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Health IT | News, Analysis, Insights - HIT Consultant

Phreesia to Acquire AccessOne for $160M to Expand Healthcare Payment Solutions

by Fred Pennic 09/08/2025 Leave a Comment

Phreesia to Acquire AccessOne for $160M to Expand Healthcare Payment Solutions

What You Should Know:  - Phreesia, Inc., a company specializing in patient activation, has entered into a definitive agreement to acquire AccessOne Parent Holdings, Inc., a portfolio company of Frontier Growth.  - The all-cash transaction is valued at $160M and is expected to close in the third or early fourth quarter of Phreesia’s 2026 fiscal year. AccessOne Background  AccessOne is a market leader in providing financing solutions for healthcare receivables, working
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US Court Allows Particle’s Antitrust Claims Against Epic to Proceed

by Jasmine Pennic 09/08/2025 Leave a Comment

Particle Health Addresses Integration to Epic Data Despite Dispute

What You Should Know:  - A U.S. District Court judge in the Southern District of New York, Judge Naomi Buchwald, has allowed Core Antitrust Claims against Epic to proceed.  - The ruling found that Particle Health, a healthcare data platform, may move forward with its claims that Epic holds a monopoly in the payer platform market with a 90% market share and has engaged in anti-competitive conduct. The ruling marks as the first time an antitrust case against Epic has progressed
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Hello Patient Raises $22.5M to Scale Conversational AI for Patient Communications

by Fred Pennic 09/05/2025 Leave a Comment

Hello Patient Raises $22.5M to Scale Conversational AI for Patient Communications

What You Should Know:  - Hello Patient, a conversational AI company secures $22.5M in Series A financing led by Scale Venture Partners with participation from 8VC, Bling Capital, Max Ventures, Remus Capital, and FirstLook Partners. - The Hello Patient platform handles end-to-end patient conversations across voice, text, and chat, helping healthcare practices run leaner, grow faster, and deliver better care. With this new funding, the company plans to continue expanding its product
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Modernizing Medicare Advantage Translations: How AI Streamlines Compliance for Health Payers

by Patrick Kehoe, Executive Vice President of Product Management, Messagepoint, Inc. 09/05/2025 Leave a Comment

Modernizing Medicare Advantage Translations: How AI Streamlines Compliance for Health Payers

For healthcare payers offering Medicare Advantage and Dual Special Needs Plans (D-SNPs), the translation of member-facing materials is a costly, complex and high-stakes process. Translation requirements place an enormous burden on payers and, yet, it is critical for a positive member experience and accessibility in the U.S., where nearly 68 million people speak a language other than English at home. The Centers for Medicare & Medicaid Services (CMS) mandates that materials such as Annual
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Beyond the Black Box: Why Health Plans Must Redesign Utilization Management for Transparency

by Matt Cunningham, Executive Vice President of Product at Availity 09/05/2025 Leave a Comment

Beyond the Black Box: Why Health Plans Must Redesign Utilization Management for Transparency

For too long, utilization management (UM) has been the most painful source of abrasion between health plans and healthcare providers. Care decisions are too often made by third-party vendors with opaque regression algorithms trained on old data. Providers are left wondering why medically necessary care is delayed—or denied. And patients, caught in the middle, suffer the consequences. What was intended as a validation of medical necessity has become a byword for inefficiency, and a root of
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HealthEdge and UST HealthProof Merge to Modernize Health Plans

by Fred Pennic 09/05/2025 Leave a Comment

HealthEdge and UST HealthProof Merge to Modernize Health Plans

What You Should Know:  - HealthEdge and UST HealthProof have announced the successful completion of their merger, following Bain Capital's acquisition of UST HealthProof from UST.  - The combined company will operate as HealthEdge, with its headquarters in Boston. With a reach that touches over 110 million lives in the U.S., HealthEdge is now positioned to empower health plans with modern, AI-enabled technology and services that can lower total costs and improve operational
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MCG Health and Avo Launch AI Assistant to Reduce Hospital Length of Stay

by Fred Pennic 09/05/2025 Leave a Comment

MCG Health and Avo Launch AI Assistant to Reduce Hospital Length of Stay

What You Should Know:  - MCG Health, a part of the Hearst Health network, and Avo, a clinician-created AI platform, have launched a new AI assistant designed to tackle the challenge of hospital length of stay (LOS).  - The partnership integrates recovery milestones from MCG's proprietary guidelines directly into electronic health record (EHR) workflows using Avo's new assistant. This tool gives hospitalists and case managers a real-time picture of each patient’s readiness to go
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SoundHound AI Partners with Primary Health Solutions to Deploy AI Patient Engagement Platform

by Jasmine Pennic 09/05/2025 Leave a Comment

SoundHound AI Partners with Primary Health Solutions to Deploy AI Patient Engagement Platform

What You Should Know:  - SoundHound AI, Inc., a global leader in voice and conversational AI, has partnered with Primary Health Solutions (PHS) to deploy a new AI-powered patient engagement platform.  - The initiative makes PHS one of the first Federally Qualified Healthcare Centers in the U.S. to use AI Agents to create a more seamless and engaging patient experience. Denise: Conversational AI Platform The new conversational AI platform, named "Denise" in honor of a PHS
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TigerConnect Launches Transfer Solution to Modernize Patient Transfers and Discharge

by Syed Hamza Sohail 09/05/2025 Leave a Comment

TigerConnect Launches Transfer Solution to Modernize Patient Transfers and Discharge

What You Should Know: - TigerConnect, the leading unified healthcare communications platform, today announced the general availability of TigerConnect Transfer, a purpose-built solution that modernizes how hospitals manage outbound interfacility patient transfers and discharge transport.  -  By combining bed sourcing, transport scheduling and communication in a single application, Transfer bridges the gap between hospitals and external agencies to accelerate safe patient movement.
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HHS Announces Crackdown on Information Blocking to Empower Patients and Innovators

by Fred Pennic 09/04/2025 Leave a Comment

What You Should Know: - The U.S. Department of Health and Human Services (HHS) has announced a new initiative to increase resources dedicated to curbing the practice of "information blocking". - Secretary Robert F. Kennedy, Jr. has directed HHS to take active enforcement against healthcare entities that restrict patients’ access, exchange, and use of electronic health information. Empowering Patients and Innovators The announcement states Information blocking was not allegedly a priority under the Biden Administration, but that has changed under President Trump and Secretary Kennedy. The 21st Century Cures Act of 2016 authorized the Office of the Assistant Secretary for Technology Policy/Office of the National Coordinator for Health IT (ASTP/ONC) and the HHS Office of Inspector General (OIG) to take enforcement actions to hold violators accountable. Deputy Secretary of Health and Human Services Jim O’Neill stated that unblocking the flow of health information is "critical to unleashing health IT innovation and transforming our healthcare ecosystem". Many patients rely on access to their health information to monitor chronic conditions, adhere to treatment plans, and find errors in their records. According to Acting Inspector General Juliet T. Hodgkins, providers and certain health IT entities have a "legal duty" to ensure that information flows where and when it's needed. She added that the HHS-OIG will use all available authorities to investigate and hold violators accountable. Dr. Tom Keane, Assistant Secretary for Technology Policy and National Coordinator for Health Information Technology, noted that ASTP/ONC has already begun reviewing reports of information blocking and is providing technical assistance to the OIG for investigations. Consequences of Non-Compliance The announcement serves as a warning to those still engaging in information blocking. The consequences for violators can be substantial: For healthcare providers: They could be subject to disincentives under certain CMS programs. For certified health IT developers, health information networks, or health information exchanges: They could face a civil monetary penalty of up to $1M per violation. Their certifications could also be terminated, and they could be banned from the Certification Program. The announcement is also a call to action for patients, providers, payers, and health IT companies to report alleged information blocking through ASTP/ONC’s Report Information Blocking Portal.

What You Should Know:  - The U.S. Department of Health and Human Services (HHS) has announced a new initiative to increase resources dedicated to curbing the practice of "information blocking".  - Secretary Robert F. Kennedy, Jr. has directed HHS to take active enforcement against healthcare entities that restrict patients’ access, exchange, and use of electronic health information. Empowering Patients and Innovators The announcement states Information blocking was not
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