What You Should Know
Sunsetting Traditional MIPS and Accelerating Value Pathways
A central structural update is the official sunset of the traditional Merit-based Incentive Payment System reporting option, concluding more than a decade of MACRA implementation. CMS finalized that traditional MIPS reporting will terminate beginning with the CY 2031 performance period, granting clinicians through the CY 2030 performance year to fully transition into MIPS Value Pathways or qualifying
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Health IT | News, Analysis, Insights - HIT Consultant
Wolters Kluwer Survey Exposes the Chasm Between Enterprise AI Acceleration and Consumer Drug Safety Trust
What You Should Know
The Consumer Trust Deficit and Channel Skepticism
The survey data highlights a distinct threshold where patient comfort breaks down whenever automated clinical decision-making displaces human oversight. Only twenty-seven percent of surveyed consumers strongly trust automated systems to accurately detect and flag potential drug-drug or drug-disease interactions without a healthcare professional directly involved. Demonstrating defensive behavior against perceived
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HHS Welcomes VA and Defense Health to TEFCA to Unify Care for Millions of Veterans and Service Members
What You Should Know
Federal Data Fabric: VA and Defense Join TEFCA to Establish Unified Health Record Exchange Across Military, Veteran, and Community Care
In federal healthcare and military readiness, patient care continuity has long struggled with fragmented transitions of care. When active-duty warfighters transition from military service into the Veterans Health Administration system, or when service members and veterans seek specialized or emergency treatment from civilian
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Consumer AI Is Healthcare’s New Front Door. Who’s Deciding What Happens There?
One in four U.S. adults, more than 66 million people, have now used AI tools or chatbots for health information or advice according to a West Health–Gallup survey released in April. Most aren't using it in place of care. They're using it around care: 59% of recent users researched their medical question with AI before seeing a doctor, and 56% did so afterward.
I see this in practice. A patient arrives with a cough, fever and body aches, and a chatbot has already suggested pneumonia. It might
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Former Salesforce CMO Dr. Joshua Newman Appointed Chief Medical Officer at Navina
What You Should Know
Dr. Newman Executive Profile
Dr. Newman joins Navina during a period of sustained enterprise scale. The platform has expanded its clinical footprint across more than 20,000 clinicians and care team members at over 1,300 outpatient clinics nationwide, supporting the clinical management of approximately 3.5 million patient lives across prominent risk-bearing organizations, including Privia Health, agilon health, and Summit Health.
Dr. Newman spent nearly 14 years at
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Why the AMA’s AI Liability Policy Shifts Risk to Health System Data Access Logs
The AMA says physician oversight can’t substitute for adequate evidence and system design. That puts the burden on whoever holds the usage records.
In many hospitals, an AI tool is reading patient records through a shared service account that no one can tie to a person. That gap matters more now. The American Medical Association's new framework, released October 29, 2026, divides responsibility among developers, physicians, and the health systems that deploy AI tools. Of the three parties,
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CVS Health Formalizes Tax-Free Split-Off to Carve Out CVS Pharmacy by 2028
What You Should Know
The Spin-Off Blueprint: How the Assets Divide
The separation creates two distinct publicly traded companies via a tax-free distribution of shares to existing CVS Health stockholders:
Q3 2026 Financial Backdrop: A Separation "From Strength"
The breakup announcement arrived alongside CVS Health’s third-quarter 2026 financial release, which exceeded consensus Wall Street estimates across top and bottom lines:
Despite the earnings beat, Wall Street reacted
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VisiQuate Acquires Finvi’s Artiva HCx to Bridge Revenue Cycle Intelligence with Autonomous Workflow Execution
What You Should Know
Closing the Loop Between Revenue Intelligence and Account Queues
VisiQuate’s acquisition of Artiva HCx establishes an integrated operational pipeline engineered to eliminate the gap between financial insight and administrative action:
"Every revenue cycle problem worth solving takes deep expertise, and we just added a lot of it," said Derek Foster, Chief Strategy Officer at VisiQuate. "VisiQuate was built to show revenue cycle teams which deep insights and
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Humana and athenahealth Expand Nationwide FHIR-Based Electronic Prior Authorization Across 180,000 Clinicians
What You Should Know
In-Workflow FHIR Architecture and Automated Adjudication
Rather than merely verifying whether a prior authorization is required, the expanded athenaOne capability creates a bidirectional, automated data pipeline between the clinical encounter and Humana's adjudication engine.
The integration leverages the Da Vinci Project’s Fast Healthcare Interoperability Resources (FHIR) interoperability standards:
By routing connectivity through athenaPayer, Humana
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M&A: LeanTaaS Acquires LookDeep Health to Connect In-Room Vision AI with Hospital Operations
What You Should Know
From Mathematical Scheduling to Spatial Telemetry: LeanTaaS Acquires LookDeep Health to Embed Computer Vision into Hospital Operations
In acute care hospital administration, an operational divide has long separated mathematical capacity optimization from physical conditions at the patient bedside. For over a decade, predictive capacity platforms have forecasted operating room block schedules, infusion chair turns, and inpatient bed availability by mining historical
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