What You Should Know
- Anthropic has officially launched Claude for Healthcare, a suite of HIPAA-ready tools that allow providers and payers to use its latest model, Opus 4.5, for high-stakes medical tasks like prior authorization and claims appeals.
- Simultaneously, the company has significantly expanded Claude for Life Sciences, adding deep integrations with platforms like Medidata and ClinicalTrials.gov to automate clinical trial operations and regulatory submissions.
The Engine:
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Health IT | News, Analysis, Insights - HIT Consultant
Abridge and Availity Partner to Automate Prior Authorization at the Point of Conversation
What You Should Know
- Abridge, the leader in clinical conversational AI, and Availity, the nation’s largest health information network, have launched a first-of-its-kind collaboration to automate prior authorization in real-time.
- By embedding Availity’s FHIR-native Intelligent Utilization Management solution into Abridge’s Contextual Reasoning Engine, the partnership aims to provide clinicians with visibility into coverage requirements and enable payer determinations during the
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RISA Labs Closes $11.1M Series A to Scale AI Operating System for Oncology Nationwide
What You Should Know:
- RISA Labs, a company pioneering AI operating system for oncology, today announced the closing of an $11.1 million Series A funding round.
- The financing was co-led by Cencora Ventures and Optum Ventures, with participation from Oncology Ventures, Z21 Ventures, and John Simon (co-founder of General Catalyst).
RISA Labs Raises the Bar for AI-Driven Oncology Operations
Founded by RISA Labs co-founders Kshitij Jaggi and Kumar Shivang, RISA Labs is building
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EnableComp Acquires H/ROI, Creating the Industry’s Most Comprehensive Complex Revenue Platform
What You Should Know:
- EnableComp®, recognized for resolving the toughest challenges in Complex Revenue Cycle Management, announced its acquisition of Health Resources Optimization, Inc. (H/ROI), a premier clinical denials and revenue recovery firm serving top health systems in the Northeast.
- As hospitals face sustained margin pressure from denials and payer scrutiny, the acquisition expands the revenue EnableComp captures for its clients by resolving and
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Penguin Ai Launches Snowflake Native App to Automate HCC Risk Adjustment
What You Should Know
- Penguin Ai has announced the launch of its Hierarchical Condition Category (HCC) Coding & Risk Adjustment solution as a Snowflake Native App.
- By bringing its risk-adjustment intelligence directly into a customer’s Snowflake environment, Penguin Ai enables Medicare Advantage (MA) plans and risk-bearing providers to automate diagnosis extraction and improve Risk-Adjustment Factor (RAF) accuracy without moving or exposing sensitive patient data.
The "Data
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Elation Health Cuts Chart Review Time 61% With Anthropic’s Claude AI
What You Should Know:
- Elation Health, the clinical-first technology company powering innovation in primary care, today announced that its Clinical Insights solution has moved to Claude Haiku 4.5 by Anthropic, the leading artificial intelligence research and development company with an emphasis on responsible AI.
- Clinical Insights delivers summaries of a patient's health story to clinicians at the point of care, using Claude’s speed and long-context reasoning for safe, accurate
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The Role of EMR & EHR Technology in Modern Blood Sugar Control
Lately, you have been experiencing a bad mood with low energy, cravings, and even mood swings.
But what’s really going on? Blood sugar might be a major factor. Most of us find it hard to keep our blood sugar levels steady, and this might influence not only our concentration but also our health.
The good news? Healthcare is becoming more technologically advanced, which makes it easier to keep things in check. Electronic Medical Record and Electronic Health Records systems are
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HealthEx and Anthropic Partner to Bring Personal Health Records Directly to Claude
What You Should Know
- HealthEx and Anthropic have launched a first-of-its-kind integration that allows Claude Pro and Max users to securely connect their medical records from over 50,000 provider organizations directly to the AI.
- The partnership leverages the federal TEFCA framework and a new Model Context Protocol (MCP) to provide personalized health summaries and lab interpretations while ensuring that sensitive patient data is never used for model training.
Bridging the
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DiMe Launches Initiative to Scale Trusted AI Care Navigation
What You Should Know
- The Digital Medicine Society (DiMe) has launched a new multi-stakeholder initiative, "Scaling Trusted, High-Impact AI Care Navigation," to accelerate the responsible adoption of AI tools that help patients manage appointments, referrals, and insurance.
- Led by title sponsor Intel and a founding coalition of tech and healthcare leaders, the project will develop open-access resources to ensure AI-enabled care journeys are patient-centered, equitable, and
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The GPT-5 Era: OpenAI Launches ‘OpenAI for Healthcare’ and GPT-5.2 to Power the Modern Hospital
What You Should Know
- OpenAI has officially entered the medical market with OpenAI for Healthcare, a suite of products led by ChatGPT for Healthcare and the GPT-5.2-powered API.
- Already rolling out to eight leading institutions—including Stanford Medicine, HCA Healthcare, and UCSF—the platform provides a secure, HIPAA-compliant workspace for clinical reasoning, evidence retrieval with transparent citations, and the automation of administrative tasks like prior authorizations and
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