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.

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.
CMS pauses new Medicare hospice and home health provider entries for six months
The Centers for Medicare & Medicaid Services said it’s issuing a nationwide moratorium on new providers entering the spaces until it has a chance to look into allegations of fraud, waste and abuse. It confirmed investigations of various organizations are pending.
Consolidation of physician practices proceeds apace, corporatizing medicine one acquisition at a time
The days when most doctors worked in independent practice settings are fading from memory like old photoprints in a musty scrapbook.

Fortune 500's top 10 healthcare companies

A total of 80 healthcare companies are among those that brought in the most revenue for the fiscal year, according to the magazine's most recent rankings.

Industry Watcher’s Digest

Buzzworthy developments of the past few days.

87% of mammography centers now have 3D breast imaging systems

Rapid adoption of digital breast tomosynthesis has increasingly made it a new standard of care.

Layoffs up 287% in first 5 months of 2023; healthcare sector not immune

Healthcare companies, including manufacturers that produce health products, announced a total of 33,085 layoffs in the first five months of 2023—an 81% increase compared to the same time frame in 2022.

Industry Watcher’s Digest

Buzzworthy developments of the past few days.

Industry Watcher’s Digest

Buzzworthy developments of the past few days.

Center for AI Safety extinction statement

Tech thought leaders issue terse warning on humanity’s ‘risk of extinction’ at the hands of AI

Several hundred AI experts, stakeholders and commentators are alerting the world to the technology’s potential for widespread harm.

private health insurance claims denial delay

Hospitals set back by private payers’ penchant for declining claims, delaying payments

Commercial health insurers tend to reimburse providers considerably more per service than their governmental counterparts. However, they’re also much more likely to initially deny claims.

Business Intelligence

Optum Rx outlines changes to PBM business model, promising price transparency

Heartflow reports significant revenue growth as CCTA sees wider adoption

Bill in Congress would rein in PBMs, force divestment from pharmacies

CMS pauses new Medicare hospice and home health provider entries for six months

Consolidation of physician practices proceeds apace, corporatizing medicine one acquisition at a time