What You Should Know
1upHealth has become the first interoperability solution provider to deploy all four APIs required by the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) to its entire customer base.The deployment comes a full eight months ahead of the federally mandated deadline of January 1, 2027.Integrated APIs now live include Patient Access, Payer-to-Payer Data Exchange, Provider Access, and Electronic Prior Authorization.The 1up Console now provides real-time
Read More
Health IT | News, Analysis, Insights - HIT Consultant
The $262B “Acceptance”: Why It’s Time to Stop Treating Denials as an Unavoidable Cost
I want to be direct about something: the denial problem in U.S. healthcare is not complicated to understand. It is complicated to fix, but the basic dynamic is straightforward. Hospitals deliver medically appropriate care, submit claims, and then watch a meaningful portion of those claims get denied. Most of those denials are never challenged. Revenue disappears. And somewhere along the way, we collectively decided this was just how things work.
It isn’t. And we need to stop treating it like
Read More
Basata Secures $21M to Rebuild Healthcare’s Operational Layer: Automating Referrals and Scheduling End-to-End
What You Should Know
Basata, an AI company focused on healthcare operations, has announced a $21M Series A funding round led by Basis Set Ventures.The platform uses specialty-specific AI agents to automate administrative tasks such as faxes, referrals, patient intake, and scheduling.Practices using Basata report processing 100% of incoming referrals the same day and unlocking 50% more administrative labor capacity.To date, the company has served more than 500,000 patients, with 100,000 served
Read More
Transforming Medical Coding Operations Through Hybrid Intelligence Design
Healthcare revenue cycle management is bending under the strain of evolving payer policies, complex documentation, and higher demands for accuracy and cost control. Exacerbating these challenges are rising coding assignment volumes, which are forcing HIM departments to address continued workforce shortages.
These problems are interconnected and systemic. They cannot be solved by simply adding staff or deploying standalone automation tools. Instead, a more structured approach is emerging:
Read More
How Lucent and Tempus Are Using AI to Spot Alzheimer’s Earlier
What You Should Know
Lucent Diagnostics (a brand of Quanterix) and Tempus AI have announced a strategic collaboration to integrate Alzheimer’s blood-based biomarker testing into routine clinical workflows.The LucentAD® Complete multi-biomarker blood test will be available for neurologists to order directly through the Tempus clinical ordering platform.The partnership leverages Tempus Next, an AI-enabled care pathway intelligence platform, to identify "care gaps" and identify patients who may
Read More
Healthcare Cybersecurity Has Become an Operational Risk, Not Just a Security Function
Healthcare cybersecurity is no longer just a technical discipline handled by IT teams. That view has changed. Cybersecurity in healthcare has grown. It now sits at the intersection of operations, compliance, and patient safety. When systems fail, care is disrupted. These disruptions go beyond data loss, reaching clinical outcomes, financial stability, and regulatory exposure.
This is not a future concern. It is already happening.
Cyber Risk Is Now Operational Risk
Healthcare
Read More
MedTech Breakthrough Announces 2026 Award Winners: Celebrating a Decade of Health Technology Innovation
What You Should Know
MedTech Breakthrough has announced the winners of its 10th annual awards program, recognizing excellence in digital health and medical technology across more than 20 countries.The 2026 awards highlight a decade of evolution where artificial intelligence (AI), virtual care, and precision medicine have become central pillars of global healthcare delivery.This year's program received a record-breaking number of nominations from startups, health systems, and leading global
Read More
Mid-Cycle Revenue Integrity: Leveraging Clinician-Governed AI to Reduce Denials and Understated Acuity
Health systems can deliver appropriate, high-quality care and still see financial and quality outcomes that do not reflect that care. Downgrades, understated acuity, and misaligned quality metrics often arise not because clinical decisions were wrong, but because the full complexity of those decisions and the resulting care were never clearly translated beyond the bedside. In today’s reimbursement environment, outcomes are shaped as much by how care is represented in documentation and coding as
Read More
Eko Health Appoints Dr. Steven Steinhubl as CMO to Drive Cardiac AI and Global Clinical Strategy
What You Should Know
Eko Health has appointed Steven R. Steinhubl, MD, a prominent cardiologist and digital medicine pioneer, as its Chief Medical Officer (CMO) and executive leadership team member.Dr. Steinhubl will oversee Eko's clinical strategy, research initiatives, and scientific collaborations to accelerate the global adoption of AI-enabled cardiac detection.He currently serves as the Vincent P. Reilly Professor of Biomedical Engineering at Purdue University and is a member of the
Read More
Artera Launches AI Services Model and Agentic AI Squads for Specialty Care and FQHCs
What You Should Know
Artera is the first agentic healthcare company to adopt an AI Services Model, moving away from traditional "homogeneous SaaS" to deliver bespoke, clinic-specific solutions.The company has deployed specialized AI Service Squads—small teams of AI builders who work directly with healthcare providers to co-innovate and eliminate legacy development cycles.The model supports high-demand solutions, including scheduling, prior authorizations, referral management, and closing care
Read More
