Coordination of benefits (COB) is a key component of any effective payment integrity program. But determining primacy for members with multiple plans and ensuring claims aren’t overpaid can be a complicated process. Whether it’s verifying employment status or sifting through complicated claims, COB takes significant time for peak accuracy. And while health plans focus on the intricacies of an effective COB strategy, many overlook the possibilities that a comprehensive prepay COB solution can
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Health IT | News, Analysis, Insights - HIT Consultant
How Conversational AI is Reinventing Healthcare Patient Access
In healthcare, delivering patient-centered care isn’t just reserved to the confines of a clinic, it begins with the first phone call to schedule an appointment. But far too often, those calls are met with outdated interactive voice response (IVR) systems, long wait times, and puzzling menus that cause frustration rather than support. Alarmingly, according to Market Growth Reports, around 36% of companies still use old IVR software from before 2017, meaning many health providers are lagging
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Huron Acquires AXIOM Consulting Division to Expand Payer Digital Transformation Capabilities
What You Should Know:
- Global professional services firm Huron announced it has acquired the payor consulting services division of AXIOM Systems (AXIOM), a healthcare information technology firm specializing in digital transformation for payors and payor-provider organizations.
- The strategic acquisition significantly expands Huron’s capabilities in the payor ecosystem. Financial details of the acquisition were not disclosed.
Strengthening Expertise in Core Payor
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athenahealth Unveils AI-Native Clinical Encounter to Reimagine the Future of EHRs
What You Should Know:
- athenahealth, a leading provider of network-enabled software and services for healthcare practices and systems nationwide, today introduced its AI-native clinical encounter, a reimagined experience that anticipates clinicians’ needs, surfaces relevant insights at the moment of care, and drafts documentation, orders, and diagnoses based on the clinician-patient conversation.
- This new AI-native experience will transform the EHR from a system of record into
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BrainScope Appoints Matt Adams CEO to Drive Global Scale
What You Should Know:
- BrainScope, a neurotechnology company dedicated to transforming brain health diagnostics using computational neuroscience announced the appointment of Matt Adams as its new Chief Executive Officer.
- Adams succeeds Laurie Silver, who assumes the role of President and will continue to guide the company’s strategic direction and growth. Both leaders will serve on BrainScope’s Board of Directors.
Matt Adams Background
Matt Adams brings over two
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Rural Health Revolution: Lumeris, Teladoc, Deloitte Launch AI Coalition for CMS Program
What You Should Know:
- Lumeris, a leader in healthcare technology and services announced the formation of a powerful new coalition, the Collaborative for Healthy Rural America (CHRA). The CHRA has b een established to provide an immediate and scalable execution path for state leaders participating in the Rural Health Transformation Program (RHT), administered by the Centers for Medicare & Medicaid Services (CMS).
- The coalition brings together a formidable team of industry
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Mayo Clinic Launches Platform_Insights to Bridge the Digital Divide in Healthcare AI Adoption
What You Should Know:
- Mayo Clinic today announced the launch of Mayo Clinic Platform_Insights, a new offering designed to give healthcare organizations of all sizes across the globe access to Mayo Clinic's digital expertise, data-driven insights, and clinical knowledge.
- The initiative provides a guided, affordable path to reduce the digital divide fueled by the rapid evolution of artificial intelligence (AI).
Extending Clinical Expertise and Reducing the Digital
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The Double-Edged Sword: Why AI is Healthcare’s Biggest Cybersecurity Threat Yet
Artificial intelligence (AI) is the ultimate double-edged sword in healthcare. On one side, AI is already driving real improvements, from accelerating diagnostic imaging to streamlining operational workflows such as delivering faster, more accurate, and more efficient patient care. And we are still only at the beginning; AI’s potential to reshape healthcare is undeniable.
But that optimism is tempered by the reality that AI also introduces one of the most significant cybersecurity risks the
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Reimbursement Shift under 2026 PFS Poised to Usher in New Era for RPM
The annual release of the Medicare Physician Fee Schedule (PFS) generated more attention than usual this year among practices that have considered or are already offering Remote Patient Monitoring (RPM) to their patients. CMS’s July 14 publication of the proposed rule, outlining revisions to payment policies and rates, was seen as particularly significant for RPM.
Key changes to RPM under the 2026 PFS include the introduction of a code for 2-15 days of data collection and another that allows
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The End of Incrementalism: Why 91% of Health Executives Demand Fundamental Change with AI
What You Should Know:
- Digital transformation strategy has accelerated as a core priority for the healthcare industry, driven by the necessity of operational resilience, personalization, and advanced AI.
- According to the fifth annual Health System Digital Transformation Survey by Chartis, 91% of health system executives agree that their organizations must undergo "fundamental change" to overcome persistent challenges and thrive in the next five years.
The Limit of Incremental
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