What You Should Know
An Inovalon national survey of over 400 revenue cycle management (RCM) leaders by Inovalon reveals that healthcare's most costly billing problems begin before a claim is ever submitted.Front-end workflow breakdowns drive 78% of denied claims, led by insurance eligibility verification, patient registration, and prior authorization delays.Prior authorization remains heavily manual: 93% of provider organizations rely on phone, fax, or payer portals, with only 7% utilizing
Read More
Health IT | News, Analysis, Insights - HIT Consultant
Suvi Health Launches Ambient AI Platform for Inpatient Care Coordination
What You Should Know
Suvi Health has officially launched its Ambient AI Care Coordination Platform to streamline hospital stays, improve care continuity, and reduce delayed discharges.Created through 1842 Studio (the venture studio of the 1842 Fund, managed by Alloy Partners), the company was co-developed alongside researchers from the University of Notre Dame and clinicians from Mayo Clinic.Suvi Health will initiate a four-month pilot site deployment with Mayo Clinic starting in September
Read More
Epic Launches One-Click Care Everywhere Diagnostic Image Exchange
What You Should Know
Epic has officially released Care Everywhere Diagnostic Image Exchange, enabling clinicians at Epic-connected health systems to retrieve diagnostic-quality CTs, X-rays, and MRIs with a single click.The technology bridges a long-standing interoperability gap by applying open image-sharing standards across Epic’s Care Everywhere network to transport full-resolution files directly between PACS/archiving systems.Prior to this release, clinicians were limited to viewing
Read More
Aligned Marketplace Raises $20M to Scale Independent Primary Care
What You Should Know
Healthcare marketplace Aligned Marketplace secured $20M in Series A funding led by healthcare venture firm Venrock.The platform directly connects self-insured employers and Third-Party Administrators (TPAs) to a national network of independent advanced primary care (APC) and direct primary care (DPC) practices across all 50 states (comprising 3,000+ clinics).Actuarial data from a 2025 Fortune 500 employer program demonstrated a 12% reduction in total cost of care for
Read More
Why AI Is Compression-Testing Healthcare Software Overhead
$25 billion. That’s how much Forrester predicts U.S. healthcare providers will spend on software this year. That equates to approximately 36% of their overall IT budget.
But the way providers are sizing up costs could be flawed. What if they are spending these substantial sums based on an enterprise software model that no longer makes sense?
Providers absorb a lot of expenses associated with tasks like onboarding new employees, retraining staff, managing workflow fragmentation, billing
Read More
Cedar Launches Purpose-Built AI Agents for Patient Revenue Recovery
What You Should Know
Cedar officially announced the Kora Platform, evolving its single AI billing agent into an integrated suite of purpose-built, autonomous AI agents designed for healthcare revenue recovery.Built on a foundation of 1.5 billion+ patient interactions, $13.6 billion in processed payments, and 63 million+ patients served, Kora integrates directly into existing EHR, telephony, and contact center environments.The platform features Autonomous Inbound Voice, Autonomous Outbound
Read More
Innovaccer Partners with Mastek to Expand Agentic Healthcare AI Globally
What You Should Know
Global digital, cloud, and AI services company Mastek has joined Innovaccer’s Platinum Global Systems Integrator (GSI) program, committing to Innovaccer's Gravity platform for large-scale enterprise deployments.The partnership bridges Innovaccer’s healthcare AI and data infrastructure with Mastek’s operational footprint across 40+ countries, accelerating expansion into the US, UK, Europe, and Middle East.Mastek will implement and localize Innovaccer’s full suite of
Read More
Assort Health Launches AI Agent to Automate End-to-End Referral Conversion
What You Should Know
Assort Health announced the general availability of Referrals, an AI agent purpose-built to automate inbound specialty referral processing, provider matching, and appointment booking.The agent identifies a better-fit provider than the one originally designated in 50% of inbound referrals, optimizing clinical alignment and reducing patient wait times.Powered by Assort's proprietary Synapse model, the agent extracts and structures data from e-faxes, scanned PDFs, EHR feeds,
Read More
Cityblock Health Expands Humana Partnership to Serve 20,000 North Carolina Medicare Advantage Members
What You Should Know
Cityblock Health announced a major expansion in North Carolina to deliver its 24/7 wrap-around care model to nearly 20,000 Humana Medicare Advantage and dual-eligible beneficiaries across 50 counties.Effective July 1, 2026, the partnership supports complex, hard-to-reach populations, including Dual Eligible Special Needs Plan (D-SNP) members, partial dual-eligibles, and Low-Income Subsidy (LIS) recipients.Cityblock's model provides 24/7 in-person and virtual care
Read More
How athenaOne’s Native Ambient AI Saves Two Workdays Monthly Per Clinician
What You Should Know
athenahealth announced the broad deployment of AI-native capabilities across its athenaOne network, extending native ambient features to over 170,000 physicians and clinicians.The core innovation, athenaAmbient, is built directly into athenaOne at no extra charge, capturing patient encounters to generate draft notes, suggested diagnoses, orders, and care-gap alerts.Network results since late 2025 show a reduction of nearly six minutes per patient encounter in chart
Read More
