Mental health technology deals are increasingly sold on continuity. A larger platform can offer more providers, more forms of care, and fewer disruptions when a patient changes jobs, insurance, or treatment needs. That promise is compelling. It also creates a data governance problem that is easy to miss during integration.
When two platforms combine, the transaction may bring together therapy records, assessment responses, care navigation history, claims, wearable streams, voice data,
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Health IT | News, Analysis, Insights - HIT Consultant
Medicare Fraud Has an AI Problem. So Does Healthcare Compliance
For years, healthcare organizations have approached Medicare fraud and billing compliance as primarily a retrospective exercise. Claims are submitted, payments are made, audits follow, and organizations investigate problems after they surface.
That model is becoming increasingly unsustainable.
The federal government is moving toward a more aggressive approach to Medicare program integrity, using data analytics, artificial intelligence (AI), and machine learning to spot suspicious billing
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Nearly 1 in 8 U.S. Private Hospitals Are Now Owned by Private Equity
What You Should Know
The Private Equity Stakeholder Project (PESP) released an updated edition of its Private Equity Hospital Tracker in late October 2026, revealing that private equity firms now own nearly one in eight private hospitals in the United States.The update was triggered by the $3.9 billion acquisition of Select Medical by an investment consortium that includes private equity sponsor Welsh, Carson, Anderson & Stowe (WCAS).The total count of private equity-owned hospitals
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Why the RPG Skills Gap Is Healthcare’s True Cybersecurity Blind Spot
Here’s a plausible scenario from the not-so-distant future. It’s 2 a.m. on a holiday weekend, and a hospital’s claims or records system throws an error. This is mission-critical infrastructure we’re talking about, and these systems process mountains of personally identifiable information every hour of every day. Night staff at the security operations center need to know: Is this just a routine glitch or is there an active breach? However, there’s only one person who knows the answer — and she
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Wrapped Health Raises $2.1M to Embed Agentic Commerce and FSA/HSA Purchasing in the EHR
What You Should Know
Washington, D.C.-based digital infrastructure startup Wrapped Health announced the closing of a $2.1M pre-seed financing round co-led by Lightbank and Arteria Capital, the specialized healthcare AI venture fund established by former Headspace CEO Russell Glass.The company will deploy the new capital to expand its core product and engineering teams, scale integrations across major electronic health record (EHR) platforms, and deepen commercial distribution with hospital
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From Automation to Agency: Rethinking the Future of Healthcare
For years, healthcare provider organizations have pursued automation to improve revenue cycle efficiency. Rules-based workflows, robotic process automation, predictive analytics, and machine learning have each helped reduce manual intervention and accelerate the completion of repetitive tasks.
But reimbursement for specialty healthcare services, such as laboratory, radiology, pathology, and specialty pharmacy, is becoming too complex for efficiency alone to solve.
The challenge facing
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M&A: Equiti Acquires Lexi AI to Pair Autonomous Language Models with Martti’s 250+ Human Interpreter Network
What You Should Know
Healthcare language access and technology leader Equiti officially announced the acquisition of Lexi AI, an award-winning healthcare artificial intelligence language interpretation company.The transaction unifies Lexi’s on-demand artificial intelligence interpretation with Equiti’s established Martti platform, creating an integrated hybrid language access architecture across clinical and administrative workflows.Equiti introduces its proprietary Modality Matters™
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Clinical Validation Audits Are Putting Hospital Reimbursement at Risk
When was the last time your team won an appeal on a clinical validation downgrade? If you have to stop and think about it, you are not alone.
Payer behavior has made this harder than it used to be. Clinical validation audits are driving a marked rise in Diagnosis-Related Group (DRG) downgrades, forcing hospitals to defend diagnoses that, for years, were accepted on the strength of a physician's documentation alone. As audits grow more frequent and the criteria keep shifting, traditional
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Re-Engineering Workflows to Bridge Healthcare’s AI ROI Gap
Artificial intelligence (AI) has now reached a crucial tipping point in the way U.S. healthcare plans carry out their operations. A study by Everest Group, supported by Sagility, found that 70% of health plans have introduced AI tools to streamline both administrative and clinical activities. Nevertheless, 84% of payer executives say that they have seen limited benefits from these implementations and just 10% have noticed measurable improvements in operations.
The fact that these systems are
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The Biggest Vendor Risk in Healthcare Isn’t in the Operating Room
Over the past two years, healthcare leaders have been forced to rethink what operational resilience really means.
The cyberattack on Change Healthcare demonstrated how dependent providers had become on a single third-party platform for everything from claims processing to cash flow. The attack on Ascension showed how quickly disruptions to technology can spill over into clinical operations, delaying care, forcing clinicians back to paper documentation, and disrupting the day-to-day
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