What You Should Know:
- Kaiser Permanente affiliates have agreed to a $556M settlement to resolve allegations of violating the False Claims Act by submitting invalid diagnosis codes to inflate Medicare Advantage (MA) payments.
- The settlement, involving multiple Kaiser Foundation and Permanente Medical Groups, addresses a decade-long "data mining" scheme designed to pad the bottom line by manipulating the risk-adjustment model.
The Core of the Conflict: Risk Adjustment vs. Care
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Price Reset 2026: How Trump’s ‘Great Healthcare Plan’ Slashes Drug Costs at Trumprx.gov
What You Should Know
- Today, President Donald J. Trump has launched "The Great Healthcare Plan," a sweeping initiative designed to lower prescription drug costs to the lowest international levels and reduce insurance premiums by over 10%.
- The “Great Healthcare Plan” shifts taxpayer-funded subsidies away from "big insurance companies" to be delivered directly to the American people, while mandating unprecedented "Plain-English" transparency standards for every insurer and provider
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Oncology’s Largest Dataset: ConcertAI and Foundation Medicine Unveil Half-Million Patient Clinico-Genomic Powerhouse
What You Should Know
- ConcertAI and Foundation Medicine have announced a major strategic collaboration to integrate their massive data assets, creating a dataset of nearly half a million patients.
- By pairing Foundation Medicine’s de-identified multimodal genomic testing data with ConcertAI’s high-quality clinical records, the partnership provides life science researchers with the market's most comprehensive view of the cancer patient journey—from pre-diagnosis to long-term
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How Hospital M&A Momentum Shifted to Ambulatory and Behavioral Health in 2026
What You Should Know
- Kaufman Hall has released its year-end analysis for 2025, reporting a total of 46 hospital and health system transactions. While total transacted revenue hit a historical low of $18.5 billion due to a slow start in the first half of the year, momentum surged in Q4 with 17 transactions, including four "mega mergers" where the smaller party’s annual revenue exceeded $1 billion.
- Crucially, financial distress drove a record 43.5% of all transactions, a trend
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Aultman Health System Deploys Nabla’s Ambient AI within Oracle Cerner EHR
What You Should Know
- Aultman Health System, a nonprofit integrated network in Northeast Ohio, has officially deployed Nabla’s ambient AI assistant natively within its Oracle Cerner EHR.
- Deploying the technology to hundreds of clinicians across inpatient and outpatient settings in less than 60 days, Aultman has already reported significant efficiency gains: clinicians are saving between 30 and 60 minutes a day on documentation, with some reporting the capacity to see three to five
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Avalon Healthcare Solutions Lands Strategic Investment from Francisco Partners and WindRose
What You Should Know
- Avalon Healthcare Solutions, the leader in diagnostic intelligence, has announced a strategic investment from Francisco Partners and WindRose Health Investors.
- The capital will be used to accelerate the expansion of Avalon’s proprietary Diagnostic Insights Platform, which currently supports more than 30 health plans and over 90 million members nationwide. The platform focuses on automating diagnostic policy and utilizing advanced analytics to transform clinical
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Ultrahuman and Click Therapeutics Launch World’s First Biomarker-Driven Migraine Tool
What You Should Know
- Ultrahuman, the global leader in wearable health technology, has partnered with Click Therapeutics to develop the Migraine PowerPlug. This first-of-its-kind tool integrates the proprietary technology behind Click’s CT-132—the first and only FDA-authorized digital treatment for episodic migraine—directly into the Ultrahuman platform.
- By combining biomarker analytics with clinically validated behavioral interventions, the PowerPlug aims to provide real-time,
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HCA Healthcare Goes Live with MEDITECH Expanse Across 43 Hospitals
What You Should Know
- MEDITECH and HCA Healthcare have reached a major milestone in their 30-year partnership with the go-live of the MEDITECH Expanse EHR at 43 hospitals.
- The deployment represents the first large-scale wave of an enterprise-wide rollout for HCA Healthcare, one of the nation’s largest providers, aimed at integrating data more seamlessly and accelerating the adoption of AI and digital innovations.
The Expanse Advantage: Intuitive, Mobile, and AI-Infused
HCA
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Vista AI Secures $29.5M to Scale Automated Scanning Across Brain, Spine, and Prostate
What You Should Know
Vista AI, a provider of automated MRI scanning software for hospitals and imaging centers secures $29.5M in Series B financing, backed by a powerhouse group of new investors including Cedars-Sinai, Intermountain Health, and Tampa General Hospital.
- The funding will accelerate the expansion of the company's FDA-cleared automated MRI scanning platform into new anatomies—including brain, spine, and prostate—while scaling remote scanning services to address the national
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The Autonomous Revenue Cycle: Waystar Launches Agentic AI to Prevent Billions in Denials
What You Should Know
- Healthcare payment provider Waystar has announced the introduction of agentic intelligence to its cloud-native platform, marking a pivotal step toward the industry's first autonomous revenue cycle.
- Powered by the Waystar AltitudeAI™ engine and a dataset comprising 7.5 billion annual transactions, the new agentic network is designed to execute defined tasks and learn from outcomes with minimal intervention, significantly reducing administrative friction for
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