What You Should Know
Papa announced the expansion of its multi-year partnership with eternalHealth, a women-owned Medicare Advantage plan operating in Massachusetts and Arizona.The expanded agreement integrates Papa Plus pathways into eternalHealth’s companion care benefit, specifically targeting HEDIS and Health Outcomes Survey (HOS) performance to lift CMS Star Ratings.The collaboration introduces three structured, outcomes-driven in-home pathways:Post-Discharge Support: Focuses on the
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Health IT | News, Analysis, Insights - HIT Consultant
Lyric Establishes Nashville HQ to Scale Real-Time Claims Decision Intelligence
What You Should Know
Lyric, a healthcare decision intelligence company serving health plans, has officially established its new corporate headquarters in Nashville, Tennessee, at 333 Commerce St., Suite 1400.The move follows Lyric's July 2026 acquisition of Concert (bringing machine-readable clinical policy technology) and its 2025 acquisition of ClaimShark (adding payment integrity and audit automation into Lyric42).Lyric's footprint includes existing collaboration spaces in Newtown Square,
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Accompany Health Report: Transforming Dual-Eligible Outcomes, Star Ratings, and MLR at Scale
What You Should Know
New data from Accompany Health rejects industry norms that count passive phone calls or consent checkboxes as engagement (which typically yields only 20–30% reach), setting a standard defined by a completed in-home visit conducted jointly by an Advanced Practice Clinician (APC) and a dedicated Health Advocate.Accompany Health achieves a 55% engagement rate among attributed dual-eligible and complex Medicare Advantage members, with 99% of engaged patients in 2024 remaining
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The Rise of Silent Burnout in Senior Care Leadership
Every senior care organization is talking about caregiver burnout. Far fewer are asking a more uncomfortable question: what happens when the people leading the organization become exhausted too?
Executive burnout rarely announces itself through dramatic collapse. Leaders still show up, make choices, participate in meetings, and resolve issues. Operations seem stable from the outside. However, persistent weariness subtly alters leaders' perspectives behind that stability. Constant crisis
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Epic Launches Coverage Requirements Discovery API with Ochsner, Froedtert, Denver Health, and Summit Health
What You Should Know
Four major health systems—Ochsner Health, Froedtert ThedaCare Health, Denver Health, and Summit Health—have deployed real-time prior authorization checks directly inside their native Epic EHR workflows.The rollout utilizes the industry-standard Coverage Requirements Discovery (CRD) API, enabling clinical and financial clearance teams to determine instantly whether a commercial or government payer requires prior authorization at the point of order entry or appointment
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Abridge Scales Clinical Intelligence Agent Enterprise-Wide Across 300+ Health Systems
What You Should Know
Abridge announced that partner health systems can now deploy its clinical intelligence agent enterprise-wide to every clinician, regardless of whether they currently use ambient documentation.The agent delivers context-aware clinical decision support (CDS) embedded directly inside native EHR interfaces or accessible via a companion mobile and web experience connected to the patient chart.Across more than 300 enterprise health systems, monthly active users of Abridge's CDS
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The Cheapest Money a Hospital Will Ever Make Is the Money It’s Already Owed
This is shaping up to be another challenging year for healthcare system finances. It is not exactly beach reading. But neither is missing payroll.
The 2026 Costs of Caring Report from the American Hospital Association (AHA) spells it out:
Hospital expenses rose by 7.5% in 2025.About 56% of hospital costs are tied to service lines where reimbursement falls short of (or is less than) the cost of delivering care, including behavioral health, obstetrics, infectious disease, and burns and
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Black Book Research Releases 2026 State of U.S. Military and Defense Health IT Report
What You Should Know
Black Book Market Research released the State of U.S. Military and Defense Health Information Technology 2026, drawing on 1,037 survey responses and an 813-respondent analytical cohort of federal and defense health leaders.Released alongside the 2026 Defense Health Information Technology Symposium (DHITS) in New Orleans, the report marks the entry into a "post-EHR deployment era" following the completed worldwide rollout of MHS GENESIS.The FY2027 defense health IM/IT
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Why Exception-Driven RCM Is the Only Sustainable Operating Model
Healthcare has spent years trying to optimize a revenue cycle operating model that no longer works. Every new wave of technology has promised to make work queues more efficient. Better analytics. Better automation. Now AI.
We've spent years asking, "How do we work every claim faster?" The better question is, "Why are people working so many of these claims at all?"
The problem isn't that revenue cycle teams can't keep up. The problem is that we've built operating models where people are
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How Multilingual AI Scribes Are Bridging Communication Gaps at the Point of Care
Ambient listening technologies now facilitate real-time summarization of patient-provider conversations layered within structured documentation.
With the 2026 World Cup having just wrapped up after spanning countries and cultures, it offers a timely reminder that we’re living in an increasingly connected, multilingual world. Fans move between languages, cultures, and expressions effortlessly, creating a shared experience that doesn’t rely on everyone speaking the same language, but
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