What You Should Know
R1 entered into a definitive agreement to acquire Humata Health, an AI-powered prior authorization technology company, to embed agentic, touchless authorization capabilities into R1’s Phare Operating System (Phare OS).The transaction is expected to close by the end of the third quarter of 2026, with the Humata team joining R1’s R37 innovation lab to accelerate agentic AI engineering across the revenue cycle.Prior authorizations remain a top-three driver of hospital claim
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Health IT | News, Analysis, Insights - HIT Consultant
M&A: Trusted Health Acquires ShiftOS to Embed Holly AI Scheduling Agent into Trusted Works Platform
What You Should Know
Trusted Health announced the acquisition of the technology, intellectual property, and assets of ShiftOS, developer of Holly, an AI-native scheduling agent designed for hospitals and complex healthcare workforces.Holly will be integrated directly into Trusted Works, Trusted Health’s staffing and scheduling optimization platform for hospitals and health systems.Unlike traditional scheduling tools that add bolt-on AI features, Holly operates on an agent-first architecture
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The Technical and Operational Realities of TEFCA Adoption
Health systems and Payers have spent two decades and considerable capital wiring themselves to exchange data including bilateral interfaces, regional HIEs, national networks, etc. Yet, they still spend millions annually chasing records by fax, portal, and phone. TEFCA, the Trusted Exchange Framework and Common Agreement, is the first serious attempt to replace that patchwork with a single nationwide operating model: connect once, exchange with everyone, under one set of technical, legal, and
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Labcorp and NACHC Form Alliance to Train CMOs and Leverage CHC Lab Data
What You Should Know
Labcorp and the National Association of Community Health Centers (NACHC) have formed a strategic alliance to advance leadership development, practice improvement, and clinical outcomes across U.S. Community Health Centers (CHCs).The collaboration introduces the NACHC Leadership Exchange for Chief Medical Officers (CMOs), an executive development and peer-mentorship program designed to strengthen clinical and operational capabilities for health center leaders.CHCs
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Papa Expands Multi-Year Medicare Advantage Partnership with eternalHealth Across Massachusetts and Arizona
What You Should Know
Papa announced the expansion of its multi-year partnership with eternalHealth, a women-owned Medicare Advantage plan operating in Massachusetts and Arizona.The expanded agreement integrates Papa Plus pathways into eternalHealth’s companion care benefit, specifically targeting HEDIS and Health Outcomes Survey (HOS) performance to lift CMS Star Ratings.The collaboration introduces three structured, outcomes-driven in-home pathways:Post-Discharge Support: Focuses on the
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Lyric Establishes Nashville HQ to Scale Real-Time Claims Decision Intelligence
What You Should Know
Lyric, a healthcare decision intelligence company serving health plans, has officially established its new corporate headquarters in Nashville, Tennessee, at 333 Commerce St., Suite 1400.The move follows Lyric's July 2026 acquisition of Concert (bringing machine-readable clinical policy technology) and its 2025 acquisition of ClaimShark (adding payment integrity and audit automation into Lyric42).Lyric's footprint includes existing collaboration spaces in Newtown Square,
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Accompany Health Report: Transforming Dual-Eligible Outcomes, Star Ratings, and MLR at Scale
What You Should Know
New data from Accompany Health rejects industry norms that count passive phone calls or consent checkboxes as engagement (which typically yields only 20–30% reach), setting a standard defined by a completed in-home visit conducted jointly by an Advanced Practice Clinician (APC) and a dedicated Health Advocate.Accompany Health achieves a 55% engagement rate among attributed dual-eligible and complex Medicare Advantage members, with 99% of engaged patients in 2024 remaining
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The Rise of Silent Burnout in Senior Care Leadership
Every senior care organization is talking about caregiver burnout. Far fewer are asking a more uncomfortable question: what happens when the people leading the organization become exhausted too?
Executive burnout rarely announces itself through dramatic collapse. Leaders still show up, make choices, participate in meetings, and resolve issues. Operations seem stable from the outside. However, persistent weariness subtly alters leaders' perspectives behind that stability. Constant crisis
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Epic Launches Coverage Requirements Discovery API with Ochsner, Froedtert, Denver Health, and Summit Health
What You Should Know
Four major health systems—Ochsner Health, Froedtert ThedaCare Health, Denver Health, and Summit Health—have deployed real-time prior authorization checks directly inside their native Epic EHR workflows.The rollout utilizes the industry-standard Coverage Requirements Discovery (CRD) API, enabling clinical and financial clearance teams to determine instantly whether a commercial or government payer requires prior authorization at the point of order entry or appointment
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Abridge Scales Clinical Intelligence Agent Enterprise-Wide Across 300+ Health Systems
What You Should Know
Abridge announced that partner health systems can now deploy its clinical intelligence agent enterprise-wide to every clinician, regardless of whether they currently use ambient documentation.The agent delivers context-aware clinical decision support (CDS) embedded directly inside native EHR interfaces or accessible via a companion mobile and web experience connected to the patient chart.Across more than 300 enterprise health systems, monthly active users of Abridge's CDS
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