What You Should Know:
- A new report from J.D. Power reveals a significant decline in member satisfaction with Medicare Advantage (MA) plans. The J.D. Power 2025 U.S. Medicare Advantage Study reveals that satisfaction dropped to an average score of 623 out of 1,000, which is down 29 points from the previous year.
- According to the study, the primary cause for this decline is a 39-point drop in members' overall trust in their plans. This trend is occurring in the wake of significant
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Inovalon and AWS Partner to Enhance AI-Powered Solution for Medicare Advantage Audits
What You Should Know:
- Inovalon, a provider of data-driven healthcare solutions, has announced an expanded collaboration with Amazon Web Services (AWS) to enhance its Converged Record Review™ solution.
- The enhancement is in direct response to the new Centers for Medicare & Medicaid Services (CMS) requirement for annual Risk Adjustment Data Validation (RADV) audits for all Medicare Advantage (MA) contracts, beginning in 2026.
Increasing Scrutiny from Health
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Policy: CMS Launches New Oversight Initiative to Verify Medicaid and CHIP Eligibility
What You Should Know:
- The Centers for Medicare & Medicaid Services (CMS) has launched a new oversight initiative to ensure that enrollees in Medicaid and the Children’s Health Insurance Program (CHIP) are U.S. citizens, U.S. nationals, or have a satisfactory immigration status. The program aims to safeguard taxpayer dollars and protect these vital programs from abuse.
- CMS will provide states with monthly enrollment reports that identify individuals whose citizenship or
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Talkdesk and Epic Integrate to Automate Patient Outreach with AI
What You Should Know:
- Talkdesk, Inc. has announced the integration of its Talkdesk Advanced Dialer with Epic through the Epic Workshop program.
- The new integration directly connects Epic workqueues and Cheers outreach campaigns to the Talkdesk AI-powered contact center platform, enabling healthcare organizations to automate proactive patient outreach and close gaps in communication and care.
From Manual Tasks to Automated Workflows
Following up with patients is a process
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Innovaccer Launches AI-Powered Prior Authorization Solution: Flow Auth
What You Should Know:
- Innovaccer Inc., a healthcare AI company launches Flow Auth, a new AI-powered prior authorization solution.
- As part of the company's revenue cycle performance platform, Flow by Innovaccer, Flow Auth is designed to automate the entire prior authorization (PA) workflow, helping healthcare organizations accelerate care delivery and optimize revenue capture.
- Innovaccer projects that the solution could lead to a 50% reduction in the time clinicians
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Lovell and CalmiGo Partner to Provide Anxiety and PTSD Relief for Veterans
What You Should Know:
- Lovell Government Services and CalmiGo, a mental health platform for anxiety, PTSD, and panic attacks, have announced a new partnership to serve federal healthcare systems, including the Veterans Health Administration (VHA), the Military Health System (MHS), and the Indian Health Service (IHS). Through this collaboration, Lovell Government Services will act as CalmiGo’s Service-Disabled Veteran-Owned Small Business (SDVOSB) vendor to provide the CalmiGo Plus
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Ambience Healthcare Launches Chart Chat, an AI Copilot for Epic EHRs
What You Should Know:
- Ambience Healthcare has announced the launch of Chart Chat, an AI copilot designed to integrate directly into Epic’s electronic health record (EHR) system.
- Chart Chat is a first-of-its-kind tool that provides healthcare providers with context-aware clinical insights by combining patient chart data with trusted medical content from BMJ Best Practice and open AI technology.
- Chart Chat aims to combat the growing challenge of information overload for
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Talkdesk Powers Johns Hopkins with AI to Transform Contact Center Operations
What You Should Know:
- Johns Hopkins Health System has selected Talkdesk Healthcare Experience Cloud to modernize its contact center operations as part of a major technology initiative. The move aims to streamline interactions, enhance service delivery, and support multi-channel patient communications.
- The implementation leverages the Talkdesk Customer Experience Automation™ (CXA) platform to improve how Johns Hopkins engages with patients.
Improving Patient Engagement
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RLDatix Launches AI-Powered Smart Entry to Transform Patient Safety Reporting
What You Should Know:
- RLDatix, a provider of healthcare safety and data solutions, has announced the launch of Smart Entry, a new AI-enabled feature designed to transform how safety events are reported. Built into the company’s Safety & Risk Management solution, Smart Entry aims to significantly improve the speed, accuracy, and ease of documenting harm and near-miss events.
- According to RLDatix, a staggering 80% of safety events often go unreported. Smart Entry directly
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Walgreens Earns First Gene and Cell Services Accreditation
What You Should Know:
- Walgreens Specialty Pharmacy has received its first Gene and Cell Services accreditation from ACHC (Accreditation Commission for Health Care).
- The new accreditation, along with others, demonstrates the company's commitment to providing quality care to its patients.
Expanding Services and Accreditations
In addition to the new Gene and Cell Services accreditation, Walgreens Central Specialty Pharmacy has achieved a number of other recognitions. It
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