What You Should Know:
- Cohere Health®, the leader in clinical intelligence solutions for health plans and risk-bearing providers, today announced the launch of Review Assist, a breakthrough agentic AI solution that improves medical necessity review efficiency by up to 50% with over 99% precision.
- Designed to work seamlessly with health plans' existing utilization management (UM) workflows and technology stacks, Review Assist reduces review time, eases administrative burden, and improves
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Health IT | News, Analysis, Insights - HIT Consultant
Walmart and Soda Health Launch “Everyday Health Signals™” Program for Medicare and Medicaid Members
What You Should Know:
- Walmart and Soda Health, a health technology company focused on smarter health benefits administration announced a collaboration to launch the Walmart Everyday Health Signals™ program.
- The strategic initiative will be available to select Medicare Advantage and Medicaid members, providing personalized nutrition and wellness guidance based on retail shopping insights.
- The program is designed to support day-to-day decisions for better health and
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Keeping Patients Connected: Strategies to Reduce Attrition in a Competitive Healthcare Market
For many patients today, staying with a provider is about more than just the clinical care – it’s about feeling heard, supported and in control of their healthcare journey. As consumers grow more accustomed to on-demand, personalized experiences in every aspect of their lives, their expectations around healthcare have also evolved. They’re more likely to seek out providers who don’t just deliver quality care, but also create a positive experience through convenience and responsiveness.
For
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Erlanger Partners with Qventus to Drive Surgical Growth and Patient Access with AI
What You Should Know:
- Erlanger, a nationally-acclaimed, multi-hospital health system, today announced a strategic partnership with Qventus, the industry’s premier provider of AI-based care operations automation software. The collaboration is aimed at driving strategic surgical growth and increasing patient access to advanced, minimally invasive da Vinci procedures.
- The investment in Qventus’ Surgical Growth Solution is part of Erlanger’s commitment to leveraging the latest AI
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Xsolis GenAI Pilot at Beacon Health System Reduces Medical Necessity Review Time by 68%
What You Should Know:
- Xsolis, an AI-driven technology company announced the initial results of its new generative AI (GenAI) solution pilot, which dramatically streamlines medical necessity reviews. Beacon Health System, a not-for-profit health system, piloted the new Xsolis GenAI solution and saw a significant decrease in administrative burden, which helped optimize precious clinical resources and streamline payer interactions.
- The results from the three-month pilot
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Automation Transforms Healthcare: Better Patient Care, Less Paperwork
Anyone who touches the healthcare industry also touches the burdensome administration and management issues that erode the resources that could be applied to patient care. Patients struggle with confusing forms and tasks, while approximately 40% of healthcare workers spend at least a quarter of their workweek on repetitive tasks. Thankfully, the industry is embracing intelligent automation (IA) as a solution to streamline operations and improve patient experiences.
Freeing Administrative
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INSIGHTS: What Leaders Expect to Hear at HFMA Annual Conference
As healthcare finance leaders prepare to gather for the upcoming HFMA Annual Conference, they face a familiar but intensified set of challenges: shrinking margins, rising operational costs, and an increasingly complex reimbursement landscape. This year, however, a dominant theme emerges from the conversation: the role of Artificial Intelligence in revolutionizing the revenue cycle. We asked six healthcare executives for insights on what key themes/trends they expect to be the most talked
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How Cyber Threats Are Reshaping Healthcare Revenue Cycle Strategy
The impact of any data breach cannot be overstated, especially in healthcare. Unlike other sectors, such as financial services or travel, healthcare records contain “one of one” data – medical history cannot simply be replaced or revoked, making this data uniquely valuable to threat actors.
Unfortunately, healthcare has seen a clear surge in data breaches in recent years.
Financially motivated hackers and insider threats are increasingly exploiting cybersecurity gaps that were
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Life After GLP-1s: New Report Shows How to Avoid Weight Regain
What You Should Know:
- A new report released by Virta Health, a leader in diabetes reversal and sustainable weight loss, offers an optimistic counter-narrative to the prevailing belief that weight regain is inevitable after stopping GLP-1 medications. The findings show that a structured, medically guided off-ramp combined with lifestyle support leads to sustained success, challenging the notion that these drugs must be a lifelong commitment.
- In partnership with Wakefield Research,
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Doctors Are Using AI, But Lack of Guidelines and Training Leaves Them Feeling Unprepared, New Survey Finds
What You Should Know:
- A new survey of U.S. physicians from Inlightened, a tech-enabled healthcare insights platform, reveals a significant paradox in the adoption of artificial intelligence: while a majority of doctors are already using AI tools in their practice, very few feel prepared to manage the benefits and risks, and most are operating without formal organizational guidelines.
- The findings highlight a critical opportunity for AI innovators and healthcare leaders to better
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