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Morning Headlines 1/7/26

January 6, 2026 Headlines Comments Off on Morning Headlines 1/7/26

Altaris Acquires Tegria

Healthcare-focused private equity firm Altaris acquires Tegria from Providence St. Joseph Health.

Artificial intelligence begins prescribing medications in Utah

Utah launches a pilot to allow AI technology from Doctronic to autonomously manage prescription refills for 190 common medications.

TPG in talks to buy UnitedHealth’s Optum UK unit, Sky News reports

US-based private equity firm TPG is reportedly looking to acquire UnitedHealth’s Optum UK business, which supplies EHR software to a large percentage of British physicians.

FDA announces sweeping changes to oversight of wearables, AI-enabled devices

The FDA will ease regulation of wearables and AI-enabled devices that provide non-medical-grade information.

Comments Off on Morning Headlines 1/7/26

News 1/7/26

January 6, 2026 News 4 Comments

Top News

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Healthcare-focused private equity firm Altaris acquires Tegria from Providence St. Joseph Health.

Tegria was formed in 2020 from Engage, Bluetree, and Navin Haffty. It then acquired Cumberland, Sisu Solutions, Cloud21. It had previously acquired KenSci, Colburn Hill Group, Lumedic, Community Technologies, and MediRevv. 

Providence spun out analytics firm Advata in June 2022 by combining KenSci, Colburn Hill Group, MultiScale, Lumedic, Quiviq, and Alphalytics. That company apparently shut down in early 2023. Providence sold Acclara to R1 RCM in early 2024 for $675 million.

Altaris acquired Sharecare in 2024. Its exited healthcare holdings include Acclara, AGS Health, Clearwater, and Precyse.


HIStalk Announcements and Requests

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Welcome to new HIStalk Platinum Sponsor VectorCare. VectorCare is the first patient logistics platform that is built directly inside leading EHRs using SMART on FHIR. Care teams can schedule transportation, home health, and DME in under a minute, without leaving thepatient chart or relying on phone calls and portals. Our SMART on FHIR integration embeds VectorCare into Epic, Cerner, Meditech, Allscripts, Athena, and more with zero code or IT effort. Real-time updates, vendor communication, and live tracking flow directly into the EHR to streamline every transition of care. With VectorCare’s no-code workflow builder, organizations can standardize discharge and care-coordination workflows instantly. This reduces delays, improves handoffs, and helps lower preventable readmissions by up to 30%. Explore our SMART on FHIR app in the Epic Showroom or request a demo. Follow us on LinkedIn and X for updates on patient logistics innovation. Thanks to VectorCare for supporting HIStalk.

I found this YouTube demo of Vector’s SMART on FHIR app within Epic.


Sponsored Events and Resources

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


Sales

  • Kirby Medical Center (IL) selects Switchboard, MD’s automated healthcare communications software.

People

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InterSystems promotes Don Woodlock to president.

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MDAudit promotes Nisheet Goenka, MSEE to CTO.

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The Guthrie Clinic (NY) promotes Brad Carvellas, MS to SVP and chief digital officer.

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Asif Ali, MD (University of Houston College of Medicine) joins Kencor Health as chief medical officer.

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Atropos Health promotes Kevin Smith to chief growth officer.

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TeleTracking appoints Derek Ritchea, MBA (Lincoln International) as chief strategy officer.


Announcements and Implementations

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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.

Healthcare data foundation operator CAQH restructures to assign ownership to 12 shareholder entities that are affiliated with national health plans.

Southwestern Medical Center and Comanche County Memorial Hospital merge to form Memorial Health System of Southwest Oklahoma. The combined system will implement Meditech Expanse this summer.

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Connecticut’s Connie HIE implements Clinical Architecture’s PIQXL Gateway patient data quality measurement tool.


Government and Politics

The FDA issues an RFI on a proposed contracting vehicle that is aimed at making it easier for VC-backed companies to do business with the agency. FDA notes that many breakthrough health technologies come from firms that lack the resources and know-how to navigate federal procurement, and that the government’s use of prime contractors, whose incentives favor billable hours over scalable solutions, often impedes adoption.

The VA sees a 10% annual increase in telehealth use amongst veterans, 92% of whom report being satisfied with the care received.


Other

A social determinants of health-focused survey of 145 healthcare facilities in Arkansas finds that, while providers screen at a high rate, significant gaps exist in referring patients to services and providing services directly. The survey also found that SDOH-related needs most often pertain to housing, transportation, and food insecurity.


Sponsor Updates

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  • TruBridge staff partner with United Way of Southwest Alabama to support the Africatown Hall & Food Bank in Mobile, AL.
  • Netsmart announces its commitment to the CMS Health Tech Ecosystem initiative as a CMS Aligned Network.
  • TrustCommerce, a Sphere company, announces the release of a KLAS First Look report highlighting strong early results and customer satisfaction for its Cloud Payments solution.
  • Black Book Research releases its “2026 State of Global Digital Healthcare Technology” report.
  • AdvancedMD helps mental health practice Modern Mojo reduce time spent on insurance eligibility by more than 80%.
  • Artera releases new insights on the rising cost of patient no-shows across healthcare systems.
  • Grand Lake Health System will implement Altera Digital Health’s Sunrise Axon, connecting through Health Gorilla’s TEFCA-enabled QHIN.
  • Consensus Cloud Solutions CRO and EVP Johnny Hecker wins the 2025 Gold Globee Business Award.
  • CereCore releases a new podcast titled “A Rural CNO on Healthcare Innovation That Actually Helps Nurses.”

Blog Posts


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 1/6/26

January 5, 2026 Headlines Comments Off on Morning Headlines 1/6/26

40 million people turn to ChatGPT for health care

OpenAI reports that 40 million people around the world ask ChatGPT health-related questions on a daily basis.

CMS no longer requiring childhood vaccination data from states

CMS will no longer require states to report childhood and adolescent immunization statuses as it works on developing new vaccine measures.

CareCloud Appoints Chief Strategy Officer to Lead Enterprise AI Platform as Company Enters 2026 as Its Defining AI Year

CareCloud promotes Stephen Snyder to CEO and A. Hadi Chaudhry to chief strategy officer.

Comments Off on Morning Headlines 1/6/26

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.

Morning Headlines 1/5/26

January 4, 2026 Headlines Comments Off on Morning Headlines 1/5/26

DEA Extends Telemedicine Flexibilities to Ensure Continued Access to Care

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

California-Based Health Tech Company Files Chapter 7 Bankruptcy

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

Federal judge allows HHS to share Medicaid data with ICE

A federal judge in California rules that HHS can share Medicaid data with ICE, with limits remaining in place on what can be shared and used.

Comments Off on Morning Headlines 1/5/26

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.

Comments Off on Monday Morning Update 1/5/26

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.

Comments Off on Morning Headlines 12/31/25

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.

Comments Off on Morning Headlines 12/30/25

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.

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

Morning Headlines 12/29/25

December 28, 2025 Headlines Comments Off on Morning Headlines 12/29/25

How One Father Created an Organ Empire

The National Kidney Registry, which matches donors to recipients, pays millions to its technologist founder’s companies.

Medicare’s prior authorization has doctors on edge

Providers express uncertainty about how to submit prior authorization requests under traditional Medicare’s AI-powered treatment reviews, which launch as a six-state pilot project on January 1 for 17 treatments.

NHS England tech provider reveals data breach – DXS International hit by ransomware

A ransomware hacker claims to have stolen 300 GB of company data from NHS technology supplier DXS International.

Comments Off on Morning Headlines 12/29/25

Monday Morning Update 12/29/25

December 28, 2025 News 1 Comment

Top News

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New York Governor Kathy Hochul vetoes the New York Health Information Privacy Act, which would have required companies that handle health-related information to obtain user consent before storing or selling that data.

The bill defined Regulated Health Information to include data from apps, wearables, telehealth, and employer-provided health information.

Critics said that the definition was so broad that it could encompass non-health data, impose complex and costly compliance requirements, threaten innovation, and create unnecessary burdens for health systems.


HIStalk Announcements and Requests

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Most provider poll respondents say that remote patient monitoring payment changes won’t really affect them.

New poll to your right or here: What primary role should HIMSS choose to maintain or increase its business success? This question addresses big-picture strategy, but leave a poll comment after voting to suggest the #1 thing HIMSS should do within the next year to position itself for the future.

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HIStalk supporters and vendor marketing folks: Current HIStalk sponsors get free spotlights and text ads, while prospective ones can talk to Lorre about the benefits of full-year exposure. Startups and former sponsors might even get a lagniappe. Lorre also has a single Top Spot banner for companies that are seeking maximal exposure (10,000 clicks in the past year) and the satisfaction of always seeing their ad atop those of competitors. Sponsors get zero influence over news and opinion, but that’s to their advantage since decision-makers will bail quickly on thinly veiled pay-for-play and inexpert babbling.


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News is understandably slow, so let’s enjoy the results of reader donations to Donors Choose. Dr. K says that her Florida first graders started using their new STEM materials immediately after she explained, “I told them that they were donated to our classroom by people who wanted to help them learn.”

Meanwhile, new reader donations, matched with third-party donations and funds from my Anonymous Vendor Executive, fully funded these Donors Choose teacher grant requests:

  • Visual learning tools for Ms. W’s Honors Algebra and Geometry middle school classes in Oklahoma City, OK.
  • STEAM manipulatives for Ms. W’s elementary school class in Oklahoma City, OK.
  • Headphones for Ms. S’s elementary school class in Burlington, NC.
  • Math manipulatives for Ms. M’s disability needs middle school math class in Charlestown, MA.
  • STEM toys for Ms. N’s elementary school class in Brighton, MA.
  • A laptop to support robotics coding and 3D printing in Mr. G’s high school class in Bloomfield, NM.
  • A math classroom (learning tools, organizers, sensory tools, and supplies) for Ms. K’s elementary school class in Dorchester, MA.

Sponsored Events and Resources

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


Announcements and Implementations

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Peer-reviewed studies find that Linus Health’s AI-based digital cognitive assessments can detect subtle behavioral signals that are associated with Alzheimer’s pathology years before symptoms appear, allowing early identification of people who should be tested for blood-based biomarkers.

Black Book Research posts its annual report on the standards it uses to rank health tech products and services. The company does not sell consulting, advisory, or improvement services to vendors, does not offer paid placements, does not pay survey participants, and offers no pay-to-play options such as offering score improvement services and related recognition. This statement caught my eye:

Black Book’s annual refresh cycle is informed by a widely recognized measurement principle often referred to as Goodhart’s Law: once a measure becomes a target, it can become less effective as a measure. In vendor rankings, stable rubrics can unintentionally encourage optimization for what performs well in the scoring system rather than what consistently delivers implementation success, operational reliability, service responsiveness, and realized value after contract signature. Over time, a ranking can drift toward measuring “ability to rank” instead of “ability to deliver.”


Government and Politics

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A federal grand jury indicts the physician owner of a clinic for allegedly billing Medicare $45 million for Botox injections that were medically unnecessary and, in many cases, never provided. Violetta Mailyan, DO is also charged with obstructing a criminal investigation by allegedly submitting falsified medical records in response to a grand jury subpoena. Prosecutors say the clinic billed for services on dates when it was closed, when Mailyan was traveling outside the country, and on at least one date when the Medicare patient was incarcerated in federal prison.


Other

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The New York Times profiles the kidney transplant-matching National Kidney Registry, which transfers much of its millions of dollars in annual income – collected mostly via hospital fees – to for-profit technology and holding companies that were formed by Founder and CEO Garet Hil, who developed the software that matches donors to recipients. NKR had $69 million in annual revenue in 2023 and paid Hil’s technology company $8.2 million when it sold the commercial operations portion to Hil for $2.6 million.

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I was fascinated by a New Yorker article titled “The Role of Doctors is Changing Forever,” written by Weill Cornell hospitalist Dhruv Khullar, MD, MPP. He says that doctors are losing their cultural authority as patients seek “unbundled” medical advice and services outside of traditional practice. Doctors once reigned as the gatekeeper to everything that relates to health, but now people are obtaining and trusting information from attention-optimizing TikTok docs, direct-to-consumer companies, the MAHA movement, and AI, causing people to trust doctors less or to avoid them entirely. He writes this, although glossing over how doctors might actually earn a living in this new role:

When a hegemon loses status, it can take a few paths. It can aim for restoration — bringing back the empire — which in this case would probably focus on gatekeeping. It can retreat, which might mean abdicating medicine’s broad public role, perhaps in favor of a narrow focus on earnings and technical skills. The last — and, in my view, the best — path is reinvention. Doctors can remake their profession by embracing the multi-polar medical landscape they now inhabit, and by acting as a kind of system stabilizer: working with other powers to help shape rules, norms, and relationships.


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 12/24/25

December 23, 2025 Headlines 1 Comment

Neurable Raises $35 Million Series A to Accelerate Deployment of Everyday Brain-Computer Interface Technology

Neurable will use new funding to commercialize its brain-computer interface technology that allows wearables to track mental fatigue, cognitive recovery, and focus state detection.

Saint Peter’s Healthcare System, Epic to launch centralized electronic health record system

Saint Peter’s Healthcare System (NJ), whose planned merger with Atlantic Health was cancelled in October 2025, will implement Epic.

New York Governor Vetoes Restrictive Health Privacy Law

New York Governor Kathy Hochul vetoes the New York Health Information Privacy Act, a broad health data privacy bill that would have expanded protections for health information beyond federal HIPAA standards

News 12/24/25

December 23, 2025 News 3 Comments

Top News

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ASTP/ONC releases HTI-5, a proposed rule that streamlines its Health IT Certification Program, updates information blocking regulations, and establishes a foundation of FHIR-based APIs to support AI-enabled interoperability.

HTI-5 would remove 34 of the 60 certification criteria and revise seven to reduce developer cost.

The proposal would also eliminate a Biden administration requirement that health tech vendors provide “model cards” that explain how their AI models work and how they should be used, similar to food nutrition labels.


Reader Comments

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From Lippy: “Re: Donors Choose. Remind me again how to donate.” I will first explain that I do not strong-arm readers into donating to Donors Choose through me. However, it is one of few organizations that I trust and whose mission I believe in. Donating as described below allows me to choose projects, apply matching funds from third parties and my Anonymous Vendor Executive, and then list the projects that were funded (a cranky reader once accused me of “virtue signaling” by listing the projects here, but it’s fun to celebrate them collectively). The same process works for company donations. Instructions:

  1. Purchase a Donors Choose gift card in the amount you’d like to donate.
  2. Choose the option to send the gift card by the email to mr_histalk@histalk.com (that’s my Donors Choose account).
  3. Print your own Donors Choose receipt for tax purposes.
  4. I’ll pool the money, apply the matching funds, and publicly report here the projects that I funded.

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A generous donation from long-time HIStalk supporters Ben and Michelle at ST Advisors, boosted by matching funds, fully funded these Donors Choose teacher grant requests:

  • Headphones for Ms. C’s middle school class in Houston, TX.
  • Headphones for the technology classes of Ms. S’s middle school science academy class in Austintown. OH.
  • A laptop extended for Ms. A’s elementary school class in Houston, TX.
  • STEM computer lab supplies for Ms. B’s middle school class in Port Saint Lucie, FL.
  • A rolling white board for Ms. B’s middle school class in Newark, DE.
  • Math and science activity stations for Ms. D’s middle school class in Aston, PA.
  • Science lab supplies and materials for Mr. B’s middle school class in Yuma, AZ.
  • STEM lab supplies for Ms. K’s elementary school class in Knightdale, NC.
  • A document camera for Ms. D’s elementary school class in Randolph, MA.
  • Magnets and microscopes for Ms. W’s elementary school class in Oilton, OK.
  • Chemistry lab supplies for Mr. S’s high school class in Greenwood, DE.
  • Classroom library shelves for Ms. T’s high school early college high school class in Louisburg, NC.

Sponsored Events and Resources

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


Acquisitions, Funding, Business, and Stock

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Neurable raises a $35 million Series A round to accelerate commercialization of its brain-computer interface technology that allows wearables to track mental fatigue, cognitive recovery, and focus state detection. The company says that an immediate application will be to integrate brain insights into electronic gaming.


Sales

  • Saint Peter’s Healthcare System (NJ), whose planned merger with Atlantic Health was cancelled in October 2025, will implement Epic.

Government and Politics

The former CEO of Power Mobility Doctor Rx is sentenced to 15 years in prison and ordered to pay $452 million in restitution for running a telemarketing, telemedicine, and kickback scheme that defrauded Medicare and insurers of $1 billion. The company’s software platform connected DME suppliers and pharmacies with telemedicine companies that accepted kickbacks and bribes to issue fraudulent prescriptions. The company targeted Medicare beneficiaries who agreed to provide their personal information and accept the medically unnecessary medical equipment and supplies when contacted via offshore call centers and mass mailings.  


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 12/23/25

December 22, 2025 Headlines Comments Off on Morning Headlines 12/23/25

HHS Proposes HTI-5 Rule to Streamline Certification Program, Further Protect Patients from Information Blocking, and Foster an Artificial Intelligence-enabled Future

HHS proposes the HTI-5 rule to streamline the ONC Health IT Certification Program, strengthen enforcement against information blocking, and establish a foundation of modern FHIR-based APIs to support AI-enabled interoperability while reducing regulatory burden and saving billions in compliance costs.

CEO of Health Care Software Company Sentenced for $1B Fraud Conspiracy

An Arizona man is sentenced to 15 years in prison and ordered to pay over $452 million in restitution for operating a software platform that generated more than $1 billion in fraudulent Medicare and insurer claims by using false doctors’ orders and illegal kickbacks to bill medically unnecessary durable medical equipment and other items.

Can the Montana State Hospital regain federal standing without electronic health records?

State officials are seeking to restore federal certification for Montana State Hospital even though the adult psychiatry facility continues to use paper-based medical records.

AMA CEO: AI is not medicine’s future—“this is happening now.”

American Medical Association CEO John Whyte, MD, MPH says artificial intelligence is not a distant future for medicine, it is already reshaping clinical care and digital health, and physicians must take a leadership role in its creation and use.

Comments Off on Morning Headlines 12/23/25

Curbside Consult with Dr. Jayne 12/22/25

December 22, 2025 Dr. Jayne 1 Comment

I’ve been on LinkedIn almost since its creation. When I joined, it seemed like a great way to keep track of people I met in the course of my work.

Over the past couple of years, I feel like it has lost its usefulness. My main feed seems to be full of vendor ads, punctuated by individual posts that are annoyingly self-promoting and contain way too many emoji. I feel like I have to weed through all of that to find things that are genuine or feel like something more than just an attention grab. When I look at the messages features, it seems that most of the people reaching out are trying to sell me something.

Looking through the last couple of months of messages (which I rarely check, ignoring the notifications that come into my inbox as well) I saw a half dozen solicitations from financial advisors. Based on the content of those messages, they are clearly targeting physicians. In particular, those who are on the downhill slope towards retirement.

A couple were looking for people to invest in various new ventures. At least for me, if you have something like “turning income into legacy” as your headline, your message is guaranteed to go straight to the trash. You’re also going to be ignored if your outreach looks like multilevel marketing.

I also tend to get quite a few messages from people trying to sell services to physician offices. Things like revenue cycle management, bad debt management, collections, phone services, call centers, and the like. If they read my profile for more than two seconds, they would see that I haven’t been in traditional practice in a long time and don’t need any of their services. Their messages are also routed to the discard zone. 

You’re also likely to wind up in that place if you include a personalized message that’s addressed to someone other than me, as the person did this week who started his message with “Dear Correen, It was great to meet you last week.”

Then there are the entrepreneurs who are trying to connect with “like-minded individuals” and who are “interested to hear your opinions” or something similar. One said he was “having conversations with several of my colleagues and would love to hear how you’re navigating the current landscape.”

Based on reading this person’s profile, I can’t even begin to figure out what specific landscape he might be thinking about, let alone how I might contribute. In the past, when I’ve seen messages like this, they have felt like someone who is just trying to get some free consulting.

I got an entertaining spam message this week for a free brow waxing session at a business that plans to open in 2026. It is trying to generate Instagram likes by contacting random people on LinkedIn and requesting that they follow him and/or his business on that platform. The message was from someone listed as a “verified recruiter” with a corporate license. For entertainment, I clicked on his profile, and found that in addition to owning the waxing business, he also owns a burrito restaurant, a carpet cleaning company, and a hair salon. Needless to say, that was a quick delete as well. 

I also get a kick out of seeing the reports of how many people viewed my profile. Quite a few recruiters made the list. Normally if a recruiter reaches out and asks to connect, I will accept the request just to see if they have interesting roles available. Not that I’m looking, but I have plenty of friends and colleagues who are, and I’m happy to help them out if I see something that’s a good fit.

Most of the time, there is some brief back and forth. I let them know that I’ll be sharing their opportunities with others, and then that’s the end of it. This week, however, I had a plot twist with a recruiter that I hadn’t seen before.

I accepted the recruiter’s connection request, so they could see my email information. They apparently used that, as well as the information in my profile, to enter me into their organization’s “Talent Community” as if I were job hunting. They also created referral links for several specific jobs and invited me to apply, as if we had discussed those jobs and I had voiced interest.

I know from my own experiences in large organizations that usually if you’re trying to score a bonus by referring someone, you have to at least attest to the fact that they were aware you’re referring them and agreed to it, so it felt a little odd. Maybe this particular organization plays fast and loose with their referral process.

The roles for which they created referral links were highly specific. It was clear that they had read my profile in detail and were targeting particular skills and certifications that I list.

I know that this particular organization is going through an EHR change. Several of the roles were related to that project, although one role was for a position with a title that was identical to my current role.

This is certainly the first time I’ve experienced this kind of recruiting flow. I’m wondering if it is unusual, or if this is a new way that organizations are trying to source people. Since it’s the end of the year, maybe it’s just someone trying to hit a quota, but who knows. If you’re in the human resources or recruiting realms, I’d be interested to hear what you think of this approach and if it’s common or more of an outlier.

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I’m glad Mr. H mentioned celebrating Yalda, which marks the passing of the longest night of the year and the return of light as days gradually grow longer. For the last couple of years, I’ve noticed that the shortening days have played havoc on my sleep schedule, to the point where I’ve tried to spend as much time in more southern latitudes as my work allows, and it’s been helpful.

This year, I was invited to a celebration. Although I wasn’t able to stay until dawn, I really enjoyed the opportunity. Although I do like a good New Year’s Eve party, Yalda Night was more cozy than blingy and felt like a better way to reset in preparation for the new year.

This year has been a tough one for me personally so I’m all about celebrating hope and renewal as we head towards 2026. Given the way the US health system works, however, I’m not looking forward to the resetting of my health insurance deductible, but there’s not much I can do about that.

What is your favorite way to mark the passing of the years? Leave a comment or email me.

Email Dr. Jayne.

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