What You Should Know
- A new McKinsey & Company report reveals that Health Services Technology (HST) has become the fastest-growing segment in U.S. healthcare, with EBITDA projected to exceed $110B by 2029.
- As traditional payers and providers face a "prolonged strain" on margins, they are decisively shifting investment toward AI-enabled automation and outsourcing to solve structural labor shortages and administrative complexity.
Uneven Recovery Period in Healthcare
The U.S.
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Health IT | News, Analysis, Insights - HIT Consultant
Kaiser Permanente Affiliates to Pay $556M to Settle Medicare Advantage Upcoding Allegations
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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The Quiet Cybersecurity Crisis in Outpatient and Post-Acute Care
News headlines tend to focus on big events. Notable examples are the attacks on Change Health and Ascension in 2024. Effects from these events continue to pop up in new cycles. However, the cybersecurity incident at the 30-bed skilled nursing facility or the ransomware attack at the 15-provider urology practice down the street that brought care to a complete halt will not be on the 5 o’clock news anywhere.
Security events like these have the same significant, long-term
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Redesigning Mental Health for a Digital Era
As healthcare systems confront rising demand for mental health services, digital therapy has emerged as one of the most scalable — and contentious — solutions. Virtual platforms promise to reduce barriers, streamline operations, and expand access. But leaders across health systems and behavioral health networks are beginning to ask more complex questions: What are the clinical limits of online care? Where are the gaps in regulation, infrastructure, and oversight? And how can digital therapy be
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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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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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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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Why 90% of Healthcare AI Projects Fail Without AI-Driven Endpoint Management
Over the last two decades, the rapid surge in mobile and IoT-enabled devices has revolutionized patient care, but also created significant hurdles in managing, securing, and optimizing these devices to support seamless and secure clinician workflows. Healthcare CIOs face the daunting task of balancing accessibility, productivity, and security. In fact, a recent survey reveals that 83% of healthcare leaders are planning to invest in AI within the next three years, but fewer than 10% are investing
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Innovaccer and CCNC Ink 5-Year Partnership to Scale Population Health in North Carolina
What You Should Know
- Innovaccer Inc. and Community Care of North Carolina (CCNC) have entered into a landmark five-year partnership to modernize the state's largest medical home system.
- Leveraging Innovaccer’s Healthcare Intelligence Cloud, the collaboration will empower CCNC’s care managers and CCPN clinicians with data-driven insights to manage financial risk and improve outcomes for more than one million members.
The Intelligence Cloud: Activating Data for One Million
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The Future of the Hospital Room: Nesa Joins Epic Toolbox for Inpatient Virtual Care
What You Should Know:
- Nesa has been officially listed in the Epic Toolbox for Inpatient Virtual Care for 2026, confirming its deep, native integration with the Epic EHR. Utilizing edge-based AI, Nesa automates over 80 clinical workflows, including virtual nursing, fall detection, and ambient documentation.
- Proven outcomes include a 37.5% reduction in falls, an 80% reduction in pressure injuries, and a shift in average discharge times from 3:30 PM to 11:00 AM. The platform
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