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.

UnitedHealthcare sued by 17 hospitals in $145M dispute over out-of-network reimbursement
The hospitals all belong to HCA Healthcare, which claims it is required by law to care for emergency patients regardless of their medical coverage status.
Report: UnitedHealth under investigation by DOJ for Medicare Advantage upcoding
According to the Wall Street Journal, the DOJ is looking into whether the insurer is responsible for billing the Centers for Medicare & Medicaid Services for patient diagnoses not applicable to the actual care a patient will need, in an effort to boost monthly payments received by the agency.
Generative AI isn’t changing everything for patients and providers—but it’s not leaving much unaffected, either
Generative AI is altering the way healthcare consumers size up hospitals, group practices and individual providers. But the comparison shopping would pose a challenge to healthcare organizations even if AI hadn’t entered the picture.
Baxter’s Asheville site now fully operational after damage from Helene
Hurricane Helene devastated the North Carolina manufacturing site, causing a nationwide shortage of IV solutions.
DOD contractor hit with $11M fine for health data mismanagement
A U.S. military contractor has agreed to an $11.2 million settlement with the U.S. Department of Justice to resolve allegations it lied about properly securing sensitive patient data tied to the Tricare program.

UnitedHealthcare sued by 17 hospitals in $145M dispute over out-of-network reimbursement

The hospitals all belong to HCA Healthcare, which claims it is required by law to care for emergency patients regardless of their medical coverage status.

Report: UnitedHealth under investigation by DOJ for Medicare Advantage upcoding

According to the Wall Street Journal, the DOJ is looking into whether the insurer is responsible for billing the Centers for Medicare & Medicaid Services for patient diagnoses not applicable to the actual care a patient will need, in an effort to boost monthly payments received by the agency.

Generative AI isn’t changing everything for patients and providers—but it’s not leaving much unaffected, either

Generative AI is altering the way healthcare consumers size up hospitals, group practices and individual providers. But the comparison shopping would pose a challenge to healthcare organizations even if AI hadn’t entered the picture.

The flooded Baxter North Cove IV bag plant in North Carolina with its flags at half mast for the more than 250 people killed by Hurricane Helene, including at least one Baxter employee. Baxter photo

Baxter’s Asheville site now fully operational after damage from Helene

Hurricane Helene devastated the North Carolina manufacturing site, causing a nationwide shortage of IV solutions.

veterans health administration efficiency

DOD contractor hit with $11M fine for health data mismanagement

A U.S. military contractor has agreed to an $11.2 million settlement with the U.S. Department of Justice to resolve allegations it lied about properly securing sensitive patient data tied to the Tricare program.

UnitedHealth pushes back against shareholder transparency proposal

In an SEC filing, the insurer argues that requests by investors for more reporting on claims denials may already be satisfied through its regulatory compliance processes.

shocked surprised social media post defamation

UnitedHealth hires law firm, demands doctor recant statements on social media

According to a report from Bloomberg Law, UnitedHealth has hired a prestigious defamation law firm to police what it deems as misinformation posted online.

Superbowl GEHA Field at Arrowhead Stadium

Nonprofit academic hospital receives criticism after running Super Bowl ad

U.S. House Rep. Greg Murphy, MD (R-NC), scolded the CEO of NYU Langone for buying the expensive ad, requesting in an open letter that the hospital release financial data related to its cost.

Around the web

Cardiovascular Business

American Heart Association highlights importance of NIH as battle over Trump funding cuts continues

“Now more than ever, we must recognize that our country’s leadership in groundbreaking medical research spurs scientific innovation, improves public health and creates new innovations that save and improve lives nationwide,” Joseph C. Wu, MD, PhD, explained in a statement.

Cardiovascular Business

Cardiologist questions FDA’s approval process for high-risk medical devices

The technology used to diagnose, treat and manage cardiovascular disease is always evolving, keeping FDA officials quite busy. But have the agency's standards been slipping in recent years? A cardiologist with Cedars-Sinai Medical Center explored that very question.

Cardiovascular Business

FDA announces new recall of Johnson & Johnson heart pumps over safety concerns

No devices need to be returned at this time. However, the FDA warned, using these heart pumps without reviewing the updated instructions could result in "serious injury or death.”