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

Arbiter Emerges from Stealth with $52M Funding to End Healthcare Fragmentation with AI

by Fred Pennic 11/19/2025 Leave a Comment

Arbiter Emerges from Stealth with $52M Funding to End Healthcare Fragmentation with AI

What You Should Know:  - Arbiter, a new AI-powered care orchestration platform, has launched from stealth with $52M in funding, led by TriEdge Investments and MFO Ventures, to unite payers, providers, and patients and rebuild the operating spine of U.S. healthcare. - The company is built and funded by leaders overseeing over $25B in annual healthcare payments and millions of patient lives. Its team combines executive leadership from major health systems and payers (Cigna,
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Pharma × AI: The End of Pilots and the Rise of Captive AI Boutiques

by Thomas Kluz, Managing Director at Niterra Ventures 11/19/2025 Leave a Comment

Agentic AI in Healthcare: Hype or Healthcare’s Best Co-Pilot? by Thomas Kluz, Managing Director at Niterra Ventures

What if the future of drug discovery no longer rests on bold experiments, but on disciplined partnerships where artificial intelligence becomes as indispensable to pharma as the laboratory bench? The answer is arriving faster than many realize. For years, the relationship between artificial intelligence (AI) startups and big pharma followed a familiar script: a splashy press release, a limited pilot, and then silence after millions were spent in R&D. AI companies gained validation; pharma
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Denial Prevention AI: Ember Raises $4.3M to Cut Healthcare Denials by Over 57%

by Fred Pennic 11/19/2025 Leave a Comment

What You Should Know: - Ember, the AI-native solution for denial prevention secures $4.3M in seed funding round led by Nexus Venture Partners and Y Combinator. - Its platform uses deep knowledge of payer policies to cut denials by more than 57% and boost net collections by 25% for health systems. The Denial Crisis: Fueling Burnout and Financial Loss Healthcare providers nationwide face an intensifying crisis driven by claim delays and denials, which create significant anxiety for patients, frustration for doctors, and a massive drag on resources. The problem is growing exponentially: Public Concern: 73% of U.S. adults view delays and denials by insurers as a "major problem". Physician Burnout: 89% of physicians cite prior authorization as a contributor to burnout. Policy Complexity: Over 50% of billing codes are restricted to a single insurer, meaning providers must manage wildly different and ever-changing requirements for each payer. Ember’s AI-Native Solution: Preventing Denials Before They Happen Ember is designed to solve the problem at its root, recognizing that most denials are triggered by technicalities and the impossibility of human administrators keeping up with varied payer policies. Ember's platform gets to work the moment a provider signs off on treatment: Proactive Compliance: It assigns medical codes, pulls documentation, and ensures the claim complies with payer requirements before submission. Unwritten Rules: Ember analyzes trends and behaviors from across the country to identify unwritten rules and practices not found in any public database, which often mean the difference between approval and denial. Superior Accuracy: The AI consistently delivers better accuracy than certified human coders and general-purpose AI. The AI Appeals Engine and Rapid Value For claims that are denied, Ember’s unique AI Appeals Engine drastically reduces the labor-intensive task of appealing. Ember’s AI agents scour the declined request and patient records, identify the best clinical evidence, and draft a comprehensive appeal in minutes. The platform is built for rapid deployment and integrates seamlessly with all major EHR, PMS, and payer systems (including Epic, Oracle Cerner, and athenahealth). Providers begin seeing value immediately, with proven results: Denial Reduction: More than 57% reduction in denials. Net Collection Rate: 25% increase in net collection rate. Admin Time Savings: Providers spend 83% less time on admin.

What You Should Know:  - Ember, the AI-native solution for denial prevention secures $4.3M in seed funding round led by Nexus Venture Partners and Y Combinator.  - Its platform uses deep knowledge of payer policies to cut denials by more than 57% and boost net collections by 25% for health systems. The Denial Crisis: Fueling Burnout and Financial Loss Healthcare providers nationwide face an intensifying crisis driven by claim delays and denials, which create significant
Read More

Oracle Health’s AI-Powered EHR Achieves ONC Certification & EPCS Compliance

by Jasmine Pennic 11/19/2025 Leave a Comment

Oracle Health to Launch AI-Powered Solutions for Payers and Providers

What You Should Know:  - Oracle Health has announced a major breakthrough with its next-generation Electronic Health Record (EHR), which is now certified and available for adoption by ambulatory customers in the U.S.. - The new EHR earned the ONC Health IT certification from the Office of the National Coordinator (ONC) and successfully met the DEA’s Electronic Prescriptions for Controlled Substances (EPCS) compliance requirements. These certifications confirm the platform meets
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Caregiver AI Challenge: HHS Launches $2M Prize Competition to Support 1 in 4 American Caregivers

by Jasmine Pennic 11/19/2025 Leave a Comment

Caregiver AI Challenge: HHS Launches $2M Prize Competition to Support 1 in 4 American Caregivers

What You Should Know:  - The U.S. Department of Health and Human Services (HHS) has announced a $2M Caregiver Artificial Intelligence Prize Competition through the Administration for Community Living (ACL), aiming to mobilize AI innovation to support family and professional caregivers. - The prize competition builds on existing efforts by HHS and ACL to support family caregivers and direct care workers, including the National Family Caregiver Support Program, the RAISE Family
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Why Ambient AI is Now a Deciding Factor in Clinician Recruitment

by Dr. David Atashroo, Chief Medical Officer, Perioperative, at Qventus 11/18/2025 Leave a Comment

Why Ambient AI is Now a Deciding Factor in Clinician Recruitment

Health systems nationwide are grappling with a critical and intensifying challenge: how to attract and retain the next generation of clinical talent.  With the physician shortage not showing signs of slowing down, organizations are in dire need of new strategies to retain the talent they’ve cultivated, while also appealing to younger clinicians who will be essential to meeting the rising demand for care.  Unlike many of their more seasoned counterparts who may be comfortable with
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NVIDIA, Sheba, and Mount Sinai Partner to Decode 98% of Human Genome with LLM

by Fred Pennic 11/18/2025 Leave a Comment

NVIDIA, Sheba, and Mount Sinai Partner to Decode 98% of Human Genome with LLM

What You Should Know: - ARC Innovation at Sheba Medical Center and the Icahn School of Medicine at Mount Sinai (part of the Mount Sinai Health System) have announced a major three-year collaboration with NVIDIA. The initiative focuses on applying Large Language Model (LLM) technology to genomic research. - The primary objective is to pioneer the decoding of the majority (98%) of the human genome that remains poorly understood. By deciphering this area—once labeled "junk DNA"—researchers
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From Chatbots to Agents: How GPT-5 is Reshaping Healthcare and Pharma

by Nicole Ventrone, Partner at Beghou 11/18/2025 Leave a Comment

From Chatbots to Agents: How GPT-5 is Reshaping Healthcare and Pharma

Pharma is embracing GPT-5, shifting AI from chatbot to enterprise agent as it accelerates productivity amid regulatory challenges. Large pharmaceutical and biotech companies have spent the last couple of years running specific pilots involving artificial intelligence (AI). Learnings from these forays have formed a basis for AI readiness and a guide for industry to weave generative AI into enterprise strategies. Even regulators have been experimenting with AI to offset staff shortages and
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Thrivory Raises $25M Credit and $3.5M Equity to Eliminate Healthcare Reimbursement Delays with AI

by Fred Pennic 11/18/2025 Leave a Comment

Thrivory Raises $25M Credit and $3.5M Equity to Eliminate Healthcare Reimbursement Delays with AI

What You Should Know: - Thrivory, the AI-powered healthcare fintech company, has secured $3.5M in equity led by Redesign Health and up to $25M in credit from Trinity Capital. - The funding supports the scale of its ThriveNow API, which embeds instant, non-recourse claims payments directly into EHR and practice management systems. Solving Healthcare’s Biggest Financial Barrier: Slow Reimbursement Thrivory, a healthcare AI company founded in 2023, is tackling the slow and unpredictable
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Microsoft Partners with Qure.ai to Accelerate AI Lung Cancer Detection

by Syed Hamza Sohail 11/18/2025 Leave a Comment

Microsoft Partners with Qure.ai to Accelerate AI Lung Cancer Detection

What You Should Know: - Qure.ai, a TIME100 most influential company and global leader in digital healthcare, today announced its collaboration with Microsoft. Qure.ai will onboard its end-to-end lung cancer detection, measurement and management suite of AI-powered solutions onto the Precision Imaging Network. - This will streamline deployment of Qure.ai solutions to hospitals and health systems across the USA, driving digital healthcare transformation, improved tech integrations and
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