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How eClinicalWorks Agentic AI Is Helping Revenue Cycle Leaders Improve Financial Performance
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Health IT & Digital Health-Opinion | Op-Eds | Guest Columns | Analysis, Insights - HIT Consultant

Consumer AI Is Healthcare’s New Front Door. Who’s Deciding What Happens There?

by Salvatore Mulè MD, MBA, Vice President of Growth at Carbon Health 11/05/2026 Leave a Comment

Consumer AI Is Healthcare's New Front Door. Who's Deciding What Happens There?

One in four U.S. adults, more than 66 million people, have now used AI tools or chatbots for health information or advice according to a West Health–Gallup survey released in April. Most aren't using it in place of care. They're using it around care: 59% of recent users researched their medical question with AI before seeing a doctor, and 56% did so afterward. I see this in practice. A patient arrives with a cough, fever and body aches, and a chatbot has already suggested pneumonia. It might
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Why the AMA’s AI Liability Policy Shifts Risk to Health System Data Access Logs

by Frank Balonis, Chief Information Security Officer at Kiteworks 11/05/2026 Leave a Comment

Why the AMA’s AI Liability Policy Shifts Risk to Health System Data Access Logs

The AMA says physician oversight can’t substitute for adequate evidence and system design. That puts the burden on whoever holds the usage records. In many hospitals, an AI tool is reading patient records through a shared service account that no one can tie to a person. That gap matters more now. The American Medical Association's new framework, released October 29, 2026, divides responsibility among developers, physicians, and the health systems that deploy AI tools. Of the three parties,
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Advancing Clinical Trials Through Digital Health Technology

by Cecilia Xi, PhD, VP of Clinical and Scientific Affairs at Vivalink 11/04/2026 Leave a Comment

Advancing Clinical Trials Through Digital Health Technology

Decentralized and hybrid trials continue to grow in popularity, making it essential for contract research organizations (CROs) to seamlessly integrate remote wearable technologies into trial operations. Traditional, site-based trials often miss meaningful changes between participant visits, so remote wearable devices are appealing because they improve study quality through continuous, real-world data collection. One study showed that a 14-day adhesive ECG patch detected arrhythmias in 59.5% of
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The Discharge Signal: What Length-of-Stay Creep Is Really Telling You

by Lane Wise, Vice President, Clinical at ABOUT Healthcare 11/03/2026 Leave a Comment

The Discharge Signal: What Length-of-Stay Creep Is Really Telling You

When hospital length of stay begins to rise, attention often turns immediately to the emergency department. The ED is the front door, the pressure is visible, and its leaders are often the first to raise concerns about boarding, admission delays, and patients leaving without being seen. Yet length-of-stay unplanned increases frequently begin farther downstream. Patients may have completed the clinical portion of their stay but remain in beds while teams coordinate post-acute placement,
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Why Regulatory Flexibility Demands Decision-Ready Clinical Evidence

by Zainab Funsho PhD, Head, Regulatory Affairs, IQVIA 11/02/2026 Leave a Comment

Why Regulatory Flexibility Demands Decision-Ready Clinical Evidence

Regulatory guidance plays a critical role in clinical trial development, but it cannot anticipate every question that may emerge during the development of a program. When guidance is absent, outdated or inconsistent across authorities, sponsors have legitimate room to exercise judgment. However, that flexibility should be approached as conditional rather than permissive. Flexibility in a program’s design does not change the level of scrutiny that regulators will apply to the evidence sponsors
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Mental Health Tech M&A Needs a Consent Continuity Standard

by Our Thought Leaders 11/02/2026 Leave a Comment

Mental Health Tech M&A Needs a Consent Continuity Standard

Mental health technology deals are increasingly sold on continuity. A larger platform can offer more providers, more forms of care, and fewer disruptions when a patient changes jobs, insurance, or treatment needs. That promise is compelling. It also creates a data governance problem that is easy to miss during integration. When two platforms combine, the transaction may bring together therapy records, assessment responses, care navigation history, claims, wearable streams, voice data,
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Medicare Fraud Has an AI Problem. So Does Healthcare Compliance

by Ritesh Ramesh, CEO, MDaudit 10/30/2026 Leave a Comment

Medicare Fraud Has an AI Problem. So Does Healthcare Compliance

For years, healthcare organizations have approached Medicare fraud and billing compliance as primarily a retrospective exercise. Claims are submitted, payments are made, audits follow, and organizations investigate problems after they surface. That model is becoming increasingly unsustainable. The federal government is moving toward a more aggressive approach to Medicare program integrity, using data analytics, artificial intelligence (AI), and machine learning to spot suspicious billing
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Why the RPG Skills Gap Is Healthcare’s True Cybersecurity Blind Spot

by Jennifer Nelson, CEO Izzi Software 10/30/2026 Leave a Comment

The language that nobody is patching: Why RPG skills gaps are a healthcare cybersecurity problem

Here’s a plausible scenario from the not-so-distant future. It’s 2 a.m. on a holiday weekend, and a hospital’s claims or records system throws an error. This is mission-critical infrastructure we’re talking about, and these systems process mountains of personally identifiable information every hour of every day. Night staff at the security operations center need to know: Is this just a routine glitch or is there an active breach? However, there’s only one person who knows the answer — and she
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From Automation to Agency: Rethinking the Future of Healthcare

by Clarisa Blattner, CCS, CPC, Sr. Director, Revenue and Payor Optimization XiFin, Inc. 10/29/2026 Leave a Comment

From Automation to Agency: Rethinking the Future of Healthcare

For years, healthcare provider organizations have pursued automation to improve revenue cycle efficiency. Rules-based workflows, robotic process automation, predictive analytics, and machine learning have each helped reduce manual intervention and accelerate the completion of repetitive tasks. But reimbursement for specialty healthcare services, such as laboratory, radiology, pathology, and specialty pharmacy, is becoming too complex for efficiency alone to solve. The challenge facing
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Clinical Validation Audits Are Putting Hospital Reimbursement at Risk

by Adele Frias, Vice President of Specialty Revenue Cycle Solutions at EnableComp 10/28/2026 Leave a Comment

Clinical Validation Audits Are Putting Hospital Reimbursement at Risk

When was the last time your team won an appeal on a clinical validation downgrade? If you have to stop and think about it, you are not alone. Payer behavior has made this harder than it used to be. Clinical validation audits are driving a marked rise in Diagnosis-Related Group (DRG) downgrades, forcing hospitals to defend diagnoses that, for years, were accepted on the strength of a physician's documentation alone. As audits grow more frequent and the criteria keep shifting, traditional
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How eClinicalWorks Agentic AI Is Helping Revenue Cycle Leaders Improve Financial Performance

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Mount Sinai Medical Center Extends Epic’s Ambient AI to Inpatient Nursing

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