What You Should Know:
- MedeAnalytics, a healthcare enterprise data enrichment platform and analytics software-as-a-service (SaaS) leader announced its partnership with DecisionRx, a technology-enabled healthcare services company specializing in medication therapy optimization (MTO).
- The collaboration will allow DecisionRx to expand its ability to quantify and communicate the clinical and economic impact of its work with payers and providers under value-based care contracts,
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Health IT | News, Analysis, Insights - HIT Consultant
athenahealth Released Enhanced Capabilities for Value-Based Care
What You Should Know:
- athenahealth, a provider of network-enabled software and services for healthcare practices nationwide releases new and enhanced capabilities designed to further help practices succeed in value-based care (VBC).
- Practices across athenahealth’s network can now use the athenahealth Marketplace to easily find, choose, and integrate with risk-bearing organizations, including Accountable Care Organizations (ACOs), that align with their goals. The initiative aims
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ShiftMed Unveils AI Suite to Optimize Healthcare Workforce Management
What You Should Know:
- ShiftMed, a provider of healthcare workforce technology, today announced the launch of its Workforce AI Suite, a set of intelligent tools designed to automate shift fulfillment and optimize workforce management.
- By embedding AI throughout the staffing process, the suite empowers health systems to efficiently manage labor operations and improve scheduling coordination across internal teams and on-demand clinicians.
Key Components of the Workforce AI
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Inbox Health Launches AI Agent for Billing and Patient Support
What You Should Know:
- Inbox Health today launched its AI-powered assistant for patient billing support, fully integrated into its industry-leading patient billing platform.
- The assistant has been in a pilot phase for most of 2025, resolving over 70% of patient billing questions 24/7, without call center intervention.
Reimagining Patient Billing: Inbox Health Launches AI-Powered Support to Accelerate Collections and Enhance Patient Experience
As patient financial responsibility
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Sheba Medical, Hippocratic AI Partner to Deploy Generative AI Agents
What You Should Know:
- Hippocratic AI, a global leader in generative AI healthcare agents announced a strategic partnership with Sheba Medical Center, a global beacon of medical innovation and research.
- As part of this partnership, Hippocratic AI will also join the ARC ecosystem, a global network comprising leading hospitals, researchers, and innovation organizations, opening doors to new pathways for meaningful impact within the network.
Advancing a Shared Vision for
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Gaps in Advance Care Planning: Only 5% of Americans Have a Plan in Place
What You Should Know:
- A recent survey conducted by The Harris Poll and commissioned by Backline by DrFirst reveals a significant national shortfall in advance care planning. Only 5% of Americans currently have an advance care plan in place, and half (50%) are largely unfamiliar with the concept. The research highlights substantial emotional and practical hurdles, alongside a strong desire for healthcare provider guidance.
- Advance care planning is the process of deciding and
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New Opportunities for Healthcare AI: Decoding the 2026 Medicare Advantage Rate Hike
Last month, the Centers for Medicare & Medicaid Services (CMS) released its 2026 Medicare Advantage (MA) Rate Announcement, projecting a 5.06% average increase in payments to MA plans. That’s a notable jump from the 3.70% increase we saw in 2025. More than just a financial adjustment, this signals growing confidence in the Medicare Advantage model—and with it, growing expectations.
What does this mean simply? Insurance companies offering these plans will receive more government funding,
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ZeOmega Partners with Massachusetts Health Data Consortium to Launch Nation’s First Statewide FHIR-Based Prior Authorization System
What You Should Know:
- ZeOmega®, a population health and interoperability technology company announced it has been selected by the Massachusetts Health Data Consortium (MHDC), a nonprofit advancing health data sharing, to transform prior authorization and clinical data exchange across Massachusetts.
- The initiative creates the nation’s first statewide FHIR®-based system designed to streamline communication between payers and providers, reducing administrative burdens and
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What Are Healthcare’s Most Pressing Revenue Integrity Issues in The Remote-Work Era?
With more and more organizations merging for scale and sustainability, revenue cycle teams are being centralized, taking these critical personnel further away from physicians at the bedside. Remote teams are finding it harder than ever to collaborate with clinicians on critical functions.
Simultaneously, more revenue cycle functions are being automated as robotic process automation and generative AI evolves. With fewer administrative personnel in general — and even fewer
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CMS Launches Cell and Gene Therapy (CGT) Access Model for Medicaid Sickle Cell Patients
What You Should Know:
- The Centers for Medicare & Medicaid Services (CMS) launches its Cell and Gene Therapy (CGT) Access Model, a new approach to delivering cutting-edge treatments for people on Medicaid living with sickle cell disease.
- A total of 33 states, plus the District of Columbia and Puerto Rico, will participate in this model, collectively representing approximately 84% of Medicaid beneficiaries with the condition, significantly expanding access to
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