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.
The state is accusing the insurer of colluding with the broader Blue Cross Blue Shield network to stifle competition and control prices. BCBSM denies the allegations.
The hack, which was revealed earlier this year in a report from Bleeping Computer, is said to have been limited to a legacy server. Oracle denied its cloud environment had been compromised.
Independence Blue Cross, the largest medical insurance provider in the Philadelphia area, does not admit to wrongdoing. It was accused in a lawsuit backed by the U.S. Department of Justice of misrepresenting the severity of patient illnesses to juice risk-adjusted Medicare payments.
With its $350M in new funding, EliseAI said it plans to build out its technology and sales force. It currently works with specialty provider groups to automate practice operations such as scheduling and insurance verification.
A former senior director at Optum has been found guilty for his role in a scam by which a friend received a six-figure salary despite doing no work. The verdict included a conviction for money laundering as well as fraud.
The Texas-based company is buying Precision Medicine Group, a Maryland-based company that supports cancer drug development with a variety of resources, including data and labs.
Advocates say the shift to CCTA can translate into a broader financial impacts, with some cath labs potentially seeing margin increases of as much as 40%.
A survey from the Physician Advocacy Institute found that doctors in corporate medicine are regularly feeling pressured to make decisions that align with business interests rather than what’s best for patients.
Founded in 2021, Hopscotch currently operates 12 clinics in the state. Its business model centers around in-person primary care, augmented by virtual specialty visits and 24/7 access to care teams. The company said it is making a profit.
The benefits management company Aon said per-employee expenditures may rise about $19,000. While the broader economy is to blame, part of the rise can be attributed to the management of costly chronic conditions such as diabetes.
