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.

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92% of rural Nebraska hospitals report financial hardship caused by Medicare Advantage plans

Members of the Nebraska Rural Health Association overwhelmingly expressed concerns that Medicare Advantage plans could jeopardize patient health. Some are considering dropping their contracts with the plans altogether. 

big pharma ai artificial intelligence

In pharma, AI will probably make the big even bigger

Generative AI is fixing to transform the pharmaceutical industry. However, not all adopters will reap rewards in comparable degrees.  

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UPMC expensed $50M private jet, despite laying off 1,000 workers

Pittsburgh Medical Center CEO Leslie Davis used the jet to travel around the world, flight logs show. 

Ransomware Cyberattack Data Breach

Ransomware hit 67% of healthcare organizations this year—more than half paid up

A new survey from a cybersecurity firm shows ransomware attacks are increasing in frequency and healthcare entities are facing ever-higher demands. 

FDA announces recall of Pfizer's fast-tracked sickle cell drug

The drugmaker is voluntarily withdrawing Oxbryta from the market due to a higher-than-acceptable risk of death.

AI in healthcare

Said and heard this week in and around healthcare

10 notable quotes about AI from the past 5 days.

Blue Cross Blue Shield BCBS

Louisiana insurer ordered to pay $421M for breast reconstruction surgeries

Blue Cross and Blue Shield of Louisiana failed to fully reimburse St. Charles Surgical Hospital for 7,800 procedures, despite authorizing them.

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Walmart workers sue over tobacco fees levied for health plan trust

The class action lawsuit argues employees cannot escape the fees even after they stop using tobacco, a violation of labor regulations.  

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Around the web

Cardiovascular Business
FDA’s tirzepatide decision creates uncertainty for patients—and leads to a lawsuit

When drugs are on the FDA’s shortage list, outsourcing facilities can produce their own compounded versions. When the FDA removed tirzepatide from that list with no warning, it created a considerable amount of chaos both behind the scenes and in pharmacies all over the country. 

Cardiovascular Business
Cardiology groups cheer new bill that would improve access to Medicare claims data

If passed, this bill would help clinician-led clinical registries explore Medicare data for research purposes. The Society of Thoracic Surgeons and American College of Cardiology both shared public support for the bipartisan legislation. 

Cardiovascular Business
Watchdog group, fearful of fraud, wants more oversight for remote patient monitoring

Cardiologists and other physicians may soon need to provide much more information when ordering remote patient monitoring for Medicare patients.

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