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

New Opportunities for Healthcare AI: Decoding the 2026 Medicare Advantage Rate Hike

by David Talby, CEO, John Snow Labs 07/16/2025 Leave a Comment

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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What Are Healthcare’s Most Pressing Revenue Integrity Issues in The Remote-Work Era?

by Tanya Sanderson, Sr. Director of Revenue Integrity, Xsolis 07/16/2025 Leave a Comment

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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Elsevier’s Clinician of the Future 2025 Report: AI’s Rapid Ascent in Healthcare Amidst Clinician Pressures

by Fred Pennic 07/15/2025 Leave a Comment

Elsevier's Clinician of the Future 2025 Report: AI's Rapid Ascent in Healthcare Amidst Clinician Pressures

What You Should Know:  - The 4th annual Elsevier Clinician of the Future report reveals a remarkable acceleration in the adoption and impact of Artificial Intelligence (AI) in healthcare.  - Based on a global survey of over 2,000 clinicians, the report highlights AI's growing role in addressing persistent challenges like clinician burnout, increasing patient demand, and fragmented care, while also shedding light on evolving perceptions and regional differences. Current State
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NVIDIA Introduces La-Proteina: A Breakthrough in Atomistic Protein Generation via Partially Latent Flow Matching

by Jasmine Pennic 07/15/2025 Leave a Comment

NVIDIA Introduces La-Proteina: A Breakthrough in Atomistic Protein Generation via Partially Latent Flow Matching

What You Should Know:  - NVIDIA Research, in collaboration with the University of Oxford and Mila – Québec AI Institute, has unveiled La-Proteina, a novel method for atomistic protein design.  - Published on arXiv on July 13, 2025, La-Proteina is designed to directly generate fully atomistic protein structures jointly with their underlying amino acid sequences, addressing a critical challenge in de novo protein design. Optimizing Protein Design with Fixed-Dimensional Latent
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Boost Medicare Star Ratings: A Strategic Game Plan for Health Plans

by Shannon Smith, Assistant VP of Clinical Success at Zyter|TruCare 07/15/2025 Leave a Comment

Boost Medicare Star Ratings: A Strategic Game Plan for Health Plans

 As they navigate complex times, health insurers have their eye on two important financial indicators. And both are moving in the wrong direction. Costs are on the rise while Medicare Star Ratings are on the decline. Separate but related, the two trends converge on the same idea: health plans need to enable higher quality care at a lower price. If it sounds like a Herculean feat, that’s because it is. But some health plans are making it happen. While some of the cost pressures—for
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Omega Healthcare Expands Microsoft Collaboration, Launches 20+ AI Solutions to Transform Revenue Cycle Management

by Fred Pennic 07/14/2025 Leave a Comment

Omega Healthcare Expands Microsoft Collaboration, Launches 20+ AI Solutions to Transform Revenue Cycle Management

What You Should Know:  - Omega Healthcare, a provider of technology-enabled Revenue Cycle Management (RCM) services, today announced an expanded collaboration with Microsoft.  - Through the integration of Microsoft Azure's cutting-edge AI models via Azure AI Foundry and the company's proprietary Omega Digital Platform (ODP), Omega Healthcare has launched more than 20 generative and agentic AI solutions designed to enhance healthcare organizations' revenue cycle operations and
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Asepha Secures $4M Seed for AI-Powered Pharmacy Operations

by Syed Hamza Sohail 07/14/2025 Leave a Comment

Asepha Secures $4M Seed for AI-Powered Pharmacy Operations

What You Should Know: -  Asepha, a fast-growing startup leveraging AI agents for pharmacy automation, today announced the close of its $4 million Seed round, led by Glasswing Ventures and Core Innovation Capital. -  Panache, RedBud, and MGV also participated, with follow-on support from Ripple Ventures and Front Row Ventures. Asepha Raises the Bar on AI-Driven Pharmacy Automation, Expands Nationwide Footprint Asepha is redefining pharmacy operations with
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New AI Model Predicts Cancer Mutations from Routine Pathology Slides, Streamlining Treatment Decisions

by Fred Pennic 07/11/2025 Leave a Comment

AI Breakthrough: New Model Predicts Cancer Mutations from Routine Pathology Slides, Streamlining Treatment Decisions

What You Should Know:  - A new study by researchers at the Icahn School of Medicine at Mount Sinai, Memorial Sloan Kettering Cancer Center, and collaborators, suggests that artificial intelligence (AI) could significantly improve how doctors determine the best treatment for cancer patients by enhancing how tumor samples are analyzed in the lab. - The compelling findings, published in the July 9 online edition of Nature Medicine, demonstrated that AI can accurately predict genetic
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Multimodal AI Will Power the Future of Remote Diagnostics and Virtual Hospitals

by Thomas Kluz, Managing Director at Niterra Ventures 07/11/2025 Leave a Comment

AI-Driven Diagnostics: The Future of Precision in Medical Imaging

As a veteran of multiple healthcare startups, it’s hard not to become immune to claims of technological developments which will “revolutionize patient care”. To be fair, revolutionary changes do exist. Telehealth for example, enabled by the combination of AI and cloud technology, has revolutionized the access patients have to robust diagnostic services. Yet, telehealth with its data fragmentation and current clinical diagnostic limitations, still has serious challenges
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Samsung to Launch AI-Powered Health Coach Beta in US

by Fred Pennic 07/11/2025 Leave a Comment

Samsung Debuts Ring; Expands Wearable Lineup’s Health Intelligence Capabilities

What You Should Know:  - Samsung Electronics Co. unveils its plans to roll out a beta version of an AI-powered health coach within its Samsung Health application in the US by the end of this year. This new digital assistant, in the form of a chatbot, will analyze users’ health data and assist them in incorporating their doctors’ prescriptions and medical advice into their daily routines. - The initiative follows Samsung’s recent acquisition of Xealth, a US-based healthcare integration
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