Cross Blue Shield network to stifle competition and control prices. BCBSM denies the allegations.
The hack, which was revealed earlier this year in a report from Bleeping Computer, is said to have been limited to a legacy server. Oracle denied its cloud environment had been compromised.
Independence Blue Cross, the largest medical insurance provider in the Philadelphia area, does not admit to wrongdoing. It was accused in a lawsuit backed by the U.S. Department of Justice of misrepresenting the severity of patient illnesses to juice risk-adjusted Medicare payments.
With its $350M in new funding, EliseAI said it plans to build out its technology and sales force. It currently works with specialty provider groups to automate practice operations such as scheduling and insurance verification.
When asked to depict people by various descriptors, the image generator delivered lots of results that were unintentionally hilarious for their wild inaccuracy.
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.
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.
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.
Among the 20 million-plus Americans who have unpaid medical bills totaling more than $250, almost a quarter—5 million people—owe between $2,001 and $5,000.