Healthcare AI News 1/14/26

January 14, 2026 Healthcare AI News Comments Off on Healthcare AI News 1/14/26

News

Anthropic announces Claude for Healthcare, a HIPAA-ready set of AI tools that can support prior authorizations, claims processing, care coordination, and medical data interpretation by connecting to data sources such as the CMS Coverage Database, ICD-10, and the National Provider Identifier Registry. The company also added new Agent Skills for FHIR development and prior authorization.

OpenAI announces ChatGPT Health, which supports health conversations with encryption, isolation from model training, and connectivity to wellness and medical records applications such as Apple Health and MyFitnessPal.The company also acquires the year-old, four-employee medical records startup Torch Health, which was working on AI tools to summarize health data, for a reported $100 million.

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Penn Medicine develops Chart Hero, an AI-powered sidebar in Epic that summarizes chart information and can suggest next steps to physicians. The health system plans to expand it so that patients can enter their concerns and goals ahead of visits.

Kaiser Permanente develops TimEHR, and EHR-embedded AI tool that predicts the optimal length of appointment for a patient’s pre-op visit. The system, which uses Epic’s audit log as a data source, also suggests whether their appointment should be in-person or virtual.

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The FDA and European Medicines Agency issue a set of 10 common principles for using AI to generate and monitor evidence in drug development.


Research

Cedars-Sinai will use up to $5 million from HHS’s ARPA-H to build KronosRx, an AI platform that uses stem-cell-based patient avatars and electronic health records to predict drug toxicity before trials.


Other

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The CEO of Shopify uses Claude to create an HTML-based viewer of the exported data from his annual MRI scan. Healthcare followers pondered why he bothered to write an application rather than use a free DICOM viewer.


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This Week in Health Tech 1/14/26

January 14, 2026 This Week in Health Tech Comments Off on This Week in Health Tech 1/14/26
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Curbside Consult with Dr. Jayne 1/12/26

January 12, 2026 Dr. Jayne 1 Comment

The New York Times ran a piece this week about “The Tech That Will Invade Our Lives in 2026.” The author aims to sort out which innovations will be impactful and which are fads that can be ignored.

Item number one on the list is, “We’ll finally be talking to our computers.” It’s more focused on having AI chatbots represent themselves with humanlike voices than on having them be able to better interpret conversational prompts, unfortunately. If we can get to the place where AI assistants act more like the computer in “Star Trek” and less like a recalcitrant middle schooler, I’ll be pleased.

Another item on the list refers to the search for “a successor to the smartphone” and offers smart glasses as an option. I don’t necessarily need a successor to the smartphone, but what I’d like to see is the ability to broadly operate smartphone apps on my laptop.

As an example, many of the hotels I frequent have begun providing menus of services via a QR code in the room. That’s great, but I would rather not read those documents on my phone when I have a perfectly good laptop right there on the desk. My workaround is to scan the code and send the link to myself so I can open it on the laptop, but that’s a nuisance.

I don’t know why the hotel can’t display that information from a link on its website. That would be ideal not only to enable guests to use their devices of choice, but also to allow travelers to get the information they need before they reach the hotel room.

I have my own personal list of tech I wish would invade the workplace.

  • Let’s start with the ability to ask Microsoft Windows to find a setting for you that used to be easy to find prior to Windows 11 and now is in some obscure place with an obscure name.
  • I would also like to be able to ask an AI assistant to do things like, “Find me that email that was sent by a member of the training team within the last three weeks that was talking about some weirdness with one of the clinical alert popups” when I accidentally file something in the wrong folder and can’t remember who sent it.
  • Maybe we can get the ability to set up an automatic reply to emails where people ask you about meeting at a specific time and neglect to mention which time zone is in play.
  • Just as a nice-to-have, I’d like a rule to highlight meetings in a particular color based on whether there are external attendees on the invite list rather than having to do it manually as meetings come in or as a retrospective exercise.
  • Last but not least, at the top of my wish list are upgrades that don’t break user workflows. I know that’s a lot to ask for, but a girl can dream.

What are others looking for in an AI tool? I did some casual investigation and found strong sentiment for pushing AI to handle mundane or data-heavy tasks rather than creative pursuits. “I want AI to balance my checkbook and categorize all my expenses, finding the problem when things don’t match up. That will give me more time for my hobby of photography. I don’t want AI making pictures for me.”

One person I spoke with wanted to be able to adjust the AI behind social media algorithms. She wants to stop seeing things that she doesn’t want to see and see more of those she is missing. That led to a conversation about why algorithms work the way they do.

I was surprised by this person’s lack of understanding of how social media platforms make money. It made me wonder how many other people out there have the same knowledge gaps. 

One person I spoke to was excited about self-driving cars, especially for individuals as compared to the taxi-style use case. “I was in Europe earlier this year and made good use of their robust rail infrastructure. Now that I’m back in the US, I realize how pathetic the long-distance options are if you’re not on the east coast. We have several major cities in my state that are all about 90 miles apart, but there is no easy way to get to them other than driving your own car.”

One of my snarkier colleagues commented, “If it’s so easy to use AI to write code, why can’t Microsoft figure out how to get feature parity between new and classic Outlook, or between either of the desktop versions and the web version?”

Another noted that he wasn’t against AI innovation, but felt that advancements were coming so quickly that there wasn’t enough time to process how they might be useful in the workplace or at home. He said he was reluctant to get excited about anything because once you do, it’s already been surpassed and you have to adjust to something new. That’s a valid point.

I was surprised at the response from one of my junior colleagues who said he felt that he was late to the game for actually caring about or using AI, and that, “It’s getting added into everything but not necessarily for good reason.” He uses it to help summarize documents, write letters of recommendation, and build patient education content for his niche specialty. He hasn’t found many other good uses for it.

One of my IT colleagues said that he wishes it was better at manipulating data, along the lines of “Find the data in spreadsheet A that corresponds to spreadsheet B, and append spreadsheet A with the values for X, Y, and Z.” He also had me chuckling with his request for calendar management tools that will automatically reject meetings that are sent without agendas.

One of my foodie friends had an item on her wish list. “I’d like AI to keep track of everything that’s in my pantry, refrigerator, and freezer and cross index it with my recipe files and a list of what I’ve cooked recently so I can ask questions like ‘I’m in the mood for pasta, what can I make with ingredients that are on hand that isn’t similar to anything I’ve made in the last 30 days?’” In addition to helping people reduce waste with outdated ingredients, it might contribute to the household harmony where staring at each other and asking what to have for dinner is the norm.

I’m sure we have all heard that adage that today’s AI is the worst it’s ever going to be. Although blips exist, it will continue to evolve.

What do you wish AI would do for your workplace or in your personal life? Leave a comment or email me.

Email Dr. Jayne.

Readers Write: The Operational Divide in Healthcare: Epic-First Health Systems Versus Real-Time Health Systems

January 12, 2026 Readers Write 4 Comments

The Operational Divide in Healthcare: Epic-First Health Systems Versus Real-Time Health Systems
By Buzz Stewart, PhD, MPH

Walter “Buzz” Stewart, PhD, MPH is CEO of Medcurio.

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An ongoing split is forming across US healthcare, a divide that health system leaders are driving overtly or by default.

On one side are the organizations building real-time reflexes into their operations. On the other are the organizations whose pace is still dictated by vendor-defined data access paths, delayed data, and workflows that are constrained by the vendor architecture.

This divide isn’t philosophical. It is operational. And it is widening fast. This will be the competitive divide for the next decade.

Two Emerging Camps

Markets don’t stall because of a single vendor. They stall when incumbents limit the freedom for customers to move faster, choose better, and innovate on top of their own data. As modernization accelerates, health systems are sorting into two identifiable groups:

Real-Time Health Systems

These organizations are developing the ability to govern their own data access, sense operational signals as they occur, and route actions immediately. They are beginning to build reflex loops, which are lightweight, programmable logic that prevents revenue loss (fewer denials, reduced LOS), mitigates safety drift, reduces manual intervention, and stabilizes workflows before problems compound. They seek destiny control and predictable value creation.

These organizations lean toward independence in how they access and use their own data, and they treat delay as a form of waste rather than an unavoidable byproduct of enterprise IT.

Epic-First Health Systems

These organizations face the same challenges as real-time health systems, but move at the speed of vendor-mediated access. They depend on (costly) sanctioned interfaces, roadmap timelines, batch extracts, and manual processes to identify operational issues. Limited tooling to say the least.

These organizations treat delays as an avoidable byproduct of enterprise IT and accumulating operational drag is their norm

Why the Divide Is Forming

Four forces are driving the move to real-time health systems faster than the industry expected:

  • Labor costs in healthcare have risen faster than inflation for five decades, while inflation-adjusted revenue per encounter has steadily declined as commercial mix shrinks. There is no way out from under the current operating model, and no real way to differentiate in most markets if you keep playing the old game.
  • Operational latency is a margin killer. Discharge delays, denials identified too late, referrals never acknowledged, eligibility errors discovered only after work is performed. Growth in small lags produces large financial consequences.
  • Vendor-controlled access is mismatched to modern workflow demands. Today’s problems require continuous monitoring, immediate detection, and on-demand logic. Architecture designed for retrospective insight isn’t built for real-time operations. HL7/X12 alone doesn’t cut it, and FHIR resources and vendor-gated APIs are imprecise and overly narrow.
  • AI and automation cannot run on delayed signals. The industry is extremely optimistic about automation, but models and agents (and the workflows health systems are pointing them toward) are useless without upstream real-time detection. If an organization only learns that a problem occurred after the fact, no amount of workflow redesign can compensate.

These forces have shifted the strategic question from “What technology do we need?” to “How fast can we recognize and act on our own operational signals?” as the foundation for automation and innovation capabilities.

The Hidden Cost of Delay (Waiting is a Cost Center)

  • Throughput slowdowns that no one sees until the backlog materializes.
  • Denials that could have been prevented if noticed earlier.
  • Eligibility mismatches found only in downstream billing.
  • Referral leakage due to missed handoffs.
  • Safety triggers that surface only when reports are pulled.

Every service unit has its list, but they look remarkably similar across health systems.

While these issues rarely appear as technology failures, they often show up as operational realities. Every one of these problems is a real-time problem trapped in a legacy data access model. The cost of delay is not just inefficiency, but also lost margin, avoidable friction, patient harm, and workforce strain.

What Real-Time Reflexes Look Like

Organizations that operate in real time do not wait for dashboards to tell them what happened. They program their systems to notice and act on what matters in real-time:

  • Detecting a mismatch the moment it occurs.
  • Automatically triggering a task or action
  • Routing information directly to the workflow that requires it.
  • Logging the event without human intervention.
  • Measuring impact within hours, not quarters.

Acting and adapting fast, which few systems do well today, is a strategic market differentiator and quickly becoming a survival imperative as this divide widens. This is the identity high-performing systems realize they must rise to.

Claiming Control of Your Own Data

The executive unlock is straightforward.

  • Your vendor has an obligation to allow access to your data however you choose.
  • Your vendor has a legal duty not to interfere with your use of your data.
  • Acting on your rights does not mean being in conflict with your vendor.
  • Sovereignty is not about choosing one technology path over another. It is about ensuring that the parts of the health system that depend on real-time signals (care transitions, revenue cycle, safety, operations) are not forced into delay by design.

Crossing the Divide: A Simple Playbook

Health systems don’t need multi-year digital transformation programs to build real-time reflexes. They need clarity and sequence.

  1. Map your highest-delay workflows. Where do teams wish they had real-time visibility but are stuck with overnight insight?
  2. Evaluate control. What should be legitimately controlled by the vendor versus what should be governed by the health system. This is almost always the inflection point.
  3. Test one workflow in real time. Pick one workflow and simply measure what happens when teams get the signal immediately instead of a day later. No committees or giant work plan, just a clean before and after.
  4. Scale reflex logic across additional domains. Once a health system sees its first real-time win, the pattern becomes contagious.

A Narrow Window

Every health system will be forced to modernize its reflexes. The question is timing.

Organizations that move now will define the performance frontier and expand markets. Those that wait to modernize will fall further behind.

Monday Morning Update 1/12/26

January 11, 2026 News Comments Off on Monday Morning Update 1/12/26

Top News

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Google removes some of its health-related AI Overviews from search results after reports that they were providing inaccurate information.


HIStalk Announcements and Requests

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Asked about streamlining EHR certification requirements, poll respondents have achieved the perfect balance of confusion, optimism, pessimism, and indifference.

New poll to your right or here, inspired by Brian Too’s comment last week:  What factors drive health system investment in health tech firms? Multiple answers are OK. It would be fascinating to compare expectations to reality, but of course we hear a lot about the former and little about the latter. If you’ve been involved in a health system’s commercial dabbling, what are your conclusions?


Sponsored Events and Resources

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


Acquisitions, Funding, Business, and Stock

Healthcare staff protection system vendor Canopy raises $22 million in Series B funding. The company sued Commure in May 2025 for using its insider knowledge as a Canopy reseller to develop a competing product. The lawsuit was settled in July 2025, when Canopy took over customer management of Commure’s Strongline Pro panic button system.


People

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Aidoc hires former AMA President Jesse Ehrenfeld, MD, MPH as chief medical officer.


Announcements and Implementations

Health systems that have signed up for ChatGPT for Healthcare include AdventHealth, Baylor Scott & White, Boston Children’s, Cedars-Sinai, HCA Healthcare, Memorial Sloan Kettering, Stanford, and UCSF.


Other

A Georgia jury awards $52 million to the family of a woman who died following a Brazilian butt lift. The cosmetic surgery clinic ran out of anesthesia during the procedure, and staff who attempted to revive her found that they also had no oxygen. The clinic, which did not carry insurance and is unlikely to pay much of the damages, was immediately dissolved by its owner. His previous business in the same building was called Butts Gone Wild.


Sponsor Updates

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  • Five9 partners with the Marine Toys for Tots Foundation.
  • Fraser Health saves seven minutes per patient in discharge with Meditech’s AI-powered Hospital Course Summary in its Expanse EHR.
  • Findhelp opens registration for its virtual Connect Summit, which will take place May 13-14.
  • Nordic releases a new “Designing for Health” podcast featuring Aditi U Joshi, MD.
  • Nym names Shachar Borovitz and Ido Shitrit medical data analysts, Oren Shalom and Inbal Tako software engineers, Sapir Shekhtman R&D medical project manager, and Inbal Rudin linguist.
  • CHIME’s “Leader2Leader” podcast features Optimum Healthcare IT Chief Strategy Officer Rick Shepardson in an episode titled “Empowering Transformation: Leading with Strategy, Purpose, and Partnership in Digital Health.”
  • PerfectServe offers a new case study titled “Improving Clinical Efficiency with Optimized Care Schedules and Integrated Care Team Communication.”
  • Praia Health publishes a new case study titled “LabCorp and Praia Health partner to improve patient adherence, satisfaction, and outcomes at Providence.”
  • Rhapsody expands its AWS Marketplace presence to power AI-ready healthcare data exchange.
  • TrustCommerce, a Sphere company, will exhibit at the HFMA Western Region Symposium January 18-21 in Las Vegas.
  • TruBridge and The Health Management Academy launch the Rural Health Collaborative.
  • VitalChat names Alan Young, MD, MBA general manager.
  • Waystar will present at the JP Morgan Healthcare Conference January 12 in San Francisco.

Blog Posts


Contacts

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News 1/9/26

January 8, 2026 News Comments Off on News 1/9/26

Top News

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OpenAI announces ChatGPT Health, which supports health conversations with encryption, isolation from model training, and connectivity to wellness and medical records applications such as Apple Health and MyFitnessPal. Access is via waitlist.

B.well is providing the health data network connectivity with its SDK for Health AI.


Reader Comments

From Vendorize: “Re: product names. You should be including our copyright and trademark symbols.” Wrong. US law does not require anyone, even the owning company, to use those symbols to create or maintain rights. I don’t trust third-party sites or LinkedIn posts that include the symbols, which runs contrary to AP Stylebook standards, just because the company itself voluntarily chose to do so. It’s also improper and possibly illegal for someone to use a trademark symbol for a name they don’t own no matter how fawning their intentions.


Sponsored Events and Resources

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


Acquisitions, Funding, Business, and Stock

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Healthcare staffing platform vendor IntelyCare acquires CareRev, which offers a hospital shift-bidding platform. CareRev made headlines in 2023 when it reportedly laid off 100 employees following the resignation of its founder and CEO William Patterson, who departed after telling a colleague that he had delivered the company’s $50 million Series A pitch (“Uber for nurses”) while taking LSD.  

Oasys Health, which offers therapist workflow automation with wearables integration, raises $4.6 million in seed and pre-seed funding.

A Bain & Company report finds that global healthcare private equity investment hit a record $190 billion in deal value in 2025, driven by an increase in large transactions and strong activity across sectors like biopharma and healthcare IT, with buyout counts and exit values also approaching historic highs.

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Sources report that private equity firm TPG is reportedly close to acquiring UnitedHealth’s Optum UK business, which supplies electronic patient record systems to most of Britain’s GPs, for $1.5 billion. Analysts speculate that TPG could combine Optum UK with its portfolio company Nextech, a US-based specialty EHR/PM vendor.


Sales

  • Lifepoint Health chooses ambient documentation from IScribeHealth.

People

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Lyric names Halsey Wise, MBA (Lime Barrel Advisors) as CEO.

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Imprivata promotes Tom Shapiro to VP of cybersecurity sales.  


Announcements and Implementations

Dentists who have access to a patient’s shared comprehensive health record in Epic avoided 260,000 potential drug interactions in 2025, the company reports.

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VectorCare launches Lyft Smart on FHIR App, which allows care teams to schedule and manage patient rides within EHRs, starting with Epic.


Government and Politics

The FDA will step back from regulating low-risk wellness technologies, including fitness apps and activity trackers. Products that only share information won’t need clearance as long as companies avoid making medical claims.


Sponsor Updates

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  • CereCore team members volunteer at the Salvation Army Angel Tree event.
  • Black Book Research recaps 2025 research announcements and customer-related honors.
  • Ellkay offers a new customer success story featuring West Feliciana Hospital titled “Empowering Rural Healthcare: From Integration to Enterprise Data Management.”
  • Health Data Movers names Carl Ferguson (Healthcare IT Leaders) director of client partnerships.
  • Healthmonix’s Emergency and Acute Care Clinical registry earns CMS QCDR approval for 2026.
  • Infinx will exhibit at the HFMA Western Symposium January 18-21 in Las Vegas.
  • Judi Health names Sara Bunn (Boston Consulting Group) chief human resources officer.
  • Clearsense appoints Terry Shaw, former president and CEO of AdventHealth, as its board chair.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
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EPtalk by Dr. Jayne 1/8/26

January 8, 2026 Dr. Jayne 1 Comment

Mr. H’s mention of a recent article caught my attention. It says that 40 million people are using ChatGPT for health-related questions every day.

I agree with the article’s statement that people are “turning to AI tools to navigate the notoriously complex and opaque US healthcare system.” They mention patients using it to decipher billing statements, appeal insurance denials, and answer clinical questions “when access to doctors is limited.”

Another statistic that caught my attention: more than 5% of ChatGPT questions are about healthcare, and 1.6 million questions per week are asked about health insurance.

Clinicians certainly can’t fault patients for using AI tools when they are doing the same. I see physicians every day using AI to write insurance appeals and create patient-facing communications, not to mention all the AI-powered documentation. The risk of hallucinations remains a major concern. Some care delivery organizations have applied their “we can’t control it so we’ll just ignore it” philosophy. 

I would instead encourage organizations to make better use of their existing tools in providing accurate and vetted information to patients. Those institutions that offer robust patient education and engagement solutions should feature that information prominently on their websites and within their patient portals. Patients would be able to self-serve with reputable information.

Clinicians need to look at patient education less as a check-the-box exercise and more as a key part of patient care. In my experience, educated patients who have access to resources that they can consult down the road are less likely to send patient portal messages or call the office with basic questions. They feel more confident about their care and their ability to manage at home.

Another juicy tidbit from the report: 70% of health-related ChatGPT queries occur outside of normal medical office hours. Most medical offices are open for about eight hours per day, usually overlapping the same work hours as people who also work traditional schedules. It’s difficult for many patients and caregivers to get the information they need during the hours that they are available. Patient portals and secure messaging have helped this issue somewhat, but gaps still exist.

In addition to making sure that patients know how to access trustworthy patient education materials, care delivery organizations should do a better job promoting other patient-facing resources, such as after-hours nurse triage lines or on-call services. Organizations that are actively managing risk do a better job with this, because they are incentivized to keep patients from going to the emergency department.

It would be interesting to compare after-hours use of generative AI solutions by patients who have access to after-hours services and those who don’t. Anyone up for some research?

From Midwest Gal: “Re: portal messages. You mentioned waiting for test results, received a patient portal notification that you had a message from the physician, and it turned out it was a general message about holiday hours. The same thing happened to me right before the Christmas holiday. Instead of getting my mammogram results, it was a reminder that the office would be closed.” I reached out to some folks who are experts in the EHR that the reader’s site uses. They said that using the patient portal in this manner is not a best practice. For the love of all things, if you’re on a patient portal team, please work with the operations teams that are sending these messages to help them understand the anxiety that they are causing.

Speaking of anxiety, the clinical trial in which I am a participant published some of its results recently. However, it didn’t bother to notify patients that this would be happening. Those of us that are clinicians saw it in the journals first, which was bad enough. To make things worse, the research team released new recommendations to patients several days later, some of which provided guidance that is counter to the standard of care. That was accompanied by no explanation.

This occurred the week of December 18, when many people are frazzled by year-end work responsibilities or holiday preparations. I can’t imagine a worse time to release that kind of information.

I reached out to the study coordinator with my questions. I didn’t receive a reply within the published service level, so I reached out again via a different method. Guess what? They were experiencing a high volume of calls and were short staffed due to the holidays. The local physician who had referred me to the study wasn’t aware of either the published article or the communication to patients. You really cannot make this stuff up.

From Burned Out CMIO: “Re: help desk. My large health system outsourced its help desk functions at the beginning of December with the assurance that we would see no degradation in service levels. I had complaints from my ED physicians, who said that their tickets had been closed due to lack of customer response. Help desk staff were emailing the physicians about their tickets, then closing them as unresponsive if they didn’t hear back within a few hours. We’ve been having some serious conversations with the vendor about how that’s not how it’s supposed to work, especially for shift-based physicians who might not be able to respond quickly and then might not be working the next day. Ambulatory physicians ran into issues during Christmas week when offices were closed some days, then came back on Monday to find their tickets closed due to ‘no response from customer.’ Everything blew up over the New Year’s holiday, when tickets were closed in bulk on the 31st to meet meet end-of-year service level metrics. I feel awful because people who I had worked with for years were laid off in favor of the allegedly cheaper outsource firm.”

In situations like this, you can’t put a price on the knowledge of former help desk staffers who understood user and office work schedules around the holidays. I wonder if this outsource firm has any healthcare experience. This falls into the category of “you get what you paid for.”

I hope that a robust review of service level expectations happens again and that ticket closure goals are moved out a bit to accommodate the behaviors of real users in the healthcare setting. I can just imagine people trying to slam tickets shut to meet the metrics, not realizing that users have valid reasons for not responding quickly.

What’s the most foolish outsource maneuver your organization has made? Leave a comment or email me.

Email Dr. Jayne.

This Week in Health Tech 1/7/26

January 7, 2026 This Week in Health Tech Comments Off on This Week in Health Tech 1/7/26
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Healthcare AI News 1/7/26

January 7, 2026 Healthcare AI News Comments Off on Healthcare AI News 1/7/26

News

OpenAI announces ChatGPT Health, which supports health conversations with encryption, isolation from model training, and connectivity to wellness and medical records applications such as Apple Health and MyFitnessPal.

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OpenAI reports that 40 million people use ChatGPT each day for health information. Users ask it to help them decipher medical bills, spot charging errors, file insurance appeals, and in some cases diagnose conditions or manage their care. Seventy percent of those conversations take place outside normal clinic hours. The company also cites reports that nearly half of US nurses use AI weekly.

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A Wall Street Journal analysis finds that 27% of US health systems are paying for AI tool licenses, triple the average across industries. The strongest results come from labor heavy administrative work such as note taking, triaging patient calls, and processing insurance claims. A health system found that its use of an Epic tool to manage denials reduced the labor required by 23% and increased the percentage of overturned denials. However, the report adds that Mount Sinai halted its use of Epic’s draft reply tool for patient messages after physicians said that its output required excessive rewriting and sometimes contained questionable information.

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Utah launches a pilot to allow AI technology from Doctronic to autonomously manage prescription refills for 190 common medications. The company also markets a free chatbot that assesses systems, offers guidance, and then offers to connect users with virtual providers for a $39 virtual consultation. The goal is to reduce primary care wait times, but medical groups warn that physician oversight is needed. The FDA has not reviewed the automation process and could impose regulations on its use.

The FDA will step back from regulating low-risk wellness technologies, including fitness apps and activity trackers. Products that only share information won’t need clearance as long as companies avoid making medical claims.


Business

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CVS Health highlights technology, including AI, as central to its strategy. It has rolled out an AI-first consumer engagement platform across CVS Pharmacy, Caremark, Aetna, and its care delivery units to support prescription, benefit, and care navigation. The company suggests it may eventually offer parts of the platform to outside customers.


Research

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Researchers develop SleepFM, an AI tool that can predict 130 disease categories using only data from polymonography (overnight sleep studies), including dementia, heart attack, heart failure, stroke, chronic kidney disease, atrial fibrillation, and all-cause mortality. The tool’s accuracy was measured by linking each patient’s sleep record to their EHR data to find occurrence of related events such as coded diagnosis, procedure and encounter histories, mortality data, and the timestamps of clinical events.


Other

University of Colorado Anschutz profiles AIDA, a self-developed AI assistant that summarizes a patient’s Epic chart for radiologists. Aakriti Pandita, MD, assistant professor of medicine and co-developer of the tool, says, “We don’t need AI to help diagnosing patients. We need AI to help the tasks that are repetitive and redundant and administrative in nature.”

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A mother whose teenage son died of an overdose says he used ChatGPT to get advice on dosing illicit drugs and how to achieve different highs. The company says he accessed a flawed version of the model that was known to give unsafe health responses and that he sidestepped safeguards by framing his questions as hypothetical. ChatGPT even suggested a music playlist as part of its recommendation that he drink two bottles of cough syrup.


Contacts

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

Readers Write: The Healthcare Cybersecurity Landscape For 2026

January 7, 2026 Readers Write Comments Off on Readers Write: The Healthcare Cybersecurity Landscape For 2026

The Healthcare Cybersecurity Landscape For 2026
By Russell Teague

Russell Teague is chief information security officer of Fortified Health Security.

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Healthcare is entering the new year facing the same uncomfortable truth it has confronted for more than a decade: no industry faces a higher financial or operational burden from cyber incidents. Even as technology advances and awareness grows, the cost of a healthcare data breach remains the highest of any sector, and the implications are becoming more severe for patient care, financial performance, and organizational resilience.

The latest data confirms what many leaders already feel day-to-day: cybersecurity is no longer just an IT issue or a compliance checkbox. It is a top-line financial risk, a bottom-line operational disruptor, and one of the most material threats to patient safety.

Healthcare Once Again Leads All Industries in Breach Cost

Healthcare continues its longstanding position as the most expensive industry for data breaches. In 2025, the average cost of a healthcare breach reached $7.42 million, marking the 14th consecutive year that healthcare ranked #1 among all industries. While this represents a decrease from $10.1 million in 2024, the reduction does not signify improved risk posture across the sector. Instead, the decline reflects a combination of factors:

  • Evolving incident reporting methodologies.
  • The normalization of ransomware payments.
  • Increased reliance on third-party negotiations.
  • More sophisticated data-exfiltration containment practices.

But the underlying risk drivers – legacy environments, fragmented vendor ecosystems, thinly stretched workforce capacity, and the growing attack surface from digital transformation — remain unchanged.

The $7.42 million average still places healthcare well above all other highly regulated sectors, and it reflects only direct, measurable costs. The true financial impact is often far greater once organizations consider indirect operational and reputational fallout.

Breach Frequency and Threat Pressure Are Accelerating

The cost of individual breaches is only part of the story. Frequency is rising across the sector, expanding total exposure for hospitals, health systems, and clinical organizations. In 2025, healthcare experienced one of the highest incident rates of any industry, driven by persistent ransomware campaigns, increasingly complex third-party and supply chain intrusions, targeted email compromises involving PHI, and exploit attempts against aging clinical systems and medical devices. The growing automation of attacker workflows that are powered by AI has only accelerated this trend.

Attackers view healthcare as a high-pressure, high-reward environment. The combination of operational urgency, patient safety implications, and deeply interconnected technology ecosystems makes the sector uniquely attractive. Historically, healthcare organizations have been among the fastest to pay and the most vulnerable to disruption, further incentivizing attackers.

As breach frequency rises, so does cumulative financial exposure. Even organizations that avoid large-scale incidents still absorb escalating costs tied to smaller breaches, investigative work, vendor assessments, rising insurance premiums, and heightened regulatory scrutiny.

The Operational Fallout: Downtime as a Major Financial Driver

One of the most significant, and often underreported, costs of a cyber incident is operational downtime. In 2025, hospitals experienced an average of 19 to 23 days of disruption following major cyber events, affecting everything from EHR access to imaging, lab systems, surgical schedules, and emergency department operations. These outages frequently force diversion events, delay procedures, and push frontline staff into manual workflows that dramatically slow care delivery.

The financial impact is substantial. Organizations lose millions in net patient revenue as billing cycles stall, coding backlogs grow, and clinical productivity drops. Delayed reimbursement and extended recovery periods often compound these losses. At the same time, hospitals face increased overtime expenses, temporary labor costs, and rising patient dissatisfaction, all of which further erode operating margins. For rural and independent facilities with limited redundancies or tighter financial constraints, the impact can be especially severe.

Operational downtime also creates long-tail effects that extend well beyond the initial incident. Staff burnout rises as clinical teams struggle through prolonged manual processes, turnover risk increases, and organizations become more susceptible to future attacks during recovery periods. In many cases, the cumulative operational and financial damage eclipses the cost of the breach itself.

Why the Breach Lifecycle Matters: 280 Days of Exposure

A defining characteristic of healthcare is how long breaches persist before being identified and contained. Last year, healthcare averaged a 280-day breach lifecycle, exceeding the global average of 241 days. On average, it took 207 days to identify a breach and another 73 days to contain it.

This extended lifecycle dramatically elevates financial exposure. Lengthy dwell time gives attackers ample opportunity to move laterally, access more systems, compromise clinical applications, and exfiltrate sensitive data.

Prolonged exposure usually reflects deeper, systemic challenges across health systems, such as poorly tuned tools, redundant or overlapping technologies, gaps in visibility across environments, inconsistent processes or response playbooks, staffing shortages that drive alert fatigue, and weak segmentation that enables lateral movement. Many organizations also struggle with incomplete logging or monitoring coverage, which further delays containment.

Shortening the lifecycle is one of the most effective ways to reduce breach costs, often by millions. Health systems that detect and contain incidents faster consistently demonstrate stronger program maturity, more rationalized technology stacks, and clearer operational processes aligned to rapid response.

Cyber Insurance Costs Are Rising — for Both Coverage and Claims

In 2025, cyber insurance premiums for healthcare continued to increase, driven by a combination of higher claim severity, rising incident frequency, expanding legal and regulatory exposure, and the growing complexity of medical devices, cloud services, and interconnected vendor environments. Many recent breaches tied to third-party partners have created additional uncertainty for insurers, especially when accountability is difficult to determine.

As a result, carriers are tightening underwriting standards. Organizations now face stricter requirements around MFA enforcement, patching cadence, SOC maturity, third-party oversight, log retention, and evidence of incident response readiness that includes documented plans and playbooks. Those unable to demonstrate adequate maturity are experiencing significantly higher premiums, reduced coverage limits, or, in some cases, losing eligibility for coverage altogether.

The Hidden Costs: Reputation, Trust, and Long-Term Clinical Impact

Beyond direct financial losses, breaches create a secondary wave of disruption that can last months or even years. Organizations often experience a decline in patient trust, heightened scrutiny from regulators and auditors, and increased turnover among clinical, operational, and executive staff. Many also find themselves at a disadvantage when pursuing new strategic partnerships as potential collaborators question their security posture.

These incidents can also drive up ndor-related costs as partners impose stricter security requirements, more frequent assessments, and higher fees tied to their own risk management obligations. Taken together, these indirect, long-tail impacts create significant financial and operational strain, particularly for health systems operating in competitive markets or with already limited resources.

A Clear Path Forward: Maturity as a Financial Strategy

The latest data reinforces a simple truth: the cost of healthcare breaches remains high not just because of attacker sophistication, but because of program immaturity. Organizations that invest in visibility, alignment, rationalization, and early detection reduce breach lifecycle times and significantly limit downstream financial impact.

The most cost-effective cybersecurity strategy is not more tools. It is a mature cyber program, fully rationalized for better alignment with the business goal of protecting patient safety and operational resilience. When people, process, technology, and financial investment work in concert, breach costs drop, operational stability increases, and resilience becomes a competitive advantage.

Healthcare Can No Longer Measure the Cost of Inaction in Dollars Alone

Last year’s data makes it unmistakably clear that healthcare can no longer afford to view cybersecurity as a technical problem sitting on the periphery of operations. The financial impact of breaches is severe, but the deeper cost is the strain they place on clinical delivery, patient trust, workforce capacity, and organizational resilience. Every day a breach goes undetected, every hour systems are offline, and every dollar spent recovering from preventable disruption reflects a direct threat to the mission of safe, reliable care.

The real risk facing healthcare organizations is not the next attacker. It’s the continued reliance on underdeveloped, unaligned, and unprepared cybersecurity programs. More tools will not solve this challenge, and increased spending without strategic maturity will not change outcomes. What will make a measurable difference is a cyber program that is fully rationalized, integrated, and aligned with the fundamental business goals of patient safety and operational stability.

Organizations that invest in visibility, speed, resilience, and coordinated response are already seeing the benefits: shorter breach lifecycles, fewer operational disruptions, reduced financial exposure, and stronger trust from the communities they serve. Those that delay modernization will continue to face rising costs, extended downtime, and a risk profile that becomes increasingly difficult to manage.

2026 must be the year when healthcare stops treating cybersecurity improvements as optional or incremental and starts approaching them as essential to sustaining care. Cybersecurity in healthcare is no longer just a business function or an IT priority. It is a foundational element of patient safety, and the cost of inaction has never been higher.

Curbside Consult with Dr. Jayne 1/5/26

January 5, 2026 Dr. Jayne 1 Comment

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People embrace many traditions to ring in the New Year. My extended family enjoys Hoppin’ John, but my personal ritual is to skip straight to dessert.

I started at midnight by toasting 2026 with an assortment of delightful tarts. I then kept my energy up on New Year’s Day with Fluffy Frosted Orange Rolls, a delightful alternative to cinnamon rolls. Fortunately, the sugar boost helped because I was working clinically later that day.

Nearly every patient I treated had influenza. If the “flu-pocalypse” has not made it to your area yet, chances are it is on the way. If you are at high risk for influenza complications or simply want to avoid forced downtime, I recommend masking up in crowded places.

I had the opportunity over the weekend to chat with several physician executive colleagues. Each shared ideas about what to expect in the coming year.

  • Hospitals will focus on cost control, especially those that have high numbers of Medicaid and uninsured patients. For organizations that have not outsourced functions such as food service or human resources, doing so may look more attractive. One local hospital has dramatically cut non-patient food service, making it difficult for night-shift workers to get a hot meal. Overnight options are limited to self-service, with only a couple of microwaves available in the cafeteria. Since the hospital is already outsourcing, may I suggest a third-party food truck? Staff would love it, although the food service vendor might not.
  • Hospitals will continue to scrutinize pricing for everything from software to patient care supplies to landscape maintenance. Organizations that are not already doing this need to start. One health system is trying to trim several million dollars from its technology budget and is taking steps it would normally avoid, such as asking vendors for discounts mid-contract. Its EHR teams have not attended conferences or user group meetings for the past three years due to budget constraints, and they do not expect that to change. As an interesting side note, leadership teams are also skipping these events, so at least they are showing solidarity.
  • Primary care physicians are extremely worried about patients who have let their insurance coverage lapse due to rising costs. A major concern is that those patients, along with those who still have insurance but now face high deductibles, will avoid seeking care. That avoidance could lead to poorer outcomes and higher costs overall. The old adage about an ounce of prevention being worth a pound of cure does not resonate with people who cannot afford preventive services. A gastroenterologist in the group noted that a cash-pay colonoscopy costs $2,200 at her surgery center, which limits demand. Some patients instead choose cheaper screening tests that may not be appropriate for their individual risk profiles.
  • Many suspect that mergers and acquisitions will increase as organizations try to scale for contracting leverage with vendors and payers. Smaller community hospitals will face greater challenges, particularly if they lack natural partners. The group universally agreed that more practices will sell to private equity firms.
  • Medicare Advantage plans will continue their efforts to grow market share. One group I know is expanding into new markets that are not traditional retiree destinations, such as Wisconsin and Missouri. Physicians are intrigued by promises of employment and robust care team models, but they should perform due diligence. Speaking with former colleagues who had poor experiences could be particularly informative.
  • Organizations will keep adopting AI solutions, especially for ambient documentation and revenue cycle management. Leaders still express concern about AI use in research and treatment planning, which is driving tougher questions about hallucination risk and patient safety. One leader whose organization has gone all-in on AI-based revenue cycle tools said the results are no better than human performance, but the tools are far cheaper than even offshore labor.
  • Regarding the EHR market, the group agreed that Oracle Health / Cerner will continue to struggle and will lose customers to Epic. Sentiment was cautiously optimistic that smaller platforms, such as Meditech and Altera, will hold their ground. Informatics leaders wonder when consolidation will begin in the ambient documentation space, given that a few clear leaders have emerged.
  • One leader is especially excited about 2026. He oversees a relatively new primary care residency program that has been approved to expand its class size in the next match cycle. The program is based at a community hospital rather than a major academic center, and competition for the July start slots was intense. He expects applications to rise further as the program builds a reputation for training strong community-based generalists rather than subspecialists. Kudos to him and his team. I look forward to seeing how the next year unfolds.

During the discussion, I learned a new term: job hugging. It describes people who dislike their current roles but stay put because they fear that moving elsewhere could be worse. At least two participants admitted to this mindset. They worry that other environments may be just as toxic, if not more so, and that mid-career physician leadership roles are increasingly vulnerable to downsizing.

One person noted, “If I’m at risk for a layoff, I would rather stay where I have been for 15 years so I might receive a severance. If I start somewhere new and similar cuts occur, recent hires will not get anything.” Another said he would consider consulting but is too concerned about the cost of health insurance to make the leap.

How did you ring in the New Year, and what are your predictions for 2026? Leave a comment or email me.

Email Dr. Jayne.

Readers Write: 2026 Predictions: The Great Data Quality Reckoning in Healthcare IT

January 5, 2026 Readers Write 2 Comments

2026 Predictions: The Great Data Quality Reckoning in Healthcare IT
By Jodi Amendola

Jodi Amendola is executive advisor for the Supreme Group.

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The healthcare IT industry has been playing the “Let’s Improve Interoperability!” game for what feels like decades.

Today, it’s CMS Aligned Networks, TEFCA, and information-blocking-rule enforcement. Yesterday, it was “Meaningful Use” and the HITECH Act. Before that, it was Regional Health Information Organizations and HL7.

While these efforts to improve interoperability have certainly been laudable, they’ve obviously been lacking, because we’re still talking about the problem. A recent report from KLAS Research on the state of EHR interoperability today offers some helpful context:

  • While patient records are more available than ever, clinician satisfaction with external integration remains poor.
  • Clinicians continue to grapple with issues like duplicative records, inconsistent formats, and poor data mapping, which limit the clinical value of shared data.
  • Participation in data-sharing networks by EHR vendors has increased, but data usability has not.

The last point is critical, as all the hope about AI in healthcare will go unrealized without a foundation of accurate, comprehensive patient data for AI to base its decisions and recommendations on.

In the coming year, the healthcare industry will continue to grudgingly come to terms with a difficult truth: Interoperability means very little without connectivity. Issues highlighted in the KLAS report, like duplicative patient records and fragmented medical histories, undermine cost and quality improvement efforts and lead to suboptimal patient outcomes.

As a result, when it comes to communicating with the clients and prospects, health IT vendors will need to not only emphasize their role in delivering better interoperability, but also in improving the accuracy and usability of patient data.

It will also mean preparing for greater scrutiny, harder questions from media and industry analysts, and the need to demonstrate real value rather than aspirational promises.

To get ready, it’s important to ensure that PR and marketing do the following:

  • Elevate proof over promises. With key influencers and decision-makers growing more skeptical about lofty promises, every claim needs to be backed with facts and statistics. Punchy copy is great, but hard data, case studies, and third-party research carry more weight.
  • Highlight how data quality delivers clinical value. It’s not enough to merely talk about how your organization enhances interoperability. Instead, how does it bolster data integrity, eliminate duplicative records, improve outcomes, or build clinician trust? Offer clear, measurable examples of your technology’s clinical impact.
  • Focus messaging on responsible AI enablement. Solid data is the difference between “quality in, quality out” and “garbage in, garbage out” when it comes to AI. Accordingly, health tech marketing should strive to position your organization as an industry champion of the accurate, complete, transparent data that is needed to drive responsible and reliable AI insights.

In 2026, it’s less about expanding the pipes of healthcare data, and more about increasing the quality of the information that flows through them. As expectations and scrutiny around data quality grow, organizations that ground their communications in evidence, clarity, and responsible innovation will stand out.

Monday Morning Update 1/5/26

January 4, 2026 News Comments Off on Monday Morning Update 1/5/26

Top News

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The Drug Enforcement Administration extends telehealth flexibility in the prescribing of controlled substances through December 31, 2026.

This fourth extension came during the last hours of December 31 and took effect the next day.

The flexibilities allow practitioners to remotely prescribe scheduled drugs without first conducting an in-person visit. They may also manage maintenance and withdrawal treatments for opioid use disorder.


Reader Comments

From Boyd Beaver: “Re: HTI-5. Washington keeps writing rules as if health IT were competitive, while the market keeps behaving like it isn’t.” In health tech, some companies are innovative and some are imitative, but the rules assume equal market power and equal buyer choice. Companies don’t grow unless they are selling something customers actually want over competitive alternatives. It’s not clear that EHRs are in such demand in the post-Meaningful Use era that vendors are staying out of the market primarily because certification costs are too high. It’s also worth noting that EHR certification was created under a Republican administration and announced days into the Obama presidency as the string attached to federal stimulus money, a move that pushed out smaller vendors and permanently shaped the product roadmaps of the survivors. Today’s EHR market was deliberately created by federal certification.

From AI Drop: “Re: AI. Health systems aren’t adopting AI because it is transformational. They are using it because it’s cheaper than people. Nobody should be surprised that workflow messes persist and disruption is limited to financials.”

From UHG Whiz: “Re: the January 1 mess of US health insurance. Premiums have skyrocketed, deductibles are up to the point of making all policies catastrophic coverage only, and the resetting of those deductibles causes people to defer care that they can’t afford. Just try to get through to insurer to ask about new formulary changes or another round of prior authorizations. This isn’t cost control so much as cost shifting, with patients left to absorb the risk and the consequences.”


HIStalk Announcements and Requests

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HIStalk readers want HIMSS to pick a lane, but can’t decide on which one, which is probably the same challenge that faces Hal Wolf. The #1 choice could be a moneymaker but only at modest scale, #2 doesn’t generate much revenue, and #3 is history because they’ve sold the annual conference exhibit. Respondents are looking for HIMSS to provide industry relevance while HIMSS itself is trying to stop its post-2020 free fall. Respondents skew heavily US, so the global conference answer might be underrepresented. Maybe the takeaway that both sides is that expertise beats booths, plus its pre-COVID ambitions involved selling consulting services around its now-multiple adoption models. Another good poll question would be – would you pay out of your own pocket for HIMSS membership?

New poll to your right or here: What is your reaction to ASTP/ONC’s proposed cutback of EHR certification requirements? Is it a free pass for vendors, a catalyst for innovation, or are those effectively the same thing?


Thanks to these companies for recently supporting HIStalk. Click a logo for more information.

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Sponsored Events and Resources

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


Acquisitions, Funding, Business, and Stock

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Population health technology vendor Clint shuts down and files Chapter 7 bankruptcy, citing insufficient cash to make payroll and pay creditors.


People

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Rich Rogers, MBA, SVP/CIO at Prisma Health, retires.


Announcements and Implementations

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The FDA grants 510(k) clearance for BrainSpace’s Intellidrop autonomous brain fluid pressure management system for ICUs. Brain Fluid Interface (BFI) products monitor cerebrospinal fluid, interstitial fluid, and cerebral blood and create training data for Physical AI models.


Other

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I enjoyed this LinkedIn photo taken by Altera Digital Health during San Gorgonia Memorial Hospital’s (CA) upgrade to Sunrise 25.1. Go-live teams of both vendor and hospital people, united by their immediately recognizable team support shirts, usually get squeezed into temporarily and lightly repurposed conference rooms (hint: tape cables down, make sure computer-controlled HVAC doesn’t automatically take off for the night, wheel in a whiteboard, and source an unreasonable amount of coffee). Go-live warriors will be taken back olfactorily to long nights in the war room — overheated laptops and printers, panic sweat, and the stench of around-the-clock leftover junk food like pizza and everything bagels. Regards to those who know the smell and have thus earned the shirt.


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 12/31/25

December 30, 2025 Headlines Comments Off on Morning Headlines 12/31/25

Mayor Adams, NYC Health + Hospitals President and CEO Dr. Katz Announce Merger Between NYC Health + Hospitals and Maimonides Health Moves Forward

NYC Health + Hospitals will take over the struggling Maimonides Health and implement Epic there.

Health Ministries Worldwide Are Quietly Tightening the Rules on Health IT Vendors

Black Book Research reports that non-US markets are increasingly making data residency, in-country processing, and legal control a pass-fail requirement for choosing systems.

Healthcare AI Update 2025: What Use Cases Are Adopted the Most?

KLAS finds that 79% of health systems are using AI, ambient documentation is the leading use case, and just one of 3,000 respondents say their organization is using agentic AI.

HTI 5 Proposed Rule Info Session

HHS ASTP/ONC posts an information session on its proposed plan to streamline EHR certification requirements and update information blocking regulations.

News 12/31/25

December 30, 2025 News 7 Comments

Top News

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CMS will award all 50 states an average of $200 million each under the $50 billion Rural Health Transformation Program, which states are expected to use to modernize rural health infrastructure and technology.


Reader Comments

From Blaspheme: “Re: HIMSS board. It doesn’t have many C-level executives from non-profits.” Excluding Hal Wolf, five of the 12 board members work for non-profits, two of them hospitals. Seven of the 12 are based outside the US. None work for a US-based non-profit health system, although that perspective is represented by recently retired Hal Baker, MD, former SVP/CDO/CIO of WellSpan Health.


Sponsored Events and Resources

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


Acquisitions, Funding, Business, and Stock

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Struggling Maimonides Health will be taken over by NYC Health + Hospitals in a move that is backed by $2.2 billion in New York state funding to protect Brooklyn’s safety-net healthcare. The city cites as a benefit that Maimonides will be able to implement Epic, replacing applications from its best-of-breed portfolio that include several systems that it acquired from the former Eclipsys and Allscripts.


People

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University of Utah Health promotes Donna Roach, MS to system CDIO.


Announcements and Implementations

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The US Navy will extend the pilot of its new medical operations system for at-sea care after completing testing earlier this month.

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Epic is working with Penn Medicine to improve patient and clinician experience by deploying technology at the point of care. The organizations previewed a model exam room for the Montgomeryville multispecialty clinic that will open in late 2027.

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Black Book Research reports that 80% of international health tech buyers are using digital sovereignty as a first-cut, pass-fail test in eliminating companies that store and host data outside the buyer’s own country. The shift is due to pressure from tariffs, export controls, geopolitical risk, and mandates to use in-country hosting.

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A new KLAS report on health system AI use finds that ambient documentation leads by far, with 79% of participating organizations using it. Microsoft, Abridge, Epic, and Oracle Health are considered most often. Two-thirds of organizations use some form of AI, primarily for productivity. Microsoft, Epic, OpenAI, and Abridge most often considered. Agentic AI remains mostly a buzzword, with just one of 3,000 respondents reporting live use. Planned AI use cases focus on revenue cycle management, patient engagement, and clinical workflows.


Government and Politics

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The Defense Health Agency issues an RFI to solicit industry feedback on its draft contract strategy for a follow-on to MHS Genesis. It proposes a program office structure that would separate technical integration, human-centered design, and product management.

 

HHS ASTP posts a recorded  information session on the just-published HTI-5 Proposed Rule. The 60-day public comment period closes on February 27, 2026.


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 12/30/25

December 29, 2025 Headlines Comments Off on Morning Headlines 12/30/25

Defense Health Agency Seeking Industry Feedback on MHS GENESIS EHR Draft Contract Strategy

The Defense Health Agency issues an RFI to solicit industry feedback on its draft contract strategy for a follow-on to MHS Genesis and a proposed program office structure that would separate technical integration, human-centered design, and product management.

CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States

CMS announces that states will receive awards averaging $200 million under the $50 billion Rural Health Transformation Program, which they are expected to use to fund initiatives that include modernizing rural health infrastructure and technology.

Hospitals Score Win to Halt New HHS Drug Discount Rebate Pilot

A federal judge issues a preliminary injunction against HHS in a lawsuit brought by the American Hospital Association and others that would prevent HHS from implementing the 340B Rebate Model Pilot Program, where providers would buy drugs at full price and then seek rebates from drug companies.

Curbside Consult with Dr. Jayne 12/29/25

December 29, 2025 Dr. Jayne Comments Off on Curbside Consult with Dr. Jayne 12/29/25

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As we approach the end of the year, many of us are reflecting on our accomplishments for the year. Maybe we’re proud of the work that we’ve done, or perhaps we are forced to reflect because of end-of-year performance reviews. I enjoy thinking through how I spent my time and how it might have impacted patients.

I asked some of my CMIO colleagues what they are most proud of this year. Many of the projects were predictable, but at least one was surprising.

The first CMIO who weighed in was a little embarrassed about his accomplishment. Apparently his organization never got the memo about the benefits of having proximity cards or other non-password technology to help reduce the burden of multiple logins for its clinicians. Mandatory EHR upgrades or replacing a solution that was about to be sunset always took precedence. A couple of recent cybersecurity events had also consumed a good chunk of the budget and pushed other needs and wants aside. I certainly understand having to spend money on that.

Regardless, the clinicians are happier not having log in while going back and forth to the workstations in patient rooms, so that’s a win for the year.

The next physician leader was passionate about expanding virtual physician services in the emergency department. His organization’s busiest hospitals put a physician assistant in the triage bay. They worked closely with nursing staff to perform workups on patients who were still in the waiting room. The PA examined the patient and entered orders. 

When wait times were at their worst due to bed shortages elsewhere in the hospital, some patients were actually discharged from the waiting room without ever making it to a regular emergency department bed.

The twist this year was using virtual technology to expand that to hospitals that didn’t have the volumes to support the provider-in-triage concept. He felt that it was a win all around. Patients were happier to get their care started more quickly, emergency department staff members were happier because they had fewer patient complaints, and emergency providers were happier because they could opt in to the remote shifts for a break from the ED’s physical grind.

This is a great strategy. I am surprised to see so few facilities creating programs like this. It improves key metrics like the door-to-doctor time, addresses bed turnover issues, improves satisfaction, and provides options to keep physicians in the game when they might be ready to retire. The physician workforce crisis isn’t going away anytime soon, and anything that we can do to maintain those folks and their expertise is good.

I know of another system that has implemented this paradigm. Remote shifts are staffed by people who might otherwise be on medical leave due to orthopedic issues or pregnancy complications, or who need to travel to another part of the country to support family members.

It’s inexpensive since the major investment is a workstation and cameras. Even if you have to do a little rearranging to accommodate a gurney in the triage area, it’s cheaper than building more emergency beds. Another significant factor is probably that hospitals can make a lot of money billing the provider portion of the visit rather than having patients leave without being seen.

Multiple CMIOs said that ambient documentation was the best solution that they implemented all year. Most of them had pilot cohorts that tested the technology first, and at least a couple of them went through a bake-off process where they trialed solutions from different vendors before making their final selection.

One CMIO said, “This is one of two things that I’ve ever implemented that my physicians thanked me for.” Most of them are implementing the technology in ambulatory environments. Only one who I spoke with had a significant project for inpatient wards, and that is in a facility that has 100% private rooms for its patients.

I loved the idea that one correspondent shared about how her facility trained the ambient documentation tools. They created a curriculum called “Caring Out Loud” that addressed how physicians needed to change their history-taking and examination skills for the best outcomes with the technology. Some physicians felt like “talking to themselves” made them seem less professional, but only two of them chose to go back to traditional documentation.

Virtual nursing was also a big win for one CMIO who responded. In a plot twist, this CMIO is a nurse practitioner. Although I’ve seen people in similar roles elsewhere in the industry, she’s the first non-physician CMIO who I’ve gotten to know personally.

Her facility has been able to move approximately half of the steps involved in the nursing admissions process into a virtual workflow, which has been helpful as they continue to have staffing challenges. At their facility, all nurses work at least one virtual shift per month so that everyone is cross-trained. All of the virtual nursing work happens on site, which is different than other models where virtual nursing is used to retain staff that otherwise might be ready to leave bedside nursing.

One respondent’s biggest project was a deterioration prevention system that identifies patients who might be heading towards a crisis. I was surprised to learn that one of the major challenges in that effort was the change management piece. It was not designed to bypass human intervention, but people felt that its use might discourage them from raising an alarm if they suspected that patients were having issues.

The hospital held listening sessions so that staff understood what the system was designed to do, and what it was not. They were made aware that they needed to still rely on their internal “Spidey sense” if they felt that a patient was at risk.

I was surprised that AI projects, other than ambient documentation, were far down the list for many of the people I spoke with. That could be an artifact of budgeting processes, where priorities for 2025 may have been set in the summer of 2024. Or, perhaps skepticism remains around AI and how it should fit into the bigger picture of patient care.

I also think that many facilities are playing catch-up around operational and quality debt and therefore have less time to spend on shiny new things. I’m glad to see those institutions focusing on the basics, because if you don’t have a good foundation, everything else is just window dressing.

What are you most proud about in your work during 2025? Do you have a focus you’re excited about for 2026? Leave a comment or email me.

Email Dr. Jayne.

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