What You Should Know:
- UnitedHealth Group revealed it is facing a Justice Department (DOJ) criminal and civil investigation into its Medicare billing practices, adding to a series of recent setbacks for the nation’s largest and most powerful private insurer.
- The company also announced it has launched a third-party review of its business policies and performance metrics, expected to be completed by the end of the third quarter. The announcement comes after a tumultuous period for
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Health IT | News, Analysis, Insights - HIT Consultant
Reimagine Care Appoints Ann Stadjuhar as Chief Growth Officer
What You Should Know:
- Reimagine Care, a provider of technology-enabled cancer care at home announced the appointment of Ann Stadjuhar as Chief Growth Officer.
- Stadjuhar, a seasoned healthcare executive with a track record of building and scaling high-growth digital health organizations, will lead Reimagine Care’s growth, go-to-market strategy, and partnership efforts to accelerate access to more convenient, connected cancer care for patients across the country.
Stadjuhar
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Clearwater Collaborates with Google Cloud to Deliver Enhanced Threat Intelligence
What You Should Know:
- Clearwater, a pure-play provider of cybersecurity and compliance solutions for the healthcare industry, today announced a collaboration with Google Cloud.
- The partnership integrates Google Threat Intelligence (including Mandiant, VirusTotal, and Google's internal intelligence) with Clearwater's 24x7 Managed Security Services and Security Operations Center (SOC). The solution is designed to deliver real-time, actionable insights to proactively defend
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Abridge and Hospital for Special Surgery Partner to Advance Orthopedic Clinical Documentation with AI
What You Should Know:
- Abridge announced its collaboration with Hospital for Special Surgery (HSS) to enhance clinical documentation, communication, and care outcomes, starting at the point of conversation.
- HSS, recognized as the world’s No. 1 health system for orthopedics, is implementing the Abridge AI platform across its enterprise to enhance care for approximately 200,000 patients annually.
Transforming Documentation and Patient Experience with Ambient AI
HSS, the
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Humana Accelerates Prior Authorization Reforms, Pledges to Cut Requirements and Expedite Approvals
What You Should Know:
- Humana Inc. announced accelerated efforts to approve care requests as quickly as possible and reduce the administrative burden for physicians associated with prior authorization.
- These actions aim to streamline and reduce prior authorization requirements while preserving the system of checks and balances that protects patient safety for high-cost, high-risk treatments.
Prior Authorization Reform
Humana is working to reduce the "red tape" on prior
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NTT Data: Only 49% of Healthcare Leaders State GenAI Strategy Is Working
What You Should Know:
- New research from NTT DATA, a global leader in business and technology services, reveals a significant challenge for healthcare organizations: a struggle to align their Generative AI (GenAI) ambitions with practical implementation strategies. While over 80% of healthcare leaders surveyed state they have a well-defined GenAI strategy, only 40% agree that this strategy strongly aligns with their overall business strategy. Furthermore, just 54% classify their GenAI
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KLAS Report: Healthcare Accelerates Cloud Adoption Amidst Infrastructure and Talent Challenges
What You Should Know:
- Healthcare organizations are making significant investments in their IT infrastructure, with widespread adoption of public cloud solutions, according to a new KLAS report.
- These investments are crucial for maintaining operational efficiency and enabling cutting-edge innovations such as AI, genomics computing, and digital pathology. However, the report also highlights persistent challenges related to talent shortfalls, data security, and integration as
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Building a Better Future Through Collaboration: How Payer-Provider Partnerships Are Transforming Healthcare
The success stories emerging from payer-provider collaborations offer a hopeful counterpoint to the fragmentation and frustration so often heard about in healthcare. These strategic alignments between payers, providers, and health IT vendors prove that streamlined operations, better care delivery, and stronger financial outcomes are not just possible but repeatable.
Each year, the KLAS K2 Collaborative Points of Light report highlights real-world partnerships that have delivered measurable
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Healthcare’s Capacity Crisis: How AI Agents Enhance Clinician Productivity
America's healthcare system is fighting battles on several fronts: surging patient needs across specialties, an aging clinical workforce, and escalating provider burnout. Projections indicate a shortfall exceeding three million healthcare workers by 2026. This is supported by a 2023 McKinsey study, which found that 40% of inpatient registered nurses were planning to leave their positions. At the same time, nearly 60% of oncologists cite burnout as one of the primary reasons they may seek earlier
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TechMatter Acquires DoctorPapers to Expand Healthcare Revenue Cycle Management Services
What You Should Know:
- TechMatter, a leading provider of enterprise healthcare and automation solutions, acquires DoctorPapers, a California-based medical billing and revenue cycle management (RCM) company. This strategic move reinforces TechMatter’s mission to deliver scalable, tech-driven healthcare operations to providers across the United States. Financial details of the acquisition were not disclosed.
- Founded in 2020, DoctorPapers has built a strong reputation for delivering
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