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HIStalk Reader Survey Results 2025

March 17, 2025 News Comments Off on HIStalk Reader Survey Results 2025

Thanks to everyone who completed my reader survey. My readers come from all corners of healthcare and bring a wide range of experience and expectations. I’ve learned that designing by committee usually leads to something that pleases no one in the quest to please everyone, so I pay attention to individual survey responses. I earn a passing grade if readers keep coming back.

I also try not to let my enthusiasm lead me to promise more than I can deliver. Everything on the site, except for Dr. Jayne’s pieces, is put there by two people who work here less than full time. I might agree with some reader suggestions but still pass due to the reach-versus-grasp resource situation.

Some major points from the survey:

  • 94% of respondents have worked in the industry for more than 10 years.
  • 42% work for a vendor, 25% for a hospital or health system.
  • 29% have purchasing influence of greater than $10,000 for a provider organization, while 28% have that level of authority in a vendor organization.
  • 91% have a higher appreciation for companies that we write about.
  • 51% have a higher interest or appreciation for companies that sponsor HIStalk.
  • 96% say that reading HIStalk helped them do their job better in the past year.
  • 54% based a recent strategic business decision (purchase, partnership, RFP, contract renewal, executive hire, investment, etc.) on something they read on HIStalk.

I focus on results from the “helped you do your job better” question. I would hope that the 96% of readers who say that reading HIStalk helps them do their job better will keep coming back.

I extracted some respondent comments. Italicized comments are mine.

  • I love HIStalk and literally visit this website every day. I always learn something new, interesting, and relevant to healthcare IT. You do incredible work! I love Dr. Jayne and all the contributors.
  • While I like that you do interviews with various folks, I don’t read them that often. I come mostly for the news and rumors and your take on what is happening (you’ve got a great perspective).
  • A (very) slight facelift to modernize the formatting would be welcome. I keep thinking about how to do this with minimal disruption. I could probably get someone to spiff up the font or make minor layout changes. Ideas?
  • I miss the webinars. We’ve cut back on producing webinars because it didn’t feel like we were adding enough value. Companies got pretty good at doing their own during the pandemic and potential attendees were getting tired of looking at a Zoom screen all day, which limited attendance. Some people like our YouTube channel, so maybe we will archive company webinars there or something in addition to helping promote them.
  • I always value any commentary on where the political and regulatory winds seem to be shifting. Especially in current uncertain climate that’s a more important topic than ever, so more content on that would be great.
  • I would love to be able to hear more about the research, successes, and pitfalls that the industry is seeing with RPM tools. Along with this, I’m also very interested in learning more about how people are deploying patient engagement tools to actually change patient actions. Less about the ability to send texts, nudges, etc. and more how are these tools being used successfully to get patients to improve their health habits (exercise, diet, med adherence, etc.)
  • More opinions from industry experts (including Mr. H). I see a lot of the press releases, announcements, etc. from other sources too, but hearing the opinion/reaction from people who have been in this space a long time helps add context that I don’t really get anywhere else. What I would really like is to get the opinions of expert readers. The challenge is that people are busy and maybe not comfortable throwing their two cents out there. The biggest lesson that I’ve learned over the years is that everybody likes to consume content, but not to create it, and to rely on reader interaction is a good way to fail fast (see: HIMSS Accelerate).
  • Maybe in six months would be great to interview couple of CIO/CXOs on areas of clear value from AI vs. what’s still to-be-proven. I would be really happy to do this. It’s hard to get provider executives to be interviewed. I will flag my calendar to solicit volunteers in six months and will be surprised if I get any.
  • I would appreciate more coverage around FHIR and other interoperability developments and trends. You do cover it a little but I am definitely interested in finding out as much as I can on the direction of the industry as a whole in this space. I really appreciate all your recent coverage on the trends of AI in healthcare.
  • More opinions from Mr. HIStalk. He knows more than everyone else. Give us more editorialization. I don’t know more than everyone else. I know a little about a lot of topics and I enjoy learning as I go, which might provide the illusion of omniscience. I have hundreds or thousands of readers who know more about any given topic than I do, but the challenge is to get them to actively participate. I also don’t want to let my experience and opinions bleed over into objective coverage of straight news.
  • I like not knowing what the topics will be, it’s often something I know little to nothing about and I get educated. That’s exactly how writing HIStalk makes me feel. The best way to learn is by teaching, or in my case, by writing.
  • I believe we critique sometimes more than is fair. This is not to mean that we should lessen how much we critique, but rather we should honestly praise even the losers when they make progress. Not everyone can afford Epic. If we acknowledge that, it’s still fair to call a dog a dog and even when they improve, that gap typically gets even wider, but let’s at least occasionally toss a bone to the dog when they make something better. The challenge is that not all companies and providers actively announce their news. That includes Epic, which almost never announces anything. It’s logical to ask “why don’t you ever say something negative about Epic” or “why didn’t you list our new sale,” but I only know what someone tells me.
  • Would love to see a job posting area made available to subscribers. I tried that once before and it flopped, the same as reader discussion areas and online meet-ups that require reader participation. I’ll leave job boards to others. 
  • It would be really helpful to interview CIOs, CMIOs, etc. of a variety of healthcare organizations to see where other folks see their greatest needs and greatest successes. Agreed, but it’s hard to get those folks to participate. I’ve been interviewed in my health system job and it requires a bunch of approvals and sometimes final review of what is published. I still can’t decide if it’s reasonable that a long-ago health system executive told leadership that we needed his approval to be interviewed because “I’ve been burned by that before.”
  • Love the summarized reader comments at top and your commentary. Reader comments are the best.
  • I am particularly interested in patient use of technology and don’t see much of that on HIStalk. It’s a good topic, but not one that generates a lot of news to cover outside of phone or watch apps.
  • Loving the AI only section; please continue and expand this section. Thanks for keeping HIStalk objective and avoiding the political fray. I started the AI section because, as in the case when I started doing COVID updates, it gave me a reason to keep learning.
  • More comprehensive reporting on sales of health IT solutions to healthcare provider organizations. The current coverage seems to miss many sales by secondary vendors in particular. I would bet that those vendors don’t announce those sales or let me know since I include everything significant that I see. It’s not like I know about it but decide to keep it to myself.
  • I don’t know what I’m missing bc HIStalk is the source of news and keeps me in the loop on a broad array. I’ve been in public health, quality improvement, ACO, and now research and HIStalk covers all of that. Dr Jayne is always a good read and
  • akes me wish I could take my PCP out for dinner and get her take on all of it.
  • I’ve noticed that while HIStalk covers a broad range of EHR-related topics with depth and analysis, there seems to be a notable absence of any coverage that could be construed as critical of Epic Systems. Given the scrutiny that other major EHR vendors receive in your coverage, the lack of similar critique towards Epic stands out. I’m curious – does this reflect an editorial stance, a lack of sources willing to speak critically, or something else? See above. I can only report what I know. Epic is tighter with information than any vendor I can recall and their customers and even employees on Reddit don’t say much. I challenge those readers who believe I’m underreporting some to show me where they saw it elsewhere. I have no moles to report dirt.
  • More direct content on useful tools for Value Based Care. While as physician, I appreciate Dr. Jayne’s perspectives, it is singular physicians perspective and at times seems to veer toward subjectivity and tilts left.
  • Adding the AI newsletter was a big plus for me. Speaking of AI, as companies announce the use of various models, I would love t know their thoughts on ROI of those investments.
  • Right now the information you provide is valuable and influences my day-to-day and year-to-year career. You do a great job of trying new things, ending experiments to don’t pan out, and keeping everything fresh without seeming to shake things up just for the novelty.
  • More content from actual health care providers ( rather than CEO’s of some healthcare tech company). I agree, but vendor CEOs volunteer to be interviewed a lot more often that health system C-level executives. It’s the same with Readers Write articles, which mostly originate with vendor PR people and rarely from provider-employed readers.
  • This may seem counter-intuitive for a news site, but any chance of scaling back production? I have fond memories of twice/week updates from HISTalk. Now there’s at least 4x/week and in 2025 I think it’s closer to 5x/week. Please don’t make enjoying your outlet a chore (one which I will stop performing). I’m open to ideas for writing shorter news updates or posting on fewer days of the week if that’s what most readers want. Or I suppose I could create separate signup forms for just the news posts versus everything else. Or, insert a keyword so you could create a mail filter rule to see only the parts you like.
  • I like it as is. I always learn interesting and thought provoking info. I tend to scroll quickly past the info on newly appointed people but, as a woman in medicine and tech, even that is informative in seeing the mix of people in different roles. I also value Dr. Jayne’s columns in terms of my CMIO responsibilities. Keep up the excellent work!!!
  • Love it as it is. I am much better at what I do thanks to HIStalk, both as a CEO of a healthcare IT company and a physician.
Comments Off on HIStalk Reader Survey Results 2025

Morning Headlines 3/17/25

March 16, 2025 Headlines Comments Off on Morning Headlines 3/17/25

HHS braces for a reorganization

Government insiders say that White House-mandated HHS cost cutting could reduce ASTP’s headcount from 180 to 30.

What is NHS England – and what does abolishing it mean?

In England, UK Prime Minister Keir Starmer announces plans to dissolve NHS England in a move the government estimates will save $130 million by eliminating duplicate costs.

Nimblemind.ai Raises $2.5M to Unlock AI-Ready Clinical Data for Healthcare Providers

Nimblemind.ai will use $2.5 million in new funding to further develop and market its data infrastructure platform, which enables healthcare organizations to turn unstructured clinical data into AI-ready formats.

Comments Off on Morning Headlines 3/17/25

Monday Morning Update 3/17/25

March 16, 2025 News 5 Comments

Top News

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Several private equity firms have submitted bids to acquire revenue cycle management company AGS Health at a valuation of around $1 billion.

The company’s Sweden-based investment firm owner paid $320 million for the company in 2019.

The 14,000 employees of AGS work from offices in India, the Philippines, and the US.


Reader Comments

From Borat: “Re: Epic Research. Who needs the CDC now, Elon? Kidding, but only sort of. You can’t beat the recency of the data versus the 3-4 year delay in CDC reports.” Epic Research enables the rapid sharing of vetted insights that are drawn from Epic’s Cosmos database of the de-identified patient data from customers. As the organization puts it, unlike traditional research and publication as a journal article, “It is designed to make good data available sooner rather than perfect data available too late.” This approach bypasses the lengthy process required for peer-reviewed journal. The CDC has turned to Epic Research for help with urgent public health and pandemic-related issues that couldn’t afford delays. Also, while I’m not sure how the CDC selects its research priorities, their focus likely leans less toward publishing findings that are immediately actionable for health systems. Add in the uncertainty surrounding which CDC projects will be defunded and how many experts it may lose and Epic Research becomes even more appealing. Meanwhile, Larry Ellison has stated that Oracle Health intends to pursue similar real-world evidence research, so it will be interesting to see what they produce. Regardless, the ability to quickly analyze and apply real-world data is an increasingly valuable asset.


HIStalk Announcements and Requests

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Poll respondents aren’t confident about the 2025 prospects of their employers, with commenters citing federal government dysfunction, potential cuts in Medicaid and Medicare, and the threat of a recession.

New poll to your right or here: What ways have you recently used to reduce the time you spend on unproductive meetings? I didn’t ask how you recognize that a meeting is going to be a waste of time, but here are some signs from years of reading the hospital conference room:

  • Nobody seems to know who’s running the meeting, what results are expected, or whether the group has any actual authority.
  • The convener starts the meeting late to accommodate tardy invitees, fails to create an agenda with goals, and allows the meeting to end without creating assignments and minutes.
  • The attendee count keeps growing because everyone who is affected mistakenly believes that their input is both invaluable and urgently needed.
  • Status updates that could have been managed via email become a competitive verbal sport of sounding busy.
  • Knowledgeable but quiet attendees let the loud but less-informed attendees dominate.
  • Attendees ramble endlessly to make sure that they clock the same amount of suck-up airtime as peers.
  • People talk about their feelings or concerns.
  • A high-ranking attendee – who may be known for missing meetings, coming in late, or not paying attention – mistakes their trite anecdotes and gut feelings for keen insight that makes it logical for them to override group decisions.
  • No actual decisions are made because in hospitals, nobody has the power to say yes, but everyone has the power to say no.

Sponsored Events and Resources

Live Webinar: March 20 (Thursday) noon ET. “Enhancing Patient Experience: Digital Accessibility Legal Requirements in Healthcare.” Sponsor: TPGi. Presenters: Mark Miller, director of sales, TPGi; David Sloan, PhD, MSc, chief accessibility officer, TPGi; Kristina Launey, JD, labor and employment litigation and counseling partner, Seyfarth Shaw LLP. For patients with disabilities, inaccessible technology can mean the difference between timely, effective care and unmet healthcare needs. This could include accessible patient portals, telehealth services, and payment platforms. Despite a new presidential administration, requirements for Section 1557 of the Affordable Care Act (ACA) have not changed. While enforcement may unclear moving forward, healthcare organizations still have an obligation to their patients for digital accessibility. In our webinar session, TPGi’s accessibility experts and Seyfarth Shaw’s legal professionals will help you understand ACA Section 1557 requirements, its future under the Trump administration, and offer strategies to help you create inclusive experiences.

Live Webinar: March 27 (Thursday) noon ET. “How to Improve Clinical Workflows with AI Chart Summaries and Risk Predictions.” Sponsor: Health Data Analytics Institute. Presenters: Scott Cullen, MD, senior advisor, Health Data Analytics Institute; David Clain, chief product officer, Health Data Analytics Institute. Learn how the EHR-embedded HDAIAssist tool is transforming the ability of clinicians to pull insights out the mountains of data that have accumulated in the EHR, quickly, accurately, and cost-effectively. HDAlAssist, which is part of HealthVision, the intelligent health management system, combines AI chart summaries and granular risk predictions to quickly inform care planning decisions, especially for the most complex, high-risk patients.

Contact Lorre to have your resource listed.


Acquisitions, Funding, Business, and Stock

Informa’s annual financial report reveals that it paid $110 million for its July 2023 acquisition of the HIMSS conference. The last pre-COVID HIMSS tax filing from 2019 reported $43 million in conference revenue against $16 million in expenses, suggesting that Informa paid about four times earnings. That would represent about 24% of the total revenue of HIMSS.


People

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CTG hires Dan Stoke (Nordic Global) as VP of its US healthcare business. He replaces Christine Blanchard, who is retiring.


Government and Politics

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In England, UK Prime Minister Keir Starmer announces plans to dissolve NHS England, which was established in 2013 to oversee NHS funding, policies, and major initiatives like digital health transformation. Its functions will be absorbed by the Department of Health and Social Care, a move the government estimates will save $130 million by eliminating duplicate costs. Of NHS England’s 15,000 employees, 9,000 are expected to lose their jobs as part of the transition.

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Government insiders say that White House-mandated HHS cost cutting could reduce ASTP’s headcount from 180 to 30.


Sponsor Updates

  • A Black Book Research survey of global health IT buyers and decision-makers outside of the US reveals a growing preference for non-US electronic patient health record providers.
  • Optimum Healthcare IT releases a new case study titled “Closing the Workday Skills Gap at OU Health.”
  • PerfectServe launches the 2025 Nurses of Note Awards Program with new categories.
  • Praia Health publishes a new case study featuring Providence titled “Praia Health delivers standard of digital engagement ROI health systems.”
  • TrustCommerce, a Sphere company, will exhibit at the East Coast CORE Spring Meeting March 19-21 in Tampa, FL.
  • TeamBuilder will present at The Millennium Alliance’s Transformation Assembly March 19-20 in Austin, TX.
  • WellSky releases a new case study titled “UF Health St. Johns Care Connect: Uniting a community to address social determinants of health.”
  • AGS Health, FinThrive, Inovalon, MRO, Nym, SmarterDx, TruBridge, VisiQuate, and Waystar will exhibit at the HFMA Revenue Cycle Conference March 19-21 in San Antonio.

Blog Posts


Contacts

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

Morning Headlines 3/14/25

March 13, 2025 Headlines Comments Off on Morning Headlines 3/14/25

Skeptical judge sides with smaller analytics firm against giant PointClickCare over data blocking tactics

A federal court upholds an injunction granted last summer that prohibits senior care EHR vendor PointClickCare from blocking Real Time Medical Systems from its systems.

Global buyout funds line up for AGS Health

Four investment firms including Blackstone and General Atlantic express interest in acquiring AGS Health at a $1 billion valuation, up slightly from the valuation its parent company floated last September when announcing it would explore a sale.

TruBridge Announces Fourth Quarter and Full Year 2024 Results and Provides Initial 2025 Outlook

TruBridge announces Q4 results: revenue up 2%, EPS –$0.38 versus –$2.92. TBRG shares have gained 206% in the past 12 months, valuing the company at $415 million.

Scottish software company Craneware reports record results

Scotland-based Craneware reports record results, which it attributes to US hospitals refocusing on efficiency following the presidential election.

Comments Off on Morning Headlines 3/14/25

News 3/14/25

March 13, 2025 News 1 Comment

Top News

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A federal court upholds an injunction that prohibits senior care EHR vendor PointClickCare (PCC) from blocking Real Time Medical Systems (RTMS) from its systems.

The injunction, which was granted in July 2024, found that PCC violated the 21st Century Cures Act by using an unsolvable CAPTCHA to block RTMS’s web-scraping bots that collect skilled nursing data for analytics.

RTMS alleges that PCC took the action after ending discussions to acquire RTMS and instead developed a competing product.

Circuit Court judges agreed that PCC’s actions were anticompetitive and were not justified by its stated cybersecurity concerns.


Reader Comments

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From Skeeter: “Re: VA. Is the GAO just beating a dead horse at this point? Yet another report highlights the VA’s failure to follow up on GAO’s previous recommendations related to EHR modernization, which include clarifying the project’s total cost, master schedule, or performance targets.” Meet the new report, same as the old report. Its recommendations are clear and necessary for project completion, even as the VA dodges discussions of cost, timelines, and performance targets that it is unlikely to meet. Oracle Health isn’t going anywhere, thanks to (a) a lack of viable alternatives; and (b) its no-bid selection under Jared Kushner in the first Trump administration, which likely shields it from budget cuts. Oracle has also ingratiated itself with the federal government in ways Cerner never could have, such as making former CMS Administrator Seema Verma the EVP/GM of Oracle Health. Plenty of verbal vaporware has been dispersed from all sides, none of which has scared VA leadership enough to force real commitments or change. Congressional frustration at spending up to $50 billion with little to show for it so far is palpable, most of it aimed at the VA and not Oracle Health, which the DoD implemented just fine.

From AnInteropGuy: “Re: Veradigm. Has performed a RIF, effective Friday. Not sure how many, but the Payer and Life Sciences units have been affected.” Unverified, but entirely likely.

From Barn Burner: “Re: Mark Cuban. Says companies who are buying insurance should hire a healthcare CEO to make benefits decisions rather than allowing an HR leader or insurance broker to run the program.” Cuban observes that healthcare is the only industry where a employer company’s CEO and CFO are blocked from accessing their expense data (such as prescription claims) to help make benefits decisions. Contracts bar executives from discussing pricing or supply with drug manufacturers, who themselves can’t see claims data. He also faults pharmacy benefit managers for not pressuring manufacturers and payers, advocating instead for a pass-through PBM that charges fixed administrative fees rather than profiting from hidden rebates and discounts.

From Slinky: “Re: Epic ERP. I interviewed with Neal Patterson for a position at Cerner in the 1990s. I asked why the company’s plans for Health Network Architecture didn’t include a patient accounting systems. His response was, ‘Why would I want to go spend millions of dollars on a me-too product and think that I can be successful starting with zero percent market share?” That was probably a sound short-term decision as CEO of a publicly traded company, but not so good for future-proofing since patient accounting shortcomings cost Cerner a lot of customers.

From Doggedly: “Re: CHIME. They are taking the HIMSS direction and creating a vendor-friendly media company.” CHIME is looking for a sales pro “with a hunter mentality” to “drive engagement with healthcare technology vendors.” It states HIMSS-like aspirations to “position CHIME as the premier media and research partner for healthcare technology vendors.” I don’t find this objectionable since it’s targeting salespeople. However, it’s a reminder that member organizations love revenue and largely generate it by charging supplier members for access to potential buyer members in publications and conferences, which usually makes “news” synonymous with “PR fluff.” I started HIStalk because HIMSS Media was where seldom was heard a discouraging word about vendors, i.e. the target audience for selling ads and conference booths.


HIStalk Announcements and Requests

Spare a minute to fill out my reader survey and you’ll be helping me make HIStalk better (or maybe prevent me from making it worse).

Thanks to Dan for letting me know that my “subscribe to updates” option wasn’t working. Fixing the issue changed the link, so click here to get email updates.

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I’ve hit a weekly rhythm with these LinkedIn carousels. Let me know if you have ideas for other uses of this fun format.


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Welcome to new HIStalk Platinum Sponsor Infinx. Founded in 2012, Infinx provides scalable, AI-driven solutions to optimize the financial lifecycle of healthcare providers across all functions of patient access and revenue cycle management. Our cloud-based software, powered by AI and automation, is leveraged by experienced consultants and billing specialists across the US, India, and the Philippines. We help 172,000 healthcare professionals across 4,000 facilities capture more revenue, stay ahead of changing regulations and payer guidelines, and focus on patient care. Thanks to Infinx for supporting HIStalk.

Here’s a good Infinx explainer video that I found on YouTube.


Sponsored Events and Resources

Live Webinar: March 20 (Thursday) noon ET. “Enhancing Patient Experience: Digital Accessibility Legal Requirements in Healthcare.” Sponsor: TPGi. Presenters: Mark Miller, director of sales, TPGi; David Sloan, PhD, MSc, chief accessibility officer, TPGi; Kristina Launey, JD, labor and employment litigation and counseling partner, Seyfarth Shaw LLP. For patients with disabilities, inaccessible technology can mean the difference between timely, effective care and unmet healthcare needs. This could include accessible patient portals, telehealth services, and payment platforms. Despite a new presidential administration, requirements for Section 1557 of the Affordable Care Act (ACA) have not changed. While enforcement may unclear moving forward, healthcare organizations still have an obligation to their patients for digital accessibility. In our webinar session, TPGi’s accessibility experts and Seyfarth Shaw’s legal professionals will help you understand ACA Section 1557 requirements, its future under the Trump administration, and offer strategies to help you create inclusive experiences.

Live Webinar: March 27 (Thursday) noon ET. “How to Improve Clinical Workflows with AI Chart Summaries and Risk Predictions.” Sponsor: Health Data Analytics Institute. Presenters: Scott Cullen, MD, senior advisor, Health Data Analytics Institute; David Clain, chief product officer, Health Data Analytics Institute. Learn how the EHR-embedded HDAIAssist tool is transforming the ability of clinicians to pull insights out the mountains of data that have accumulated in the EHR, quickly, accurately, and cost-effectively. HDAlAssist, which is part of HealthVision, the intelligent health management system, combines AI chart summaries and granular risk predictions to quickly inform care planning decisions, especially for the most complex, high-risk patients.

EBook:7 Performance Benchmarks Every Medical Practice Must Know.” Sponsor: UnisLink. This free EBook lists seven critical KPIs for revenue cycle efficiency, how to calculate each one, steps to improve, and benchmarking data.

Contact Lorre to have your resource listed.


Acquisitions, Funding, Business, and Stock

TruBridge announces Q4 results: revenue up 2%, EPS –$0.38 versus –$2.92. TBRG shares have gained 206% in the past 12 months, valuing the company at $415 million.

Scotland-based Craneware reports record results, which it attributes to US hospitals refocusing on efficiency following the presidential election.


Sales

  • New Mexico Health Care Authority chooses Findhelp to power a statewide closed-loop referral system.
  • Citizens Memorial Hospital will implement the closed-loop referral system of Unite Us, which it will integrate with Meditech Expanse.

People

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Symplr hires Mike Valli (Optum) as chief commercial officer and Scott Sbihli, MBA (Inovalon) as chief product officer.


Announcements and Implementations

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A new KLAS report on physician message burden notes that 59% of patients are using technology to communicate with their provider’s office before and after visits, which has driven message volume up and EHR satisfaction down. Recommend solutions:

  • Have staff triage and manage messages that don’t involve clinical decision-making.
  • Provide dedicated time for clinicians to manage charting and messages.
  • Limit message length and the number of messages a patient can send in a given time period.
  • Don’t let patients send messages if they haven’t had an appointment in more than one year.
  • Auto-delete old messages.
  • Use a single platform for all message types and improve remote access to charts.
  • Provide message search and filter functions.
  • Use automated messages to let the patient know their message was received and when they can expect a response.

Government and Politics

Two US representatives reintroduce the Patient Matching and Transparency in Certified Health IT Act of 2025, directing the HHS secretary to convene stakeholders to establish patient matching standards and track match rates. The bill also requires ASTP to develop a minimum data set for patient matching as part of EHR certification.


Sponsor Updates

  • CMS approves UnisLink as a Qualified Clinical Data Registry for the 2025 MIPS reporting program.
  • Black Book Research’s latest analysis features the top six customer-rated virtual care platforms in 2025.
  • Wolters Kluwer Health announces that it is integrating its UpToDate clinical decision support solution with the healthcare agent service in Microsoft Copilot Studio.
  • Health Data Movers releases a new episode of its “Quick HITs” podcast titled “Optimizing Medical Technology: Cost Savings, AI, and the Future of Healthcare with Ramana Sastry.”
  • Healthmonix names Emily Krysa-Hobson sales development representative.
  • Linus Health announces that its leaders, staff, and affiliates have authored 72 peer-reviewed publications and presented at 75 conferences since 2019.

Blog Posts


Contacts

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

EPtalk by Dr. Jayne 3/13/25

March 13, 2025 Dr. Jayne 1 Comment

It’s rare for me to see patients without having at least some discussion about the cost of care. Patients usually want to know if the medication I’ve prescribed is a generic, or if they’re in a high-deductible health plan, whether it’s going to be cheaper if they use GoodRx or another discount program.

I trained in a place where generic prescribing was not only encouraged but expected, so many of these conversations are fairly straightforward unless I’m having to recommend a second- or third-line medication after others haven’t worked, or if I’m stuck prescribing one that I know tends to have coverage issues. Patients are becoming more financially savvy when it comes to healthcare costs, which is good considering that patients in the US borrowed $74 billion to cover healthcare costs last year. The US leads the world in medical bankruptcies, and according to recent data, nearly a third of patients are “very concerned” about the possibility of medical debt.

EHRs have become better at embedding data about drug pricing, sometimes putting it at the point of prescribing. This can be cool when implemented well, but when implemented poorly, it’s annoying. For example, if most of the medications that I prescribe cost less than $15 because they’re generic, I really don’t want to see warnings telling me that the drug is going to cost $6 or $8 or whatever it is. EHR-embedded data is also less than helpful when it doesn’t take into account things like deductibles or coinsurances or patients who have both primary and secondary insurance coverage. Maybe we can put some AI resources to work making that information more actionable and also more accessible.

The University of Michigan is planning to reach rural patients through the use of AI-powered mobile clinics. The aspirational goal is one where “general practitioners with AI help could make diagnoses, run and interpret tests, and perform procedures like specialists.” The project is in partnership with the Advanced Research Projects Agency for Health (ARPA-H) and would use vehicles “equipped somewhere between a doctor’s office and hospital.” Even without consideration of the AI element, the devil is in the details for something like this. What kind of lab services will be performed? Is it considered a moderate complexity lab? What is the location of service? How will regulators think about a facility that is constantly on the move?

Those interviewed in the article note that AI agents would “coach” physician assistants and nurses to performed more advanced procedures. I’d like to offer a wild solution to help increase the numbers of advanced procedures that are done across the US. How about we allow family physicians (MDs and DOs) to perform the procedures for which they were trained?

I trained in a high-acuity residency program and developed the skills to perform a variety of outpatient surgical procedures, endoscopies, and even C-sections. But there’s not a hospital in a 100-mile radius that would allow me to have privileges to perform any of those unless I’m a member of a residency program’s faculty. It seems that if we could leverage the skills that highly trained physicians are actually mastering during their training, we could help more patients without the expense of developing and implementing AI. Just a thought. But of course, AI is a lot sexier than allowing family physicians to operate at the top of their licensure, so there you have it.

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I was excited to learn that progress has been made in having state licensing boards and hospital credentialing offices remove certain questions from their applications that raise the risk that professionals won’t seek mental health services when they are needed. The Dr. Lorna Breen Heroes’ Foundation has been instrumental in promoting this effort to reduce the stigma of mental health issues among licensed clinicians. The foundation honors the memory of Dr. Lorna Breen, a long time emergency physician who died by suicide during the spring of 2020 while serving on the front lines of COVID. Many of us were in very dark places during that time as well as during other points in our careers. Thank you to the foundation for working to make sure that physicians can get help when they need it rather than worrying whether they will lose their licenses.

I missed this article the first time through the inbox, but I was glad to have caught it later. An original investigation that was published in JAMA Network Open looked at “Clinician Experiences With Ambient Scribe Technology to Assist With Documentation Burden and Efficiency.” The study follows roughly four dozen clinicians at the University of Pennsylvania Health System during two months in 2024, when they were using the DAX Copilot AI tool. Interesting tidbits: while use of the tool correlated with improved efficiency, reduced cognitive burden, and improved patient engagement during appointments, there was “mixed feedback regarding the length and quality of ambient scribe-generated notes.” Some users noted high error rates, but it’s unclear if that has any association with clinician subspecialty since there were 17 specialties represented among the 46 participants.

Notes were about 20% longer, which isn’t always a good thing, although sometimes having more details can make the difference long term. Multiple clinicians felt that the time they spent editing the notes balanced out any time savings during the workday. One of the most interesting tidbits, at least for this data nerd, was that net promoter scores (NPS) were all over the map. Thirteen clinicians were promoters, 11 were passive, and 13 were detractors, leading to an overall NPS of zero. It’s certainly not the overwhelming victory that those who are paying for it were likely hoping for.

I’d love to see this kind of project reproduced in single-specialty cohorts, matching for patient complexity and other factors. I’d also like to see it done at more than one academic institution. Another study limitation was the fact that all participants opted in, which certainly doesn’t reflect how I see physicians embracing (or not embracing) new technologies in the real world.

Have you personally used ambient documentation tools, and what did you think of them? Leave a comment or email me.

Email Dr. Jayne.

Morning Headlines 3/13/25

March 12, 2025 Headlines Comments Off on Morning Headlines 3/13/25

Motivity Announces $27M Growth Investment from Five Elms Capital to Advance Innovation and Scale Operations

Applied behavior analysis software vendor Motivity raises $27 million and announces new leadership.

Greenspace Health Secures Series B Investment from ABS Capital to Advance Innovation in Behavioral Health through Measurement-Based Care

Greenspace Health, which offers measurement-based care software for mental healthcare providers, secures Series B funding from ABS Capital Partners.

Knack RCM Announces Acquisition of PPM Partners, Expanding Expertise in Anesthesia Revenue Cycle Management

Knack RCM acquires PPM Partners, an Alabama-based company that offers anesthesia billing and practice management services.

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Healthcare AI News 3/12/25

News

OpenAI introduces a developer platform for building AI agents that includes tools to perform web and file searches and to perform web-based tasks similar to its Operator browser.

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NHS England is deploying an AI tool that can predict a patient’s risk of falling with 97% accuracy. The software, which was developed by Cera, is also being used to predict deterioration in home care patients.

A study finds that patients slightly preferred AI-generated responses to their portal questions over human-written ones, but reported lower satisfaction when told that the response came from AI. The authors conclude that patients should be told that AI was used since it didn’t reduce satisfaction significantly. They also polled patients on their preferred wording of the disclosure, with the winner being, “This message was written by Dr T. with the support of automated tools.”


Business

Memorial Sloan Kettering Cancer Center completes a pilot of Abridge’s AI ambient documentation and plans a broad rollout over the next two years.

AI drug discovery company Insilico Medicine deploys a “bipedal humanoid” to train AI systems on the tasks performed by laboratory scientists. They are also using the robot, called “Supervisor,” to assist with lab tours, telepresence, and lab supervision.


Research

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Researchers find that LLMs show promise in reducing pediatric medication dosage errors. A medication ChatGPT and Claude were more accurate and faster than pediatric and neonatal nurses, while Llama performed poorly due to an apparent weakness in its calculation logic. The authors recommend evaluating specific LLMs rather than treating all of them as equally capable.

LLMs exhibit “anxiety” when processing emotional mental health topics like interpersonal violence and accidents. Researchers found that mindfulness-related prompts could help regulate the model’s responses, similar to how human therapists manage their emotional reactions while maintaining empathy.

Stanford researchers use AI to identify a naturally occurring prohormone that is as effective as Ozempic in weight loss without the side effects of nausea, constipation, and loss of muscle mass.


Other

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Patients are using LLMs to analyze their hospital bills for charges that exceed state and national averages. New startup OpenHand is offering similar analysis, after which the company negotiates with providers to lower the bill.

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TikTok users report that AI-generated deepfake doctors are spreading medical advice on topics like surgery, diet, and cosmetic procedures. Some use the Captions app to create and edit AI videos that can be easily replicated with different messages, which is how the users noticed the fakes.


Epic and Agentic AI

A reader asked for my take on Epic’s plans for agentic AI. I have no inside knowledge, so this is pure spitballing.

Some background. Agentic AI acts independently to achieve goals without human oversight while responding dynamically to its environment. Think self-driving cars. It renders robotic process automation (RPA) obsolete, as RPA relied on rigid rules and predefined inputs. It’s hard to believe it’s been just four years since Olive was health tech’s hottest startup.

Non-agentic AI, by contrast, requires human direction. Chatbots are an example. They answer questions and retrieve information but don’t take external actions like scheduling appointments. In between are limited function, app-specific copilots that assist users without initiating decisions.

The business case for agentic AI is workflow automation, reduced labor costs, real-time monitoring (cybersecurity, throughput, resource allocation), and rapid feature deployment. Instead of modifying core systems via traditional coding, testing, and releases, AI can introduce new functionality faster and allow customization at the client level. It also streamlines integrations with external systems. All of this is theoretical, of course, and is heavily dependent on the vendor and user organization.

Epic has already embedded non-agentic AI across its platform, with use cases like drafting patient replies, simplifying documents, automating prior authorizations, and enabling voice control. These are quickly becoming table stakes with AI’s ubiquity.

Agentic AI is the logical next step, and Epic seems to be out front, although Oracle Health’s plans aren’t quite clear yet either. Early implementations will likely focus on low-risk back-office tasks, then expand into clinical support, population outreach, and automated reminders. Unlike third-party AI vendors that rely on brittle workarounds like screen scraping, Epic can integrate AI natively and provide scalability and stability.

AI’s role in clinical decision support is gaining acceptance, as long as a human remains in the loop as FDA requires to avoid inviting regulation as a medical device. Future AI applications could preassemble patient histories, flag care gaps, match patients to clinical trials, and pull relevant literature. AI could also be used to personalize the patient’s treatment and communication.

Few vendors have the resources to develop and support AI agents that have unknown ROI. Reputational risks from AI errors and regulatory scrutiny will be a deterrent for some companies. Another possible barrier is the willingness of a developer-focused software company to allow an AI agent to take over software flow but still support normal user interaction.

Epic benefits from its homogeneous customer base and a track record of incremental software development. It doesn’t need to chase AI-jazzed investors, so it can roll out tools when it’s ready in an Minimum Viable Product-type approach. 

Epic also has advantages such as its Cosmos data repository, the ability to integrate deeply with its existing products, and the market power to influence what partners and competitors do.

I would expect Epic to deploy both agentic and non-agentic AI initially to reduce clinician burden and surface relevant insights within workflows. It will probably have another group working on reducing the health system labor that is needed to basically push (electronic) paper that someone outside the health system requires. It will eventually use AI to adapt its underlying software to user preferences. It will probably tread lightly at first with clinical functions, making sure to allow opt-outs and human overrides when the AI’s confidence is low.

On the big-picture operational side, Epic will position itself as offering an intelligent, proactive platform for hospital management, which people have been talking about for years. That will be a significant development assuming that early adopters show measurable improvement in moving from “tools” to “systems.”

Success depends on Epic’s ability to build new expertise in AI and determine the level of cloud dependency its customers will accept. It’s likely already working with an early adopter cohort, though we won’t hear much outside of UGM presentations. By August, we should have a clearer picture of its direction. Anything in the meantime is speculation, which I wouldn’t have offered if the reader hadn’t asked. Your thoughts are welcome.


Contacts

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

Morning Headlines 3/12/25

March 11, 2025 Headlines Comments Off on Morning Headlines 3/12/25

Hinge Health Files Registration Statement for Proposed Initial Public Offering

Digital physical therapy provider Hinge Health files IPO paperwork.

Tempus Announces Acquisition of Deep 6 AI

Precision medicine technology vendor Tempus AI acquires Deep 6 AI, which has developed software that matches patients with clinical trials using EHR data.

RLDatix acquires IPeople Healthcare

RLDatix, which offers healthcare governance, risk, compliance, and workforce management solutions, acquires downtime continuity and Meditech-focused professional services company IPeople Healthcare.

Vori Health Secures $53 Million in Series B Funding to Transform Value-Based Musculoskeletal Care

Virtual orthopedic care provider Vori Health raises $53 million in a Series B funding round, bringing its total raised to $103 million.

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News 3/12/25

March 11, 2025 News 6 Comments

Top News

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Digital physical therapy provider Hinge Health files IPO paperwork.

The company’s most recent funding round in October 2021 raised $600 million, valuing it at $6 billion.

Hinge sells its services to employers and payers. It estimates the direct and indirect costs of back and joint pain at $1.3 trillion per year.


Reader Comments

From Pomme: “Re: Epic ERP. Judy Faulkner used to tell the story of ‘Atalanta and the Golden Apples’’ to represent opportunities that Epic must ignore to stay on mission. It describes how Hippomenes won a race against Atalanta by dropping golden apples that Atalanta stopped to pick up, which slowed her down just enough to allow Hippomenes to win. ERP sounds like a bushel of golden apples. I hope she is just messing with Oracle.”

From Bill Spooner: “Re: Epic ERP.  Developing a full ERP system is not a quick and easy task. Epic needs to decide if this is right for them. It’s hard to imagine it replacing Workday or Oracle, yet it could be a smart play for smaller institutions.”

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From  Brendan Keeler: “Re: Epic ERP.  The announcement is not surprising in the slightest. It is concretely related to their Health Grid strategy —  build network effects products to new verticals as a wedge / beachhead and offer a related system of record (CAPS, CTMS, ERP, LIS, pharmacy information system) that natively performs between with those network effects products. Along the same lines, they also announced a clinical trials management system. I predicted this last month.”

From Slow Green: “Re: Greenway Health. The profiles of CEO Pratap Sarker and Chief of Staff Frank Pirantino have been removed from the company’s leadership page.” Verified. The page now lists industry veteran Richard Atkin, who served as CEO from 2018 to 2022, as CEO once again. Atkin is a principal with Vista Equity Partners, which owns Greenway and tried to sell it, apparently unsuccessfully, a year ago.


HIStalk Announcements and Requests

Drop your knowledge bombs in my reader survey, which you can complete in a minute or two. I haven’t done one since 2021, so it needs a refresh.


Sponsored Events and Resources

Live Webinar: March 20 (Thursday) noon ET. “Enhancing Patient Experience: Digital Accessibility Legal Requirements in Healthcare.” Sponsor: TPGi. Presenters: Mark Miller, director of sales, TPGi; David Sloan, PhD, MSc, chief accessibility officer, TPGi; Kristina Launey, JD, labor and employment litigation and counseling partner, Seyfarth Shaw LLP. For patients with disabilities, inaccessible technology can mean the difference between timely, effective care and unmet healthcare needs. This could include accessible patient portals, telehealth services, and payment platforms. Despite a new presidential administration, requirements for Section 1557 of the Affordable Care Act (ACA) have not changed. While enforcement may unclear moving forward, healthcare organizations still have an obligation to their patients for digital accessibility. In our webinar session, TPGi’s accessibility experts and Seyfarth Shaw’s legal professionals will help you understand ACA Section 1557 requirements, its future under the Trump administration, and offer strategies to help you create inclusive experiences.

Live Webinar: March 27 (Thursday) noon ET. “How to Improve Clinical Workflows with AI Chart Summaries and Risk Predictions.” Sponsor: Health Data Analytics Institute. Presenters: Scott Cullen, MD, senior advisor, Health Data Analytics Institute; David Clain, chief product officer, Health Data Analytics Institute. Learn how the EHR-embedded HDAIAssist tool is transforming the ability of clinicians to pull insights out the mountains of data that have accumulated in the EHR, quickly, accurately, and cost-effectively. HDAlAssist, which is part of HealthVision, the intelligent health management system, combines AI chart summaries and granular risk predictions to quickly inform care planning decisions, especially for the most complex, high-risk patients.

Contact Lorre to have your resource listed.


Acquisitions, Funding, Business, and Stock

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Oracle reports Q3 results: revenue up 6%, EPS $1.02 versus $0.85, missing Wall Street expectations for both. The only healthcare-related mention was in Larry Ellison’s response to a question about AI agents. He sounded pretty stoked about it, with these snips from his lengthy answer:

  • Oracle’s key differentiator in healthcare is the quality of its AI agents, which include ambient documentation and a pre-visit provider summary.
  • The company is also developing an AI-powered prior authorization tool, which Ellison expects to drive healthcare sales by  reducing costs.
  • He says, “We’re selling more and more healthcare systems because we have a lot of AI agents embedded in them.”

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RLDatix, which offers healthcare governance, risk, compliance, and workforce management solutions, acquires downtime continuity and Meditech-focused professional services company IPeople Healthcare.

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Digital health and remote patient monitoring company CoachCare acquires virtual care vendor VitalTech, its eighth acquisition in the last two years.

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Virtual orthopedic care provider Vori Health raises $53 million in a Series B funding round, bringing its total raised to $103 million.


People

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SmarterDx names Jacob Schiftan (Viz.ai) VP of product and Tom Dougherty, MBA (Care Continuity) head of sales.

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Agfa HealthCare appoints Omar Sunna, MBA (Microsoft) chief customer officer for North America.

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Trent Green, MBA, MHA (One Medical) joins NRC Health as CEO.

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Emids names Abhishek Shankar, MBA (Tech Mahindra) CEO.

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OptimizeRx promotes Steve Silvestro, MLA to CEO.


Announcements and Implementations

Zoom pilots its new AI-enhanced Workplace for Clinicians technology, which was developed for in-person and virtual appointments.

ECRI lists its most significant threats to patient safety for 2025:

  • Dismissing the concerns of patients, family members, and caregivers.
  • Lack of governance of artificial intelligence.
  • The spread of medical misinformation.
  • Cybersecurity breaches.
  • Caring for veterans in non-military health settings.
  • Substandard and falsified drugs.
  • Diagnostic error in cancers, vascular events, and infections.
  • Healthcare-associated infections in long-term care facilities.
  • Inadequate coordination during patient discharge.

Government and Politics

In England, former health secretary Steve Barclay says that NHS “spends too much on foreign IT systems” and should prioritize British companies instead.

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The US Navy will offer sailors and their dependents free access to digital services from Talkspace as part of a new mental healthcare program that is being piloted at six bases.


Privacy and Security

Therapists at the VA’s clinical resource hubs are protesting being forced to conduct virtual mental health sessions from open cubicles. The therapists, who worked remotely until ordered to return to the office, are housed in facilities that lack private offices. VA leadership reportedly stated that “screen protectors, a white noise machine, and a headset is [sic] sufficient to ensure patient privacy in a large bullpen of cubicles.”

Business Insider reports that some states are requiring Bamboo Health to track the prescribing of abortion pills in their prescription monitoring programs that were designed for opioid tracking. Louisiana has reclassified misoprostol and mifepristone as controlled substances, which requires clinicians to log them into Bamboo’s system. Texas, Indiana, and Idaho are considering similar measures. Bamboo says that it is legally obligated to monitor the drugs in states that require it. Doctors are raising concerns about data access, as the information isn’t protected by HIPAA and can be viewed by state health departments, medical examiners, and law enforcement under certain conditions.


Other

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HIMSS26 will be held March 9-12 in Las Vegas next year, according to parent company Informa Connect. ViVE, meanwhile, will take place February 22-25, this time in Los Angeles.

Consultants discover that Health New Zealand, whose annual budget is $18 billion, manages its finances using a single Microsoft Excel worksheet. The health minister recently highlighted HNZ’s fragmented digital infrastructure, which includes 6,000 apps and 100 digital networks.


Sponsor Updates

  • AGS Health publishes a new white paper, “The RCM Maturity Framework: A 4-Stage Journey to Digital Transformation and Operational Excellence.”
  • Wolters Kluwer Health announces that Phrase Health will integrate its UpToDate clinical decision support solution with Phrase Health’s EHR workflow optimization software.
  • A new Waystar report identifies the top six RCM trends of 2025.
  • CereCore releases a new podcast titled “From AI to EHR: How to Approach Healthcare Innovation Today.”
  • Black Book Research shares highlights from its recent survey of AMIA members on AI-driven healthcare innovations and interoperability advancements.
  • Capital Rx releases a new episode of “The Astonishing Healthcare Podcast” titled “How First-Movers are Taking Control of their Health Plans in 2025, with Jeff Hogan.”
  • The “Thriving Practice” podcast features Arrive Health CEO Kyle Kiser in an episode titled “From Hours to Minutes: Transforming Prior Authorizations with Arrive Health.”
  • Artera exhibits at AAOS through March 14 in San Diego.
  • Censinet releases a new report titled “Choosing the Right Healthcare TPRM and ERM Solution.”
  • Clearwater announces new innovations in its Security Operations Center Portal and IRM|Analysis software.
  • NHS Ayrshire & Arran in Scotland implements TrakCare as a Service from InterSystems.
  • Symplr releases the results of its “2025 State of Healthcare Supply Chain Survey” in a new e-book.
  • MRO introduces automated HEDIS data retrieval.

Blog Posts


Contacts

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

Morning Headlines 3/11/25

March 10, 2025 Headlines Comments Off on Morning Headlines 3/11/25

CoachCare acquires VitalTech

Digital health and remote patient monitoring company CoachCare acquires RPM vendor VitalTech, its eighth acquisition in the last two years.

MoveUp to Acquire Deep Structure.ai, Strengthening AI-Driven Orthopedic Care

MoveUp, a global digital health company focused on remote patient monitoring and rehabilitation, acquires digital orthopedic care delivery business Deep Structure.ai.

Software bug at firm left NHS data ‘vulnerable to hackers’

Care coordination and referral company Medefer comes under fire in England for mishandling an API flaw that left NHS patient referral data exposed to potential data breaches.

Comments Off on Morning Headlines 3/11/25

HIStalk Interviews Ed Gaudet, CEO, Censinet

March 10, 2025 Interviews Comments Off on HIStalk Interviews Ed Gaudet, CEO, Censinet

Ed Gaudet is founder and CEO of Censinet.

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Tell me about yourself and the company.

I started Censinet in 2017 to help healthcare providers deal with the risk around their third-party providers whether they be vendors, technology vendors, consultants, or any type of third party that could introduce risks into a health system. We have recently extended into the enterprise side of risk management, those areas of risk that are internal to a health system.

What type of risks are associated with third-party relationships?

If you look at the data that the American Hospital Association has put out and the OCR wall of shame, where they post the breaches and the data around cyber incidents in healthcare, you find that about half or more of these incidents are related to third parties. These third parties could be software providers, hardware providers, medical device providers, API vendors, or consultants who have access to the network. Any type of third party that is critical, or maybe even non-critical, has access to the network, or is working with the clinical data and or administrative data. They may not have the type of controls that the hospital has or the maturity of cybersecurity, whether their processes aren’t up to date or they are not  implementing the right technical controls to protect against attacks, data breaches, or disruption to critical systems. These third parties represent risk to a health system.

Does that risk change with cloud adoption?

Yes. It changes with any type of technology adoption. Those become vectors to attack. Look at AI. AI exponentially changes the attack surface. It will be the next frontier for cybersecurity organizations, security professionals, and risk management professionals because it’s the wild, wild West out there with AI adoption. We’re at the top of the first inning and we’ve got the first batter at the plate as it relates to AI adoption. It’s really early days.

We think of ransomware when we hear the word cyberattack, but what are other common methods that may not even specifically involve malware?

You’ve got the deepfake issue, which could be audio or video. Phishing attacks are going to get better and more accurate. I think they will come at us exponentially. The scale of the attacks, given what you can do with AI, is going to be much greater. We have to leverage AI for defensive purposes, not just for clinical use or patient care cases. We also have to look at it from a risk management and cybersecurity perspective.

I was reading that someone has developed AI that can mask foreign accents, and I assume it can also mimic anyone’s voice, both of which would take away one red flag about social engineering attacks.

Is this really Mr. H that I’m talking to today, or is it somebody else on your team? I guess that’s the point. How will we know and how will we verify these things that have been easily verifiable from an analog perspective, but now are now digital or electronic? It’s going to get much harder.

Imagine that your spouse calls you and says they need money because they have been abducted or has a flat tire and needs to pay the AAA person money via Venmo. These attacks are going to get more personal, and we are largely not ready for it.

How are health systems collaborating to share their cyberattack experiences?

One of the ideas that we had, looking at the state of the art back in 2017, was that there were a lot of manual approaches to risk management. We felt like there was not only an opportunity to drive automation at the workflow level, but do it in a way that gave leverage to the community. This is the guiding principle of how I looked at solving the problem. How do I give leverage back to the community that is managing risk on both sides of the transaction, whether it be the provider, the health system, the CISO, the CISO’s team of risk analysts, but also those third parties that have to go through that process of a security risk assessment?

At the time, everything was a point-in-time approach to a risk assessment. We believe that risk has a heartbeat and a life cycle. All  points from cradle to grave and in between represent opportunities for risk. You can acquire a product or service and have a good sense of the out-of-the-box risk. But what happens when you technically integrate and configure that product internally? You will have different knobs and you will configure it in a way that is different from the next health system. Those have to be considered. 

Then what happens when upgrades, patches, or new functionality are introduced? If you look at AI as an example, everyone is thinking about AI coming into the organization from the front door. I think the bigger risk is it coming in through the window, through the back door, or through the basement. You have all of these technologies in play and being managed, and they are introducing AI into their products through upgrades, point releases, or patches. How can health systems and CISOs keep up with new risks that are introduced not just via adoption or acquisition, but also through the implementation, configuration, and usage?

We’ve seen plenty of scenarios where a product was acquired to solve a specific use case that did not require protected health information. Then users got their hands on the application and started leveraging it, maybe in ways it wasn’t designed to do, such as including PHI. All of a sudden you go from a non-business associate to a business associate relationship. You don’t have all of the protections that would be in place in terms of a BAA being signed, or any of the insurance obligations that a BAA might have to take on, because the initial intention was this different type of relationship.

What are the lessons learned from the breach of Change Healthcare? It was a critical supplier to health systems and a new acquisition for UnitedHealth Group, which said it found out afterward about Change’s security deficiencies.

It goes back to this lifecycle approach to risk versus a point in time. During the lifecycle, during the relationship that you have with a vendor and the product set, there are plenty of opportunities to introduce risk. One of those is ownership.

When I was at ViVE last year, I was speaking to a couple of customers as the breach was announced. They said, “We don’t use Change Healthcare, so we’re good.” Within 48 hours, they realized that they actually did use Change Healthcare through an acquired product that they relied on. 

There’s always danger of that introducing new risk. That risk is around concentration. You have a critical function in your organization, a business process that is directly linked to your ability to collect revenue. All of a sudden it shuts down and that spigot is turned off. Now you have operational disruption. You only have so much cash on hand. That was another big aha. We have to deal with all that disruption, but we also have limited cash on hand. We can only sustain operations for a certain number of weeks.

Complacency set in. We got comfortable relying on one vendor over time to do a very critical function. In fact, we may have created that scenario, because we may have signed up for exclusivity clauses and contracts. There may have been an exclusivity clause that required us to go all in with a particular vendor. That sounds good on paper until something like this happens. Where you haven’t built up a resiliency plan, you don’t have continuity in place. You haven’t thought about alternatives that you may need to activate in the event of an incident like Change Healthcare. A lot of lessons came out of this incident.

What advice would you give a hospital CEO about vendor and supply chain risk management?

People tend to confuse these two areas. Vendors tend to be supportive of a particular business process, whether it’s a critical clinical function, an administrative process, or an operational process. If you look at health systems today, every organization and every department leverages a technology-based business process. I can’t think of another function that isn’t relying on some technology to meet its goals and objectives in support of the company’s growth or other mission. You also realize that there are opportunities where you need to include certain components in the things that you create or deliver as a service. Think of them as ingredients. I think of a supply chain as those things that I need to create my end service or product. That’s how I think about the difference between those two things.

Do you see an opportunity to use AI to further develop your offerings?

Absolutely. In fact, we made a couple of announcements at ViVE. We’ve been working with AI for the last couple of years. We took a conservative, responsible approach to it because we’re a risk management company. We have to put security first for our customers.

For us, it was all about identifying those use cases where we could drive efficiency of process.  There’s a lot of process automation and solutions that AI can enable through making things faster, better, cheaper.Then there’s the whole data aspect of AI. What things can we learn from the data? What insights can we gather that we couldn’t because we didn’t have these language models that would enable this in a way that was truly, truly scalable? 

We’re applying it in those two ways, generally speaking. We also took a step back and thought about how we would apply it to our product sets.The first thing we did was create Censinet AI, which is a foundational set of services that are secure, proprietary, and native. We don’t rely on ChatGPT or any open API language models. They are all built on the AWS stack. We went all in with AWS, Bedrock, and Anthropic Claude and their models. 

That architecture enables secure capabilities that can be turned on by demand by customers. Customers can opt in to choosing to activate to turn on those capabilities or not. They can do it based on their appetite and also their timeline. We have some customers that are ahead of everyone else, and they want to jump right in with AI. They trust us to protect the infrastructure, so they are going to turn them on quickly. Other customers will go slowly and turn them on over time as their governance processes mature.

Vendors are coming out and saying, hey, we have a solution, and it’s all AI based. We think that’s a failed approach, and people are going to get into trouble. We think that  the approach to be more prescriptive and controllable by the end users is the way to go.

How do you expect the federal government’s role in healthcare cybersecurity to change under new leadership?

Censinet has been at the forefront of working the HHS 405(d)  initiative and with the Health Sector Coordinating Council on things like the landscape analysis that we worked on in conjunction with CMS to create the cybersecurity performance goals, which came out of CISA. We thought those would be the foundation for a standard that health systems could actually adopt. I called it Meaningful Protection, analogous to Meaningful Use. Can we create this level or threshold of protection that we can all agree on. that is affordable, and could move the needle on patient safety?

That all was heading in the right direction. They realized last year that because the Cybersecurity Performance Goals were voluntary, they couldn’t be turned into laws. They needed another vehicle, so HIPAA was opened up. A comment period was started based on a HIPAA proposal a new rule that was generated. The administration change risks that being slowed down significantly or being canceled altogether. We’ll have to wait and see how it plays out.

But to your point, there’s a lot of movement in all of the different agencies. CISA lost a lot of their leaders and also risks being completely shut down, which I think would be a disaster. HHS has lost a lot of great leaders like Micky Tripathi and Nitin Natarajan. Between CISA and and the people at the HHS, we’re taking a wait and see approach. We’re going to continue to move the process towards the extension of HIPAA to include the CPGs or the intention of the CPGs.

What factors will be important parts of the company’s strategy over the next few years?

We continue to evolve the platform. We have over 50,000 vendors and products on one side of the network. We have a couple hundred providers on the other side of the network. We continue to build the product to address new use cases.

AI is a particular area. Not only are we have invested in our infrastructure and our product set to bring these AI features to market, managing the risks of AI as core to the product as well.  We have capabilities that enable AI governance through workflows and through content curation. On the vendor side of the network, we leverage the data in a way that enables these third parties to assess their protections and their security in an AI context.

We will continue to move the needle for our customers, both the third parties as well as the providers. We are also excited about agentic AI and what that can bring to the table in the longer term. We recognize that there’s a lot of unknowns there and there’s a lot of risks associated with agents going off and not only identifying relevant data, but then turning that into action and conducting the action on behalf of humans. We think that is coming and we need to do it in a secure and a responsible way.

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Readers Write: A Revenue Cycle Disruptor Perspective and the Future of Healthcare Finance

March 10, 2025 Readers Write 1 Comment

A Revenue Cycle Disruptor Perspective and the Future of Healthcare Finance
By Heather Dunn

Heather Dunn, MBA is chief revenue officer of Novant Health.

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I recently moderated a panel discussion at the HFMA Western Symposium with an amazing group of healthcare leaders and “disruptors” in the revenue cycle industry. We talked about what it takes to innovate in a very regulated environment, how to break out of the mold in revenue cycle, and how to succeed while facing great internal constraints. The lessons that we shared from this conversation have shaped my thinking of what it means to be a disruptor in any setting.

The healthcare finance landscape is evolving rapidly, and innovation is at the heart of this transformation. From the introduction of AI-driven tools to the resurgence of RPA (robotic process automation) and the focus on predictive analytics that help reduce costs and make revenue cycles more efficient, we are witnessing a fundamental shift in how healthcare finance operates.

But innovation isn’t just about adopting new technologies; it’s about rethinking our challenges and reimagining what’s possible. We’ve seen industry disruptors challenge the status quo and bring forward new solutions that fundamentally change how we manage claims processing, denial prevention, and payment integrity.

Game-Changing Innovations

Healthcare finance has long been weighed down by inefficiencies, whether it’s cumbersome claims processes, endless back-and-forth with payers, or the sheer administrative burden of staying compliant. But recent innovations are flipping the script:

  • AI-powered claims analysis. Custom machine-learning technology is helping hospitals and providers analyze medical claims and remittance data to pinpoint the root causes of denials and underpayments. Instead of playing defense, healthcare organizations can now predict and prevent revenue loss before it happens.
  • Rethinking cybersecurity preparedness. With cybersecurity threats on the rise, new solutions are stepping in to ensure that financial operations remain uninterrupted even during an outage. Given how interconnected revenue cycle management is with IT infrastructure, having a fail-safe plan in place is no longer optional, it’s essential.
  • National payer scorecard. Transparency has always been a challenge in healthcare finance. With the creation of a national payer scorecard, organizations can now access critical insights into payer performance, helping them make more informed financial decisions.
  • Business partner relationships. These relationships can help health systems keep up with how the industry is changing. Health systems should challenge their business partners to bring them solutions that will make them more efficient and effective.

Lessons from the Trenches

As exciting as these innovations are, they don’t come without challenges. Healthcare is notoriously slow to adopt new technology, often for good reason. The complexity of regulations, interoperability hurdles, and the ever-present concern over cybersecurity risks mean that even the best ideas can face roadblocks.

  • Regulatory hurdles. States are introducing laws to regulate AI in healthcare. For example, California recently passed landmark legislation prohibiting health insurance companies from using AI to deny coverage. While AI holds immense promise, organizations must tread carefully and ensure compliance with emerging state and federal policies.
  • Cross-industry inspiration. Unlike industries such as retail or finance, healthcare has been slow to embrace automation. But we don’t have to reinvent the wheel. Looking at how other sectors have successfully leveraged AI and automation can provide valuable lessons in accelerating our adoption curve.
  • Balancing AI’s promise with reality. AI isn’t a magic wand. It requires the right data, ongoing monitoring, and a human-in-the-loop approach to be truly effective. The real question isn’t can we use AI, but how should we use it in a way that’s ethical, effective, and sustainable?

Actionable Takeaways

What can healthcare finance professionals do today to future-proof their revenue cycle strategies?

  • Start small, scale smart. If AI or automation seems overwhelming, begin with pilot projects that address your most pressing pain points, whether it’s reducing denials, improving payment integrity, or streamlining workflows.
  • Stay informed on legislation. The AI regulatory landscape is shifting quickly. Keeping up with state and federal guidelines will be critical in ensuring compliance and mitigating risk.
  • Invest in cybersecurity resilience. Cyber threats aren’t a matter of if, but when. Having a solid financial continuity plan in place is just as important as preventing breaches in the first place.
  • Look beyond healthcare for inspiration. Retail, banking, and even logistics have mastered AI-driven efficiencies. What lessons can healthcare borrow to accelerate adoption without falling into common pitfalls?

The Future is Now

The revenue cycle is no longer just about processing claims and getting paid. It’s about leveraging technology to create a smarter, more resilient, and ultimately more efficient system. Health systems rarely challenge the status quo. There is just a lot happening in their world every day. They need help to think about how tech and the future can change their revenue cycles work. The disruptors in this space are showing us that innovation isn’t just about new tech; it’s about new ways of thinking.

The real question isn’t whether the revenue cycle will evolve. It’s whether we will lead that change or struggle to keep up.

In every organization I’ve served, I’ve taken the approach of being a disruptor who is willing to embrace change. As I make my own career transition back to a patient care delivery organization, I am energized by the opportunities to be a disruptor yet again, to innovate, and to make a difference in the lives of patients and employees.

Readers Write: Why Healthcare Providers Need AI That Thinks, Not Just Repeats

March 10, 2025 Readers Write Comments Off on Readers Write: Why Healthcare Providers Need AI That Thinks, Not Just Repeats

Why Healthcare Providers Need AI That Thinks, Not Just Repeats
By Jaideep Tandon

Jaideep Tandon, MS is CEO of Infinx.

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For years, automation has been the go-to fix for revenue cycle inefficiencies. Healthcare providers rolled out robotic process automation (RPA) to handle tedious tasks like eligibility checks, claim submissions, and payment posting. It was a game-changer — until it wasn’t.

RPA works like a hyper-efficient intern. It’s great at following instructions, but completely lost when something unexpected happens. Need to reprocess a claim after a payer changes the rules? Sorry, that’s not in the bot’s programming.

With payer guidelines constantly shifting, denials on the rise, and administrative burdens growing, healthcare providers need more than automation. They need intelligence.

Why Traditional Automation Falls Short

RPA has its place, but it’s not built for the complexity of modern revenue cycle management (RCM). Its biggest weaknesses?

  • Zero adaptability. If a payer updates claim submission requirements, RPA bots don’t adjust — they just fail.
  • No contextual awareness. RPA doesn’t know why a claim was denied or what’s likely to happen next. It just moves data from one place to another.
  • No learning curve. AI improves over time, but RPA remains frozen in time unless someone reprograms it.
  • Can’t problem-solve. RPA won’t notice payer trends, optimize claim prioritization, or proactively prevent denials.

In short, RPA does what it’s told. AI figures out what needs to be done.

AI, the Next Step in Revenue Cycle Management

AI takes automation a step further. It doesn’t just complete tasks, it makes smarter decisions. Here’s how AI is reshaping revenue cycle management:

  • Accurate patient demographics. Patient name, date of birth, and insurance details must be correct from the start to prevent denials. AI-powered document capture extracts and validates this data automatically, reducing errors and ensuring that claims are submitted with accurate information.
  • Smarter prior authorizations. Prior auth delays are the worst. RPA can submit requests faster, but it can’t anticipate what payers need or adjust to shifting criteria. AI detects patterns, flags missing information in advance, and even suggests the best way to avoid follow-ups.
  • AI-powered coding audits. Billing rules are a moving target. AI-driven audits ensure claims are coded correctly the first time, preventing costly denials and compliance issues.
  • Intelligent A/R prioritization. Most revenue cycle teams treat all outstanding claims equally or assign rules arbitrarily, but not all claims have the same likelihood of getting paid. AI predicts which claims should be prioritized based on payer behavior, patient payment history, and contract terms, helping providers maximize revenue with less effort.
  • Denial prevention: catch issues before they happen. Instead of reacting to denials, AI predicts them. By analyzing payer trends and historical data, AI can flag risky claims before submission, reducing rework and accelerating reimbursements.

What Healthcare IT Leaders Should Consider

AI is only as good as its implementation. Before rolling out AI-powered RCM, healthcare CIOs should focus on:

  • Seamless integration. AI should complement, not replace, existing EHR and RCM systems.
  • Meaningful success metrics. AI’s impact should be measured by claim accuracy, denial reductions, and A/R improvements, not just automation rates.
  • AI + human collaboration. AI isn’t here to replace revenue cycle teams. It’s here to free them from repetitive tasks so they can focus on complex problem-solving.

Final Thought: The Future is AI (But Not the AI You’re Thinking Of)

Healthcare doesn’t need AI that just automates. It needs AI that thinks.

The future of revenue cycle management won’t be about simply working faster. It will be about working smarter. AI-powered decision-making will reshape how healthcare providers manage revenue, shifting from reactive firefighting to proactive optimization.

The question isn’t whether AI will transform RCM. The question is,: will you be ahead of the curve, or struggling to catch up?

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Curbside Consult with Dr. Jayne 3/10/25

March 10, 2025 Dr. Jayne 5 Comments

As a primary care physician and CMIO, I understand the importance of measuring things. We measure quality metrics, efficiency metrics, and various other factors to improve healthcare

During the early days of EHR adoption, long before the Meaningful Use years, I would encounter physicians who were against expanding the use of metrics in our physician group. We only had a small number of things we were measuring at that point – antimicrobial stewardship, appropriate testing for strep throat, patient satisfaction score, and a couple of other things. No more than five or six. However, physicians were concerned that we would start measuring a host of other things that would make their lives difficult, arguing that their patients were sicker and that having to demonstrate quality would detract from the care of those complex patients.

Fast forward a few years to the Meaningful Use days. The whole country was incentivized (or forced, depending on how you look at it) to start measuring many more elements. Fortunately, our EHR was long established and we were already delivering high quality care, so it was fairly straightforward to add a few metrics here and there to meet the regulatory requirements. We made sure as many processes were embedded in the workflows as possible and offloaded the vast majority of data capture to support staff so that our physicians didn’t become data entry clerks.

“I’ve seen the consequences when clinicians apply clinical guidelines to patients for whom they don’t make sense.. As we developed EHR training documents for upgrades and updates, I always made sure that we reinforced how clinicians can exempt patients or exclude patients from certain measures. Following the appropriate process in the EHR makes sure that providers aren’t penalized in the numbers for doing the right thing for a patient even though it sounds like it’s contrary to the guidelines. Usually, providers indicate a reason for the exclusion, which quality folks and researchers can use to understand why people aren’t being included in the measurements.

People ask how quality guidelines can be hurtful, so I’ll give an example. If you’re a patient who has had cancer, and who has had the offending body part removed, you need to be excluded from future screenings of that body part. If you no longer have a colon, you do not need a colonoscopy. I’ve been in enough patient support group meetings to hear stories that no one should ever have to hear, especially when there’s an easy way to make sure they don’t get reminder messages that add to their trauma.

This is important for organizations to understand when they are designing the reports that generate these reminders. There are ways to not only look at the exclusions, but also to look at elements of the patient’s history to reduce the risk that you’re prompting patients for services or tests they don’t need.

Guidelines that are applied too strictly can also cause patient harm in other ways. I was visiting an elderly relative today at her independent living community to drop off a prescription that was missed by her usual delivery service. She mentioned that she had been eating her meals in her apartment, which is a departure from her usual pattern of going to the main dining room in the evenings. She has had intermittent issues with social isolation since being widowed, so I wanted to find out more about what was keeping her from going to eat with her friends.

It turns out that her primary care physician doubled one of her diabetes medications, resulting in some digestive distress that’s worrisome enough to keep her in her apartment. I asked what her diabetes numbers looked like and we took a trip into her patient portal, where I confirmed that her hemoglobin A1c had indeed gone up, representing higher average blood sugar levels over the last few months.

Her last visit note, which was clearly captured using ambient documentation, noted the fact that she had consumed a three-pound jar of peanut M&Ms between Thanksgiving and Christmas, likely leading to elevated blood sugars. Bonus points to the ambient solution for capturing many of the details, as my relative is certainly a talker.

However, the note also contained what I would describe as a mini-lecture about “the importance of tight glucose control in preventing the 10-year complications of diabetes.” I thought that was funny, because this patient is just a few years shy of 100 and has had negligible complications of her diabetes, which is of fairly recent onset. She’s as healthy as a proverbial horse from a physical standpoint, but she’s at real risk for worsening depression, which has made her nearly housebound in the past.

I know her primary care physician personally, having trained him on his first EHR a decade ago, but it made me wonder a bit about what he is thinking with her care. Is he just following algorithms to drive that hemoglobin A1c to goal come hell or high water? Or does he not have a lot of experience with nearly 100-year-old patients who have different risk/benefit profiles than younger patients? Does he know that driving blood sugars too low is a much bigger risk in her age group? Does he not see depression as a risk factor in the same way that her family does? Does he see patient values and preferences as part of the decision-making process? And if they had a risk/benefit conversation and she declined to take the higher dose of medication, would he know how to adjust things in the EHR so that his paycheck won’t be impacted by her lack of tight glucose control? Having worked in the same system for years, I know how to do the exclusion, but suspect he might just be running a bit on autopilot.

My relative and I worked together to send a patient portal message to the care team outlining her symptoms and the fact that she’s been essentially isolated since the medication change. I’m glad that I’ll be able to follow along with any replies and adjustments in the portal. We joked about the situation with the peanut M&Ms, and I suggested that maybe she should fill a separate pill box with her daily ration of treats so that she can enjoy them, but not overdo it. I hope that I’m doing as well as she is if I make it to her age, but it’s important for her to be able to enjoy every day since the next one isn’t always promised.

If you make it into your 90s, what food would you use to treat yourself regularly? Leave a comment or email me.

Email Dr. Jayne.

Morning Headlines 3/10/25

March 9, 2025 Headlines Comments Off on Morning Headlines 3/10/25

Adageis Secures $2M Seed Funding to Expand AI-Driven Healthcare Solutions

Revenue and clinical analytics startup Adageis announces $2 million in seed funding.

Gem Health Secures $7 Million Series A to Scale Transformative Virtual Sleep Care

Virtual sleep apnea diagnosis and treatment provider Gem Health raises $7 million in a Series A funding round led by LFE Capital and HealthTrend Capital.

Hims & Hers to shut down dermatology business Apostrophe

Hims & Hers shuts down Apostrophe, an online dermatology company it acquired in 2021 for $190 million.

Ataraxis AI to Transform Precision Medicine in Cancer Care with $20.4 Million Series A 

Oncology-focused precision medicine startup Ataraxis AI secures $20.4 million in new funding.

Comments Off on Morning Headlines 3/10/25

Monday Morning Update 3/10/25

March 9, 2025 News 7 Comments

Top News

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The VA will expand its 2026 Oracle Health rollout from four sites to 13.

The VA has faced recent criticism from both Congress and Oracle Health for its slow go-live pace, which it acknowledges will prevent full implementation by the contract’s expiration in May 2028. The EHR won’t be completely deployed until 2031 even with the accelerated schedule.

The announcement’s timing was not optimal as the VA was just coming off a nationwide Oracle Health outage. They are also determining how to lay off 80,000 employees per White House orders.

The VA’s most recent go-live, other than at jointly operated Lovell FHCC, was in June 2022. Further go-lives were paused as the VA addressed system and operational issues that impacted patient safety and staff productivity.


Reader Comments

From Omnibusboy: “Re: Oracle Health. I think Madison VAMC is one of the sites the VA added to its accelerated deployment schedule. Right in Ms. Faulkner’s back yard. It used to be a very well-run hospital, but with few patients. We’d joke the secretaries were MBAs because of all the educated people in Madison competing for jobs. It’s a pretty aggressive move by VA leadership and a huge risk to accelerate deployment with a system so disliked by VA docs, not to mention pushback from a RIF-rattled workforce.” I haven’t seen an announcement of which nine VA sites are being added for 2026 go-lives. I wouldn’t expect Madison VAMC’s location to intersect with anything specific to Epic, but a lot of clinicians there use Epic almost entirely.

From Rucksack: “Re: HIMSS25. Attendance was down again, even after it was sold to Informa. Is it in a long decline?” HIMSS25 drew 28,000 attendees, down from 30,000 in 2024, 35,000 in 2023, and 43,000 pre-COVID in 2019. As Spinal Tap’s manager might optimistically say, “Their appeal is becoming more selective.” Some of the decline likely stems from the HIMSS20 refund fiasco and the infamous no-carpet exhibit hall of 2023, but I would bet that the bigger culprits are ViVE’s steady presence (they’re stingy with numbers, but attendance seemed flat from 2024 to 2025), tighter provider budgets, lackluster keynotes, Las Vegas fatigue, and the lack of federal participation this year. The AI boom probably softened the blow. HIMSS initially reacted to ViVE’s competition by copying its strengths (hosted buyer program, expanded networking), but it probably realized that differentiation is the smarter strategy, especially being the bigger and more broadly focused player that is attached to a membership non-profit. HIMSS has a stronger international presence, deeper coverage and participation of interoperability and health system IT management, and a history of drawing attendees who have buying authority.

From Bebop: “Re: Epic. Deep in its HIMSS press release was a note that they are developing an ERP system, with full integration as a talking point. What do health system readers think of this?” I invite readers to tell me. Building an industry-specific ERP system must be a huge project that, if successful, would expand Epic’s orbit. It would also create new competition with Oracle.


HIStalk Announcements and Requests

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Attention over 35ers – your best option to enhance your health tech career is to earn a master’s degree if you don’t already have one. So say poll respondents, who also credited earning vendor-specific and general certifications for supporting their success. 

New poll to your right or here: How are your employer’s 2025 business prospects looking compared to 2024? You earn bonus karma for leaving a poll comment that explains further.

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Please join my democracy of dysfunction by spending maybe two minutes on my reader survey. Your anonymous wisdom helps me understand who’s out there. Nearly every improvement I’ve made over the years came from a good citizen who took the time to weigh in. You won’t get an “I Voted” sticker, but you will have earned my appreciation and the right to complain later.

Reminder: “EST” is hibernating until November – it’s “EDT” because we have all agreed to fool ourselves into thinking that clock tampering creates more hours of daylight. Folks in Arizona and Hawaii saw through the nonsense and will continue to enjoy their sunny days on standard time. Spring officially kicks in the morning of March 20, although meteorologists make it easy by proclaiming that March, April, and May are spring months because of weather rather than astronomy. Meanwhile, those who are south of the equator are about to officially hit autumn.

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Readers funded the DonorsChoose teach grant request of Mr. P in Brooklyn, who asked for help with a project for his Brooklyn, NY high school physics and robotics classes. He said when he received the materials in November, “It’s hard to put into words how grateful I am for your donation to my project. I am committed to providing students with a relevant STEM curriculum that develops lifelong skills, and it is inspiring to see so many others that share my vision for education. The tools that you have funded will enable students to engage in engineering process and see their CAD designs come to life. Students are incredibly excited to begin the project.“ Which they did, as the above note from a student reports.


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Welcome to new HIStalk Platinum Sponsor Mednition. KATE is an EHR-integrated AI solution that provides 24/7 real-time clinical risk guidance, starting at triage in the emergency room. KATE significantly improves capacity, which reduces wait times, saves lives, and supports a strong 10x ROI, while empowering emergency nurses to optimize patient flow from the point of entry without adding to their workload. KATE Triage serves as a second set of eyes at triage by automatically identifying, prioritizing, and notifying on high-risk patients, with zero workflow changes. KATE Sepsis identifies more patients with sepsis at your front door (up to 2x greater than current standards and before ordering labs), making an immediate and meaningful impact on patient outcomes. Clinical Data Engine provides real-time analytics and research platform for clinicians to search millions of EHR records in seconds, including dynamic free text search. Thanks to Mednition for supporting HIStalk.


Sponsored Events and Resources

Live Webinar: March 20 (Thursday) noon ET. “Enhancing Patient Experience: Digital Accessibility Legal Requirements in Healthcare.” Sponsor: TPGi. Presenters: Mark Miller, director of sales, TPGi; David Sloan, PhD, MSc, chief accessibility officer, TPGi; Kristina Launey, JD, labor and employment litigation and counseling partner, Seyfarth Shaw LLP. For patients with disabilities, inaccessible technology can mean the difference between timely, effective care and unmet healthcare needs. This could include accessible patient portals, telehealth services, and payment platforms. Despite a new presidential administration, requirements for Section 1557 of the Affordable Care Act (ACA) have not changed. While enforcement may unclear moving forward, healthcare organizations still have an obligation to their patients for digital accessibility. In our webinar session, TPGi’s accessibility experts and Seyfarth Shaw’s legal professionals will help you understand ACA Section 1557 requirements, its future under the Trump administration, and offer strategies to help you create inclusive experiences.

Live Webinar: March 27 (Thursday) noon ET. “How to Improve Clinical Workflows with AI Chart Summaries and Risk Predictions.” Sponsor: Health Data Analytics Institute. Presenters: Scott Cullen, MD, senior advisor, Health Data Analytics Institute; David Clain, chief product officer, Health Data Analytics Institute. Learn how the EHR-embedded HDAIAssist tool is transforming the ability of clinicians to pull insights out the mountains of data that have accumulated in the EHR, quickly, accurately, and cost-effectively. HDAlAssist, which is part of HealthVision, the intelligent health management system, combines AI chart summaries and granular risk predictions to quickly inform care planning decisions, especially for the most complex, high-risk patients.

Contact Lorre to have your resource listed.


Acquisitions, Funding, Business, and Stock

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Axios investigates last December’s sale of patient navigation company Memora Health to Commure. It concludes that Memora unloaded at a $30 million fire sale price versus a claimed $430 million valuation, likely because CEO Manav Sevak reportedly had inflated annual revenue of less than $2 million to $20 million. He started the company in 2018 at 21 years old, so he’s still in his late 20s. 


Announcements and Implementations

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Researchers warn that large language models will readily generate clinical decision support that resembles the output of a medical device even though they don’t have FDA approval. They also found that the output was clinically appropriate. Click the graphic for FDA’s guidance on when clinical decision support software is functioning as a medical device that requires FDA review.


Government and Politics

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Oregon Health & Science University will pay a $200,000 HHS OCR penalty for taking 16 months to fulfill a patient’s medical records request. OHSU was previously non-compliant with an OCR “technical assistance” warning and tried to blame a business associate, Diversified Business Services, Inc.


Sponsor Updates

  • Elsevier Health launches the HESI Clinical Practice Readiness Assessment, the first standardized, objective, and reliable assessment for faculty to assess the clinical judgment and practice readiness of nursing students.
  • Nordic releases a new episode of its “Designing for Health” podcast featuring Stefanie Simmons, MD.
  • Nym publishes a new case study, “Health System Reduces Costs, Improves Revenue Capture, and Stabilizes DNFB with Autonomous Coding.”
  • Redox releases a new episode of its “Shut the Backdoor” podcast titled “A Hacker’s Welcome – Benefiting from the Bug Bounty.”
  • RLDatix will present at the ACHE Congress March 25 in Houston.

Blog Posts


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