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Morning Headlines 4/22/25

April 21, 2025 Headlines No Comments

Brellium Raises $16.7 Million to Build Healthcare’s AI-Powered Clinical Compliance Platform

Brellium, which offers AI-powered clinical and payer compliance software, announces $16.7 million in Series A funding.

Veteran satisfaction and trust in VA telehealth continues to rise

The VA sees a 12% increase in veteran satisfaction with its virtual care services, particularly the VA Video Connect app.

South Australia Becomes the First Jurisdiction in the Nation to Activate Sunrise EMR Statewide Across All Public Hospitals and Health Services, Including in the Regions

SA Health implements Altera Digital Health’s Sunrise EHR and patient administration system across 100 public hospitals.

Curbside Consult with Dr. Jayne 4/21/25

April 21, 2025 Dr. Jayne 1 Comment

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I’m doing a consulting gig in a different part of the country and was excited to get out and see a bit of the local color. Those colors trended towards red, white, and rosé, which for me typically lead to a low-key afternoon.

I was certainly glad to visit an area where the weather doesn’t seem to be out to get me with torrential rain, flooding, or tornadoes as I’ve experienced in my travels over the last year.

As I work in different parts of the US, I’m constantly aware of the differences in healthcare resources depending on where people live. I’ve worked in affluent areas where no one ever seems to be uninsured and I’ve worked in places where the majority of patients are uninsured or underinsured. You’ll find compassionate and committed physicians in both of those settings, but there are different skill sets needed depending on the makeup of your patient population.

Even when I’m working on strategic planning projects, I like to start from the ground up with a little bit of workflow observation and some stakeholder interviews. This week, I worked with an organization where it feels like the physicians are 80% social worker and only spend 20% of their efforts on what people would consider typical physician tasks. Every exam room had cheat sheets to help physicians know which social services organizations might be able to help their patients.

One of my first questions when analyzing their workflow was why those resources weren’t somehow captured electronically so that physicians could make them part of their discharge documentation as patients left the office. Although some physicians had incorporated some of the information into their personal documentation shortcuts, it sounded like there isn’t any appetite in the IT budget to spend time on things that aren’t considered critical to patient care, such as maintaining the medication formularies and order sets. The organization tightly controls access to EHR resources, so even if there were physicians or other clinicians who might be capable of building additional tools to better support clinicians and patients, they wouldn’t be allowed into the system anyway.

Given the size of the location and the patient mix where I was observing clinicians that day, I asked if the organization had considered embedding social workers or care navigators in the practice to assist with patients’ needs. Apparently they used to have a part-time nurse navigator in the practice, but the role was eliminated and the nurse was moved to a centralized location to help with phone triage.

One could make a theoretical argument that having someone in a role like that would pay for itself because it would free up the physicians to see more patients, but the reality is that the physicians already have full schedules and full patient panels. They are doing the extra work either on top of their clinical responsibilities or instead of them. They are already optimizing their coding and billing processes to document all the work they’re doing “coordinating care” for the patients, which is a good thing, but doesn’t create the opportunity to bring in more revenue unless there’s some way to adjust the payer mix.

I looked at a lot more factors, not only in this location, but in several others. I found several areas in the EHR that could be optimized and others that needed significant work just to bring the existing content up to support the current standard of care. As an example, it didn’t look like the immunizations or health maintenance portions of the system had been kept current with changes to guidelines over the last year.

That lack of regular EHR maintenance was creating additional work for both physicians and clinical support staff. Knowing the system in question, fixing it all would probably be less than 10 hours of analyst time if you include requirements writing, approvals, build, testing, and implementation. The physicians I spoke with didn’t know if anyone had opened a ticket with the help desk to request the updates, and the EHR team had such a backlog of requests that they didn’t know if they had the respective requests on file.

After a lot of back and forth trying to sort it out, several things were clear to me:

  • There was no proactive process to monitor for guideline changes and ensure they made it into the EHR in a timely fashion. This is important when there are major changes and there hasn’t been time for EHR vendors to get them into an update release.
  • The organization was woefully behind on taking their vendor-recommended updates, as I knew a couple of the issues had been fixed in patches that weren’t terribly recent.
  • There was a disconnect in the ability of the IT team to know whether the system was really working for its users or not.

As I often see in consulting engagements, researching each issue led to other issues. We found many more opportunities for changes that would benefit both physicians and patients.

As I returned to the hotel each night, I had a little bit of consulting whiplash, which happens when you’re working with one client during the day, finishing up projects for other clients in the evening, and reflecting on the stark differences between the projects.

The evening project on one of those days was for a client that is definitely more on the resource-rich end of the spectrum. They hired me to work on some custom content for a particular disease process where they’re trying to improve their clinical quality scores by a very small percentage. Their clinicians are not only using the most updated EHR content available, but also have access to human scribes at some locations as well as ambient documentation solutions nearly everywhere else. Clinics have health coaches and others to support some of the same processes that I had seen physicians doing during the day.

Those of us who have worked on population health projects know how significant your ZIP code can be as far as predicting your health status. This week brought it home to me in a way that it hasn’t done in several years.

These kinds of disparities aren’t something you can solve by throwing AI at them, although AI can help illustrate the nature of the problem more quickly than manually crunching the numbers. I’m going to have to think creatively about the strategic planning project I’m working on for my daytime client, although it’s going to be one of the trickier engagements I’ve done in a while. On days like this I wish I could find a magic lamp with which I could make three wishes to improve the healthcare system. Instead, I’ll have to come up with some incremental changes that can be done quickly and on the cheap while we formulate a strategy for the larger issues.

What are the major challenges facing your organization this year? If you could make three wishes, what would they be? Leave a comment or email me.

Email Dr. Jayne.

Morning Headlines 4/21/25

April 20, 2025 Headlines No Comments

CISA Releases Guidance on Credential Risks Associated with Potential Legacy Oracle Cloud Compromise

A Cybersecurity & Infrastructure Security Agency advisory recommends that users of the legacy Oracle cloud environment take several precautionary actions following a recent breach that exposed user credentials.

Sky Lakes Medical Center to lay-off 70 employees in June; A.I. Partnership

Sky Lakes Medical Center (OR) will lay off 70 employees, most of them in patient financial services and coding, due to the implementation of IKS Health technology that includes ambient documentation.

Trellis Health Emerges From Stealth With $1.8M Pre-Seed Funding to Provide Women With Unrivaled Access to Health Data

Digital maternal healthcare startup Trellis Health launches with $1.8 million in pre-seed funding.

Leidos invests $10 million in AI disease detection with University of Pittsburgh

Leidos will invest $10 million over five years in a partnership with University of Pittsburgh to develop AI-powered digital pathology tools for early disease detection.

Monday Morning Update 4/21/25

April 20, 2025 News 1 Comment

Top News

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A Cybersecurity & Infrastructure Security Agency advisory recommends that users of the legacy Oracle cloud environment take several precautionary actions following a recent breach that exposed user credentials.

A hacker has claimed to have exfiltrated 6 million records that could affect 140,000 Oracle Cloud tenants. Security researchers believe that the claim is accurate, although Oracle continues to deny that information was exposed.


HIStalk Announcements and Requests

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Company trust apparently erodes when its leadership’s designer footwear has rarely trod the uncarpeted parts of the hospital.

New poll to your right or here: What’s the hardest lesson you’ve learned in your health tech career? Add a comment if your favorite wasn’t listed. Mine would be that it doesn’t matter that you work for a great company if your boss is a challenge.


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Thanks to industry veteran Doug Brown of Black Book Research for designing and conducting an excellent industry survey about HIStalk’s position among health tech media sources, as requested by some of my sponsors. Lorre sent him basic information and he was off to the races with a well-designed study methodology and sample size. The results intrigued him so much that he ran a second survey that covered general trust in health tech media. I’ll post a summary later, but some points are:

  • HIStalk was #1 in Trust Index Rankings among all health tech media.
  • HIStalk was #1 in engagement and influence. Some of the sources that seem popular or that are run by big corporations actually scored 0% or 1% in engagement (i.e., despite appearances, nobody’s paying attention).
  • Respondents are fed up with media sources that run vendor-sponsored material without disclosing their paid relationships (it would be tacky of me to list the bottom finishers in this category, but you can take a guess). 
  • The poll’s summary, which I’m shamelessly bragging about, is this: “HIStalk stands out for its influence, independence, and continued relevance to the decision-makers shaping the future of health IT … influencing perception, credibility, and market momentum at the highest levels.”

Sponsored Events and Resources

None scheduled soon. Contact Lorre to have your resource listed.


Sales

  • NHS Greater Glasgow and Clyde taps Doccla to power a 1,000-bed virtual hospital as part of its hospital-at-home rollout in Scotland.

Announcements and Implementations

Leidos will invest $10 million over five years in a partnership with University of Pittsburgh to develop AI-powered digital pathology tools for early disease detection.

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Sky Lakes Medical Center (OR) will lay off 70 employees, most of them in patient financial services and coding, due to the implementation of IKS Health technology that includes ambient documentation.

UK regulators approve the use of robotic surgery for 11 procedure types in NHS specialty centers, hoping to trim patient backlogs and streamline care.


Government and Politics

FDA will phase out animal testing for drugs and move to AI-based models.


Privacy and Security

A misconfigured database that is owned by Scotland-based healthcare staffing software vendor Logezy exposes 8 million records, including ID documents, work authorizations, certificates, timesheets, user photos, and electronic signatures.


Other

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LinkedIn co-founder Reid Hoffman says that ChatGPT diagnosed and resolved his persistent jaw-clicking in one minute, a problem that specialists hadn’t been able to fix in over five years. He credits the chatbot with recommending a simple mouth-opening technique that realigned his jaw. Hoffman disputed a reader’s comment that doctors must hate ChatGPT: “If implemented correctly, AI could help doctors diagnose individual patients faster, do less paperwork, and see more patients in a day.”


Sponsor Updates

  • Black Book Research’s survey of UK healthcare leaders dives into the potential impact of NHS restructuring on digital health planning.
  • Nordic releases a new “Designing for Health” podcast episode titled “Interview with Resa Lewiss, MD.”
  • Praia Health and Abundant Health Acquisition partner to deliver the first end-to-end, personalized consumer experience for healthcare systems.
  • Visage Imaging will exhibit at SIIM 2025 May 21-23 in Portland, OR.
  • Vyne Medical will sponsor and exhibit at NAHAM’s annual conference April 30-May 3 in Phoenix.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Follow on X, Bluesky, and LinkedIn.
Contact us.

Morning Headlines 4/18/25

April 17, 2025 Headlines No Comments

UnitedHealth Group Reports First Quarter 2025 Results and Revises Full Year Guidance

UnitedHealth Group reports Q1 results: revenue up 9.8%, EPS $6.85 versus $6.91, missing expectations for both and sending shares down more than 20% in the company’s first earnings miss since 2008.

Chairmen Guthrie, Bilirakis, and Palmer Launch Investigation into 23andMe and its Handling of Americans’ Sensitive Medical and Genetic Information

The House Oversight Committee asks 23andMe co-founder and former CEO Anne Wojcicki for details on the company’s bankruptcy and any plans to transfer personal and genetic data, warning that a sale to the highest bidder could be a “national security disaster.”

Risa Labs Raises $3.5M to Eliminate Treatment Delays with AI-Powered Workflow Automation in Oncology

Risa Labs, a healthcare AI startup focused on helping cancer care providers eliminate prior authorization delays, raises $3.5 million in seed funding.

News 4/18/25

April 17, 2025 News No Comments

Top News

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UnitedHealth Group reports Q1 results: revenue up 9.8%, EPS $6.85 versus $6.91, missing expectations for both and sending shares down more than 20% in the company’s first earnings miss since 2008.

UHG also cut its 2025 outlook.

CEO Andrew Witty called the results, which were negatively affected by unexpectedly high Medicare Advantage medical costs, “unusual and unacceptable.”

On the earnings call, Witty said the company’s tools boosted digital engagement among senior members by 40% in Q1. He added that AI will route over half of incoming calls to the appropriate resource this year. UnitedHealth also reported that AI-powered claims tools improved Optum Insight productivity by 20%.


Reader Comments

From JSON Argonaut: “Re: AI. We just signed a multi-year AI partnership so we can say we did. If it improves care or efficiency, great, but let’s be honest, the board wanted a press release.”


Sponsored Events and Resources

None scheduled soon. Contact Lorre to have your resource listed.


Acquisitions, Funding, Business, and Stock

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Assort Health, which offers AI-powered incoming call management for patient scheduling in specialty practices, raises $26 million in funding.


Sales

  • The Minnesota Department of Human Services chooses Findhelp to power Find Help Minnesota, a statewide behavioral health program locator.
  • Commonwealth Healthcare Corporation chooses Meditech Expanse.

People

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Healthcare cost containment technology vendor Claritev, which was formerly known as Multiplan, hires Jigar Patel, MD (Oracle) as SVP/chief medical officer.

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Vanessa Carmean, PhD (KeyCare) joins Lirio as RVP of sales.

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Caregentic hires Russ Johannesson, MBA (Glooko) as CEO.


Announcements and Implementations

A preprint describes how UMass Memorial PCPs used Linus Health’s tablet-based tool to incorporate cognitive assessments into routine visits.

Altera Digital Health integrates Nabla’s ambient documentation solution with Paragon Denali.

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A new KLAS report finds that non-US health systems are using technology, especially AI, to fight staff burnout. AI and analytics investment are outpacing EHR and digitization projects. Cloud adoption is rising, although most deployments remain hybrid or lift-and-shift rather than cloud-native.


Government and Politics

The House Oversight Committee asks 23andMe co-founder and former CEO Anne Wojcicki for details on the company’s bankruptcy and any plans to transfer personal and genetic data, warning that a sale to the highest bidder could be a “national security disaster.”

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The National Association of Attorneys General urges Congress to prohibit pharmacy benefit managers from owning or operating pharmacies. Meanwhile, a new Arkansas law prohibits that same practice.

The White House proposes slashing HHS discretionary spending by one-third and reorganizing its agencies, following a previous 20,000-employee headcount cut.


Privacy and Security

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KU Health, Lawrence Memorial, and Epic are named in a class action lawsuit after a KU Health physical therapist allegedly used its patient portal to snoop on patients of an affiliated plastic surgery clinic, including their nude photos. The suit, which was brought by patients of the plastic surgery clinic, claims that Care Everywhere’s cross-organizational data-sharing enabled the breach.

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The CEO of an Oklahoma cybersecurity company is charged with installing screen logging malware on two computers of St. Anthony Hospital.


Sponsor Updates

  • Black Book Research releases its fully updated and expanded 2025 Key Performance Indicator Framework for Revenue Cycle Management.
  • Ellkay will present at Executive War College April 30 in New Orleans.
  • The “HIT with Grace” podcast features First Databank VP of Product Management Virginia Halsey.
  • Impact Advisors releases a new episode of its “Impactful AI” podcast titled “Decoding AI Empathy.”
  • Infinx will exhibit at NAHAM 2025 April 30-May 3 in Phoenix.
  • Meditech will present at the Montana Frontier Healthcare Conference June 18-19 in Billings.
  • Mednition welcomes Wellstar Health System and Good Shepherd Health Care System to its community of KATE AI partners.
  • MRO will exhibit at the American Urological Association conference April 26-29 in Las Vegas.
  • Navina will exhibit at the NAACOS Spring Conference April 22-24 in Baltimore.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Follow on X, Bluesky, and LinkedIn.
Contact us.

EPtalk by Dr. Jayne 4/17/25

April 17, 2025 Dr. Jayne 1 Comment

I’ve been a follower of prescription digital therapeutics for years. I have watched with great sadness as companies have come and gone without getting the traction their products needed to help broad groups of patients.

Click Therapeutics recently received FDA marketing authorization for the first prescription digital therapeutic for prevention of migraine headaches. The solution, called CT-132, is designed to be used in conjunction with other preventive or acute migraine treatments for patients aged 18 years and older. The study used for its application looked at the therapeutic’s use in patients who were already receiving treatment that met the standard of care and was able to significantly reduce the number of migraine days per month.

The company already offers solutions for a number of conditions including depression, diabetes, schizophrenia, insomnia, multiple sclerosis, and opioid use disorder. I’ll be eager to see how it does over the next couple of years.

I was also interested to see a write-up of research on using an AI-powered wearable to improve function for patients with essential tremor. I have relatives with the condition, and it can significantly impact quality of life. The Felix NeuroAI device  is considered investigational but was shown to reduce tremors and improve the ability of users to perform daily activities by delivering electrical stimulation to the peripheral nerves in the wrist. Additional research is being conducted at the University of Kansas School of Medicine. Of note the company that makes the device was founded through the University of Minnesota, so here’s to cool tech coming from the Midwest.

I’ve taken a cautious approach to using real-world evidence in my practice, making sure that I’m using it in conjunction with traditional evidence-based recommendations. Those of us who have been in practice for a while know the risk of the “everyone’s doing it” approach to medicine (Vioxx, anyone?) rather than ensuring that the risks of new treatments don’t outweigh their potential benefits.

For drugs that are already in broad use, however, real-world evidence can be useful to identify adverse effects and unanticipated outcomes. A recent study looked at three GLP-1 receptor agonist weight loss drugs, examining adverse events. They found that one drug had significantly fewer reports of adverse drug reactions , but another was associated with some serious adverse events, including suicidal ideation and vision loss. It remains to be seen whether these results will be flagged to help develop larger or more comprehensive studies, but they’re important, nonetheless.

One of the most rewarding elements of my work as a consultant specializing in EHR optimization was identifying non-value-added steps in workflows and eliminating burdensome documentation that couldn’t be clearly linked back to a regulation, official requirement, or quality measure. A recent study in The Permanente Journal addressed the misinterpretation of regulations by compliance professionals. The authors presented 16 study subjects with five clinical scenarios and scored their interpretations for variability of interpretation. Only one-third of the subjects had formal training as a compliance professional, which I found interesting. As the authors presented the scenarios, they found that given the same scenario, some subjects identified noncompliance where others voiced no concerns.

One of the scenarios presented was the bane of many healthcare workers, namely whether food and drink can be consumed in work areas. Others included order entry by non-physicians, compliance with HIPAA requirements, the need to document a pain assessment, and whether physicians have to document the history of present illness independently. If you’re finding that your organization has workflows that have “always been done that way” but no one can link them back to a requirement and there’s an easier or better way to do them, it might be time to push back and ask for a review with the goal of removing such burdens. The last thing that burned out care teams need is overzealous interpretation of requirements or enforcement of those that don’t exist.

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I was excited to learn that one of the states where I am licensed is implementing new functionality in their Bamboo Health-powered Prescription Drug Monitoring Program (PDMP) system. Prescribers will now be able to see a risk score for unintentional overdoses that takes into account the different drugs for which a patient has filled prescriptions as well as the duration of those prescriptions and the number of pharmacies at which they’ve been filled.

My primary practice is in a state where this is not yet implemented, but then again, we don’t even have the PDMP integrated into the EHR. Even though we have to log in separately, the system has still helped me identify concerning patterns for a number of patients in my care. It’s also been used in my state to identify physicians behaving badly, so I’m grateful to have a system that helps protect my patients and colleagues from those who might do unscrupulous things.

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Yesterday was National Healthcare Decisions Day, which was created to encourage patients and their care teams to discuss advance care planning. I hadn’t heard of it before this year and was amused to learn that the April 16 date was selected with a famous Benjamin Franklin quote in mind: “In this world, nothing is certain except death and taxes.” Individuals are encouraged to do their US taxes by April 15 and review their health care directives the next day. The observance was founded in 2008 and encourages not only patients and providers to participate, but also community groups, healthcare facilities, and religious organizations. More information is available at The Conversation Project, which is part of the Institute for Healthcare Improvement.

I’ve seen enough things in my medical career to know that I never want to be without a document that details my wishes for care (or lack thereof). When I arrived at the hospital for what could be one of the most medically risky events in any woman’s life, the labor and delivery nurse acted stunned when I handed her a copy. She said it was the first time she’s seen one from a patient. Let’s normalize talking to our families and loved ones about our wishes and help them to document theirs.

Do you have a living will, advance directive, or healthcare power of attorney? If not, why? Leave a comment or email me.

Email Dr. Jayne.

Morning Headlines 4/17/25

April 16, 2025 Headlines No Comments

Well Health Announces Results for Q4 and Full Year 2024 Reflecting Record Annual Revenue

Canadian provider and health IT company Well Health Technologies reports a 19% increase in annual revenue and that it will consider strategic alternatives for its California-based Circle Medical virtual primary care clinic.

Assort Health Secures $26 Million in Funding to Expand Specialty-Specific Generative AI Platform for Managing Patient Phone Calls

Assort Health, which offers specialty-specific AI voice agents for managing inbound patient phone calls, announces that it has raised a total of $26 million.

Youlify Raises $4.3M Seed Round to Fix Healthcare’s $262B Billing Bottleneck With Generative AI

AI RCM startup Youlify raises $4.3 million in seed funding.

Healthcare AI News 4/16/25

April 16, 2025 Healthcare AI News 1 Comment

News

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Anthropic adds a research feature to Claude that searches both internal and web-based content, using an agentic approach to run iterative queries, resolve open questions, and deliver well-sourced answers with citations.

A proposed federal bill would create a consistent Medicare reimbursement path for FDA-approved, AI-enabled medical devices by placing them in a new technology ambulatory payment classification under the Hospital Outpatient Prospective Payment System for at least five years, allowing time to collect data before determining if a permanent code should be created.


Research

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A University of Florida researcher develops an open source AI tool that analyzes patient movement videos to help doctors detect subtle motor changes.


Other

North Carolina Central University is using Wolters Kluwer’s VRClinicals for Nursing, a virtual reality hospital simulation, to train its nursing students.

A medical writer with a PhD in math says that she doesn’t want AI scribes to write visit notes for her pulmonologist. 

My pulmonologist’s notes are much more than a summary of our privileged clinical encounters. Each of his notes is an important and carefully crafted document for my care planning and for coordination with other providers. Equally important, the notes are a communication to me, his patient. As I read his notes, I can feel his acumen and experience as a practitioner of medicine — his interest and understanding, his concern and compassion, his discernment and responsiveness. I don’t think an algorithm can re-create those specifically human experiences.

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It’s interesting that the 2023 story about ChatGPT outdiagnosing 17 doctors is suddenly trending again despite no new developments. Maybe the AI has moved beyond diagnosis to ghostwriting clickbait.


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
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HIStalk Interviews Amanda Sharp, CEO, AdvancedMD

April 16, 2025 Interviews 3 Comments

Amanda Sharp is CEO of AdvancedMD.

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Tell me about yourself and the company.

AdvancedMD provides a comprehensive technology platform for independent physicians and providers to run their business on. It’s akin to Salesforce, a CRM for medical practices. It includes a practice management, a billing solution, electronic health record, patient engagement solutions, analytics, and payments. The business was founded more than a quarter century ago. It was built originally on the cloud.

I started at the company back in 2006 as an intern in our accounts receivable department. I progressively grew in the company with 15 different roles across finance, accounting, service, sales, strategy, business, and business development before being asked to lead the company in 2019. In December, Francisco Partners bought the company from Global Payments. It’s the second time that Francisco Partners has owned AdvancedMD. With that acquisition, I was named CEO of the company.

Our mission is to empower healthcare professionals to realize their full potential. We provide a platform that helps them do that.

How has the ambulatory software business changed in the past few years?

We’ve seen some consolidation in the past couple of years. We see replacement deals rather than greenfields. They are existing businesses that are looking to replace an electronic health record and a practice management system. We see much more sophistication in the buying process, where people know the gotchas that they experienced previously. We see much higher emphasis on things like cybersecurity, the introduction of AI, and ensuring that the technology solutions are fully integrated. There’s less of an appetite for point solutions, where you have to do a lot of integration work to connect them. That trend has worked in our favor.

Meaningful Use decreased the number of vendors from thousands to whatever it is today. How many can the market support and how much consolidation will occur?

Ambulatory care can support more that on the inpatient side. There are a lot of specialty-specific solutions out there. There are also a lot of solutions like ours that are configurable and customizable to meet the needs of many specialties. AdvancedMD serves 118 different specialties.

I think there’s room for plenty of vendors, but in terms of size and scale that are serving the ambulatory space, you’re at fewer than 10 right now. I expect to see further consolidation over the next several years, whether it’s us acquiring or someone else making some of those acquisitions.

How is the approach of specialty-specific software competitors different?

It depends on the specialty. When you look at something like dermatology, obviously Modernizing Medicine dominates in that space. They have a very anatomical EHR built by dermatologists. For us to compete in that space, we are  partnering with other EHR solutions.

AdvancedMD works really, really well for primary care, behavioral health, physical therapy, and some of the specialties as well. But it really depends on if you need something that’s more anatomical in nature since AdvancedMD is more template based. Also, what systems you need to integrate with.

There’s room for both. The market is huge and there’s tons of opportunity. I don’t buy the notion that independent physicians or providers are going away any time soon. The market absolutely can sustain businesses like AdvancedMD, as well as those that are a little bit more specialty specific.

How has telehealth and the technology that is needed to support it evolved?

We expected to see our telehealth usage fall off as COVID subsided, but we’ve actually had tremendous growth. We were incredibly fortunate, whether it was was luck or truly great foresight, that we had built an integrated telehealth solution a couple years before 2020. We have seen that usage has grown, primarily in behavioral health. But we’ve seen the integration between behavioral health and primary care and bringing those two specialties together.

There’s a very strong demand for integrated telehealth in that space and we expect that to continue. Your mental health is just as important as your physical health. Being able to match patients with the appropriate talk therapy provider anywhere in the country is incredibly valuable. We’ve seen that continue to grow. We haven’t seen the growth as much in some of the specialties or in primary care.

What are the benefits of a cloud-based system?

One of the biggest opportunities is in understanding data and large data consolidation, which can help predict outcomes for people. Our ability to leverage technology to improve patient outcomes is absolutely enhanced because people are on the cloud.

Some systems are more ASP based and not a true cloud. Some require  a thin client server download.

We’re incredibly grateful that AdvancedMD was architected for the cloud initially. You avoid some of those more technical components. You want a solution that you can access anywhere from any device at any time.

How much of your client base uses outside billing services?

In our client base, we have about 1,000 billers. They range in size from what we would call a bedroom biller serving one practice up to serving hundreds of practices.

Ultimately, it comes down to choice. Some people prefer to have total control and autonomy. They want to use software to do their own billing. They have expertise in coding, probably a medical coder on staff.

Some people want to leverage and use the capabilities of other people, so we have billing services. We actually have our own billing service, our own revenue cycle management team, where we offer that as well.

Then we have clients who just leverage our software. For us, about 30% of our total providers at AdvancedMD are using third-party billers.

How has consumerism affected medical practices?

There has definitely been a rise of retail and consumer-driven care. I can go to my local Walmart, Walgreens, or CVS and get care. We as healthcare IT leaders need to provide our physicians and providers with a frictionless experience so that they can provide a similar experience to their patients. As a healthcare IT provider, it’s our goal to equip our providers and our physicians with some of the same or similar tools and technologies so that patients will opt to see their primary care position instead of going to some of these other places. That could be things like the ability to schedule appointments online, have virtual visits, having mobile-friendly applications and portals to communicate with your provider, as well as real-time, fast communication.

How will AI change your business and your customers?

We’ve been working on an AI product suite for our clients. That would include things like improvements in documentation, where instead of spending an hour to two hours in the evening documenting and updating everyone’s patient charts, you could have it done with a couple of clicks.

Then you think about claims management processing , ensuring that the coding is correct and that you’ve included all of the right modifiers and everything is exactly where it needs to be. Leveraging AI in that is going to be incredibly helpful, too.

Internally for our business, we’ve uncovered multiple opportunities with AI in terms of our product, technology, release cycles, and how we QA the product to make sure that bugs don’t slip out. Using AI as a tool to help predict at-risk clients, figuring out where we need to have better communication, more transparency, and more connection with those clients.

In the right segments, AI will revolutionize this space. There’s always going to be a place for physicians, providers, nurses, MAs, and billers. But I believe that through AI, we will all be more efficient and will be able to focus on the things that are most important in our respective areas.

You’ve been at the same company for 19 years, intern to CEO, and most atypically to me, you’ve lived through several changes of ownership. What lessons have you learned?

The most important thing that I’ve learned is that people are the most important asset a business has. Starting as a company with 70 employees delivering service to 2,000 physicians and providers, to today, where we’re over 65,000 physicians and providers, doesn’t happen without incredibly talented people who are passionate and dedicated to what the organization is trying to accomplish.

Everything starts with the people. You have to take care of your people in the company. When you take care of your people, they’re more inclined to take care of your clients, and your clients provide for your shareholders.The financial results of the organization aren’t the objective, they’re the outcome.

By keeping that order of priority, AdvancedMD has been able to be more successful. I’ve been able to navigate throughout the organization for what has been a long tenure, but at the same time, it feels very short. I feel incredibly blessed to have worked and to continue to work with so many incredible people.

What factors will be most important to the company’s strategy over the next few years?

From a product and technology perspective, a few things. Simplifying our onboarding and service and introducing improved tools and resources for those who are learning the product. We will be enhancing our technology to reduce administrative time. We will be expanding interoperability and our healthcare connectivity. Delivering a best-in-class platform that ultimately helps independent positions and providers stay independent.

We’re excited about Francisco Partners. Like I said, it’s the second time that they invested in the business. We believe that they’re a tremendous private equity firm, especially in healthcare. I’m excited about the connections, the relationships, and the investment that they are enthusiastic to make in AdvancedMD.

Morning Headlines 4/16/25

April 15, 2025 Headlines No Comments

Surescripts Health Information Network Designated a Qualified Health Information Network

The Sequoia Project recognizes the Surescripts Health Information Network as a QHIN.

Hellocare.ai Raises $47M to Accelerate AI-Assisted Virtual Care and Transform Hospital Rooms into Smart, Connected Care Environments

Virtual care delivery company Hellocare.ai raises $47 million.

Eight out of ten nursing leaders are piloting new nursing care models, cites Wolters Kluwer survey

Nursing leaders looking to implement new care models say they are most in need of nurse informaticists, telehealth nurses, nurse care coordinators, and nurse educators in telehealth and virtual care.

LGBTQ Texans line up to oppose electronic health record bill

LGBTQ Texans oppose a Texas bill that would mandate binary “biological sex” fields in EHRs that cannot be changed except to correct clerical errors, arguing that it endangers care for transgender and intersex patients by disregarding medical complexity.

News 4/16/25

April 15, 2025 News 1 Comment

Top News

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Kidney care company DaVita works to recover from a weekend ransomware attack that encrypted some of its systems. The attack was disclosed in an SEC filing.

The company operates 2,657 outpatient dialysis centers in the US.

DaVita posted an update to its website on Monday indicating that it was experiencing high call volumes and asked providers to send medical records by fax.


Reader Comments

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From Egress Latched: “Re: CuriMeta. Closed.” Unverified, but reported by several employees on LinkedIn who have adorned their headshots with the #OpenToWork label. St. Louis-based CuriMeta is (or was) a real-world data platform vendor that was launched in 2020. Washington University School of Medicine and BJC HealthCare, which contributed data research and research support, invested $6 million in seed funding in August 2022. That’s not a lot of funding after nearly three years. Founder Davis Walp moved on in January 2025.


HIStalk Announcements and Requests

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Welcome to new HIStalk Platinum Sponsor Lincata. Lincata is the missing ‘linc’ that powers up the in-room patient experience 2.0. LincTV, Lincata’s flagship product, is a proprietary hardware device which transforms most existing hospital televisions into interactive digital hubs supporting MyChart Bedside TV, virtual nursing, alert motion sensors, and entertainment.  Lincata proudly participates in Epic Showroom’s Toolbox vendor program for Bedside TV Hardware. Power up LincTV and power on healthcare’s next generation of smart room solutions.


Sponsored Events and Resources

None scheduled soon. Contact Lorre to have your resource listed.


Acquisitions, Funding, Business, and Stock

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Virtual care delivery company Hellocare.ai raises $47 million.


Sales

  • Tanner Health (GA) selects CareTrack’s remote patient monitoring solution.
  • MedStar Health (MD) will use Reimagine Health’s remote cancer care management software and services.

People

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Michael Quinn (Inovalon) joins NVoq as VP of strategic business development.

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Oura hires Ricky Bloomfield, MD (Apple) as chief medical officer.

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Civitas Networks for Health appoints Jolie Ritzo, MPH as interim CEO with the departure of founding CEO Lisa Bari, MPH, MBA. 


Announcements and Implementations

IMAT Solutions announces GA of a new health data reporting platform incorporating business, data, security, and AI intelligence.

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Ochsner Health (LA) implements digital advance care planning software from MyDirectives.

The Sequoia Project recognizes the Surescripts Health Information Network as a QHIN.

Healthcare benefits navigation platform vendor Castlight Health embeds Fabric’s virtual urgent care technology into its app. Castlight is owned by Apree Health, which is in turn owned by care solutions vendor Mosaic Health.


Government and Politics

LGBTQ Texans oppose a Texas bill that would mandate binary “biological sex” fields in EHRs that cannot be changed except to correct clerical errors, arguing that it endangers care for transgender and intersex patients by disregarding medical complexity.


Privacy and Security

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CTG opens a Cegeka Modern Security Operations Center in Buffalo, NY and announces new cybersecurity solutions that include identity and access management and managed CISO Office-as-a-Service capabilities.

Northeast Radiology (CT) will take corrective action and pay $350,000 to settle federal HIPAA Security Rule violations that stem from a data breach of its PACS server that exposed the PHI of 300,000 patients.


Other

Nursing leaders looking to implement new care models are most in need of nurse informaticists, telehealth nurses, nurse care coordinators, and nurse educators in telehealth and virtual care, according to a new report from Wolters Kluwer Health.


Sponsor Updates

  • A new Black Book survey underscores critical actions US medical device and supply chain leaders must implement to prepare for potential market disruptions in light of escalating trade tensions.
  • Censinet, KLAS Research, and American Hospital Association publish the “2025 Healthcare Cybersecurity Benchmarking Study.”
  • CereCore will exhibit and present at MUSE Inspire 2025 May 27-30 in Dallas.
  • Capital Rx releases a new episode of “The Astonishing Healthcare Podcast” titled “Navigating RxDC Reporting: Some Tips for Success, with Spencer Kramer.”
  • Healthcare IT Leaders becomes a Workday Application Managed Services Partner.
  • AGS Health will exhibit at the NAHAM Annual Conference April 30-May 2 in Phoenix.
  • AvaSure will present at ATA Nexus 2025 May 3-6 in New Orleans.
  • Conduce Health President Geoff Matous joins UConn Health’s Board of Directors.
  • Consensus Cloud Solutions will exhibit at the SCHIMSS Annual Conference April 16 in Columbia, SC.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Follow on X, Bluesky, and LinkedIn.
Contact us.

Morning Headlines 4/15/25

April 14, 2025 Headlines No Comments

SmarterDx Embarks on Next Phase of Growth and Product Innovation with New Mountain Capital

AI-powered revenue cycle company SmarterDx announces an undisclosed amount of funding from New Mountain Capital.

Kidney dialysis firm DaVita hit by weekend ransomware attack

Kidney care provider DaVita works to recover from a weekend ransomware attack that encrypted some of its systems.

Tech modernization at community health centers in limbo after federal workforce cuts

The federal government’s reorganization of HHS and related layoffs stall HRSA efforts to modernize the Unified Data System, a data-reporting system that community health centers use to prove their need for federal funding and inform public health initiatives.

Curbside Consult with Dr. Jayne 4/14/25

April 14, 2025 Dr. Jayne 2 Comments

Mr. H currently has a poll in the field, courtesy of this week’s Monday Morning Update, that asks, “What’s your biggest red flag when evaluating a health IT vendor?”

Of the listed response options, my top two include “Leadership team is all career investors or executives” followed by “Lists no real customers, just pilots.” By way of additional suggestions, I would add “Leadership team has no idea what the average person experiences when they have a health-related need.” This answer was brought into the spotlight for me this week, as I had the opportunity to interact with a large number of ladies at a senior women’s seminar.

I normally try to downplay the fact that I’m a physician when I meet people I don’t know, because I don’t want to field the resulting clinical questions. However, in this situation I was a presenter and the person doing my introduction mentioned it, so I couldn’t escape it.

Once that proverbial cat was out of the bag, I heard a lot of healthcare stories, ranging from heartbreaking to inspiring, and a couple that spawned ideas for innovation. For those of you who don’t have a lot of real-world healthcare experience but are operating in this space, I give you my guide to understanding what a random sampling of what people want to talk about concerning healthcare when given the chance. 

At the first meal break, I was asked where I practice. I explained about being a virtual physician, thinking that my tablemates might not be familiar with it. The first person that spoke wanted to know, “What do you think about the fact that Medicare is going to stop paying for online doctor visits, because I’m pretty mad about it.” Talk about a softball being dropped right in my lap.

She went on to explain that in her Arizona community, many of the residents are elderly, some no longer drive, and certain specialty care is a 2.5 hour drive away. She and her husband have been having virtual visits for the last several years, only going in person once a year or when a specialized test is needed. They are able to have labs drawn at a satellite draw site for one of the nationwide lab vendors. She has been able to avoid long hours on the highway as well as the hassle of getting her mobility-impaired spouse into the car.

The conversation segued from there to the need for non-traditional home services. Another mentioned the fact that her local emergency medical services agency’s funding shortfall led them to start charging for any calls that don’t result in transportation to the emergency department.

She was worried about a couple of things. First, people may not call for help when they need it, resulting in them “winding up sicker than they need to be.” Second, there’s a gap in providing services that are important but non-emergency. The example she gave was when someone falls and needs help to get up, but doesn’t need to go to the emergency department. This happened to one of her neighbors who called her, and when the weren’t able to find a younger neighbor to help, they ended up calling 911.

This immediately gave me an entrepreneurial idea — like a ride share service, but for things like this. I did a quick online search and most of the answers to “how to safely pick a loved one up after a fall” involved calling 911 or the fire department for a “lift assist,” which may or may not have an associated charge. What if there was an app where you could summon an available person who is not only physically capable of providing this kind of assistance, but has also has had their background checked and vetted by a third party so that seniors would be more comfortable calling them?

I’m seeing an opportunity for off-duty healthcare workers to make some cash in a way that they’re comfortable with, but that requires no charting and has few hassles. Kind of like TaskRabbit but with a personal assistance twist and with rapid access.

Maybe it could also have a “schedule in advance” component for non-urgent calls, again kind of like a ride share service, when you don’t need to move a person but just need to move that box of cast iron skillets so you don’t break your foot (which also happened to one of the ladies at my table who was in a walking boot). There may be some variations of this out there, but none that I’m aware of has the breadth of availability that would be ideal for a growing population of aging seniors.

From there, the conversation flowed to the predictable topics, including physicians who always run behind, long waits for new patient appointments, the hassles of dealing with insurers, expensive medical bills, and whether or not I watch medical TV shows. Nearly everyone at the table had used a patient portal to communicate with a physician at least once, and about half of those have received text messages from medical providers. All of them had smartphones and didn’t hesitate to pass around pictures of the grandkids, the great grands, or their various craft projects.

They were universally comfortable with using the internet to find information, whether it was for a health-related topic or just to find out general information. It was validating to see this in person since I run into a lot of people who still think that seniors aren’t technology savvy.

My dinner table assignment had several retired healthcare workers who each had something to say about the current state of things. A correctional health nurse midwife said that the greatest need is for better behavioral health services and supports “to keep people out of prison in the first place.” A retired physical therapist from a VA hospital was extremely vocal about the need to make sure that our veterans are taken care of and that any cuts at the VA should be done thoughtfully and “not in some all-fired hurry.” Another was a nurse who medically retired sooner than she would have liked. She was most excited to learn about virtual nursing opportunities, which might have allowed her to stay in the field longer.

All of them had EHR experience and thought things were better in some ways and worse in others when EHRs came to their facilities, which many of us agree is a fairly accurate statement. All three had children or grandchildren who were in the medical field, so that gave me a little bit of hope as far as healthcare still being a desirable career choice.

Vaccines were a hot topic among those who weren’t healthcare retirees. One of my dining companions told the story of when she received one of the first polio vaccines and “people were lined up around the block because it was a horrible disease and there wasn’t a single mother who didn’t want her children to take that sugar cube.” She was an amazing dinner companion, a retired university professor who has traveled the world and had stories that made me hope I’ll still be globetrotting into my eighties as she is. She ended up accepting my LinkedIn request about an hour after I sent it, which impressed me. She doesn’t have any content associated with her profile, which adds to her mystique, I guess. No need for self-promotion in that generation.

At the end of the meal, there was a raffle with proceeds going to a family that has three children with medically complex needs. Hearing the raffle chair tell their stories was incredibly moving. I can’t imagine navigating the healthcare system with one of their situations, let alone with three. It was gratifying to see several thousand dollars raised to support them.

These are things that average people in the US want to talk about when they find out that you’re in healthcare. If you’re a healthcare technology leader and none of these resonate with you, it might be time to obtain some experiential learning through hanging out with people who consume a fair amount of healthcare resources. It might confirm your thinking, give you new ideas, or give you something to think about that you haven’t considered. If nothing else, it should remind you that there are humans on the other end of your solution, whether they’re patients, family members, care delivery team members, or those who support them. And as leaders, if you don’t have a clear line of sight to those people and understand how your solution impacts them, you might just have some work to do.

What kinds of things do you hear when people find out you’re “in healthcare?” Leave a comment or email me.

Email Dr. Jayne.

Morning Headlines 4/14/25

April 13, 2025 Headlines No Comments

UnitedHealth asks healthcare providers for hack loan repayments

UnitedHealth Group demands repayment from practices to which it loaned money following the cyberattack on its Change Healthcare business.

WeightWatchers reportedly prepping for Chapter 11 bankruptcy

WW International, which spent $132 million on acquiring online weight loss company Sequence two years ago, is reportedly considering filing for Chapter 11 bankruptcy protection.

Revisions to the Safety Assurance Factors for Electronic Health Record Resilience (SAFER) Guides to update national recommendations for safe use of electronic health records

The authors of the ASTP-commissioned SAFER guides offer new updates to the toolkit that incorporate best available current evidence and clinical practice.

Monday Morning Update 4/14/25

April 13, 2025 News 1 Comment

Top News

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UnitedHealth Group demands repayment from practices to which it loaned money following the cyberattack on its Change Healthcare business.

Its Optum division is warning practices that they must repay in full or risk having the amount withheld from their reimbursements.

UnitedHealth says that $3 billion of its $9 billion in interest-free loans was repaid by mid-October. The loans were offered following the February 2024 breach that sidelined Change’s clearinghouse services for nine months.

CEO Andrew Witty told the Senate Finance Committee last year that practices would have 45 days after their cash flows returned to normal to repay the loans.


Reader Comments

From Actionless Figure: “Re: LinkedIn. It used to be resumes and insight. Now it’s mid-tier health IT execs posting AI action figures like they’re getting their own McKinsey Happy Meal.” Agreed. You would think that the effortlessly generated, decidedly unclever graphics were Nobel prizes.


HIStalk Announcements and Requests

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Pay and employee retention aren’t as important in health system IT satisfaction as you might think.

New poll to your right or here: What’s your biggest red flag when evaluating a health IT vendor? Leave a poll comment for a choice that I didn’t list.

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Second-grade teacher Ms. P from Dallas, TX thanks HIStalk donors and matching funds contributors for fulfilling her DonorsChoose request for science and engineering kits and tools. A snippet from her message, which included classroom photos such as the one above:

I wish you could have seen my student’s faces when they got to see and use all the amazing things we got! You helped make learning impactful and long term by providing us with these hands on resources. These materials took my lessons to another level and engaged all my learners.


Sponsored Events and Resources

Live Webinar: April 15 (Tuesday) 1 ET. “Navigating ACO Quality in 2025: Lessons Learned and Future Directions.” Sponsor: Healthmonix. Presenters: Michael Lewis, VP of customer success, Healthmonix; Steven Tyson, senior account executive, Healthmonix.  Accountable care organizations (ACOs) must stay ahead of evolving quality requirements and reporting changes. Join us for an in-depth discussion on lessons learned from past ACO implementation, key areas for improvement, and the impact of Medicare Clinical Quality Measures (CQMs).

Contact Lorre to have your resource listed.


Acquisitions, Funding, Business, and Stock

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A ProPublica article reports that Blue Cross and Blue Shield of Louisiana was found to have committed fraud by approving breast cancer surgeries but withholding full payment, leading to a $421 million jury award to New Orleans-based Center for Restorative Breast Surgery, which was started by the two surgeons above. The insurer’s former CEO argues prior authorization only confirms medical necessity, not a guarantee of payment: “Let me be clear: The authorization never says we’re going to pay you.” The article also notes that company executives had arranged special payment deals with the center for cancer treatment for their wives. The jury foreman concluded, “We would have given more if we had been asked for more. That’s how egregious the fraud was.” The insurer has appealed the verdict and its business practices remain unchanged.


People

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Micky Tripathi, PhD, MPP (HHS) joins Mayo Clinic as chief AI implementation officer.

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Donna Woelfel, RN, MSN (MultiCare Health System) joins Kaiser Permanente, Northern California as CNIO.


Announcements and Implementations

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Researchers develop a conversation-based, diagnostic-focused language model that outperformed primary care physicians in accuracy and was rated by patient-actors as having superior conversational quality.

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A new cybersecurity report from KLAS, Censinet, and industry groups finds that most organizations are better at responding to breaches than preventing them. The biggest gaps are in supply chain risk management, asset management, and medical device security.

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The authors of the ASTP-commissioned SAFER guides – a self-assessment framework for the safety and effectiveness of an EHR implementation – describe new updates to the toolkit that incorporate best available current evidence and clinical practice. Usability has been improved and content streamlined to emphasize the highest risk, most commonly occurring issues.


Other

Not healthcare-related, but relevant. The Department of Justice charges former Nate CEO Albert Saniger with investor fraud after he allegedly misled backers about the company’s AI capabilities. Despite raising $40 million on claims that its “skip the checkout” tool was fully AI-driven, Nate secretly routed 100% of transactions through call center workers in the Philippines. Maybe he meant “AI” to stand for “affordable individuals.”


Sponsor Updates

  • A Black Book Research survey of pharmaceutical and biotech manufacturing executives finds that there is mounting momentum for reshoring US healthcare manufacturing.
  • Artera announces that its Staff and Insights AI Co-Pilot Agents have been adopted by more than 100 leading healthcare organizations across the country and are generating significant customer satisfaction.
  • Surescripts announces that its technology and data infrastructure systems have earned certified status by HITRUST for information security.
  • Vyne Medical publishes a new case study titled “University of Wisconsin Health Transplant Program Automates 80% of Fax-to-EMR Process for Increased Accuracy.”
  • Nym names Tarra Kline and Dani Hulahan medical coding and compliance auditors, Lior Segev software engineer, William Empey and Blake Cain customer success managers, and Mary Price Montagnet growth development representative.
  • PerfectServe offers a new case study featuring Cardiology Consultants of Toms River titled “Enhancing Cardiology Care with Medical Answering Service.”
  • Rhapsody publishes a new customer story titled “Axia Women’s Health saved $300,000, replacing a standalone API engine with Rhapsody Corepoint.”
  • SmartSense by Digi will exhibit at HISHE’s annual Hawaii Healthcare Technology & Facilities Engineering Expo May 8 in Waikiki.
  • WellSky will present the keynote at the virtual Home Care Association of Florida AI Summit April 14.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Follow on X, Bluesky, and LinkedIn.
Contact us.

Morning Headlines 4/11/25

April 10, 2025 Headlines No Comments

Mayo Clinic taps former Biden administration official to oversee its use of AI

Former National Coordinator Micky Tripathi, PhD, MPP joins Mayo Clinic (MN) as chief AI implementation officer.

VitalHub Announces Recommended Cash Acquisition of Induction Healthcare Group PLC

Canadian health and human services software vendor VitalHub will acquire UK-based patient intake and engagement technology company Induction Healthcare for $12.6 million.

Thoughtful.ai Announces Growth Investment from New Mountain Capital

Revenue cycle automation vendor Thoughtful.ai secures an undisclosed amount of funding from New Mountain Capital.

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  1. Only one way to solve that problem. Nationalize the lot of them https://thehealthcareblog.com/blog/2025/04/15/we-need-to-nationalize-to-prevent-fraud/

  2. It is interesting that a number of my providers as well as the hospital system ask if I have advance…

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