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.

Medicare Advantage grows into a $10B-plus opportunity for go-getter brokers selling plans for private insurers
These third-party marketers earn commissions from their insurer clients not only upon initial signups but also every time “their” enrollees renew without changing plans.
Trump’s SEC eliminates 50-year-old ‘gag rule’ for enforcement settlements
The agency cited free speech as its reasoning for rescinding the long-standing policy. While in place, the rule barred companies that agreed to settlements with the Securities and Exchange Commission from publicly denying allegations made by regulators.
Optum Rx outlines changes to PBM business model, promising price transparency
The company made the changes after its manufacturer rebates for insulin were challenged by the Federal Trade Commission. Among other shifts, Optum said 100% of all rebates will be distributed to customers by 2028.
Heartflow reports significant revenue growth as CCTA sees wider adoption
The company keeps gaining momentum thanks to the success of its AI-powered imaging software.
Bill in Congress would rein in PBMs, force divestment from pharmacies
The Patients Before Monopolies Act was introduced into both the U.S. Senate and House of Representatives with bipartisan support. If it passes, pharmacy benefit managers would be required to divest from retail stores.

artificial intelligence cybersecurity cybercrime patient data privacy

Imaging AI adds value to patient data but also puts it at heightened risk

Healthcare AI continues its march into clinical departments as well as imaging activities. In the process, it’s only multiplying break-and-entry points seductive to cybercriminals.

Industry Watcher’s Digest

Buzzworthy developments of the past few days.

Clinical, IT leaders plan to boost spending on AI, other technologies

Look for AI, 5G and big data analytics to lead all other emerging technologies in reshaping U.S. healthcare over the next several years.

private equity corporatization business consolidation

Private equity-backed healthcare services bring more harm than good to patients, report reveals

Given the rapid growth of PE ownership in healthcare, the report's concerning data give pause to how such entities should be regulated, experts involved in the work suggested.