What You Should Know:
- Reveleer, in partnership with Mathematica and The Harris Poll, has released the 2025 State of Technology in Value-Based Care (VBC) Report. The report's findings come at a pivotal time, highlighting that while payer and provider alignment on VBC goals is stronger than ever, persistent gaps in technology and execution are stalling progress.
- The report is based on a national survey of 203 payer and provider decision-makers conducted from May 27 to June 10,
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Health IT | News, Analysis, Insights - HIT Consultant
ZeOmega Partners With Datycs to Optimize Prior Authorization
What You Should Know:
-ZeOmega®, the leading population health management organization, today announced its partnership with Datycs, a leading provider of clinical AI/Natural Language Processing (NLP) solutions, to automate converting unstructured data from faxed documents into standardized, interoperable, and actionable information.
- The collaboration will help health plans garner insights that will drive improvements in member care, provider and payer workflows, and overall
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Cascala Health Secures $8.6M for AI-Enabled Clinical Intelligence Platform for Post-Acute Care
What You Should Know:
- Cascala Health, a healthcare technology company based in Boston secures $8.6M in seed financing co-led by Flare Capital Partners and Eniac Ventures, with additional backing from Omega Healthcare Investors, Ziegler Link-age Fund, Tau Ventures, and Digital Health Venture Partners. This brings the company's total funding to $11.23M since its launch in mid-2024.
- The new capital will be used to accelerate product development, expand the company’s clinical
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4 Steps to Safely Implement AI in Healthcare and Pharmacy Operations
Artificial intelligence (AI) is already transforming healthcare, including pharmacy operations, clinical workflows, and business processes. As adoption accelerates, it's essential to ensure that AI is implemented responsibly—especially given the sensitive nature of patient data and the complexities of care delivery. Success in this space requires a balance of high tech and high touch: robust human oversight and ethical governance. Here are four key steps to help healthcare and pharmacy
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Beyond Budgets: How IT Outsourcing is a Strategic Imperative for Health Systems
After years of severe financial pressure intensified by the pandemic, U.S. health systems face shifting service demands, soaring costs, murky and unpredictable policy decisions, workforce shortages, supply chain disruptions, increasingly frequent and significant cyberthreats, and stagnating reimbursement rates that lag behind inflation. Healthcare costs have risen significantly, with general inflation increasing by 14.1% from 2022 to 2024. In contrast, Medicare net inpatient payment rates have
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Inovalon and AWS Partner to Enhance AI-Powered Solution for Medicare Advantage Audits
What You Should Know:
- Inovalon, a provider of data-driven healthcare solutions, has announced an expanded collaboration with Amazon Web Services (AWS) to enhance its Converged Record Review™ solution.
- The enhancement is in direct response to the new Centers for Medicare & Medicaid Services (CMS) requirement for annual Risk Adjustment Data Validation (RADV) audits for all Medicare Advantage (MA) contracts, beginning in 2026.
Increasing Scrutiny from Health
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M&A: CitiusTech Acquires Health Data Movers to Enhance Epic Systems and AI Integration
What You Should Know:
- CitiusTech, a provider of healthcare technology and solutions, has announced the acquisition of Health Data Movers, a healthcare technology services firm known for its expertise in platforms like Epic Systems, Workday, and ServiceNow. Financial terms of the acquisition were not disclosed.
- Founded in 2012, Health Data Movers is a U.S.-based firm with a mission to empower patients and providers by leveraging healthcare data and technology. The company brings
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Policy: CMS Launches New Oversight Initiative to Verify Medicaid and CHIP Eligibility
What You Should Know:
- The Centers for Medicare & Medicaid Services (CMS) has launched a new oversight initiative to ensure that enrollees in Medicaid and the Children’s Health Insurance Program (CHIP) are U.S. citizens, U.S. nationals, or have a satisfactory immigration status. The program aims to safeguard taxpayer dollars and protect these vital programs from abuse.
- CMS will provide states with monthly enrollment reports that identify individuals whose citizenship or
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Talkdesk and Epic Integrate to Automate Patient Outreach with AI
What You Should Know:
- Talkdesk, Inc. has announced the integration of its Talkdesk Advanced Dialer with Epic through the Epic Workshop program.
- The new integration directly connects Epic workqueues and Cheers outreach campaigns to the Talkdesk AI-powered contact center platform, enabling healthcare organizations to automate proactive patient outreach and close gaps in communication and care.
From Manual Tasks to Automated Workflows
Following up with patients is a process
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Innovaccer Launches AI-Powered Prior Authorization Solution: Flow Auth
What You Should Know:
- Innovaccer Inc., a healthcare AI company launches Flow Auth, a new AI-powered prior authorization solution.
- As part of the company's revenue cycle performance platform, Flow by Innovaccer, Flow Auth is designed to automate the entire prior authorization (PA) workflow, helping healthcare organizations accelerate care delivery and optimize revenue capture.
- Innovaccer projects that the solution could lead to a 50% reduction in the time clinicians
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