• Skip to main content
  • Skip to secondary menu
  • Skip to primary sidebar
  • Skip to secondary sidebar
  • Skip to footer

  • Opinion
  • Health IT
    • Behavioral Health
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Patient Engagement
    • Population Health Management
    • Revenue Cycle Management
    • Social Determinants of Health
  • Digital Health
    • AI
    • Blockchain
    • Precision Medicine
    • Telehealth
    • Wearables
  • Life Sciences
  • Investments
  • M&A
  • Value-based Care
    • Accountable Care (ACOs)
    • Medicare Advantage

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

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
Read More

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
Read More

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
Read More

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
Read More

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
Read More

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
Read More

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
Read More

Why AI in Healthcare ERP is the Biggest Opportunity for Cost Reduction

by Juanita Schoen, Sr. Engagement Manager at Columbus 11/18/2025 Leave a Comment

Why AI in Healthcare ERP is the Biggest Opportunity for Cost Reduction

When most healthcare executives hear about artificial intelligence, they think of drug discovery or clinical trials, but the bigger opportunity is happening behind the scenes. Enterprise resource planning (ERP) systems are the backbone of finance, supply chain and compliance, and they’re beginning to leverage AI to transform how healthcare companies understand and act on their data. By 2025, most major ERP platforms will ship with built-in AI features, but the question is how advanced and
Read More

Philips Launches AI-Powered DeviceGuide for Minimally Invasive Valve Repair

by Fred Pennic 11/18/2025 Leave a Comment

Philips has introduced DeviceGuide, an AI-powered device tracking solution that integrates into the EchoNavigator platform to provide real-ti

What You Should Know: What You Should Know: - Philips, a global leader in health technology, today launched DeviceGuide, a new AI-powered software solution. The technology is designed to assist physicians during the highly complex procedures used to repair leaking heart valves, specifically through a minimally invasive approach. - Built on Philips’ established EchoNavigator platform, DeviceGuide translates complex X-ray and ultrasound imaging into intuitive, real-time visual guidance.
Read More

  • Previous Page
  • Go to page 1
  • Interim pages omitted …
  • Go to page 38
  • Go to page 39
  • Go to page 40
  • Go to page 41
  • Go to page 42
  • Interim pages omitted …
  • Go to page 301
  • Next Page

Primary Sidebar

Subscribe to HIT Consultant

Latest insightful articles delivered straight to your inbox weekly.

Submit a Tip or Pitch

Featured Insights

Aligning IT & Clinical Teams: How to Reduce Friction and Improve Communication

Most-Read

CB Insights Q2 2026 State of Digital Health Report: Fewest Deals in Over a Decade as Median Sizes Rise

CB Insights Q2 2026 State of Digital Health Report: Fewest Deals in Over a Decade as Median Sizes Rise

mount-sinai-launches-epic-chart-with-art-nursing-ambient-ai

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

M&A: Tempus AI to Acquire Personalis for $1.5B to Expand Precision Oncology and MRD Monitoring

M&A: Tempus AI to Acquire Personalis for $1.5B to Expand Precision Oncology and MRD Monitoring

Why Brain Health Is Entering Its Infrastructure Era

Brain Health’s Infrastructure Era: Proving Clinical Outcomes with Integrated Neuromotor Tracking

Why Catholic Health Inked a $500M Care Alliance with GE HealthCare to Automate Outpatient Triage

Catholic Health Inks $500M Care Alliance with GE HealthCare to Automate Outpatient Triage

KLAS Global HIT Trends 2026 Report: Artificial Intelligence Becomes the Top Investment Priority

KLAS Global HIT Trends 2026 Report: Artificial Intelligence Becomes the Top Investment Priority

Optum Partners with Anthropic to Deploy Claude Across Healthcare Claims and Revenue Workflows

Optum Partners with Anthropic to Deploy Claude Across Healthcare Claims and Revenue Workflows

Rock Health H1 2026 Digital Health Funding Recap: Startups Hit $7.4B in Venture Rebound

Rock Health H1 2026 Digital Health Funding Recap: Startups Hit $7.4B in Venture Rebound

M&A: ResMed to Sell MatrixCare Business to Frazier Healthcare Partners for $450M

M&A: ResMed to Sell MatrixCare Business to Frazier Healthcare Partners for $450M

The Real Risk in Healthcare AI Isn’t the Model. It’s the Data. 

Clinical Data Fidelity: The Real Blindspot in Healthcare AI Strategy

Secondary Sidebar

Footer

Company

  • About Us
  • 2026 Editorial Calendar
  • Advertise with Us
  • Reprints and Permissions
  • Op-Ed Submission Guidelines
  • Contact
  • Subscribe

Editorial Coverage

  • Opinion
  • Health IT
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Population Health Management
    • Revenue Cycle Management
  • Digital Health
    • Artificial Intelligence
    • Blockchain Tech
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • Value-Based Care
    • Accountable Care
    • Medicare Advantage

Connect

Subscribe to HIT Consultant Media

Latest insightful articles delivered straight to your inbox weekly

Copyright © 2026. HIT Consultant Media. All Rights Reserved. Privacy Policy |