What You Should Know:
- Two whistleblowers, represented by Whistleblower Aid, have produced significant evidence alleging that Optum, a subsidiary of UnitedHealth Group (UHG), is engaged in a scheme to defraud Medicare by systematically delaying or denying critical hospital care to vulnerable nursing home patients.
- The allegations, submitted in a comprehensive disclosure to the Securities and Exchange Commission (SEC), the Federal Trade Commission (FTC), and Congress, have sparked
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Health IT | News, Analysis, Insights - HIT Consultant
Why Your Health IT Project Needs a Coach, Not Just a Manager
Project managers are no longer mere overseers of projects; they are transitioning to become coaches who lead their teams to success in the changing healthcare environment. In the healthcare technology domain, where collaboration occurs between diverse teams, the role of project managers is shifting to include team mentoring and empowerment. Technology integration into healthcare systems is complex, and leaders can bridge the communication gaps, encourage collaboration, and direct the teams
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KLAS Report: Most Clinicians “Stuck in the Middle” with EHR Experience
What You Should Know:
- A new 2025 impact report from the KLAS Arch Collaborative reveals that while some progress has been made, most clinicians have a mediocre experience with their electronic health record (EHR) systems. The KLAS report, "Clinician EHR Experience 2025: State of the Industry," highlights that only a minority of clinicians have a strong or elite EHR experience, and it underscores the critical link between EHR satisfaction, organizational culture, and clinician
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Beyond the Basics: 3 Ways to Win with Your Mobile Health Strategy
Consumers get a more high-tech experience from their Chick-fil-A app than they do from most health system mobile apps, and it’s a major dissatisfier, even when the quality of care is strong. It’s one reason why mobile strategy has moved center stage as table stakes for meeting health system’s business goals, including around consumer loyalty and engagement.
But delivering the types of mobile experiences healthcare consumers crave takes more than launching a health system app. That’s
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Healing Healthcare Finance: How AP Payment Automation Solves Staffing Challenges and Improves Patient Care
Healthcare providers and facilities face a dual challenge in their accounting operations: a critical shortage of accounting professionals coupled with increasingly complex payment processes. Unless properly addressed and managed, this problem can threaten the operational stability and security of any healthcare organization, from large hospitals and clinics to rural and specialty care providers.
The number of accounting graduates entering the workforce has declined by 33% over the past
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Humata Health’s AI-Powered Prior Authorization Platform Now Available on Microsoft Azure Marketplace
What You Should Know:
- Humata Health, a provider of AI-powered touchless prior authorizations, today announced the availability of its platform in the Microsoft Azure Marketplace, an online store providing applications and services for use on Azure.
- The integration allows healthcare payers and providers seeking to automate prior authorization to leverage the productive and trusted Azure cloud platform, with streamlined deployment and management.
Transforming End-to-End
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Blue Shield of California and Zocdoc to Streamline In-Network Appointment Booking
What You Should Know:
- Blue Shield of California today announced a new collaboration with Zocdoc’s healthcare booking platform to allow its members to seamlessly schedule in-network, in-person, and virtual care appointments directly on the nonprofit health plan's online member portal.
- The strategic partnership for Zocdoc marks the first time the company is working with a health plan to power scheduling for its online portal. The feature enables appointment booking from a single
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Latest Advances in Stage 4 Lung Cancer Treatment: What Patients Need to Know
Stage 4 lung cancer is often viewed as a final and untreatable diagnosis. However, thanks to medical progress and new technologies, patients today have far more treatment options than they did even a decade ago. While 4 stage lung cancer treatment is complex, modern approaches can significantly improve quality of life, help manage symptoms, and extend survival through advanced therapies and personalized care.
Understanding Staging and Types of Lung Cancer
The staging of lung cancer is
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Fighting the Chronic Disease Crisis with AI and Value-Based Care
Poorly managed and uncontrolled chronic diseases are the leading cause of death and disability in the United States, and represent a growing national crisis. Five of the top 10 causes of death – heart disease, cancer, diabetes, obesity, and hypertension – are chronic conditions, or closely linked to preventable and treatable chronic conditions. The prevalence of these diseases has steadily increased over the past two decades. Today, 42% of Americans have two or more chronic conditions, and the
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Emory Healthcare Invests $10M in Guidehealth to Advance AI-Driven Care
What You Should Know:
- Guidehealth, an AI-driven healthcare technology and services company, today announced a $10M strategic investment from Emory Healthcare.
- The funding is aimed at accelerating Guidehealth’s next phase of growth and strengthens both organizations' commitment to transforming patient care, advancing disease prevention, and expanding access to high-quality, value-based healthcare. The collaboration builds on an existing relationship between the two organizations,
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