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Fred Pennic, Editor-in Chief | HIT Consultant

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

Molina Healthcare Acquires Bright HealthCare’s California Medicare Business for $425M

by Fred Pennic 12/20/2023 Leave a Comment

Molina Healthcare Acquires Bright HealthCare's California Medicare Business for $425M

What You Should Know: Molina Healthcare (NYSE: MOH) has revised its agreement to acquire Bright HealthCare's California Medicare business, securing a discount of $85M on the initial purchase price. This revised deal, announced on December 13, 2023, reflects a continued commitment to the acquisition while offering Molina potential cost savings and increased value. The acquisition expands Molina's reach in the lucrative California Medicare market, adding roughly 250,000 members to their
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Butterfly, Mendaera Partner to Transform Interventional Care with AI-Powered Robots

by Fred Pennic 12/19/2023 Leave a Comment

Butterfly Introduces Two Ultrasound Education Offerings

What You Should Know: - Butterfly Network (BFLY), a provider of portable ultrasound technology, and Mendaera, a Silicon Valley robotics innovator, are teaming up to bring an AI-powered robotic system to market. - Powered by Butterfly™ solution, the collaboration promises to transform interventional procedures by combining Butterfly's cutting-edge Ultrasound-on-Chip™ technology with Mendaera's precision robotics. Elevating Interventional Medicine The collaboration aims to address
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CoachCare Acquires Verustat to Expand Remote Patient Monitoring Reach

by Fred Pennic 12/19/2023 Leave a Comment

CoachCare Acquires Verustat to Expand Remote Patient Monitoring Reach

What You Should Know: - CoachCare, a leading remote patient monitoring (RPM) and virtual health company, has made its fourth acquisition in 12 months, snapping up Nashville-based Verustat for an undisclosed amount. - This strategic move further strengthens CoachCare's position in the rapidly growing RPM market, projected to reach $175.2 billion by 2027. Strengthening Focus on Chronic Conditions Founded in 2020, Verustat brings valuable expertise in primary care and cardiology, areas
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UNP Scores $32M for AI-Powered Macrocycle Therapeutics

by Fred Pennic 12/19/2023 Leave a Comment

UNP Scores $32M for AI-Powered Macrocycle Therapeutics

What You Should Know: - Unnatural Products, Inc. (UNP), a biotech company harnessing the power of AI and chemistry to design the next generation of targeted therapeutics, has secured $32M in Series A funding. - Led by Merck Global Health Innovation Fund (MGHIF) and TechBio-focused ARTIS Ventures,  the funding will help propel UNP's innovative platform and expand its reach beyond oncology, tackling a wider range of medical challenges. Macrocycles: Nature's Key to Untapped Drug
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KAID Health Secures $9M to Drive AI-Driven Healthcare Efficiency

by Fred Pennic 12/19/2023 Leave a Comment

What You Should Know: - KAID Health, the AI-powered healthcare solutions pioneer, has secured a significant $9 million in funding led by Activate Venture Partners, Martinson Ventures, Boston Millennia Partners, and Brandon Hull, alongside KAID Health's Board of Directors. - With this new funding, KAID Health plans to expand its reach to more providers and their payer partners and develop new service offerings. Unlocking the Power of Whole Chart Analysis KAID Health's flagship platform, Whole Chart Analysis, leverages cutting-edge natural language processing (NLP) to unlock the true potential of electronic medical records (EMRs). Unlike traditional NLP solutions that focus on specific data points, KAID Health goes beyond, analyzing every available piece of information within a patient's chart, including notes, conditions, medications, and lab results. This comprehensive approach enables: • Improved coding accuracy and capture: KAID Health demonstrably boosts coding accuracy, ensuring providers receive proper financial compensation while improving data-driven decision-making. • Streamlined quality reporting: Effortlessly fulfilling complex quality reporting requirements, freeing up valuable time for clinicians. • Enhanced care management: KAID Health identifies key patient needs, facilitating proactive care interventions and optimizing clinical outcomes. Real-World Impact, Proven Results KAID Health's impact extends beyond theoretical promises. To date, the platform has already: • Revolutionized Medicare Advantage coding for large provider groups nationwide. • Simplified chart review for prior authorization and clinical trial enrollment. • Outperformed physicians in identifying surgical risks at a major medical center. "KAID Health continues to deploy technology that makes clinicians more efficient, translates that efficiency into more cost-effective care, and grows revenues," explained Kevin Agatstein, CEO of KAID Health. "By combining best-in-class, scalable, flexible, secure technology with deep clinical workflow and market expertise, we can partner with each customer to meet their informatics needs while alleviating chronic staff shortages."

What You Should Know: - KAID Health, the AI-powered healthcare solutions pioneer, has secured a significant $9 million in funding led by Activate Venture Partners, Martinson Ventures, Boston Millennia Partners, and Brandon Hull, alongside KAID Health's Board of Directors. - With this new funding, KAID Health plans to expand its reach to more providers and their payer partners and develop new service offerings. Unlocking the Power of Whole Chart Analysis KAID Health's flagship
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PCA Rx & Cost Plus Drugs Partner to Transform Drug Pricing Transparency

by Fred Pennic 12/18/2023 Leave a Comment

PCA Rx & Cost Plus Drugs Partner to Transform Drug Pricing Transparency

What You Should Know: - PCA Rx and Cost Plus Drugs, are joining forces to tackle the longstanding issue of opaque and inflated drug pricing in the US healthcare system. - This landmark collaboration paves the way for greater transparency, accessibility, and affordability for employers and individuals nationwide. Prioritizing Drug Pricing Transparency By prioritizing transparency, this partnership empowers employers and members to make informed choices and fosters a more engaged
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XiFin Launches New Payor Rate Transparency Monitor to Empower Diagnostic Providers

by Fred Pennic 12/18/2023 Leave a Comment

XiFin Launches New Payor Rate Transparency Monitor to Empower Diagnostic Providers

What You Should Know: -XiFin, Inc., announced the launch of its new Payor Rate Transparency Monitor, the first-of-its-kind interactive visualization tool that compares contracted rates published by UnitedHealthcare, Aetna, and Cigna. The new AI monitor tool dives deep beyond mere averages, drilling down into specific billing codes and modifiers established by the Centers for Medicare & Medicaid Services (CMS). This granular data empowers providers to refine their managed care, market
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AHIMA Appoints Dr. Kevin Klauer as New CEO

by Executive Appointment 12/18/2023 Leave a Comment

What You Should Know: - The American Health Information Management Association (AHIMA) has appointed Dr. Kevin Klauer as its new Chief Executive Officer (CEO), effective January 8, 2024. - Dr. Klauer will succeed Amy Mosser, MBA, who served as interim CEO since June. Mosser, a critical member of AHIMA's executive team since 2019, will transition to the role of President of HCPro, LLC, a for-profit, wholly-owned subsidiary of AHIMA. Dr. Klauer Bio/Background Dr. Klauer's extensive
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TREND Health Acquires Advent for AI-Powered Healthcare Payment Accuracy

by Fred Pennic 12/15/2023 Leave a Comment

TREND Health Acquires Advent for AI-Powered Healthcare Payment Accuracy

What You Should Know: - TREND Health Partners, a rapidly growing provider of AI-driven solutions, has acquired Advent Health Partners, an AI-driven platform identifies and standardizes clinical attributes from itemized bills and medical records, expediting critical information presentation and ensuring timely and appropriate reimbursement. - This strategic combination brings together two industry powerhouses, creating a comprehensive platform for payers and providers seeking to optimize
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AMA Survey Explores Physician Sentiments on AI in Healthcare

by Fred Pennic 12/15/2023 Leave a Comment

AMA Survey Explores Physician Sentiments on AI in Healthcare

What You Should Know: - Physicians are cautiously optimistic about artificial intelligence (AI) in healthcare, according to a new survey by the American Medical Association (AMA). While 41% are equally excited and concerned about its potential, nearly two-thirds see its advantages if specific concerns are addressed. - The survey of 1,081 physicians, conducted in August 2023, reveals a complex picture of how doctors view this transformative technology, highlighting both its potential
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