Curbside Consult with Dr. Jayne 2/16/26

I met up with some clinical informatics friends over the weekend. Our conversations focused on a few key themes. One was how much time we’ve spent in the field, as we realized that the most junior member of the group just hit the 20-year mark.

None of us set out to specifically look for technology-related roles, but each of us found our way to the field as we identified gaps in what was happening around us and stepped in. The most senior of the group got involved because he had an engineering background and saw what was going on elsewhere in the country with respect to electronic charting. He wanted to see his institution be a leader in the field rather than a follower, and worked with a big tech company to build a clinical repository for the organization.

It initially compiled data from just one hospital, but as more hospitals joined the system through mergers and acquisitions, the repository became more complex. The team that supported it needed clinical expertise to handle issues like normalization of laboratory values and standardization of test orders. He had some great stories about how the repository grew and became integrated with electronic medical records. It lasted for more than two decades before being retired in favor of a half-billion-dollar investment to move everyone to a single platform.

My colleague still refers to the systems clinicians use as EMRs. That led to a discussion of EMR versus EHR. One member admitted that he uses the terms EMR and EHR interchangeably because he keeps getting loaner computers from his IT department and hates having to go into all the different dictionaries to prevent the system from autocorrecting EHR to HER.

That admission led to a discussion about how the Microsoft Office suite and Office 365 applications handle such things, which bafflingly makes the setting device-specific rather than defaulting from the user profile. I’m no expert, but I know that it’s annoying every time I get a new laptop. I usually end up consulting Google because finding it in the application settings isn’t intuitive.

Quite a bit of back and forth ensued around the merits of EMR versus EHR. I was surprised by how passionate some of the people are about one or the other. We all agreed that “health record” is more comprehensive than “medical record.” One of the group felt that the latter sounded more serious since “health” is often linked with “wellness,” which often includes non-evidence-based and consumer-oriented services.

People pulled out their phones to look for articles for and against each term. I was surprised that the first response that popped up in my EMR versus EHR query was that “EMRs are mainly used by clinicians for diagnosis and treatment, while EHRs are designed to be shared and accessed by the patient. EMRs are less susceptible to cybersecurity issues, since they are not being shared with patients, but are securely managed by the practice.”

That got us rolling, since none of us has encountered a cybersecurity issue related to patient use, but we’ve seen plenty of times where trained employees and hospital medical staff fell victim to phishing schemes. An ASTP/ONC blog addresses the topic, but it’s from 2011. Some of its language is identical to what I found in that first response, which leads me to suspect that the vendor had done some copying and paraphrasing from ASTP.

Most of us agreed that now it’s kind of a stylistic thing and we aren’t bothered when vendor folks use the words interchangeably. I’ve worked with vendor organizations whose style guide spells out which term to use when referring to their products, but not everyone has one of those. I remember reaching out to Epic a few years ago to ask if it had an official position one way or the other and was told that it doesn’t. If that has changed, feel free to drop a comment and let me know the current state.

That conversation led us into a whole “words have meaning” discussion. That immediately drew me in because the industry is plagued by people who use words that don’t make sense. Maybe it’s a phrase they learned during a corporate training class, or perhaps they saw it in an article. When they come to me as a CMIO and start spouting words that don’t completely work together, it makes my attention go zinging off elsewhere.

One colleague, who is a doctor of osteopathic medicine, noted that nothing turns him off more than using “MD” as shorthand for “doctor.” Both have the same number of syllables, so it’s not like saying MD is faster or easier. It’s not worth it to use it in a way that alienates a subset of physicians.

One of the group brought up a recent position paper in Annals of Internal Medicine that addresses “The Ethical Significance of Names in Health Care.” It’s an analysis of the physician versus provider debate, referring to the latter term as contributing to “deprofessionalization.” The authors felt that their examination was unique because it looks at the situation from an ethics perspective.

I popped up the article while we were talking and was excited to see a Shakespeare quote in the first screenful of text. The article includes a review of the origins of care-related words, including patient, physician, doctor, and compassion.

One might have expected that the article would recommend simply not lumping physicians in with other kinds of heath care providers, but it went further to suggest that we get rid of the word “provider” entirely: “Language in health care has ethical and practical implications. Physicians should be referred to as physicians, not providers. Also, when describing professionals with varied credentials who care for patients, the terms clinicians or health care professionals, should be used.”

I’ve been a fan of the word clinician for a long time. It’s shorter than the recommended alternative. I plan to stick with it.

Not surprisingly, we stumbled into a discussion of clinical informatics versus medical informatics, and even a debate about informaticist versus informatician. There’s actually a paper from 2024 called “Informaticist or Informatician? A Literary Perspective”  that goes deep into the history of the two. My colleague quickly sent me a link.

It is a fascinating read. The authors close with a clinical informatics spin on a classic Shakespeare quote, which made me smile. They also received a chuckle with their line, “Whether you are an informaticist or an informatician, may you collaborate better than the Montagues and Capulets.”

Even though the conversation was all over the place, it’s always good to catch up with colleagues who have fought the same battles and who have made it through the same topsy-turvy changes within the industry. They are not only knowledgeable, but are generally a fun bunch. I feel privileged to have them on my phone-a-friend list when times get tough.

Is your company in EMR or EHR mode? What phrases, taglines, or buzzwords make you cringe? Leave a comment or email me.

Email Dr. Jayne.

Readers Write: Medicare Goes All In on Value-Based Care

Medicare Goes All In on Value-Based Care
By Eugene Gonsiorek, PhD

Eugene Gonsiorek, PhD is VP of clinical regulatory standards for PointClickCare.

If there were any doubts about Medicare’s commitment to value-based care, there shouldn’t be any longer.

Abandoning its former model of rolling out value-based care (VBC) programs one at a time, the Centers for Medicare and Medicaid Services (CMS) between March and December 2025 announced nine new or proposed programs and modifications to five existing programs – an unprecedented pace.

The rush of new programs and the concentrated timing is CMS announcing it is aligning Medicare around VBC to a greater degree than ever before. This is good news for organizations that have been working toward this end and a prompt for those who haven’t made as much progress.

The New Medicare Programs

Let’s take a closer look at the new and proposed programs. 

• ACCESS (Advancing Chronic Care with Effective, Scalable Solutions). A voluntary, 10-year model testing outcome-aligned payments for measurable clinical improvements using technology-supported care for chronic conditions such as hypertension, diabetes, musculoskeletal pain, and behavioral health.
• WISeR (Wasteful and Inappropriate Service Reduction). Launched in mid-2025, this model tests ways to reduce unnecessary services and accelerate prior authorization while safeguarding patients and taxpayers against low-value care.
• GUARD (Global/Universal Accountability in Drug Pricing) and GLOBE (Global Outcomes in Benchmarking and Equity). Proposed mandatory models that aim to test international benchmark-based adjustments to Medicare Part D and Part B drug rebate and pricing systems to help address high drug costs.
• Ambulatory Specialty Model (ASM). Finalized as a mandatory model beginning in 2027 that holds certain specialists accountable for quality, cost, and care coordination outcomes.
• LEAD (Long-term Enhanced ACO Design). Announced as the next generation of accountable care organization models, a 10-year design intended to better support small, independent, and rural providers following ACO REACH (Accountable Care Organization Realizing Equity, Access, and Community Health).
• BALANCE (Better Approaches to Lifestyle & Nutrition). Announced alongside GUARD and GLOBE, this voluntary model is intended to align manufacturers, state Medicaid agencies, and Part D plans to improve metabolic health through GLP-1 access plus lifestyle support, with testing concluded by 2031.

Across these models, several common design features stand out. Time horizons are longer, often extending eight to 10 years. Payment is increasingly tied to measurable outcomes rather than process compliance. Accountability extends beyond primary care into specialty care and pharmaceuticals. In select areas, CMS is requiring mandatory participation to achieve broad system impact.

The ACCESS model illustrates how CMS expectations are evolving. A voluntary 10-year initiative, ACCESS ties payment to demonstrable improvement in chronic conditions such as hypertension, diabetes, musculoskeletal pain, and behavioral health. The focus is no longer service volume or short-term utilization metrics, but sustained clinical outcomes.

Similarly, the WISeR model reframes inappropriate utilization as both a quality failure and a fiscal risk. By targeting low-value services and streamlining prior authorization, WISeR signals CMS’s growing willingness to intervene earlier in care decisions. The goal is not simply to manage spending after it occurs, but to prevent waste before it happens.

Together, these models reflect a clear shift from utilization-based proxies toward explicit accountability for results.

Specialty Care and Pharmaceuticals Move to the Center

Perhaps the clearest departure from earlier value-based care efforts is CMS’s expansion of accountability into specialty care and drug pricing, areas historically insulated from performance-based payment.

The finalized ASM, set to begin in 2027, makes participation mandatory for selected specialists and holds them accountable for quality, total cost of care, and care coordination. This challenges the long-held assumption that VBC is fundamentally a primary care endeavor. It also elevates downstream utilization, including post-acute care, from a secondary concern to a central performance variable.

At the same time, the proposed GUARD and GLOBE models are CMS’s most direct effort to apply value-based principles to pharmaceutical spending. By testing international benchmarking approaches in Medicare Parts B and D, CMS is extending accountability into pricing structures that have traditionally been governed by statute rather than performance expectations.

Long-Term Accountable Care and Prevention as Structural Bets

The LEAD model underscores CMS’s recognition that accountable care requires stability, not churn. By extending participation horizons to 10 years and focusing on small, independent, and rural providers, LEAD acknowledges that organizational transformation and sustained downside risk cannot be achieved on short timelines.

In parallel, the BALANCE model reflects CMS’s growing emphasis on prevention and upstream investment. By aligning manufacturers, state Medicaid agencies, and Part D plans around GLP-1 access combined with lifestyle and nutrition support, BALANCE tests whether earlier intervention in metabolic disease can produce durable improvements in outcomes and spending. By pairing pharmaceutical access with behavioral support, CMS is testing integrated solutions rather than isolated interventions.

The Effects on Patients and Providers

These models collectively raise the bar for providers. Financial accountability is more robust. Timelines are longer. Expectations for care coordination and performance improvement are higher. Independent practices, rural providers, and specialists, groups historically less exposed to mandatory value-based arrangements, are now central to CMS’s policy design.

For patients, CMS’s stated objectives are clear: earlier intervention, fewer unnecessary services, better chronic disease control, and lower drug costs. Whether these outcomes are realized will depend less on policy intent than on execution, particularly provider engagement and the ability to manage care across settings.

From Experimentation to System Design

Taken together, the new model announcements signal that CMS is moving beyond experimentation toward system design. The concentration of releases, the expanded mandatory participation, and the consistent emphasis on outcomes and cost containment all point in the same direction.

CMS is no longer asking whether VBC works. It is redesigning Medicare on the assumption that it must.

As these models move from proposal to implementation, they will shape payment policy, care delivery structures, and provider participation in Medicare well into the next decade. Organizations should prepare themselves for a system in which value-based accountability is no longer optional, but the norm.

Readers Write: Open Access in Healthcare: What TEFCA Got Right, Where It’s Stuck, and What Comes Next

Open Access in Healthcare: What TEFCA Got Right, Where It’s Stuck, and What Comes Next
By Robin Monks

Robin Monks is CTO at Praia Health.

If you’ve ever moved to a new city and tried to get your medical records transferred to a new provider, you already understand the problem that the Trusted Exchange Framework and Common Agreement (TEFCA) is trying to solve. In theory, health data should follow you. In practice, it often doesn’t.

TEFCA is the federal government’s most ambitious attempt to date at fixing nationwide health information exchange. Mandated by the 21st Century Cures Act and formally launched in late 2023 when the first Qualified Health Information Networks (QHINs) were designated, TEFCA aims to be the “interstate highway system” for health data, allowing providers, payers, and patients to share information regardless of which network they are on.

After two years of operation, there’s a lot to like about what TEFCA has accomplished. More than 70,000 healthcare locations are now connected through TEFCA, and Epic reported that 1,000 hospital customers have transitioned to TEFCA. Carequality, a framework connecting over 50 networks, 600,000 care providers, and 4,200 hospitals, is actively aligning its policies with TEFCA.

The framework has also expanded beyond its initial treatment-focused exchange. TEFCA now supports data exchange for payment, healthcare operations, government benefits determination, individual access, and public health purposes.

Perhaps most importantly, TEFCA is creating a universal floor for interoperability. Before TEFCA, a health system that wanted to exchange data nationally had to join multiple networks and maintain dozens of point-to-point connections. TEFCA simplifies that into a single participation model. For smaller practices and rural hospitals that couldn’t afford the overhead of managing multiple network memberships, this is a meaningful reduction in cost and complexity.

But TEFCA’s scale means that providers are now responding to queries from organizations they’ve never interacted with before. When a requester says they’re querying for treatment purposes and the responder disagrees that the request qualifies as “treatment” under HIPAA, you get what the ASTP calls an “information exchange impasse.”

This lack of trust means that providers are easily talked into not automatically replying to TEFCA requests, even to an individual access request with a verified identity attached. Information blocking remains a persistent and thorny issue. TEFCA participants who interfere with QHIN choice now risk violating the federal information blocking rule, with potential Medicare payment disincentives, but the cultural shift from “default deny” to “default share” is slow.

Then there’s the FHIR question. TEFCA launched using IHE-based document exchange, a 1990s-era architecture that predates smartphones and modern web standards. This was a pragmatic choice to minimize disruption and build on the existing exchange infrastructure (IHE-based exchange still represents enormous transaction volume annually).

But it means that the initial TEFCA experience is document-centric, returning C-CDA documents rather than discrete, FHIR-based data. The HTI-5 proposed rule from December 2025 signals a strong push toward FHIR-based APIs, but the gap between where TEFCA is today and where modern application developers need it to be is real. Companies that build on FHIR and OIDC are watching this closely.

The regulatory environment is also in flux. That same HTI-5 proposed rule would remove the TEFCA manner exception, a provision that allowed TEFCA participants to limit data exchange to only through TEFCA. The administration is signaling that using information blocking exceptions to incentivize TEFCA participation may be unnecessary, which is an interesting stance that simultaneously shows confidence in TEFCA’s trajectory and a desire to not disadvantage non-TEFCA exchange networks.

TEFCA has achieved enough adoption to be taken seriously, but not enough to be taken for granted. Here’s what needs to happen for it to reach its potential:

• FHIR needs to be a first-class citizen, not a roadmap item. The healthcare technology ecosystem has moved to FHIR. App developers, patient-facing platforms, and clinical decision support tools all expect FHIR APIs. Until TEFCA’s QHIN-to-QHIN exchange natively supports FHIR alongside IHE, there will be a gap between what TEFCA enables at the network level and what the market needs at the application level.
• Trust needs to be engineered, not assumed. The interpretive disagreements around treatment definitions and provider qualifications aren’t going to resolve themselves through goodwill alone. TEFCA’s governance needs to produce clear, specific guidance that participating organizations can implement without extensive legal review. The SOP updates from January 2026 are a step in the right direction, but there’s more work to be done.
• Patient transparency and choice must be central. Individual Access Services (IAS), the mechanism by which patients can access their own data through TEFCA, is likely to be one of the fastest-growing use cases. The patient access market is forecast to reach $4.16 billion by 2032. But IAS also carries the highest risk of information blocking complaints, because patients have the right to choose any IAS provider, regardless of their provider’s QHIN. Making this work requires a level of patient-facing transparency that healthcare hasn’t historically been great at. We also need to expand this to not only reading data, but performing actions with target EHRs.
• Enforcement has to be real. TEFCA operated for its first year as an entirely voluntary framework. The increasing enforcement posture around information blocking and the integration of TEFCA obligations into Medicare compliance programs is changing the calculus. But voluntary frameworks succeed when the incentives to participate outweigh the friction. Right now, the friction is still high for many organizations, particularly smaller ones. Last year we were promised that we would start seeing strict enforcement on information blocking, but so far we’re not seeing examples of enforcement from CMS.

TEFCA is doing something genuinely important. It is establishing the principle that health data should be exchangeable at a national scale, with a common set of rules, as a baseline expectation rather than a special achievement. For health systems that are thinking about their consumer experience strategy, and all should be, the ability to access data from across a patient’s entire care journey is critical.

The dream of open access in healthcare is within reach, but getting from good-intentioned definitions to it running and working where patients need is slow.

Readers Write: AI in Healthcare Revenue Cycle: Linking Automation to Financial Stability

AI in Healthcare Revenue Cycle: Linking Automation to Financial Stability
By Inger Sivanthi

Inger Sivanthi, MBA is founder and CEO of Droidal.

Five or six years ago, revenue cycle performance was discussed mostly in operational terms. Leaders reviewed denial rates, days in accounts receivable, and staffing productivity. If those indicators were steady, the assumption was that the organization was financially sound. The work was seen as administrative execution rather than financial strategy.

That framing feels incomplete now. Reimbursement patterns have become less predictable. Payer interpretations vary, even within the same plan category. Documentation standards evolve quietly, and what cleared last quarter may stall this quarter. Nothing feels catastrophic, yet the margin for error has narrowed.

When timing becomes inconsistent, finance feels it quickly. Forecast models widen. Cash flow conversations become more cautious. Growth initiatives are evaluated with an extra layer of scrutiny. Revenue cycle management is no longer operating in the background. It is influencing financial confidence.

Automation Solved the Obvious Friction

Healthcare organizations did not stand still over the past decade. Eligibility workflows were automated. Coding tools became more sophisticated. Electronic remittance reduced manual posting errors. These investments improved speed and removed visible inefficiencies.

Yet the deeper issue remained. Denials continued for reasons that were not always procedural. Appeals absorbed experienced staff time. Forecasting models leaned on historical trends that assumed payer behavior would remain relatively stable. That assumption is harder to defend today.

Automation follows instructions. It does not interpret shifts. It executes rules consistently, but does not recognize when those rules are interacting differently in a changing environment.

Earlier Pattern Recognition Is Changing the Dynamic

Artificial intelligence brings a different capability. By reviewing documentation details, coding sequences, authorization timing, and payer response history together, it begins to surface combinations that tend to struggle. Those combinations are not always obvious. They emerge through repetition.

When risk is identified before submission, teams can intervene before delay becomes inevitable. Preventing a denial is financially different from correcting one. The time saved compounds quietly. Over several quarters, even modest improvements in first-pass acceptance begin to influence working capital stability.

The benefit is not perfection. Healthcare reimbursement will never be perfectly predictable. The benefit is fewer unexpected swings and tighter confidence intervals around cash timing.

The Small Variations That Shape Margin

Revenue loss is rarely dramatic. It builds slowly. A modifier applied differently between departments. A service level coded conservatively out of habit. Contract language interpreted with slight variation across facilities. Individually, these instances appear manageable. In aggregate, they influence performance more than most teams realize.

AI systems reviewing documentation and billing data together can detect these repeated inconsistencies more consistently than manual review alone. This does not remove the need for experienced revenue leaders. It simply directs their attention toward areas where exposure is concentrated.

That shift in focus strengthens margin discipline without creating additional administrative layers.

From Reporting History to Informing Strategy

Traditional dashboards tell organizations what has already happened. They summarize billed charges, denials, and collections. That information is necessary, but it is reactive by design. By the time a pattern appears clearly in retrospective reporting, the financial impact has already occurred.

Predictive modeling changes that posture. When internal performance data is combined with payer response behavior, reimbursement timing becomes easier to estimate within a reasonable range. Forecasts still require judgment, but the range narrows. Leadership discussions feel less defensive and more deliberate.

Revenue cycle management begins influencing forward planning rather than simply documenting past outcomes.

Operating Within Real Workforce Limits

Revenue cycle staffing remains tight across the industry. Seasoned revenue professionals are hard to come by. Even when you hire, the ramp-up period slows momentum. For many teams, expanding staff just isn’t practical right now.

Intelligent prioritization helps address this reality. When higher-risk claims surface earlier and larger-dollar exposures are flagged sooner, teams allocate effort more intentionally. The objective is not workforce reduction, but resource precision. Protecting margin increasingly depends on where attention is placed, not simply how many people are assigned.

The Shift Has Been Gradual, Not Dramatic

There was no single moment when artificial intelligence transformed revenue operations. The change has been incremental. Organizations recognized that efficiency alone did not insulate them from variability. Earlier visibility, more focused intervention, and steadier forecasting gradually reshaped how revenue risk is managed.

Healthcare reimbursement will continue to evolve, and complexity will remain part of the system. Artificial intelligence does not remove that complexity. It improves how quickly patterns are recognized and how steadily leadership responds. In that sense, revenue cycle management has moved closer to financial strategy, and predictability has become as valuable as productivity.

HIStalk Interviews Nathalie McCaughley, President, Agfa HealthCare

Nathalie McCaughley, MA, MBA is president of Agfa HealthCare.

Tell me about yourself and the company.

I have 25 years in healthcare IT leadership roles, including 20 years with GE Healthcare globally. I have been with Agfa HealthCare for five years. I am French American and have been in the US for 23 years.

From a professional standpoint, I have held positions globally across pretty much all functions. I would describe myself as a growth leader who is focused on growing a business strategically, leading to tangible outcomes and a high potential to scale. Taking over businesses that are in need of new strategy and a new takeoff, which is exactly what happened with Agfa HealthCare.  

Agfa HealthCare is part of a broader group, Agfa-Gevaert. Our division is in a very different industry than the rest of the group. I was asked to take over the business in 2021, with the full mandate of the board and the group CEO to reshape the company and reposition it for growth, from both a financial and customer recognition standpoint.

How has enterprise imaging changed in the past five or 10 years, and what are its strongest areas of growth?

The healthcare industry has gone through a pretty intense era of consolidation among hospitals and outpatient centers. Over the past five or six years, we have seen an emergence of high-scale, very large health systems.

Everybody knows PACS, and enterprise imaging is often confused with PACS. PACS is a vertical, departmental-only solution. Enterprise imaging spans the entire health system across all “ologies.” When you connect this with the era of consolidation, where you have hospitals that are now health systems that are 10, 20, even 30 times the size, it becomes impossible to manage 30 different systems across the health system. The need arose to have a single, central platform to manage all imaging needs, such as storage and acquisition. That is enterprise imaging.

We come as a single solution, sitting over all of those individual PACS and managing the imaging health records for patients the same way an EMR is managing electronic medical records. We work alongside the EMR. That’s how enterprise imaging emerged from a needs standpoint. The consolidation and the scale of health systems is not slowing down due to financial and demographic reasons.

We anticipate, driven pretty clearly by those external factors, that enterprise imaging is not only here to stay, but will be the way that we work moving forward. That was the opportunity to bring a solution with strong relevance to healthcare and customer needs, plus an extensive runway to answer critical current and future challenges.

With that consolidation, how have expectations changed for being able to read images from any location on consumer-grade devices?

The bigger change in expectation is that you used to look at technology vendors. In the past, even our own company was selling an IT solution and software. This is no longer the case. We established and committed to being end user driven and clinician-first as a decision framework that guides our product design, cloud strategy, AI integration, and service delivery.

Technology is not meant to add complexity. It is not meant to be added work for a clinician. It is meant to make their life easier. Enterprise imaging adapts to the clinician and doesn’t force them to adapt to the technology. A true clinician-driven technology that is created for the clinician protects the clinical focus and confidence rather than competing with it. Everything has to be clinically driven, make an impact, make things easier, increase diagnostic accuracy, increase speed to diagnosis, and eventually serve patients. In the past, technology was separated from those priorities.

When a health system acquires a hospital, do they usually try to replace an existing system with a corporate standard?

They do it when they can. That is definitely a next step. Coexistence might be done at the beginning, but in the long term, it is not manageable and it is very costly. We have health systems that have more than 300 locations, which means that if everybody has their own system, they have as many IT teams, data server rooms, and so on. This is not sustainable from a management, security, and cost standpoint moving forward. Eventually, consolidation is required.

You are seeing it with Epic in the EMR world. We attach to Epic very well, but the number one startup discussion that we have with our customers is that they have 15 hospitals and 15 different paths. That doesn’t work, and they cannot afford this any more. Enterprise imaging comes in with standardization that creates efficiency not only financially, but from a productivity standpoint by simplifying processes. Backing the clinician first and improving workflows to benefit patient diagnostic and the speed to it.

How far along is the move to cloud and what possibilities does it offer?

I would refer again to demographic, financial, and operational factors. We talked about the consolidation of hospitals. Financial margin erosion is among the top three challenges for health systems. They see their margin eroding and they can no longer sustain what they were doing in the past, meaning acquiring an on-premise solution and maintaining a farm of servers in their back yard. The upfront investment was so substantial that it is no longer part of what they can do financially. They are challenged to do things better.

This has probably triggered not only cloud deployment, but also a subscription-based type of business with those health systems. Health systems are accelerating cloud adoption for a number of reasons, such as resilience, scalability, speed, and cost efficiency. We are focusing our strategy on being able to offer successful enterprise-wide cloud transformation with the right governance, security, and operational discipline.

How will you incorporate AI into your products?

AI is a big part of what we do. Workflow-embedded AI is critically important. We believe that it supports decision making without increasing the cognitive burden. AI is fully part of our solution, but fully embedded, not creating an additional click, an additional screen, or an additional platform.

This is how we see the growth of AI in enterprise imaging, as a fully embedded solution. The role of AI, at least in our space, is to enhance consistency, efficiency, and diagnostic confidence while keeping the clinician in control. The question we often hear is, will AI replace radiologists? No. This is not what we are doing. We are making things better. We are making them more productive, more accurate, and eliminating waste of effort, but keeping clinician in control.

AI will not replace radiologists. Radiologists will be replaced by radiologists who use AI. A health system may have 300 radiologists, and among that population, we’re seeing some that are resisting it and some that are embracing it. The future is made up of radiologists leveraging or using AI, not the other way.

What are the important elements in the company’s strategy over the next few years?

We have been focusing on the clinician first, so security has become a big part of our innovation strategy. Enterprise imaging, in its native role, sits at the intersection of clinical care, data governance, and cybersecurity. A strong security and compliance framework enables innovation, cloud adoption, and AI integration in full confidence for our customers. 

When you adopt a software solution, the number one thing that you have to acquire from your customers is trust. We establish trust as a prerequisite for the long-term partnership with these health systems and healthcare organizations. It is foundational. As we’ve seen in the news, a cybersecurity event can bring down an entire ecosystem.

Our ability to develop the right partnership, being fully embedded in our customers’ strategy, is important. When you engage in a cloud transformation for enterprise imaging, for instance, this is not a one- or two-year journey. This is a long-term marriage. Developing those partnerships on the right foundation is critical.

We have seen the need for enterprise imaging and we are committed to it. What is truly unique about enterprise imaging is that compared to some other areas of healthcare, we are not a commodity. This is an existing need, a growing need. We are fully invested in rapidly increasing our clinical relevance as a solution for our health systems.

Morning Headlines 2/16/26

Medicaid Provider Spending

HHS’s DOGE team posts a freely downloadable database of aggregated provider-level Medicaid claims data.

MUSC Board of Trustees advances major strategic initiatives to strengthen cancer care, innovation and resiliency

Medical University of South Carolina will establish an AI Center for Health Innovation and Informatics, which will lead MUSC’s AI strategy, governance, innovation incubation, and workforce development.

Harbor Health Acquires Rippl, Expanding Expert Dementia Support for Patients and Caregivers

Harbor Health, a Texas-based provider and insurance company, acquires tech-enabled dementia care company Rippl.

Monday Morning Update 2/16/26

Top News

HHS’s DOGE team posts a freely downloadable database of aggregated provider-level Medicaid claims data.

Reader Comments

From GLance: “Re: Script Corner. Web mentions of this major initiative from Surescripts and GoodRx have been scrubbed. Why?” I’ve emailed the Surescripts media contact. Script Corner sends patients a text message when a new prescription is received that includes a link to pricing details for local pharmacies and GoodRx. The companies announced a launch in Illinois and Texas in late January. UPDATE: A Surescripts spokesperson provides this response:

Surescripts is committed to working across the healthcare industry to create a more transparent and empowering patient care experience. We have received enough concerning feedback that we have decided to stop our patient price transparency pilot and refrain from taking further steps to bring the product to market. We are continuing to focus on delivering high integrity, clinically aligned solutions that inform and accelerate decisions to help keep patient care on track. We believe that technology can help address cost concerns, boost adherence and improve patient satisfaction.

HIStalk Announcements and Requests

Most poll respondents assume that an employee’s transition to independent consultant is transitory, voluntarily or otherwise.

New poll to your right or here: Has an employer ever demoted you? In my health system experience, demotions are often a well-intentioned acknowledgment that someone may have Peter Principled up one level too far, such as from technical lead to management, or from director to C-level. The demoted employee immediately feels insulted and begins looking elsewhere, but often stays after their resentment cools and the job search drags on. The optimal outcome, at least for the unmotivated among us, is a demotion that doesn’t involve a pay cut.

Welcome to new HIStalk Gold Sponsor KeyCare. KeyCare is an Epic-based virtual care partner designed to improve access and quality by expanding virtual care options for patients. KeyCare enables health systems to easily augment care teams and widen their digital front doors by offering access to an independent, nationwide network of primary care, urgent care, and behavioral health providers. This provides coordinated and seamless virtual care to patients without health systems having to buy and install additional software or hire more clinicians. KeyCare offers always-on acute care access with 24/7 on-demand video visits and E-visits, primary care extension and preventative services including overflow and bridge care in addition to preventative and wellness visits, chronic care management for high-risk patient programs, and payer and employer programs. Thanks to KeyCare for supporting HIStalk.

Thanks to these companies that recently supported HIStalk. Click a logo to learn more about them.

Sponsored Events and Resources

Live Webinar: February 18 (Wednesday) 2 ET. “From Blind Spots to Insights: Gaining Real-Time Visibility into Healthcare Risk.” Sponsor: CloudWave. Presenters: Jacob Wheeler, MBA, director of sales engineering, CloudWave; Mike Donahue, chief operating officer, CloudWave. Resilience starts with the ability to see clearly, across every endpoint, cloud workload, user, and clinical system. Join CloudWave’s cybersecurity leaders for an in-depth session on how real-time visibility transforms your ability to detect threats early, respond decisively, and strengthen resilience across the care ecosystem. Attendees will learn the practical steps that hospitals can take to move from reactive defense to resilient action.

Publication: HIStalk’s Guide to ViVE 2026 lists the activities of sponsors at the conference.

Contact Lorre to have your resource listed.

Acquisitions, Funding, Business, and Stock

Healthcare Triangle conducts a 1-for-60 reverse stock split to remain listed on the Nasdaq Capital Market. HCTI shares have lost 99.9% of their value in the past 12 months, valuing the company at $1.5 million.

Solace Health receives $130 million in Series C funding, valuing the digital healthcare navigation and advocacy company at over $1 billion.

Sales

• Ireland’s three-hospital Blackrock Health will implement RLDatix’s offline and downtime system for Meditech.
• Sutter Health will implement OpenEvidence to allow clinicians to retrieve clinical evidence and guidelines with Epic integration.

People

Loma Linda Medical Center CIO Mark Zirkelbach died last month. He was 68.

Announcements and Implementations

Wolters Kluwer Health announces Medi-Span Expert AI, a Model Context Protocol server that will allow AI application and agent developers to connect to Medi-Span’s medication data.

Medical University of South Carolina will establish an AI Center for Health Innovation and Informatics, which will lead MUSC’s AI strategy, governance, innovation incubation, and workforce development.

Government and Politics

Oura is spending $1 million per year on lobbyists who hope to convince the FDA to relax regulation of non-diagnostic wellness devices. A TechRadar report notes that the Finland-based company’s largest customer is the Department of War and that it has a contract with Palantir to provide monitoring of military personnel.

Sponsor Updates

• NBC4 Washington partners with Findhelp as part of its Working for You initiative.
• Impact Advisors celebrates its 19th anniversary.
• Praia Health wins “Best in Show” at the HIMSS26 Emerge Pitch Competition, winning in the Health Systems – Address Hospital Capacity Crisis category.
• Rhapsody releases its “State of Interoperability” report.
• Switchboard Health wins the AI Lab Challenge at the American Hospital Association Rural Health Leadership Conference.

Blog Posts

• Beyond burnout scores: The hidden risk in clinician engagement surveys (Nordic)
• Building a People-First Approach to Autonomous Medical Coding (Nym)
• TrustCommerce + Qure4u: AI-Enabled Patient Payments That Drive Faster, Easier Collections (TrustCommerce, a Sphere company)
• Navigating the Medication Adherence Whiteout (Surescripts)
• Don’t Report HCPCS “C” Codes for Professional Services in 2026 (TruBridge)

Contacts

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

Morning Headlines 2/13/26

HealthMark Group Expands Digital Access to Medical Imaging with Acquisition of Purview

Health data exchange vendor HealthMark Group acquires Purview, which offers a cloud-based medical imaging sharing solution.

Tampa General Hospital opens new Innovation Center in Ybor City to expand healthcare initiatives

Tampa General Hospital opens a 32,000 square-foot innovation center that will house its innovation, IT, analytics, and venture capital teams; and the Tampa headquarters of vendor partner Palantir.

Atlas Oncology Partners Raises $28M Series A to Scale Value-Based Oncology Care

Tech-enabled, value-based oncology care company Atlas Oncology Partners announces $28 million in Series A funding.

Talkiatry Raises Oversubscribed $210M Series D to Expand Nation’s Largest Full-Stack Psychiatry Provider

Virtual psychiatry group Talkiatry announces $210 million in Series D funding, bringing its total raised to $457 million.

News 2/13/26

Top News

Health data exchange vendor HealthMark Group acquires Purview, which offers a cloud-based medical imaging sharing solution.

Reader Comments

From T-Bone: “Re: overused phrases to stop using. ‘Dropped’ is an eye-roller for me.” Me too, especially when it strays from podcast self-promotion, as in “new pod ep dropped” and drifts into ambiguity. If Spotify “dropped” a new AI DJ, did it launch one or scrap one? Thus the word is a contronym, meaning that it can mean one thing as well as the opposite (see: dust, clip, and sanction). “Dropped” was a hip-hop thing in the 1980s that referred to dropping the turntable’s needle onto a new LP track, adding no value over “released” either then or now.

HIStalk Announcements and Requests

My optometrist referred me to an academic medical center’s ophthalmology clinic to rule out glaucoma after noting minor blood vessel irregularities. The visit went well, the team was efficient and empathetic, and my eyes are just fine. The checkout person said I needed to return every six months, although I’m not sure why. Specialists seem to rarely let patients walk out without promising to return every 6-12 months even when no particular intervention is planned. I suspect that their motivation is clinical rather than financial and that they truly believe, as specialists, that every (insured) human would benefit from their ongoing supervision.

Sponsored Events and Resources

Live Webinar: February 18 (Wednesday) 2 ET. “From Blind Spots to Insights: Gaining Real-Time Visibility into Healthcare Risk.” Sponsor: CloudWave. Presenters: Jacob Wheeler, MBA, director of sales engineering, CloudWave; Mike Donahue, chief operating officer, CloudWave. Resilience starts with the ability to see clearly, across every endpoint, cloud workload, user, and clinical system. Join CloudWave’s cybersecurity leaders for an in-depth session on how real-time visibility transforms your ability to detect threats early, respond decisively, and strengthen resilience across the care ecosystem. Attendees will learn the practical steps that hospitals can take to move from reactive defense to resilient action.

Publication: HIStalk’s Guide to ViVE 2026 lists the activities of sponsors at the conference.

Contact Lorre to have your resource listed.

Acquisitions, Funding, Business, and Stock

Healthcare services and insurance provider Harbor Health acquires Rippl, which offers a dementia care platform. Harbor Health raised $130 million in September 2025, while Rippl raised a $23 million Series A in October 2024.

Shares of Teladoc and Doximity fall after Amazon announces plans to expand same-day prescription delivery to 4,500 cities by the end of the year. TDOC shares have lost 65% in the past 12 months, while DOCS is down 66%.

Sales

• Western Missouri Medical Center will implement Meditech Expanse EHR.
• KPC Health will deploy Altera Digital Health’s Paragon Denali EHR in its seven hospitals in Southern California.
• Hillsboro Health (IL) will implement Oracle Health’s EHR, Clinical AI Agent, and Seamless Exchange.
• Tampa General Hospital chooses Agfa HealthCare’s Enterprise Imaging Cloud software as a service.

People

Providence promotes Maulin Shah, MD to SVP/CHIO.

Announcements and Implementations

Medicomp Systems announces AI enablement tools that use its clinically validated, structured knowledge base to ensure that AI-generated documentation and insights are evidence-based before they are incorporated into the EHR. Core elements include validating ambient listening output, retrieving clinical data by natural language or dictation, converting narrative text into structured clinical data, and improving the flow of poorly mapped or unstructured data. The company has also released a Model Context Protocol to expose its APIs to AI models while limiting unstructured AI output and removing LLM access to PHI.

Government and Politics

Alabama hopes to use federal rural health funds to deploy telerobotic ultrasound technology to address severe rural obstetric clinician shortages and high infant mortality, but clinicians and policymakers question its effectiveness and whether it can replace trained health workers. A small Canadian review found that the technology avoided patient travel 70% of the time, and nearly all patients said that they would use it again. Only 15 of 55 rural Alabama counties have hospital-based obstetric services, down from 45 in 1980.

Privacy and Security

A Utah state auditor finds that records of 2 million people that are electronically stored by the Department of Health and Human Services, including psychiatric treatment records from Utah State Hospital, are accessible to any employee who has system access, with no safeguards to prevent or log inappropriate viewing.

A TikTok celebrity who was injured while creating a travel video requests that his personal information not be published after an unnamed hospital where he was treated notified him that multiple employees improperly accessed his medical record. He also says that staff entered his treatment room while he was medicated to ask for selfies.

Sponsor Updates

• Cibolo Health chooses CloudWave as the preferred cybersecurity provider for its rural clinically integrated network members.
• WellSky announces GA of its WellSky Long-Term Care solution, powered by SkySense AI.
• Fulton County Medical Center (PA) will upgrade to Meditech Expanse in May.
• InterSystems wins four Global 2026 Best in KLAS awards, with TrackCare receiving Acute Care EHR in France, Asia, and Oceania and HealthShare recognized for shared care records in Europe.
• Five9 announces an expanded partnership with Google Cloud and a new joint Enterprise CX AI solution for large enterprises.
• Health Data Movers releases a new episode of its “QuickHITs” podcast titled “Pediatric Health Mergers & AI with John Henderson.”

Blog Posts

• The Managed Services advantage: Why more healthcare leaders are making the Shift (Altera Digital Health)
• AI trends shaping the Health IT Transaction Landscape (Healthcare Growth Partners)
• 2026 Mental and Behavioral Health Registry (MBHR) (Healthmonix)
• Cultivating the garden of leadership: Lessons for female leaders in growth, resilience, and boldness (Cardamom)
• How Healthcare Leaders Can Stabilize Performance Today While Transforming Care for Tomorrow (Impact Advisors) 
• How nurses at Berkshire Health Systems harness peer-driven change to improve patient care (Meditech)

Contacts

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

EPtalk by Dr. Jayne 2/12/26

JAMA Network Open published an interesting Original Investigation last month that set out to answer the question: “Are greater levels of generative artificial intelligence (AI) use by US adults associated with greater levels of depressive symptoms?”

The authors surveyed 20,000 adults. Of those, 10% reported daily use of generative AI tools and 5% said they use it multiple times per day. Higher levels of AI use were linked to increased depressive symptoms, especially in certain age brackets. The authors note that additional research is needed to understand the nature of the association and differences in impact.

AI truly is everywhere, but I was surprised to see it on the new RealFood.gov website that replaced MyPlate.gov. Users who post a question are redirected to the Grok AI tool.

I took advantage of a preloaded sample question that addresses the challenges of eating non-processed foods when the closest food source is a gas station and an individual is on a fixed income. The answer also recommends that users consider food stamps, food pantries, and other community-based options.

Some of our government health leaders are promoting animal fats as healthier options so I decided to poke the AI bear and asked whether animal fats cause heart disease. Grok sided with existing data that suggests that higher consumption of meat, dairy, and eggs is associated with increased risk of cardiovascular disease. Score one for Grok in keeping with established mainstream science.

I asked Grok what happened to MyPlate. I was impressed that it clearly identified those who are responsible for the new approach, none of whom are physicians, nutritionists, or dietitians. Grok noted criticisms of the “return to a pyramid format that was abandoned partly because it was harder for people to interpret compared to the simple plate model.”

It also offered a follow-up question that compared the old guidelines to the new. It also identified critics, including Harvard Nutrition Source, Stanford, and public health groups, and their concerns, such as the scientific process that was employed.

As a family physician with a keen interest in the literature, I’m concerned at how this paradigm minimizes fiber. If flipping the guidelines were a scientific study, I’m not sure it would make it past Institutional Review Board approval. So many of us feel like we’re living in an unregulated science experiment.

I asked Grok its thoughts on the links between red meat, fiber, and colon cancer. It gave me a deep dive into exactly how red meat contributes to colorectal cancer risk and the protective nature of fiber. At least I have some facts in my head for the next patient who comes in asking about their diet, because I won’t be recommending the new guidelines without extensive discussion of context and validation.

Amazon One Medical has introduced a new beta feature to help patients navigate their lab results. The Health Insights functionality, which is included in the One Medical membership, provides commentary on 50 standard blood work results while grouping tests together by health domains such as cardiovascular and immune function. Users complete a questionnaire, then the tool generates a wellness score and offers evidence-based lifestyle recommendations with scientific references. I’m not a subscriber, but I would be interested in hearing from anyone who has had a chance to check it out.

Given the number of health systems and care delivery organizations in the US, it seems like someone is always merging, acquiring, or separating. The M Health Fairview brand will be retired from a subset of hospitals in 2027 as part of a new agreement between the University of Minnesota and Fairview Health Services. The deal, which was approved by the university’ board of regents on January 30, shifts the partnership from a joint clinical enterprise to an academic affiliation.

Healthcare administrative types may be familiar with the nuances of those structures, but I doubt that the majority of patients who live in the communities that the organizations serve will understand what the shift means.

The groups will still work together with regard to the University of Minnesota Medical Center. However, details of the agreements that impact the respective physician groups are not yet public. In short, the university will maintain control of academic and research functions, while Fairview will be responsible for hospital operations.

Relations between the two organizations have been strained for a number of years. The university opposed a merger between Fairview and Sanford Health, after which Fairview opposed the university’s push to merge with Essentia Health. The Minnesota Attorney General became involved, triggering facilitation and mediation efforts. The new agreement will be in force for 10 years compared previous partnership’s 30 years.

Speaking of branding, Texas Health Resources has inked a deal to buy naming rights to Texas Health Mansfield Stadium. It includes “prominent branding throughout the stadium, a refreshed logo and a new digital presence… while also laying the foundation for a wide-ranging collaboration focused on community health initiatives.”

The hospital president and CEO indicated that the facility “will serve as the central wellness hub for the entire Mansfield community.” Given the fact that stadiums are typically closed and locked when teams are not in play, it will be interesting to see how it becomes a wellness hub. 

The article mentioned that Texas Health will be the facility’s “Official Health Partner” and “will collaborate on initiatives designed to promote healthier lifestyles, including community programming and enhanced food and beverage offerings that emphasize more nutritious options.” Hide the jumbo nachos and the foot-long corn dog, y’all.

The ASTP meeting kicked off earlier this week, with a focus on the intersection of health IT and the priorities of the US Department of Health and Human Services. Main stage sessions include titles such as “Health Technology for Transparency and Affordability” and “Making America Healthy Again through Technology + Care.” Breakouts covered standards, data exchange, and of course information blocking.

I’m interested to hear from anyone who attended, and in particular, from people who attended previous meetings. How was the attendee mix compared to the past? Were topics handled similarly? What was the overall mood? Leave a comment or email me.

Email Dr. Jayne.

Morning Headlines 2/12/26

Voxira AI Agent Developer Secai Raises $6.2M Series A to Scale Healthcare Automation

Healthcare AI company Secai will use new Series A funding to expand its Voxira and NoteGen solutions across Canada and the United States.

Telehealth stocks pressured as Amazon Pharmacy expands prescription delivery

Shares of Teladoc and Doximity dip on the news that Amazon will expand its its same-day prescription delivery service to 4,500 cities by the end of this year.

TEFCA, America’s National Interoperability Network, Reaches Nearly 500 Million Health Records Exchanged as HHS Leverages Technology and AI to Lower Costs and Reduce Burden

ASTP/ONC announces at its annual meeting that 500 million health records have been exchanged through TEFCA, an exponentially significant jump from the 10 million exchanged as of January 2025.

Healthcare AI News 2/11/26

News

An India-based newspaper reports that AI tools make it easier to create fake paper prescriptions by generating authentic-looking documents from simple prompts and altering the images of legitimate prescriptions. The report notes that weak pharmacy enforcement and verification practices make it easier for people to obtain prescription medicines without a doctor’s examination. The newspaper notes that the practice would not work in the US and Canada because prescriptions are sent electronically prescribers directly to pharmacies, which verify the patient’s identity.

An AI-enhanced surgical navigation system is linked to a spike in patient injury reports, including misidentified anatomy and instrument misguidance, with Johnson & Johnson’s Acclarent TruDi logging at least 100 incidents after its 2021 AI upgrade versus seven in the prior three years. Studies find that AI-enabled devices are recalled more often than traditional ones, while the FDA cautions that adverse event reports are incomplete and do not prove fault.  Federal staffing cuts have reduced the number of scientists who are working in AI device oversight at the FDA.

Business

India-based hospital operator Superhealth launches SuperOS, a self-developed, agentic AI-powered platform that it says can manage an entire hospital’s clinical and operational work. The system includes intelligent appointment-length scheduling, ambient AI listening with automated order entry, pharmacy and lab inventory management and scheduling, cloud-based imaging and analytics, patient monitoring, medication management, and a “magic discharge” feature that generates a discharge summary and bypasses multi-department approval processes.

Research

Researchers find that large language models often repeat medical misinformation when it is worded authoritatively and embedded in realistic clinical notes. The authors conclude that model safety improvements will probably come from enhancing guardrails rather than increasing model size or using more sophisticated prompting methods.

A 200-employee, single-company study finds that implementing AI intensifies work rather than reducing it. Optional use of enterprise AI tools was associated with expanded job scope, use during breaks and meetings, and increased multitasking. Experts say that companies may welcome those gains, but warn that employees could make more mistakes, experience burnout, and see erosion of work-life balance. The authors recommend that employers define how they want employees to us AI, build intentional pauses into workflows, pair human judgment with AI at key points, monitor workload and address burnout, and eliminate low-value tasks instead of instead of just boosting output.

Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
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Sponsorship information.
Contact us.

This Week in Health Tech 2/11/26

Morning Headlines 2/11/26

Garner Health Raises $118 Million to Close the Healthcare Quality and Cost Gap; Reaches $1.35 Billion Valuation

Patient navigation and doctor quality analytics platform vendor Garner Health raises $118 million in Series D funding that values the company at $1.35 billion.

Solace Raises $130 Million Series C to Make Healthcare Advocacy a Standard of Care in the US

Tech-enabled healthcare navigation and patient advocacy company Solace Health announces $130 million in Series C funding, bringing its total raised to $211 million.

Health Gorilla Publishes Engagement Summary Demonstrating Transparency, Integrity, and an Effective Governance Process

Data-exchange vendor Health Gorilla releases a summary of the good-faith actions it has taken to reassure stakeholders in the wake of a lawsuit brought against it by Epic, OCHIN, and several health systems.

News 2/11/26

Top News

Patient navigation and doctor quality analytics platform vendor Garner Health raises $118 million in Series D funding that values the company at $1.35 billion.

HIStalk Announcements and Requests

HIStalk sponsors that are participating in HIMSS26: send me your details and I’ll include them in my guide to the conference. The ViVE version of the form is still live, with results so far here.

Sponsored Events and Resources

Live Webinar: February 18 (Wednesday) 2 ET. “From Blind Spots to Insights: Gaining Real-Time Visibility into Healthcare Risk.” Sponsor: CloudWave. Presenters: Jacob Wheeler, MBA, director of sales engineering, CloudWave; Mike Donahue, chief operating officer, CloudWave. Resilience starts with the ability to see clearly, across every endpoint, cloud workload, user, and clinical system. Join CloudWave’s cybersecurity leaders for an in-depth session on how real-time visibility transforms your ability to detect threats early, respond decisively, and strengthen resilience across the care ecosystem. Attendees will learn the practical steps that hospitals can take to move from reactive defense to resilient action.

Publication: HIStalk’s Guide to ViVE 2026 lists the activities of sponsors at the conference.

Contact Lorre to have your resource listed.

Acquisitions, Funding, Business, and Stock

Synthpop, which specializes in healthcare AI for diagnostics, fertility, and durable medical equipment workflows, announces $15 million in Series A funding.

Sales

• MultiCare Health System (WA) selects Ambience Healthcare’s AI platform for documentation, coding, and clinical workflows.
• M Health Fairview (MN) will implement Nabla’s ambient AI assistant and dictation software.

People

Marshall Health Network (WV) promotes David Quirke to chief digital and information officer.

Agfa HealthCare names Christopher Thompson VP of sales east for North America.

Danny Gladden, MBA, MSW (Oracle Health) joins Streamline Healthcare Solutions as chief clinical officer.

AssureCare promotes Parth Shah, MBA, MRes to SVP of customer success and enterprise AI delivery.

Andy Brailo (Premier) joins R1 as chief commercial officer.

MPulse names Brian Higgins (Clarity Software Solutions) chief architect and promotes Erin Kowalow to EVP of product delivery.

Ambience Healthcare appoints Mike Valli (Symplr) chief revenue officer and chief value officer.

Announcements and Implementations

Warm Valley Health Care (WY) goes live on Oracle Health.

Government and Politics

The VA’s latest inventory of 138 active AI use cases finds that its EHR Modernization Program is looking at five separate use cases for the technology, including a clinical agent that will be integrated with its Oracle Health-based system. The department is also incorporating the technology into its suicide prevention efforts.

Rajput Kuldeep Singh, the former CEO of remote patient monitoring vendor Biofourmis, is charged in Singapore with several counts of falsifying company invoices to inflate revenue figures. He left Biofourmis in August 2023 and later founded OutcomesAI, which raised $10 million in seed funding in October 2025. Biofourmis was acquired by competitor CopilotIQ in October 2024

Sponsor Updates

• AdvancedMD offers a new case study titled “How AdvancedMD Helped Televero Behavioral Health Fortify Its Financial Health.”
• CereCore releases a new podcast titled “The Dual Perspective of a Rural CMO and CMIO.”
• Cardamom will present at Oregon HFMA’s Winter Workshop February 12 in McMinnville.
• SlicedHealth is named #3 on the UGA 2026 Bulldog 100 list.
• CloudWave will sponsor the MUSE SOCial Community Peer Group Event February 18 in Covino, CA.

Blog Posts

• Scaling Behavioral Health: What a Unified EHR Should Deliver (Netsmart)
• Physician Leader on Why Healthcare Needs Doctors at the Decision-Making Table (CereCore)
• The hidden cost of poor contract management in healthcare (Altera Digital Health)
• The healthcare data lake vs. other data storage structures (Arcadia)
• California Collaborative (Canopii Collaborative)
• 76% Critical, 20% Ready: The Massive Execution Gap Revealed at CHIME25 (Clearsense)

Contacts

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

Morning Headlines 2/10/26

Synthpop raises $15 million Series A to scale AI that makes healthcare more human

Synthpop, which specializes in healthcare AI for diagnostics, fertility, and durable medical equipment workflows, announces $15 million in Series A funding.

Ireland to begin procurement for a national electronic health record

Health Service Executive, Ireland’s health and social services provider, will begin looking at vendors for its National Electronic Health Record program.

The Sequoia Project Publishes Guidance on Standardized Privacy & Consent Approaches for State Government and Health Care Organizations

The Sequoia Project publishes “Operationalizing Automated Consent: Actionable Guidance for Health Care Providers, Payors, and Other Health Care Organizations” and “Guidance to States: Legislating Technical Standard Definitions for Existing State-Sensitive Health Data Laws.”

Consensus Cloud Solutions, Inc. Provides Fourth Quarter and Full Year 2025 Results; Releases Q1 2026 and Full Year 2026 Guidance

Digital cloud fax technology vendor Consensus Cloud Solutions sees a slight uptick in Q4 revenue and a slight dip in full-year revenue.

Curbside Consult with Dr. Jayne 2/9/26

Most of us have figured out by now that it’s difficult to spend a day without using some kind of AI-powered tool. I was a fairly early adopter of the Amazon Echo devices after receiving one for a gift. I used them until recently to control some of the lighting in my home. (RIP, Wemo smart home devices.)

I mostly use the Alexa assistant to get quick answers to straightforward questions, such as “What is the temperature?” and “What is the forecast?” so I can do a little planning before I drag myself out of bed in the morning. In the kitchen, I primarily use it for timers or to play music while cooking. I haven’t been impressed by the “skills” that it offers, however.

A couple of weeks ago, I started receiving teasers to upgrade my device to new voices and personas. I held out since I didn’t want to be a beta user. Ultimately, I gave in and was pleased to find a somewhat sassy voice that is officially described as “grounded” or “easygoing.” It reminded me of one of my favorite audiobook narrators, so I decided to give it a try.

Over the last few days, I’ve noticed some quirks. I’m not sure if it’s specific to the voice I selected or if something is going on with the cloud services, but Alexa started giving me more information than I was asking for. Instead of simply giving me the current temperature and the forecast high, it added commentary like “it’s going to be a great day” or something similar.

Then I noticed it providing information that seemed disordered. For example, telling me that the current temperature was 38F with a forecast high of 47F, but that it currently feels like 44F, which just doesn’t make sense. It also tells me that tomorrow’s forecast high will be in the 40s when the Weather Channel thinks it will be a dozen degrees higher.

Tonight, I was thinking about some travel plans and asked Alexa what the correct time zone is for Nashville since I can never remember and was multitasking. Alexa confidently told me that “Nashville is in the Central Time Zone,” but went on to offer information that I didn’t ask for and told me the time. Since I’m on Central time, I was surprised that it was wrong.

I was curious to see what Alexa would say if I called out an incorrect answer. It replied, “You’re right, I should have been more specific. Nashville, Tennessee is indeed in the Central Time Zone.” I had to specifically ask the time and it finally answered correctly.

It’s one thing for a system to provide inaccurate information in response to a question, but it’s another to offer incorrect information that wasn’t even asked for.

I’ve seen some positioning for virtual assistants, including Amazon Alexa and Google Assistant, as general purpose tools that can help the elderly age in place and manage daily routines. They are also supposed to be helpful for reducing social isolation and providing voice-activated medication reminders. What happens, however, when those tools don’t do the right thing? What happens when the tools are confused about what time zone they’re in and it leads to a patient taking medications more than once? In that situation, a simple non-AI alarm app might be more reliable and provide greater safety for patients.

Later in the day, I found an email from Amazon listing how “Early Access” customers made Alexa+ better, including such items as being more responsive during chats, a better sense of when you want to engage, and that it “adapts to your vibe” by learning and adjusting to the user’s communication style.

Honestly, I’m not impressed. As soon as I get some free time, I’m going to experiment with some of the other voices to see if they’re as problematic as the one I selected or if the entire system is just not meeting my needs any more.

Meanwhile, I’m starting to make a list of all the grossly inaccurate responses that I receive from AI tools. I recently read a novel that was based on a true story and asked an AI-powered search tool what happened to some of the main characters later in their lives. The answers should have been straightforward, since the characters I asked about were part of a World War II effort to project works from the National Gallery of Art by storing them at the Biltmore Estate in Asheville, North Carolina.

Instead of providing facts, I got some wild speculation about the Gallery’s director, David Finley, which required visits to a couple of primary sources to fact check. As an upside for the next time I need a random nugget of obscure information, I now know that 40 cubic feet of Finley’s personal papers and artifacts now reside in the Gallery archives, including dried flowers, a cigarette case and lighter, and postcards from a honeymoon in Greece.

The Super Bowl is a big deal in the US. A lot of watercooler conversations happened at the end of the week around whether people had plans for the big event and which team they might be supporting. I was one of the people who don’t really have a connection to either team, but was really rooting for the combined squad of US Air Force and US Navy pilots who were slated to perform the pre-game flyover.

I have to say it did not disappoint. The seven-ship formation led by the B-1 was on point. Those of us with aviation geek tendencies knew there was more to come, and the US Navy livestream made our day as the camera panned back to catch the second B-1 approaching in full afterburner.

Having spent my career in medicine, I appreciate the fact that a seemingly short display like this is actually the end result of hundreds of hours of research, planning, and practice. It’s like one of those domino transplant surgeries where all the organs have to make it to the right patients in the right city at the right time with all the associated facilities and staff preparation.

The flyover planes originated in South Dakota and California. They were supported by refueling aircraft from Ohio, with everyone gathering nearby for the final maneuver. Each aircraft is supported by teams of maintainers who are in turn supported by other disciplines. Everyone is essential, much like in a hospital. Thousands of hours of training and education are behind each person’s ability to do their job when called upon. The pilots’ fist bump in the cockpit following the flyover was charming and I can only imagine how excited their families were to see that. (Photo taken from US Navy livestream).

If you partied for the Super Bowl, what was your favorite snack? Did your event include any heart healthy options, or was it all about Buffalo wings and pizza? Leave a comment or email me.

Email Dr. Jayne.