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 legacy server accessed with stolen credentials is being blamed for the incident. However, the nature and scope of the attack are still being investigated, with Oracle reportedly working with the FBI to gather details.
There are at least 65 consolidated cases pending in federal courts that stem from the 2024 data breach on the claims processor's network. A judge in Minnesota has asked that the lawsuits be coordinated and consolidated as much as possible.
Wearable health gadgets equipped with AI present myriad opportunities and challenges to healthcare consumers and the healthcare professionals who diagnose, treat and track them.
The data comes from a report from Chicago-based consultancy firm Kaufman Hall, which releases a monthly analysis on the financial health of hospitals and health systems. Revenue growth is primarily driven by a rise of inpatient encounters.
According to a report published by the Commonwealth Fund, proposed federal budget cuts will devastate state economies, causing a ripple effect that leaves no industry unscathed.