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.

Florida probes CVS Health in latest crackdown on PBMs
State Attorney General James Uthmeier is forcing the company to hand over thousands of documents related to its pharmacy contracts and reimbursement policies to see if the retail giant is abusing its position in the market as both a pharmacy benefit manager and a retail chain of drug stores.
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.

hca healthcare data breach hacker seller

HCA reassures breach victims as watchdog identifies the brazen hacker as an attempting seller

Nashville-based HCA Healthcare operates in 21 states, and mass numbers of patients in all but one of them may have had personal information offered for sale as a list on the deep web.

Industry Watcher’s Digest

Buzzworthy developments of the past few days.

google search artificial intelligence emerging technologies

10 states highly interested in AI and other emerging technologies

With a bit fewer than 7 million residents, Massachusetts ranks a middling 16th in population among the states. However, when it comes to internet searches for terms associated with emerging technologies per 100,000 residents, the Bay State is No. 1.

President Biden cracks down on short-term health plans, calls them 'junk insurance'

The proposed rule would require that short-term plans are truly short-term and are active for just three months.

Industry Watcher’s Digest

Buzzworthy developments of the past few days.

artificial intelligence will improve everything

Better living through artificial intelligence: 5 reasons to believe

It was only last fall that Open AI’s ChatGPT thrust generative AI into the public psyche. Since then, many future-looking surveys have shown unease and trepidation competing hard for mindshare against hope and excitement.

Industry Watcher’s Digest

Buzzworthy developments of the past few days.

SEC nails former Pfizer employee for insider trading ahead of COVID drug announcement

The senior statistician purchased short-term stock options, including some that expired the next day, after allegedly being made aware of Paxlovid’s success in clinical trials ahead of a public announcement.

Business Intelligence

Florida probes CVS Health in latest crackdown on PBMs

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