What You Should Know
The Launch: Optum is rolling out a dual-sided AI strategy to modernize prior authorization: Digital Auth Complete for providers (powered by Humata Health) and InterQual® Auth Accelerator for payers.The Provider Impact: By embedding AI directly into the EHR, the provider-side tool has demonstrated a 96% first-pass approval rate in early deployments, aiming to reclaim the average 13 hours per week staff spend on these tasks.The Payer Impact: The payer-side solution focuses
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Artificial Intelligence in Healthcare | News, Analysis, Insights - HIT Consultant
The “Push and Pull” of 2026: Why Healthcare AI Is Entering Its Most Dynamic Year
As AI continues to permeate the healthcare industry, 2026 will be a time of push and pull: well-designed and well-implemented AI scripts will pull the industry forward, while some stakeholders push back against the technology for a variety of reasons. The convergence of these trends should make for a dynamic year for payers, providers, and patients alike.
Expansion of AI for legal compliance in healthcare
Regulatory
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Lotus Health AI Raises $35M to Make Doctor Visits Free
What You Should Know
The Funding: Lotus Health AI has raised a $35M Series A (totaling $41M) co-led by venture giants Kleiner Perkins and CRV, with backing from Joe Montana and the former U.S. CTO Aneesh Chopra.The Disruption: Lotus is attempting to break the insurance-fee cycle. The platform is free to patients (no insurance needed), monetized instead through "premium sponsorships" inside the app—a model designed to align incentives toward health rather than billing codes.The Tech: The
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AI-Enabled Digital Stethoscope Outperforms Traditional Exams in Valvular Heart Disease Screening
What You Should Know
The Breakthrough: A new study published in the European Heart Journal - Digital Health reveals that an AI-enabled digital stethoscope is twice as effective as a traditional stethoscope at detecting valvular heart disease (VHD).The Data: In a real-world trial of 357 patients over age 50, the AI tool achieved a 92.3% sensitivity rate, compared to just 46.2% for standard exams. This suggests that half of significant heart valve issues are currently being missed in primary
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BrightHeart B-Right AI Platform Now Available for GE Healthcare’s Voluson Ultrasound Users
What You Should Know
The Partnership: BrightHeart, an AI-driven prenatal ultrasound company, has launched its B-Right AI Platform on GE HealthCare’s Voluson™ Solution Store, the leading digital marketplace for women's health ultrasound.The Problem: Currently, 30% of congenital defects go undetected during prenatal screenings, often due to sonographer shortages and variable expertise.The Solution: BrightHeart’s platform acts as an "expert-level" co-pilot, providing real-time guidance to ensure
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Why Autonomous AI Is Failing and Hybrid Models Are Winning
Good AI is not good enough.
Healthcare leaders have largely moved past the belief that fully autonomous AI can solve their hardest problems. With an estimated 95% of generative-AI initiatives never progressing beyond the pilot stage, they’ve learned that simply “adding AI” does not translate into real-world impact.
Healthcare is no exception. AI is now deeply embedded across the health system, from documentation and scheduling to risk prediction and clinical decision support, forcing the
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beHuman Secures $4M to Scale AI-Driven Cancer Screening to the Underserved
What You Should Know
The Funding: beHuman, a preventive care platform, has raised a $4M seed round led by Santé Ventures.The Mission: Unlike many early detection startups targeting the affluent "worried well," beHuman focuses on underserved and rural populations who are insured but rarely screened due to access barriers or mistrust.The Tech: The platform uses "Agentic AI" to automate administrative friction (eligibility, scheduling, chart review), allowing physician-led teams to proactively
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MultiCare Health System to Deploy Ambience Healthcare for Enterprise AI Rollout
What You Should Know
The Win: After a year-long, head-to-head evaluation of three leading AI vendors, MultiCare Health System has selected Ambience Healthcare for an enterprise-wide deployment to 1,500 clinicians.The Data: The evaluation was massive (550 clinicians across 20 specialties). Ambience emerged as the clear favorite, scoring an NPS 63 points higher than the next best solution and reducing after-hours documentation ("pajama time") by 38%.The ROI: Beyond burnout, the system drove
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The “Agentic” Erasure of Admin Work: Synthpop Raises $15M to Automate Healthcare’s Back Office
What You Should Know
The Funding: Synthpop has raised a $15M Series A led by Ansa Capital, bringing its total funding to $23M. Strategic investors include former Humana CEO Bruce Broussard.The Tech: The company is building an "agentic" automation platform that combines document intelligence, voice agents, and payer-aware reasoning to handle complex tasks like prior authorizations and claims follow-ups.The ROI: Early customers report that workflows which historically took 40 minutes are now
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ConcertAI Bets “Agentic AI” Can Fix the Broken Clinical Trial Timeline
What You Should Know
The Launch: ConcertAI has released Accelerated Clinical Trials (ACT), an enterprise platform designed to automate the clinical trial lifecycle using "Agentic AI"—autonomous software that performs tasks rather than just generating text.The Promise: By integrating proprietary Real-World Data (RWD) with AI workflows, the platform claims it can shorten trial timelines by 10 to 20 months and reduce costly protocol amendments by 50%.The Tech: Built on the CARAai™
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