What You Should Know
Physician-founded revenue cycle vendor AMS Solutions published its State of Medical Billing 2026 benchmark report, detailing a rise in industry-wide claim denial rates to 9% (up from 7.5% in 2023).Increased Medicare Advantage penetration and automated machine-learning claim reviews by commercial payers are driving higher denial rates, extended days in accounts receivable (averaging 42 days, up from 38), and stricter documentation requirements.Neurology exhibits the
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Health IT | News, Analysis, Insights - HIT Consultant
M&A: VSee Health to Acquire $35M Healthcare Commerce Platform
What You Should Know
VSee Health, Inc. signed a non-binding letter of intent (LOI) to acquire healthcare technology and operating assets valued at approximately $42 million.The target assets support an integrated healthcare commerce platform serving the U.S. clinic-based wellness market, generating an unaudited annual revenue run rate over $35 million and approximately $7 million in EBITDA.Operating via an asset-light framework, the platform coordinates cloud-based ordering, payment
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How AI is Helping Healthcare Leaders Translate Patient Experience Data into Action
Every time a patient visits a healthcare facility, there is a treasure trove of information about their experience that could improve patient safety measures and lead to better outcomes.
Patients’ care experiences go far beyond clinical care. A patient recovering from surgery for a few days may interact with more than a dozen providers, specialists and staff. The patient may be moved from a surgical unit to a medical unit or an inpatient rehabilitation facility. They may be discharged
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Mayo Clinic and Einstein Hospital Israelita Partner to Expand Mayo Clinic Platform_Connect
What You Should Know
Mayo Clinic and Brazil’s Einstein Hospital Israelita completed a technological integration milestone to make de-identified clinical data from South America accessible via Mayo Clinic Platform_Connect.The collaboration expands global demographic, genetic, and regional clinical representation within Mayo Clinic’s privacy-preserving healthcare innovation ecosystem.Einstein Hospital Israelita joined Mayo Clinic Platform’s Early Adopter Program to establish secure, cloud-based
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RWJF Report Analyzes Hospital Financial and Workforce Strains Under OBBBA
What You Should Know
A joint report by the Urban Institute and Robert Wood Johnson Foundation analyzes five major federal policy shifts threatening hospital financial stability and operational sustainability.Medicaid work requirements and semi-annual redeterminations under the One Big Beautiful Bill Act (OBBBA), combined with ACA Marketplace subsidy expirations, are projected to cause millions to lose health coverage.State-Directed Payment caps and provider tax reductions under OBBBA will cut
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WellSpan Health and Hippocratic AI Form Multi-Year Co-Development Partnership for Voice AI Agents
What You Should Know
WellSpan Health expanded its multi-year partnership with Hippocratic AI, transitioning from single use cases to a platform-wide deployment across inbound, outbound, ambulatory, and inpatient settings.The health system currently operates "Ana," a generative AI voice agent handling over 160,000 monthly patient calls and 7,000 conversational hours for appointment management and digital access queries.New workflow expansions will focus on proactive outbound care gap closures,
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M&A: Included Health to Acquire Clinically-Integrated Health Plan Firefly Health
What You Should Know
All-in-one healthcare delivery firm Included Health has signed a definitive agreement to acquire clinically integrated health plan and advanced primary care provider Firefly Health, with closure targeted for Q3 2026.The combined entity pairs Included Health’s AI-native navigation platform with Firefly’s NCQA-accredited advanced primary care model, dynamic benefit design, and a nationwide network of 2,300+ in-person, in-home, and specialty partners.Across its full
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Mount Sinai Medical Center Extends Epic’s Ambient AI to Inpatient Nursing
What You Should Know
Mount Sinai Medical Center in Miami Beach has launched "Chart with Art," Epic's ambient AI documentation tool, for its inpatient nursing staff.The deployment makes Mount Sinai the first health system in Florida and the fourth nationwide to extend Epic's ambient listening technology to bedside nurses.The platform operates in both English and Spanish, accommodating a primary care community where over 30 percent of patients speak Spanish as their primary language.Inpatient
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MUSC Health Expands Epic-Integrated AI Agent “Emily” to Retail and Specialty Pharmacy Workflows
What You Should Know
MUSC Health expanded "Emily," its conversational AI agent built on SoundHound AI's platform, into retail and specialty pharmacy operations following 2.2+ million successful patient calls since its 2024 initial deployment.The expanded platform represents one of the first agentic voice implementations integrated directly into an Epic EHR environment for real-time transactional workflows.Patients can process prescription refills, receive real-time status updates, check
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RWJBarnabas Links Real-Time Epic EDI Alerts Directly to Rapid Response Teams
What You Should Know
A multi-hospital, 23,132-patient study led by RWJBarnabas Health and Rutgers Robert Wood Johnson Medical School (DOI: 10.1056/AIoa2500973) evaluated an enterprise rollout of the Epic Deterioration Index (EDI).Following implementation across 11 acute care hospitals, in-hospital mortality among high-risk patients (EDI score >60)dropped from 23.1% to 18.6%, representing an 18% reduction in the risk-adjusted odds of death.Rather than relying solely on passive EHR
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