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Artificial Intelligence in Healthcare | News, Analysis, Insights - HIT Consultant

Mid-Cycle Revenue Integrity: Leveraging Clinician-Governed AI to Reduce Denials and Understated Acuity

by Sari Green, MD, Physician Executive Director, Accuity 05/07/2026 Leave a Comment

Mid-Cycle Revenue Integrity: Leveraging Clinician-Governed AI to Reduce Denials and Understated Acuity

Health systems can deliver appropriate, high-quality care and still see financial and quality outcomes that do not reflect that care. Downgrades, understated acuity, and misaligned quality metrics often arise not because clinical decisions were wrong, but because the full complexity of those decisions and the resulting care were never clearly translated beyond the bedside. In today’s reimbursement environment, outcomes are shaped as much by how care is represented in documentation and coding as
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Artera Launches AI Services Model and Agentic AI Squads for Specialty Care and FQHCs

by Fred Pennic 05/07/2026 Leave a Comment

Artera Launches AI Services Model and Agentic AI Squads for Specialty Care and FQHCs

What You Should Know Artera is the first agentic healthcare company to adopt an AI Services Model, moving away from traditional "homogeneous SaaS" to deliver bespoke, clinic-specific solutions.The company has deployed specialized AI Service Squads—small teams of AI builders who work directly with healthcare providers to co-innovate and eliminate legacy development cycles.The model supports high-demand solutions, including scheduling, prior authorizations, referral management, and closing care
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Fathom Secures Strategic Investment from CVS Health Ventures to Scale Autonomous Medical Coding

by Fred Pennic 05/06/2026 Leave a Comment

Fathom Receives Strategic Investment from CVS Health Ventures for Autonomous Medical Coding

What You Should Know Fathom, a leader in autonomous medical coding, has announced a strategic investment from CVS Health Ventures.The funding follows a period where revenue cycle management (RCM) has become the top priority for health IT investment, according to a 2025 Bain & Company/KLAS report.Fathom’s platform achieves 90%+ automation rates across multiple specialties, providing an alternative to slow, department-by-department AI rollouts.The company was recognized as the #1 solution
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ANA Releases Landmark Consensus Report on Artificial Intelligence in Nursing Practice

by Jasmine Pennic 05/06/2026 Leave a Comment

ANA Releases Landmark Consensus Report on Artificial Intelligence in Nursing Practice

What You Should Know The American Nurses Association (ANA) has released a historic consensus report defining the guardrails for AI in nursing, following a specialized Think Tank held in April 2026.The report identifies "Automation Bias" and the erosion of professional judgment as primary risks to patient safety.A fundamental principle established is that AI must support, not replace, professional nursing judgment; nurses remain the final accountable decision-makers.The ANA is calling for
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XCaliber Health Secures $6.5M to Launch Healthcare’s First Agentic Operating System

by Fred Pennic 05/06/2026 Leave a Comment

XCaliber Health Secures $6.5M to Launch Healthcare’s First Agentic Operating System

What You Should Know XCaliber Health (XCaliber) has raised $6.5M in seed funding led by ManchesterStory, with participation from Benhamou Global Ventures (BGV) and Arka Venture Labs.The platform is an "agentic operating system" designed to coordinate siloed systems (EHRs, billing, scheduling) and automate manual workflows end-to-end.XCaliber addresses a significant "intelligence gap" where staff currently spend an average of 15.5 hours per physician, per week on administrative tasks.The
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Village Raises $9.5M for AI-Powered Specialty Pediatrics and Coordinated Care Platform

by Fred Pennic 05/05/2026 Leave a Comment

Village Raises $9.5M for AI-Powered Specialty Pediatrics and Coordinated Care Platform

What You Should Know Village has raised $9.5M in funding led by Upfront Ventures, with participation from Bling Capital, GTMFund, and Perceptive Ventures.The platform features Vera, an in-house AI agent that handles documentation, scheduling, billing, and care coordination for independent practices. The platform is the first pediatric-connected system designed to unite families, providers, and payers around coordinated care teams for children with developmental, behavioral, and mental health
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BD and Wellstar Health System Launch Strategic AI-Powered Medication Safety

by Jasmine Pennic 05/05/2026 Leave a Comment

BD and Wellstar Health System Launch Strategic AI-Powered Medication Safety

What You Should Know BD (Becton, Dickinson and Company) and Wellstar Health System have announced a strategic partnership to integrate AI-powered medication management across Wellstar's Georgia-based facilities.The collaboration combines BD Pyxis™ Pro medication dispensing technology with the BD Alaris™ Infusion System for a connected "pharmacy-to-bedside" workflow.The system utilizes BD Incada™, an AI-driven analytics platform that offers enterprise-wide inventory visibility and supports
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Solving the $150B No-Show Problem: The Rise of Healthcare Conversation Intelligence

by Lee Barth, Vice President, Enterprise Sales, Marchex 05/04/2026 Leave a Comment

Solving the $150B No-Show Problem: The Rise of Healthcare Conversation Intelligence

Digital channels continue to expand communication between health systems and patients, but the phone remains a critical point of contact across the entire patient journey. Patients frequently call their providers for everything from scheduling and appointment changes to insurance questions, prescription issues, and urgent concerns about their care.  Calls are especially important not only for prospective patients exploring services, but also for existing
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Medisolv Acquires Health Elements AI to Automate Data Abstraction and Expand Clinical Registry Support

by Jasmine Pennic 05/01/2026 Leave a Comment

Medisolv Acquires Health Elements AI to Automate Data Abstraction and Expand Clinical Registry Support

What You Should Know Medisolv, Inc. has acquired Health Elements AI, a specialist in AI-first software that automates the capture and structuring of clinical data from medical records. Financial details of the acquisition were not disclosed. The acquisition aims to reduce the significant administrative burden of manual chart review, which currently impacts more than 4,000 abstracters supported by Medisolv.Health Elements AI reports a 96 percent accuracy rate, leveraging AI and human oversight
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Parexel Acquires Vitrana to Integrate AI-Enabled Pharmacovigilance Platform

by Fred Pennic 05/01/2026 Leave a Comment

Parexel Acquires Vitrana to Integrate AI-Enabled Pharmacovigilance Platform

What You Should Know Parexel has acquired Vitrana, a provider of an AI-enabled, end-to-end pharmacovigilance (PV) technology platform.The acquisition allows Parexel to provide a fully integrated model where a single partner is responsible for both PV technology and services.The acquired platform is system-agnostic, integrating with any existing safety database to improve accuracy and cycle times.Key operational benefits include improved EDC-to-safety integration, streamlined Serious Adverse
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