Management

This page includes content on healthcare management, including health system, hospital, department and clinic business management and administration. Areas of focus are on cardiology and radiology department business administration. Subcategories covered in this section include healthcare economics, reimbursement, leadership, mergers and acquisitions, policy and regulations, practice management, quality, staffing, and supply chain.

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Former Capital Blue Cross employee, others charged in $300,000 healthcare scam

A former Capital Blue Cross (CBC) employee and four others were indicted for healthcare fraud for allegedly filing false health insurance claims totaling $292,000 in 2012 and 2013.

Anthem Blue Cross and Blue Shield and Aurora Healthcare partnering to form Well Priority

Anthem Blue Cross and Blue Shield and Aurora Healthcare will be partnering to form a new health insurance company, Wisconsin Collaborative Insurance Company.

EmblemHealth announces layoffs, plans to outsource IT operations

On April 20, EmblemHealth handed out termination notices to 250 employees as the New York-based health insurer attempts to improve its financial standing. The layoffs are primarily in IT and operations departments, with those roles to be outsourced.

Kentucky clinic CEO convicted in $16M Medicare fraud, drug trafficking scheme

A husband and wife team at a Hazard, Ky.-based medical clinic have been found guilty of more than 180 charges, ranging from illegal drug distribution to healthcare fraud. 

UnitedHealthcare will exit Arizona marketplace

UnitedHealthcare announced it will exit the Affordable Care Act marketplace in Arizona next year, reducing or even eliminating options for rural communities reports The Arizona Republic.

JAMA seeking gun violence studies

The American Medical Association’s internal medicine journal is asking for papers on gun violence and firearm injuries.

Study examines how EHR data can identify patients' fall risk

Repurposed EHR data collected during office visits can identify patient risk factors and prevent unintentional falls in seniors, according to findings published in Perspectives in Health Information Management, the online research journal of the American Health Information Management Association (AHIMA).

Audiologists facing stiffer competition from consumer electronics on hearing aids

People affected by hearing loss are increasingly turning to devices found at electronics stores, rather than going through an audiologist.  

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Around the web

Cardiovascular Business
FDA says years-long tirzepatide shortage is resolved, will give limited leeway to compounders

The tirzepatide shortage that first began in 2022 has been resolved. Drug companies distributing compounded versions of the popular drug now have two to three more months to distribute their remaining supply.

AI in Healthcare
From Capitol Hill to a hospital near you? 5 federal recommendations for healthcare AI policy

The 24 members of the House Task Force on AI—12 reps from each party—have posted a 253-page report detailing their bipartisan vision for encouraging innovation while minimizing risks. 

Cardiovascular Business
Merck spends up to $2B to license new weight loss drug with potential heart benefits

Merck sent Hansoh Pharma, a Chinese biopharmaceutical company, an upfront payment of $112 million to license a new investigational GLP-1 receptor agonist. There could be many more payments to come if certain milestones are met.