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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Health IT | News, Analysis, Insights - HIT Consultant
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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M&A: TigerConnect Acquires eVideon to Unify Hospital Communications
What You Should Know:
- TigerConnect, a leading clinical collaboration platform, has announced its acquisition of eVideon, a leader in hospital smart room technology and digital patient engagement.
- The strategic acquisition marks a significant step in TigerConnect's mission to unify healthcare communications across the care continuum. By combining TigerConnect’s clinical communication tools with eVideon’s smart room solutions, the companies aim to create a seamless and
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New Trilliant Health Report Exposes Widespread Price Variation in U.S. Healthcare
What You Should Know:
- Trilliant Health, a healthcare analytics firm, has released a new report that leverages data from the Transparency in Coverage (TiC) final rule to expose significant variations in commercial healthcare prices across the United States.
- The analysis, which includes data from 2,659 hospitals and 3,491 ambulatory surgery centers, highlights a "startling spread in prices" for the same procedures.
Information Asymmetry
The U.S. healthcare system
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Ambience Healthcare Launches Chart Chat, an AI Copilot for Epic EHRs
What You Should Know:
- Ambience Healthcare has announced the launch of Chart Chat, an AI copilot designed to integrate directly into Epic’s electronic health record (EHR) system.
- Chart Chat is a first-of-its-kind tool that provides healthcare providers with context-aware clinical insights by combining patient chart data with trusted medical content from BMJ Best Practice and open AI technology.
- Chart Chat aims to combat the growing challenge of information overload for
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CentralReach Acquires SpectrumAi and AI.Measures to Expand AI-Powered Autism Care
What You Should Know:
- CentralReach, a software provider for autism and intellectual and developmental disabilities (IDD) care, has announced the acquisitions of SpectrumAi and AI.Measures. These strategic moves significantly expand CentralReach's platform to enable and accelerate outcomes-based care (OBC) for the autism and IDD field.
- The two companies bring cutting-edge capabilities in clinical assessment, video data capture, and predictive analytics that will enhance
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