The rolling adoption and then abandonment of car software by car manufacturers, eventually led to a different tech idea. They…
News 10/31/25
Top News
CVS Health reports Q3 results: revenue up 7.8%, adjusted EPS $1.60 versus $1.09, beating analyst expectations for both.
The company took a $5.7 billion impairment charge for its Oak Street Health business that focuses on Medicare Advantage primary care patients and value-based care.
An executive said in the earnings call, “And lastly, our operating platforms, a tremendous amount of credit goes to our leadership in this business is driving to a much more tech-driven AI native platform that’s driving and really taking a lot of the work out a lot of operations and something that was one of the most complex parts of healthcare, which is effectively trying to drive these medications into the patients’ homes.”
Reader Comments
From The Chart Whisperer: “Re: AI-free periods for physicians. Let’s lock the autopilot and see if they still know how to fly. Spoiler: some don’t, so then what?”
From MarginMatters: “Re: hospital innovation. The biggest threat isn’t a lack of technology, it’s misaligned incentives. Every tool that improves quality but reduces billable volume fights a losing battle with the revenue cycle. That’s why most planned uses of AI involve cranking out bills, reducing costs, or increasing widget volume (visits).”
Sponsored Events and Resources
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Acquisitions, Funding, Business, and Stock
Teladoc Health reports Q3 results: revenue down 2%, EPS –$0.28 versus –$0.19, beating analyst expectations for both. Its BetterHealth virtual behavioral health business continued its slide with another revenue drop. TDOC shares have lost 8% in the past 12 months, valuing the company at $1.5 billion versus its $45 billion market cap in early 2021 shortly after it acquired Livongo for $18.5 billion.
Thermo Fisher Scientific will acquire clinical trials software vendor Clario from its private equity owners for $9 billion in cash. The company’s analytics software was used in 70% of US drug approvals.
Telemedicine kiosk maker OnMed will go public via a SPAC merger.
PeaceHealth will reduce its workforce by 2.5%, with 13 informaticist positions and chief health information officer job listed as eliminated positions.
Announcements and Implementations
Health insurer EmblemHealth and Prime Therapeutics launch a pharmacy benefit model that uses Judi Health’s cloud platform and Amazon Pharmacy to deliver transparent drug pricing, real-time savings alerts, and digital prescription management. The partnership aims to make specialty drug access simpler, faster, and more affordable for members.
Healthmonix launches Prism, a unified quality-reporting and interoperability platform that supports healthcare organizations through shifting CMS models such as MVPs, TEAM, and ASM.
Altera Digital Health launches CareInTelligence, a cloud-native data platform that unifies fragmented healthcare data for payers, providers, and community outreach organizations, enabling actionable insights, custom reporting, and governance controls to advance care delivery and outcomes.
WellSky enhances its Specialty Care EHR with ambient listening using Suki’s solution, which it found reduces documentation time and after-hours work by 40%.
Government and Politics
Updated Affordable Care Act pricing on Healthcare.gov shows that premiums will increase an average of 26% for 2026, with a 114% increase if Congress fails to extend ACA tax credits.
In Canada, Saskatchewan’s health minister orders the health authority to stop using the staff scheduling module of the AIMS system, whose implementation has faltered several times since its 2021 launch, and revert back to the system it replaced. The AIMS project, which will cost triple its original budget at $175 million USD, has been relaunched multiple times due to pay and scheduling problems. The province will continue to use the software’s payroll and supply chain modules.
Other
The New York Times covers the use of fall detection and prevention technology in assisted living facilities, mentioning vendors Foresite Healthcare and SafelyYou. It notes the privacy concerns of residents and the occasional deployment of such systems without obtaining informed consent.
Sponsor Updates
- Medicomp Systems releases a new episode of its “Tell Me Where IT Hurts” podcast featuring Alwi Yunus, clinical director of health informatics at Institut Jantung Negara in Malaysia.
- Symplr partners with Cartwheel to automate billing and improve efficiencies for healthcare staffing firms.
- New data from Five9 and PanTerra Networks reveals that AI is making healthcare more human by alleviating administrative burdens.
- Wolters Kluwer Health introduces Ovid Synthesis Expert AI as an optional add-on to its Ovid Synthesis platform.
- Black Book Research’s latest analysis finds a shift by US hospitals and health systems away from traditional offshore RCM outsourcing and toward software-led, AI-enabled, and on-shore operating models into 2026.
- Consensus Cloud Solutions, Ellkay, Waystar, and DrFirst will exhibit at NextGen Healthcare’s user group meeting November 2-5 in Nashville.
- HCTec will exhibit at the NJDV HIMSS 2025 Fall Conference November 4-6 in Atlantic City.
- Healthcare IT Leaders will exhibit at UKG Aspire November 4-6 in Las Vegas.
- Impact Advisors publishes a new success story titled “Epic Analysts Deliver High-Quality and Cost-Effective Services.”
- Infinx will exhibit at the AAMC Annual Meeting November 1-5 in San Antonio.
- MRO will exhibit at the SAOE Annual Meeting November 5-7 in Chattanooga.
- Navina will present at the American Physicians Group Fall Conference November 6 in National Harbor, MD.
Blog Posts
- Simplifying the Complex: Educating Patients to Safely Adhere to Specialty Medication Regimens at Home (First Databank)
- Lessons from the Front Lines: The Perspective of a Cyberattack from the Nursing Floor (Fortified Health Security)
- Everything You Need to Know About HEDIS Audits (HealthMark Group)
- Top Healthcare Reputation Management Software (Kyruus Health)
- How Wooster Community Hospital Health System reduced nurses’ documentation time by nearly 1,600 hours annually (Meditech)
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MarginMatters has a point regarding the focus on AI and the revenue cycle and administrative flows. It is legit in some locales with lower downside risk. In locales with higher amounts of downside risk, AI focused on other use cases is likely more prevalent. This is the same situation that has made the transition from volume to value difficult.
MarginalMatters – that is not the reason AI tools are more prevalent in RCM side. The companies that produce software can’t sell their software to clinicians without jumping through a lot of hurdles (both legislative as well as bureaucratic). In addition hospital IT forces us to focus on areas that don’t make them clash with physician turf wars. For small startups like mine, we can’t really get into these and rev cycle features are easier for us to develop and deploy. In addition, as we all are learning how to solve problems, it is much safer to do something on scheduling or billing side than clinical side where we can’t undo the mistakes.