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.
As the national physician shortage deepens, cardiology is feeling the strain. Recruiting cardiologists can be hard enough—bringing them to rural America is especially challenging due to the risk of isolation and other concerns.
Patient Square Capital will be taking the company private when the all-cash deal closes in the first quarter of 2026, pending approval from Premier’s shareholders.
In May, a jury found the CVS subsidiary liable for filing 3.3 million fraudulent insurance claims between 2010 and 2018. The $949 million judgment was imposed in July.
Both companies are working on ChatGPT-like platforms designed exclusively for medical professionals. OpenEvidence accuses Doximity of attempting to steal its proprietary code, while the latter fires back with a defamation claim.
The data comes from a new report by cybersecurity firm Netwrix, which found that healthcare continues to outpace other sectors in both number of breaches and associated financial losses.
The Wall Street Journal said that President Donald Trump has yet to meet with company representatives. However, UnitedHealth CEO Stephen Hemsley reportedly met with members of the administration in Washington.
