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Fred Pennic, Editor-in Chief | HIT Consultant

Fred Pennic is the Founder and Editor-in-Chief of HIT Consultant.

Koda Health Secures Investment from UPMC Enterprises for AI-Enhanced Advance Care Planning Platform

by Fred Pennic 04/28/2026 Leave a Comment

Koda Health Secures Funding to Expand Advance Care Planning Capabilities

What You Should Know The Investment: Koda Health secured a Series A strategic investment from UPMC Enterprises to aggressively scale its AI-enhanced Advance Care Planning (ACP) platform across complex patient populations.The Financial Toll: The American healthcare system currently spends an estimated $200 billion annually on care that patients would not have wanted had they been engaged in care planning earlier in their journey.The Technology Engine: The platform navigates patients through
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Beth Israel Lahey Health Partners with Heidi to Deploy Ambient AI Scribing to All Physicians

by Fred Pennic 04/28/2026 Leave a Comment

Beth Israel Lahey Health Partners with Heidi to Roll Out Ambient AI Scribing to All Physicians

What You Should Know Beth Israel Lahey Health (BILH) is expanding its partnership with Heidi to provide ambient AI scribing capabilities to all of its more than 6,000 providers.An initial 6-month trial involving 1,000 providers resulted in 89% satisfaction regarding the quality of generated medical notes.The technology significantly impacts clinician well-being, with 82% of trial users reporting reduced cognitive load and 74% noting a reduction in time spent working outside of standard
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Covera Health and Medmo Combine to Launch Nationwide AI Diagnostic Imaging and Care Coordination Platform

by Fred Pennic 04/27/2026 Leave a Comment

What You Should Know Covera Health and Medmo have officially merged into a single organization, creating a unified platform that manages diagnostic imaging for nearly 6 million Americans. The combined entity is backed by additional capital from Insight Partners and serves major clients, including Walmart, Blue Cross Blue Shield of Michigan, and three of the five largest national health plans. Covera’s AI-driven platform focus on diagnostic accuracy has produced up to 12 percent lower downstream healthcare costs by routing patients to high-performing Centers of Excellence. Medmo’s care coordination technology has facilitated over 1 million patient journeys, delivering a 35 percent reduction in radiology spend and 30 percent higher study completion rates. The new infrastructure "closes the loop" in radiology, managing the entire lifecycle from the initial referral and scheduling to the delivery of clinically significant findings. In the modern healthcare journey, radiology is often the point where critical clinical decisions are made—and where care frequently goes off the rails. A study that is never completed, performed at a sub-par facility, or interpreted with insufficient precision can contaminate every subsequent treatment decision. Covera Health and Medmo have announced their combination to solve this foundational crisis, merging Covera’s expertise in diagnostic quality with Medmo’s high-touch care coordination infrastructure. Historically, health plans and employers have struggled with the "invisible variation" in imaging quality. The same MRI, ordered for the same clinical reason, can yield vastly different results depending on the facility and the radiologist. By joining forces, Covera and Medmo are creating the first platform that ensures a patient not only reaches the right imaging center but that the resulting report is accurate and actionable for the entire care team. Solving the "Visibility Gap" from Referral to Results One of the most persistent hurdles in diagnostic imaging is that providers often lose visibility the moment a patient walks out of the office with a paper order. Medmo was built specifically to close this gap by managing the patient journey through scheduling, prior authorization, and engagement. Operating in all 50 states, the Medmo platform has already demonstrated a 30 percent increase in study completion rates, ensuring that the "missing foundation" of a diagnosis is actually captured. By integrating Medmo’s coordination engine with Covera’s AI-powered quality oversight, the combined organization now brings clinical intelligence to every step of the imaging process. Covera’s platform measures accuracy across more than 1,100 sites, routing members to "Centers of Excellence" that have been actuarially validated to improve outcomes. This ensure that when a study is finally performed, it serves as a reliable basis for authorized procedures and interventions. A New Infrastructure for Value-Based Care For the thousands of value-based primary care physicians now connected to the combined platform, this merger provides a strategic "system of action." The infrastructure doesn't just record data; it surfaces clinically significant findings and routes them back to the referring physician in real-time. This level of integration is essential for managing downstream utilization and preventing the unnecessary procedures that often stem from flawed initial reports. Jeff Horing, Co-Founder and Managing Director at Insight Partners, noted that diagnostic quality is the "missing foundation" of the value-based care movement. The additional capital provided by Insight Partners is intended to accelerate the expansion of this new model, moving it from an incremental improvement to a foundational piece of national healthcare infrastructure. As the organization scales, it aims to continue driving down radiology spend while simultaneously increasing the precision of the U.S. healthcare system. Why This Matters For healthcare executives, this represents a move toward "Integrated Diagnostic Management." As employers and payers face mounting pressure to control costs, the 12 percent reduction in downstream expenses offered by Covera’s platform becomes a powerful lever. This combined entity isn't just a new vendor; it’s a quality-control layer for the most critical diagnostic tool in the medical arsenal.

What You Should Know Covera Health and Medmo have officially merged into a single organization, creating a unified platform that manages diagnostic imaging for nearly 6 million Americans.The combined entity is backed by additional capital from Insight Partners and serves major clients, including Walmart, Blue Cross Blue Shield of Michigan, and three of the five largest national health plans.Covera’s AI-driven platform focus on diagnostic accuracy has produced up to 12 percent lower downstream
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Availity Abrasion Index 2026: Denials and Prior Authorization Top Payer-Provider Friction Points

by Fred Pennic 04/27/2026 Leave a Comment

Availity Abrasion Index 2026: Denials and Prior Authorization Top Payer-Provider Friction Points

What You Should Know Availity has launched the 2026 Abrasion Index, a dual-sided research report quantifying administrative friction between U.S. health plans and healthcare providers.Denials emerged as the most severe abrasion point, with the report finding that ~70% of denials are ultimately overturned and paid, creating significant administrative "churn".Prior authorization remains a critical burden, with physicians averaging 13 hours per week on the process and 89% reporting it
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TytoCare Receives FDA De Novo Classification for Tyto Insights ENT Suite AI Image Analysis

by Fred Pennic 04/27/2026 Leave a Comment

TytoCare Receives FDA De Novo Classification for Tyto Insights ENT Suite AI Image Analysis

What You Should Know TytoCare has received FDA De Novo classification for its Tyto Insights™ for ENT Suite, creating a first-of-its-kind regulatory category for "ear, nose, and throat image analyzers".The AI-powered tool automatically analyzes otoscopy video to detect eardrum bulging, a primary indicator of Acute Otitis Media and other common pediatric conditions.Designed for patients aged six months and older, the system uses a proprietary database of 1.6 million ear images to provide
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Auxira Health and St. Luke’s University Health Network Partner to Expand Virtual Cardiology Support

by Fred Pennic 04/27/2026 Leave a Comment

Auxira Health and St. Luke’s University Health Network Partner to Expand Virtual Cardiology Support

What You Should Know St. Luke’s University Health Network (SLUHN) is collaborating with Auxira Health to integrate virtually-embedded teams into its Heart & Vascular network.The model provides each cardiologist with a virtual support team of nurse practitioners, medical assistants, and registered nurses to manage follow-ups and care coordination.The initiative launches with 24 cardiologists, with established plans to expand across multiple St. Luke’s locations in Pennsylvania and New
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Accenture Ventures Invests in Iridius to Scale Compliant-by-Design AI for Life Sciences and Pharmaceuticals

by Fred Pennic 04/27/2026 Leave a Comment

Accenture Ventures Invests in Iridius to Scale Compliant-by-Design AI for Life Sciences and Pharmaceuticals

What You Should Know Accenture Ventures has made a strategic investment in Iridius, an enterprise AI infrastructure company specializing in compliant-by-design solutions for highly regulated industries.The partnership will build end-to-end compliance workflows across the life sciences value chain, covering regulatory submissions, pharmacovigilance, and clinical operations.Iridius technology uses a knowledge engine to translate complex global regulatory standards into machine-readable logic,
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Protected: Elevating the Assessment: 4 Solutions to Common IT Challenges When Implementing Equipment or Software

by GE Healthcare 04/27/2026 Leave a Comment

Elevating the Assessment: 4 Solutions to Common IT Challenges When Implementing Equipment or Software

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OpenAI Launches ChatGPT for Clinicians: Free AI Documentation and Research Tool for Verified Physicians

by Fred Pennic 04/23/2026 Leave a Comment

OpenAI Launches ChatGPT for Clinicians: Free AI Documentation and Research Tool for Verified Physicians

What You Should Know ChatGPT for Clinicians is a new, free version of ChatGPT designed specifically for verified physicians, NPs, PAs, and pharmacists in the U.S. to support documentation, research, and care consults.The platform utilizes GPT-5.4, which currently outperforms human physicians, base GPT-5.4, and major external models on the new HealthBench Professional benchmark.Key features include trusted clinical search with real-time citations from peer-reviewed sources, automated CME
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IKS Health Acquires TruBridge for Rural EHR and RCM Solutions Expansion

by Fred Pennic 04/23/2026 Leave a Comment

IKS Health Acquires TruBridge for Rural EHR and RCM Solutions Expansion

What You Should Know IKS Health will acquire TruBridge for $26.25 per share (up to $565M) in an all-cash transaction, with the deal expected to close in the third calendar quarter of 2026.The combined organization will support over 2,000 healthcare organizations and more than 150,000 clinicians across the ambulatory and acute care continuum.The acquisition integrates TruBridge’s Electronic Health Record (EHR) and Revenue Cycle Management (RCM) solutions with IKS Health’s agentic AI care
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