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 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.
The agency is looking into claims that the EHR vendor is blocking data access to its over 300 million patient records. If true, such actions would violate federal regulations.
The lawsuit was filed by two major institutional investors who blame company leadership for the 2024 breach on Change Healthcare and accuse executives of facilitating alleged Medicare billing fraud.
The ruling is a blow to insurance companies that were previously allowed to include “ghost rates” in reimbursement benchmarks. The court ruled that policy, put in place by HHS and other agencies, is unlawful.
The push to move certain procedures to ambulatory surgical centers is one of the biggest business trends in electrophysiology. Medical societies are watching this space closely to ensure high quality remains the goal.
The financial terms of the deal were not disclosed. Firefly Health, which specializes in primary care delivered via telemedicine, was founded by two physicians in 2017.
