News 11/19/25

Top News

A federal jury orders Apple to pay Masimo $634 million for violating the company’s blood oxygen reading patents in Apple Watch’s workout mode and heart rate notification feature.

The legal battle between the companies has involved numerous lawsuits over six years, with the federal government instituting a ban in 2023 on imports of select Apple smartwatches because of the technology infringement.

Apple subsequently introduced an updated, import-friendly version of its technology.

Reader Comments

From Funicular: “Re: HIMSS. Staff tell me that layoffs started Monday as part of a 30% workforce reduction.” Unverified. I asked HIMSS to comment as I always do, which resulted in the usual lack of response. They have also not responded to my repeated requests for their updated nonprofit tax filings, the most recent of which that I have seen is from 2021.

From AccelerateHIMSS: “Re: HIMSS. Heading toward a 60% workforce reduction by year’s end. Did they spend the HIMSS20 insurance payout and rumored $150 million sale of the annual conference on the failed Accelerate instead of refunding attendees and exhibitors, which would have allowed them to thrive?” Unverified.

Sponsored Events and Resources

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

Acquisitions, Funding, Business, and Stock

MRO acquires Clinetic, which uses EHR data to help providers and life sciences companies find, screen, and enroll patients for clinical trials.

Sales

• University of Illinois Health and EFW Radiology in Canada select enterprise imaging technology from Agfa HealthCare.
• Advanced Radiology Management will implement Visage Imaging’s Visage 7 Enterprise Imaging Platform in a five-year, $29 million contract.

People

Divurgent names Vitalize Consulting Solutions co-founder Danny Arnold EVP of growth and strategy.

Penn State Health (PA) names Dennis Sutterfield (SUNY Downstate Medical Center) VP/CIO.

Brandon Theophilus (NextGen Healthcare) joins Basata as SVP of growth.

Unite Us appoints Sean Burke (Ascend Learning) president.

Announcements and Implementations

Humana goes live on Epic’s Coverage Finder and Digital Insurance Card Exchange capabilities for its 800,000 Medicare Advantage members, which provides insurance verification and streamlined check-in.

Edifecs introduces a member consent management solution for health plans.

A CHG Healthcare survey of physicians finds that 82% are not highly engaged in their workplaces, 59% don’t trust their executive leaders, and 60% say their leadership doesn’t ask for their input.

Healthcare technology consulting and staffing services firm ROI International renames itself Quoris.

Early users of Oracle Health’s Clinical AI Agent for ambient documentation give the product a 94% “would recommend” in a new KLAS report, with strong integration, flexible cost, and product accuracy being its key strengths.

Privacy and Security

An Illinois school superintendent is charged with felony misconduct after ordering a county health nurse to share information about students who were diagnosed with hand, foot, and mouth disease. The superintendent and two IT employees were arrested for violating student privacy laws.

Other

The family of a university freshman who died by suicide files a wrongful-death lawsuit against telehealth firm Hims & Hers Health Inc. for allegedly prescribing an antidepressant that is known to increase suicide risk without proper patient evaluation. Also named in the lawsuit is a fraternity that the lawsuit alleges hazed the student and contributed to alcohol misuse. The family says that Hims & Hers targeted their son through an Instagram ad, prescribed him a 90-day supply of antidepressants with only text messaging contact, and doubled his dose 30 days later.

Northern Maine Medical Center launches its Comprehensive Patient Assessment & Specialist Support program to offer critical care and pulmonology patients bedside virtual consults with specialists. The hospital will add neurology and cardiology to the COMPASS program next year.

Sponsor Updates

• Arcadia will exhibit at NAMD Fall 2025 November 19-21 in National Harbor, MD.
• Artera will exhibit at ModMed Momentum November 21-23 in Orlando.
• Linus Health will present new evidence validating its AI-enabled tools for early detection and trial readiness at the Clinical Trials on Alzheimer’s Disease (CTAD) conference in San Diego December 1-4.
• Black Book Research releases the “2026 Health System & Hospital AI Governance Resource Guide.”
• KLAS recognizes Impact Advisors as best positioned to meet specific organizational needs in the “KLAS Healthcare HIT Professional Services Outlook 2025 Report.”
• Agfa HealthCare, Concord Technologies, Elsevier, PerfectServe, Rhapsody, Wolters Kluwer Health, and Visage Imaging will exhibit at RSNA 2025 November 30-December 3 in Chicago.

Blog Posts

• Preparing for Agentic AI Implementation in Healthcare RCM (AGS Health)
• Carrying the Legacy Forward: How a Family History of Service Shaped a Path from Navy to Cybersecurity (Fortified Health Security)
• Improving Referral Workflows: A Key Driver for Improving Patient Experience and Collections (Vyne Medical)
• From reactive to resilient: Reimagining revenue cycle with AI (Altera Digital Health)
• Why HITRUST r2 Certification Really Matters in Healthcare (Arrive Health)
• Enterprise EHR vs. Standard EHR: Key Differences & Your Best Fit (Bizmatics)
• Cloud Infrastructure: The Foundation for Digital Agility (CTG)
• Lessons from KLAS Research’s 2025 Consistent High Performers Report (Dimensional Insight)
• Solving the Adherence Equation: Better Access Plus Personalized Engagement Keeps Patients on Diabetes Medications (DrFirst)

Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
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Morning Headlines 11/18/25

No Barrier Raises $2.7M to Remove Language Barriers in Healthcare

AI medical translation software startup No Barrier announces $2.7 million in seed funding.

Siemens Healthineers could divest diagnostics arm by 2030, says CEO

Siemens Healthineers is considering selling or spinning off its diagnostics division within the next four years, with its remaining focus on its imaging and precision therapy units.

Lawmakers signal support for using AI to prevent veteran suicides in FY26 VA funding bill reports

House and Senate committee budget reports prepared ahead of the recently passed VA funding bill indicate strong support for using AI as part of the VA’s continued efforts to prevent veteran suicides.

Curbside Consult with Dr. Jayne 11/17/25

It’s that time of year when clinical informatics types come together to let their freak flags fly, otherwise known as the AMIA Annual Symposium.

This is one of my favorite conferences, largely because it doesn’t take itself too seriously. This is obvious from the moment you pick up your registration credentials and head over to the stash of wacky badge ribbons. These are a heck of a lot more fun than those from other conferences that say boring things like “delegate” or “speaker.”

Attendees were cracking up at one that said “CEO” since it’s rare to see attendees with that title. The event is in Atlanta this year, so the “this is my southern charm” ribbon was a new addition.

It’s a long conference, with a host of pre-conference workshops on Saturday and Sunday. Monday’s opening keynote then kicks off two and a half days of high-intensity programming.

My favorite so far has been the “Designing and Evaluating Trustworthy AI for Consumer Health: Ethical Considerations Workshop.” The session addressed case studies around AI-driven consumer health tools such as fitness apps and mental health chatbots, with an eye to assessing ethical gaps and the potential for the tools to impact health disparities in a positive or negative way.

As one might imagine, algorithmic bias was a focus. Several speakers addressed the biases that inherently exist in datasets that are drawn from large academic centers and the risks of using that data to train AI tools. Also, that training datasets are inherently “old” as soon as they roll out the door, along with the lack of consistency among consumer health vendors for updating those datasets.

Another concern was that data from EHRs is inherently biased since it is structured to support insurance requirements in addition to purely clinical ones. One of my tablemates and I were having a sidebar conversation about how this might impact platforms that use real-world evidence since it changes constantly.

The conversation shifted to understanding the training data that is used in the AI that underlies consumer-facing tools. The point was made that it’s not just about knowing where the data came from, but understanding that it can be harmful if the training data doesn’t reflect the population that is being served.

An example of that was a behavioral health app that was trained predominantly on data from middle class white patients. That left it unable to recognize cultural differences in how patients might express that they are experiencing distress.

Another discussion involved how individuals aren’t experiencing a true informed consent process when they are asked to give up the rights to their data. People aren’t going to read a 40-page terms and conditions document. They are also unlikely to deny consent when they are in a coercive situation, such as needing medical care. One of the speakers noted that users are being treated as data sources rather than as people to be respected.

A speaker who talked about AI’s ability to replace clinicians noted that in an observational exercise, one-third of physician visits contained documentation that was intended to aid coverage negotiations with an insurer or other entity on behalf of the patient. He posed the question of whether AI will do this.

He also noted that in cases where patient histories are unreliable or incomplete, experienced humans have developed the skills to balance those factors, but it’s not clear if AI can do the same. Another hot topic was whether AI will be able to handle conflicting test results or care plans and to manage situations where different patient-side stakeholders, such as patients and their families, have conflicting care priorities.

This flowed into a discussion of how to train new physicians to use AI. It used a driving analogy to pose a good question about how to address older ways of information seeking: Should we require all new drivers to learn how to drive a stick shift?  I’ve been in plenty of conversations recently about how younger folks versus older ones are embracing AI. This is a good example that I hadn’t seen.

It reminds me of writing term papers back in the olden days, when you were expected to have a stack of 3×5 cards of your notes that you used to create an outline. Only then were you supposed to start writing the paper itself. The arrival of word processing software and laptops made it easier to take notes electronically and to perform multiple parts of that process in parallel rather than linearly. We don’t teach students to write term papers in the old way anymore, so why should other academic endeavors require potentially outdated processes? 

I don’t know if anyone in the room is employed by EHR vendors or other technology companies, but these are “let’s get real” discussions that need to be heard. It feels like vendors don’t get into that level of depth with their stakeholders, or maybe they do and they just aren’t swayed by the conversation. Otherwise, we would see fewer of those lengthy consent forms and more that are like the one-page “truth in lending” forms we see now for certain consumer loans.

During one of the breaks, I had the chance to connect with a friend who was instrumental in my development as an informatics leader, although he always worked more on the practice management and efficiency aspects of healthcare IT. I hadn’t seen him in several years, but it was like we picked up right where we left off. This is a testament to the relationships that were built during the “trial by fire” days when organizations were just starting to go paperless. Although I don’t miss a lot of the things that happened during those days, I treasure the friendships that I’ve made along the way.

The AMIA Annual Symposium is also a great opportunity to connect with the next generation of clinical informatics professionals. In my afternoon session, I was surrounded by residents who are interested in the field, as well as clinical informatics fellows. As we were doing introductions, a few were surprised that I became board certified without completing a fellowship. It hadn’t registered with them that many of us learned our craft largely through on-the-job training when there were fewer opportunities for formal learning. Those of us who fit that description didn’t typically set out to practice clinical informatics. We either fell into it or were gradually pulled in by forces that are not unlike those that are found in a black hole.

I’m sure I’ll appreciate the residents and fellows even more when the AMIA Dance Party happens Tuesday evening. They are more likely to be out on the floor than those of us whose skills lean towards more structured dance forms.

Are you attending the AMIA Annual Symposium, and if so, what is your favorite part? Leave a comment or email me.

Email Dr. Jayne.

Morning Headlines 11/17/25

House Rx Raises $55 Million to Scale In-Clinic Specialty Pharmacy Model

House Rx, which provides technology and expertise to support specialty clinics performing in-clinic “medically integrated dispensing” instead of sending prescriptions to specialty pharmacies, raises $55 million in Series B equity.

Sandy Health Raises Pre-Seed Round to Build an Operational Backbone for Healthcare

Sandy Health, which offers AI solutions for administrative healthcare tasks, announces a pre-seed funding round.

Ascension Saint Thomas Announces Major Investments to Strengthen Healthcare Infrastructure Across Middle Tennessee

Ascension Saint Thomas will spend more than $537 million on capital improvements, including technology upgrades, to its facilities in Middle Tennessee.

Monday Morning Update 11/17/25

Top News

House Rx, which provides technology and expertise to support specialty clinics performing in-clinic “medically integrated dispensing” instead of sending prescriptions to specialty pharmacies, raises $55 million in Series B equity.

Reader Comments

From Unicode Bandit: “Re: Dr. Jayne and emojis. If my clinician’s note ends with an 👍emoji instead of ‘signed,’ I’ll know the AI bot finally took over. 👀” 

HIStalk Announcements and Requests

Most poll respondents chose one of these two items as cause for health tech sales concern.

New poll to your right or here: Have you seen or used what seems to be an AI chatbot on a provider’s website? I usually try to make those that annoyingly pop up on any website go away immediately, the online equivalent of pressing 0 for a human to escape the time-consuming phone tree that was designed to keep paying customers like me from bothering the company’s cheap overseas call center contractor. Next thing you know that chatbot will ask me to please hold while it transfers me to a more advanced model.

I had an ultrasound at a small local hospital last week. The tech told me the results would hit MyChart quickly and she was right, the alert landed before I even got back to my car. Moments later, my Direct Primary Care doctor emailed me, showing full awareness of my knowledge level and my preference for brevity with a subject line of “Ultrasound,” and body of “Negative.”

Sponsored Events and Resources

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

Sales

• Marshall Browning Hospital (IL) will implement Oracle Health CommunityWorks and Oracle Health Clinical AI Agent. The 25-bed hospital appears to be replacing Meditech.

People

Jonathan Steinhouse (Strike Health) joins ClearBalance Healthcare as VP of business development.

Announcements and Implementations

Stanford Cancer Institute describes Oncoshare, a data sharing project that connects EHR data from Stanford and Sutter Health with the California Cancer Registry for research.

A new KLAS report finds that 80% of healthcare CIOs plan to maintain or increase their spending on professional services over the next 12 months. Their top targets are EHR optimization, cybersecurity, and AI and automation. Impact Advisors ranks first in mindshare, while Huron, Nordic, and Chartis are frequently mentioned. CIOs choose which firms to invite based on relationships and peer reputation, then score RFPs on confidence and clarity.

Other

Elon Musk says that robots, more specifically his Optimus Tesla Bot, will transform global healthcare by giving everyone access to “the best surgeons.” He says that great doctors and surgeons do not grow on trees, but will eventually be built in factories. He also claims that Optimus could replace prisons by assigning criminals a robot that “just gonna follow you around and stop you from doing crime.” Optimus was announced in 2021 and targeted for a 2023 release, yet despite reaching Generation 2, it still has not made it to market. Musk drew criticism in October 2024 when he had Optimus mingle with conference attendees and mix drinks without disclosing that it was being operated by a human.

Sponsor Updates

• WellSky publishes a new report on AI and technology as healthcare recruitment tools titled “Addressing today’s healthcare workforce challenges.”
• Nordic releases a new “Designing for Health” podcast featuring Eve Cunningham, MD.
• PerfectServe publishes a new report titled “Clinician Survey: Why Clinician Wellness Starts with Operational Wellness.”

Blog Posts

• Why I’m Returning to the Five9 CX Summit: Insights from a CX Leader (Five9)
• Standing on the Shoulders of Giants: A Fortified Veteran Honors His Uncle’s Legacy (Fortified Health Security)
• Automation in Action: How VHC Health is Shaping the Future of Document Management (Vyne Medical)
• One Voice for Care at Home: Celebrating Compassion and Connection This November (Netsmart)
• Chikungunya Virus and the Revenue Cycle: What RCM Leaders Need to Know (Nym)
• Streamlining Referral Management: How Real-Time Booking Transforms Provider Operations (ReferWell)
• AI and charge capture 101 (SmarterDx)
• Healing Healthcare: From Friction to Flow State (Surescripts)
• Custom Development vs. Technology Partnership: Building Smarter Staffing Solutions (Symplr)
• Waystar Advisory Board insights: How healthcare leaders can prepare for regulatory changes + AI in RCM transformation (Waystar)
• Support, not replacement: How healthcare workers are feeling about AI and why messaging matters (WellSky)

Sponsor Spotlight

Praia Health is the patient experience orchestration platform for health systems. We help health systems attract, engage, and retain patients by supercharging their portals and digital tools with seamless, personalized journeys in one platform. The result is higher retention, lower costs, and measurable ROI. In just three years, Providence has realized over $87M in measurable, attributable ROI from the platform. Click here to explore three years of operational data following deployment at Providence. (Sponsor Spotlight is free for HIStalk Platinum sponsors).

Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
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Morning Headlines 11/14/25

Oracle’s Ellison Gets More Employees After CEO Swap

Oracle’s reorganization under co-CEOs has left 64,000 of the company’s employees, or 40% of its workforce, reporting up to CTO, co-founder, and chairman Larry Ellison.

Senate spending bill ties full VA EHR funding to updated timeline, cost estimates

The Senate’s spending package to reopen the federal government provides $3.4 billion to the VA for its Oracle Health rollout work in FY2026, contingent on it providing Congress with a revised timeline and cost estimate.

Accenture Federal Services to Support VA EHR Modernization Integration Efforts

The VA awards Accenture Federal Services a six-month, $7.7 million contract to support its Oracle Health implementation, including program management, support, and data integration services.

News 11/14/25

Top News

RCM vendor R1 sells Tonic Health to patient access, engagement, and intake technology vendor Luma Health.

Tonic Health offers a mobile patient intake, survey, and payments platform.

Reader Comments

From Gaucho Marx: “Re: Adventist Health Portland. After investing $20 million to convert from Cerner to OHSU’s instance of Epic, it will join the enterprise instance in September 2026. This is surprising, since there is a good deal of benefit to AH Portland to remain a part of OHSU Health’s large patient network, such as more negotiating power with payers and the ease of transferring and referring patients. Adventist Health will bring all hospitals except AH Portland live on September 1, 2026 in a $500 million project. Portland was out of scope because of their business agreement involving tens of millions of dollars in loans from OHSU, which has had a tough time with financial losses and layoffs.”

HIStalk Announcements and Requests

Trivia: I asked ChatGPT to name the 10 best US cities to live in, which it calculated from multiple, evidence-based sources. Which was the only state to have two cities on the list? Which city was #1?

Sponsored Events and Resources

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

Acquisitions, Funding, Business, and Stock

Oracle’s reorganization under co-CEOs has left 64,000 of the company’s employees, or 40% of its workforce, reporting up to CTO, co-founder, and chairman Larry Ellison. Co-CEO Mike Sicilia oversees the largest headcount at 84,000 workers, which includes Oracle Health.

Sales

• Cigna Healthcare will offer Headspace’s meditation and sleep app at no cost to seven million people who receive behavioral health services through their employer.
• Smart infant monitoring technology vendor Owlet chooses Rhapsody for EHR integration of its pulse oximeter.

People

Marc Probst, MBA (MF Probst Strategic Advisory) rejoins Ellkay as CIO advisor.

MRO hires Lidia Bernik, MHS, MBA (Flatiron Health) as president of Curation Solutions.

Announcements and Implementations

A PerfectServe survey of 350 clinicians finds that three-fourths spend time dealing with manual aspects of scheduling, more than half say that waiting for calls takes time away from patient care (it was the #1 time-sapping task), and 60% say that existing systems aren’t much help in prioritizing urgency.

KLAS names its 2025 Consistent High Performers.

Government and Politics

The deal to end the federal government shutdown will extend Medicare’s coverage of telehealth through January 30 and will pay providers retroactively for virtual services that they provided since October 1. The Senate package also  provides $3.4 billion to the VA for its Oracle Health rollout work in FY2026, contingent on it providing Congress with a revised timeline and cost estimate. 

The VA awards Accenture Federal Services a six-month, $7.7 million contract to support its Oracle Health implementation, including program management, support, and data integration services, with options to extend the work for four additional one-year periods and one six-month period.

Other

The family of a two-year-old sues University of Florida Health, alleging that a physician’s decimal error caused a fatal tenfold overdose of electrolyte replacement. The lawsuit claims that pharmacists did not catch the error even though their computer system generated a Red Flag dose warning.

Caring Brands either just pulled off the biggest capital raise in human history or it needs to hire a more careful headline writer.

Sponsor Updates

• Netsmart will integrate ScribePT’s documentation system with its TheraOffice PT and rehab EHR/PM.
• CTG’s parent company Cegeka earns Microsoft Partner of the Year award for Microsoft Dynamics 365 Supply Chain.
• Arrive Health names Alison Bechtel senior director of marketing.
• AvaSure announces that its Virtual Care Platform has achieved designation in Epic’s Toolbox for the Inpatient Virtual Care category.
• Findhelp welcomes new customers Hospital in Your Home, Allied Behavioral Health Solutions, and the Tennessee Department of Veterans Services.
• HCTec offers a new case study titled “HCTec Technical Managed Services Elevate the End-User Experience.”

Blog Posts

• Why Buy Beats Build in Health Tech ROI (Medicomp Systems)
• Transforming cancer care: The benefits of a cloud-based chemotherapy prescribing solution (Altera Digital Health)
• Unify clinician and patient journeys with AI and shared evidence (Wolters Kluwer Health)
• Meet the Innovators Powering the New CX (Five9)
• CISO Brief: October 2025 Cybersecurity Threat Recap & Insight (Fortified Health Security)
• From MIPS to MVPs to ASM: How CMS is redefining quality measurement in the 2026 final rule (Healthmonix)
• Breaking the Chains of Legacy: Embracing Agile Solutions for EHRs (LiveData)
• Creating the Confidence Standard: AI-Powered Quality Control in Health Information Management (MRO)

Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
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Sponsorship information.
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EPtalk by Dr. Jayne 11/13/25

NCQA is accepting public comments on the AI standards that it is proposing for its 2027 Health Plan Accreditation and Health Plan Ratings program. Patients, health plan stakeholders, healthcare professionals, state agencies, and others are invited to weigh in as the program is being created. You have until December 5 to share your thoughts on topics such as AI program structure, governance, pre-deployment evaluation, and ongoing monitoring and intervention.

I’ve been through several NCQA recognition processes on the provider side. The staffers I’ve met are genuinely invested in improving healthcare quality and are responsive to organizational feedback.

My hospital is considering the addition of a new C-suite role, partly in response to escalating conflicts and violence against healthcare workers. There is debate around several potential job titles, but no consensus on whether the title should focus on safety or security.

A particularly vivid conversation ensued when the use of “public safety” in the title was brought up, since that mimics some state law enforcement agencies and might indicate the role has more authority than intended. Concern was also expressed that the use of “public” was more focused on patients and visitors rather than employees and caregivers. Future meetings will further discuss the role, so we’ll see where the wordsmiths land.

Earlier this week, Mr. H mentioned the Black Book Research survey on AI governance. I wanted to weigh in from the CMIO chair, although I’m not sure that I should call it a chair anymore because I’m spending more of my time lately in the clinical work areas sitting on a rolling stool that I swiped from an exam room.

One theme of the survey is that hospital budgets are underfunded for AI governance and safety, with a median 4.2% of IT quality and safety budgets devoted to AI oversight for 2026. Although that sounds like a small number, I’m curious as to what other line items are funded either higher or lower.

It’s hard to derive meaning from numbers out of context. Governance is likely a line item that scales better than others because it becomes a sustainable process after creation. It’s not like an implementation line item, which may vary dramatically across facilities or service lines as well as for applications or solutions that are being implemented.

As expected, large health systems with 10 or more facilities have a higher share of spend, but I would bet that’s because of the number and complexity of AI applications rather than the process itself. For those who have dug into the full report, I would be interested to hear your thoughts.

PerfectServe recently released a report on “The Rise of Emoji in Healthcare Communication.” From informal research via my texting app, folks from The Silent Generation and Baby Boomers are the most likely to send me messages using standard emoji. It’s hit and miss with my Millennial friends, although they tend to use a lot of GIFs. My Generation Z contacts are most likely to communicate through memes, although I do see a fair amount of photomoji use in that population, which is always entertaining.

The report recaps the use of pictographs and symbols in communication going back to 3000 BC, and highlights the pictographic elements that are already found in healthcare, such as the Wong-Baker FACES Pain Rating Scale.

It shares some interesting data points, such as an estimate of 10 billion emoji being sent every day. It also mentions Adobe data that shows that healthcare workers are losing their hesitancy around including emoji.

I’m glad it mentioned the early emoticons we once used that cobbled together colons and parentheses to look like faces. Younger generations probably find that quaint.

The authors set out to look within the PerfectServe ecosystem to see if they could identify trends in emoji use and if it could be tied to clinicians who are under stress or burned out. They concluded that rather than being potentially unprofessional, emoji were “used to convey politeness and positive intent.”

Other interesting tidbits included the “thumbs up” being the most frequently used symbol in medical communications. Internal medicine clinicians were more likely to use symbols than their peers. Other emoji making the top 10 included the “person facepalming” and the “person shrugging,” which makes me smile.

The authors also looked at explorations of emoji use in the medical literature, namely an article in The Journal of the American Medical Association (JAMA) from 2021 that cites emoji as containing “the power of standardization, universality, and familiarity, and in the hands of physicians and other health care providers could represent a new and highly effective way to communicate pictorially with patients.”

I learned that a lot of my correspondents might be confusing the “tears of joy” emoji with the “cry-laugh” one, which is fairly easy to do depending on the level of zoom in your messaging app.

The paper has a lot of other interesting information, including emoji frequency by subspecialty and day of the week. It will be interesting to see how this evolves over time. I would also like to see information on geographic variations or seasonal trends.

I’m always on the lookout for interesting uses of AI. A friend mentioned SessionKeeper, which uses ambient listening capabilities to create session summaries for tabletop role-playing games such as Dungeons & Dragons. In addition to capturing plot points and character details and building a knowledge base, it offers “story insights” that create a podcast-style analysis of play. I got a kick out of learning about the cultural background of trolls and how it can impact conversations, as well as seeing some of the AI-generated artwork.

I was pleased to see a clear data privacy statement in the FAQ, with the company clearly stating, “We’ve made sure companies like Anthropic, Google Cloud AI, and OpenAI can’t use your gaming sessions to train their systems.” 

What creative uses of AI have you seen? What do you find most useful in your non-work life? Leave a comment or email me.

Email Dr. Jayne.

Morning Headlines 11/13/25

Luma Acquires Tonic, Taking on Healthcare Bottlenecks for Over 1,000 Health Systems and 100 Million Patients

RCM vendor R1 sells Tonic Health, which offers a a mobile patient intake, survey, and payments platform, to patient access, engagement, and intake vendor Luma Health.

Shutdown deal extends Medicare telehealth coverage

The deal to end the federal government shutdown will extend Medicare’s coverage of telehealth through January 30 and ensure providers are retroactively paid for virtual services provided during that time.

Andor Health and Sentara Health Complete Rollout of Agentic, AI-Powered ThinkAndor Virtual Nursing Across 1,742 Rooms across 12 hospitals

Sentara Health will implement Andor Health’s agentic AI virtual care software at its 12 hospitals, starting with virtual nursing, virtual sitting, remote consultations, and transactional care management.

Healthcare AI News 11/12/25

News

The Vatican convenes a Rome conference this week titled “AI and Medicine: The Challenge of Human Dignity,” where a church official warned of the risk of “transforming health and illness into mere numerical data … the ability to personalize treatment remains an irreplaceable medical skill.” In his remarks to participants, Pope Leo XIV urged healthcare professionals to use AI responsibly, emphasizing that healthcare cannot be reduced to problem-solving and that technology must not interfere with the patient–caregiver relationship. He concluded by cautioning that “vast economic interests are often at stake in the fields of medicine and technology, and the subsequent fight for control.”

Microsoft forms an MAI Superintelligence Team to develop AI that exceeds human capability, with medical diagnostics being its first focus area.

OpenAI is reportedly considering entering the consumer health market, such as creating a personal health assistant or health data aggregator

Business

Sentara Health will implement Andor Health’s agentic AI virtual care software at its 12 hospitals, starting with virtual nursing, virtual sitting, remote consultations, and transactional care management.

InterSystems launches HealthShare AI Assistant, which provides a conversational chat user interface for its HealthShare Unified Care Record.

Research

A small study of patients in Africa finds that frontline nurses and community health workers can identify patients who are at risk for reduced ejection fraction heart failure by using Eko Health’s AI-assisted stethoscope.

A Black Book Research survey finds that most US hospitals are underfunding AI governance even as adoption accelerates. Only 22% say they could deliver an auditable AI explanation to regulators or payers within 30 days, citing lack of vendor explainability as the biggest barrier.

Other

A TV station’s test finds that while ChatGPT and Gemini answered health questions with disclaimers that they aren’t real people or licensed professionals, AI storytelling platform Character.AI displayed a similar warning but then falsely claimed to be a real doctor, giving the user a fake name with a valid medical license number that belongs to a Los Angeles immunologist. The company says that user-created characters are fictional and for entertainment only, which is why it includes the disclaimer.

The American Nurses Foundation (ANF) partners with Hippocratic AI to fund three nurse-led grants of $10,000 each for experienced frontline nurses to explore AI and innovation in nursing.

A healthcare empathy professor says that while AI can generate empathetic-sounding written responses, the real issue is that a broken healthcare system has drained clinicians of empathy through paperwork, burnout, and rigid protocols, effectively turning them into machines. He warns that we are moving toward an ironic world where AI takes over the parts of care humans do best, while humans are left doing tasks that computers should handle. He concludes:

The technology will continue advancing, regardless. The question is whether we’ll use it to support human empathy or substitute for it and whether we’ll fix the system that broke our healthcare workers or simply replace them with machines that were never broken to begin with.

Psychiatrist and political anthropologist Eric Reinhart, MD argues that when AI is installed in “a health sector that prizes efficiency, surveillance, and profit extraction,” it becomes just another tool for commodifying human life. He adds that AI can’t improve medicine by leapfrogging structural change, but it does give policymakers and corporations an excuse to ignore abysmal public health and hospitals a way to squeeze more profitable productivity out of doctors. He says:

We risk entering a perverse loop: machines are supplying the language with which patients relay their suffering, and doctors are using machines to record and respond to that suffering. This cultivates what psychologists call “cognitive miserliness”, or a tendency to default to the most readily available answer rather than engage in critical inquiry or self-reflection. By outsourcing thought, and ultimately the most intimate definitions of ourselves to AI, doctors and patients risk becoming yet further alienated from one another.

Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
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Send news or rumors.
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This Week in Health Tech 11/12/25

Morning Headlines 11/12/25

Get Well, a leader in patient engagement software, and RhythmX AI, a leader in AI-powered precision care, will combine to form GW RhythmX to usher in the next generation of precision care

SymphonyAI Group combines its holding Get Well patient engagement business with its AI-powered precision care company, RhythmX AI, to form GW RhythmX.

MedEvolve Announces Acquisition by Emergence to Accelerate AI-Driven Revenue Cycle Transformation

Investment holding company Emergence acquires RCM technology vendor MedEvolve, which sold its RCM services business a month ago.

Covid-era rules for addiction medication, Ritalin are extended again

The federal government prepares to once again extend a temporary rule that allows physicians to prescribe select controlled substances via telemedicine.

News 11/12/25

Top News

SymphonyAI Group combines its holding Get Well (formerly known as GetWellNetwork) patient engagement business with its AI-powered precision care company, RhythmX AI, to form GW RhythmX.

RhythmX AI founder and CEO Deepthi Bathina will lead the new company, while Get Well founder and CEO Michael O’Neil will serve as vice chair.

Reader Comments

From PagingDrLeftOnHold: “Re: CMS requirement that telehealth doctors list their actual location. A health system spending $1 million a year to confirm that doctors are at home feels like a perfect American healthcare story.”

HIStalk Announcements and Requests

More fun with the Opal AI app builder. I made Interview Grader, which evaluates any HIStalk interview against a 10-item rubric that I developed and then assigns letter grades for each item and overall. It has no practical use other than as an experiment.

PR and marketing people: I then applied that rubric to make an interview prep sheet. I also generated a promotional plan for an interview that uses my most recent one as an example.

Thanks to our veterans and their families for the quiet sacrifices they have made on behalf of the rest of us. The impact of your service, from basic training to separation, continues long after the uniform comes off.

Sponsored Events and Resources

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

Acquisitions, Funding, Business, and Stock

Investment holding company Emergence acquires RCM technology vendor MedEvolve, which sold its RCM services business a month ago.

TruBridge announces Q3 results: revenue up 2%, EPS $0.88 versus –$0.21, beating analyst expectations for both.

NextSense raises a $16 million Series A round to market its wireless earbuds that monitor EEG patterns and use auditory stimulation to enhance slow-wave sleep. The device costs $399 plus a $15 monthly subscription.

People

Vitalchat promotes Brady Keeter to SVP of product and Mackenzie Laughridge to SVP of people.

MPulse names Eileen Cianciolo (Clarity Software Solutions) chief product officer. MPulse acquired payer-focused Clarity in August.

Rutland Regional Medical Center CMIO and medicine chair Rick Hildebrant, MD, MBA, MA is appointed commissioner at the Vermont Department of Health.

The American Telemedicine Association promotes Kyle Zebley to CEO. He replaces Ann Mond Johnson, who has retired.

Sales

• Baraga County Memorial Hospital (MI) will implement Oracle Health CommunityWorks and expand its use of the vendor’s clinical AI agent.
• AdventHealth Manchester (KY) will launch virtual care smart rooms using technology from HelloCare.
• DRH Health (OK) selects Commure’s Ambient AI clinical documentation software.
• Saudi Health Holdings will implement RapidAI’s imaging AI system.

Announcements and Implementations

CalmWave develops Alarm Insights to give clinical device managers visibility into bedside monitor alarm functionality and patterns.

CTG will offer Hippocratic AI consulting services and will co-develop solutions with the company.

UF Health (FL) goes live on Epic’s MyChart Central, giving patients the ability to log in to their medical records from across participating organizations using a single sign-on.

Other

OpenAI is reportedly considering entering the consumer health market, such as creating a personal health assistant or health data aggregator.

Nemours Children’s Health will expand its new advanced care at home program, which offers remote patient monitoring and virtual support, to its hospital in Delaware. Launched in June at the health system’s hospital in Orlando, the program has helped families avoid 91 emergency department visits and prevented 27 readmissions.

Sponsor Updates

• The American Medical Informatics Association inducts Clinical Architecture Senior Informaticist and Clinical Architecture Anand Kulanthaivel, PhD into the Fellows of the AMIA.
• Judi Health releases a new episode of “The Astonishing Healthcare Podcast” titled “The Survey Says: Inflation is a Problem, and Change is Imminent, with Business Group on Health’s Jim Winkler.”
• AvaSure achieves Epic Toolbox designation for inpatient virtual care.

Blog Posts

• Building a Strong Appeal Strategy for Clinical Denials (AGS Health)
• IDoR 2025: Agfa HealthCare celebrates the 14th International Day of Radiology. (Agfa HealthCare)
• Working smarter: Virtual medical assistants on the up and up (Altera Digital Health)
• Enterprise EHR vs. Standard EHR: Key Differences & Your Best Fit (Bizmatics)
• Data maturity is a muscle, not a milestone (Cardamom)
• Using Analytics to Battle Rising Healthcare Costs (Dimensional Insight)

Contacts

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Morning Headlines 11/11/25

Nemours Children’s Health Launches Nation’s First Pediatric Advanced Care at Home

Nemours Children’s Health prepares to expand its new advanced care at home program, which offers remote patient monitoring and virtual support, to its hospital in Delaware.

Baraga County Memorial Hospital Selects Oracle Health CommunityWorks to Enhance Clinician and Patient Experience

Baraga County Memorial Hospital (MI) will implement Oracle Health CommunityWorks and expand its use of the vendor’s clinical AI agent.

Duval DOGE to look into city’s telehealth provider

A city councilmember in Jacksonville, FL, questions the city’s contract with telemedicine vendor Telescope, citing potential misuse of taxpayer funds and rumors of potentially illegal conduct.

Curbside Consult with Dr. Jayne 11/10/25

The hot news around the telehealth virtual water cooler this week was the new CMS billing requirement that telehealth physicians list their actual location rather than an office address. The previous requirements allowed us to avoid using a home address. This not only protected our personal information, but also provided uniformity for our practice organizations.

For those telehealth physicians employed by hospitals or health systems, this could lead to requirements that they physically go to the campus to provide telehealth services. This creates additional load on the hospital, which may not have space for telehealth providers. Allowing them to practice from home, while repurposing clinic space for additional providers, was one of telehealth’s benefits. The CMS rule does not address the needs of physicians like me who work for independent telehealth organizations that don’t have a campus or building in our local area. 

Although CMS claims it will protect the home addresses, I’ve been a victim of data breaches and identity theft enough times that I don’t trust anyone to keep my information private. Plenty of other government agencies don’t have appropriate policies to deal with people who practice from their homes, including the Drug Enforcement Administration and many of the state controlled substance agencies. Their regulations haven’t kept up with the times, but I don’t think anyone is surprised by that.

Also, there is no guarantee that a physician who is not in the office is doing telehealth from their home. I have done it from hotels in at least a dozen states, from the homes of family members, and from a docked ship. I certainly don’t expect my employer’s credentialing organization to keep up with that.

Other conversations around the water cooler continue to revolve around the ongoing government shutdown. Some clinics are seeing higher-than-usual rates of no-shows and cancellations. In lower income areas and the academic faculty clinics, patients are citing financial issues as a barrier to transportation.

Although some of our clinics can provide cab vouchers for patients to get home, it’s more difficult to arrange transportation to the clinic. Now that we’re over a month into the shutdown, we should start to see data on patient prescriptions and fill rates, and whether those have been delayed by all of the issues. I’ve seen data from at least one military facility that showed a clear impact, but I’m not able to access that kind of data for my own facility. It would be an interesting research project, however.

The hot clinical topic of the week was the news that the American College of Cardiology and American Heart Association have updated the hypertension guidelines. The new numbers mean that many more patients will qualify for a hypertension diagnosis. Depending on how much of a focus an organization has placed on the management of hypertension, this could potentially mean a fair amount of work will need to be done in the EHR and elsewhere in clinical applications.

Even if we’re talking about modifications to EHR-based alerts, the lift could be significant if the organization hasn’t standardized the EHR or has created different alerts for different locations, specialties, or types of visits. It can also mean modifying dozens or hundreds of reports, patient outreach campaigns, and patient education materials.

Although these two organizations have reached agreement on the recommendation, a number of other organizations have not endorsed the new guidelines. They include the American Academy of Family Physicians, the American College of Physicians, and the International Society of Hypertension. If your organization follows one of their guidelines, you probably have some time before these groups get on board with the new, lower numbers.

It’s still a good opportunity though to take inventory of your hypertension-related alerts, reports and outreach programs to get ahead. I’ve peered under the hood of a number of the EHRs of large healthcare organizations over the last 20 years and some of you have your work cut out for you.

It will also be interesting to see how long it takes consumer-facing healthcare apps and tools to update to the newer guidelines, or if instead they will just stay where they are. I’ll be keeping a close eye on my wearables to see if there are any changes and will report in when I see them. I only use a couple of apps, so if readers see anything before I mention it, please share.

Regardless of the technical ramifications of updated guidelines, there’s also the real-world clinical practice element related to a change like this. How do we as physicians convince our patients to lose more weight or take another medication to bring them into compliance? Many patients find it impossible to reach the previous goals, so there’s not much of a chance of them meeting the new ones.

It will also be interesting to see if the prior authorization processes for weight management medications follow the new goals right away or whether payers gravitate toward the guidelines with more lenient goals.

One of my informatics colleagues asked a question about how real-world evidence (RWE) fits in a situation like this where the proverbial cheese has been moved. Certain EHR vendors have pressured everyone to get on the RWE bandwagon. I’m no expert in the field, but if you’re looking to see how clinicians treated patients with a blood pressure that used to be normal but now isn’t, they’re not likely to have done many interventions because the blood pressure was viewed as normal. We will see how long it takes for real world evidence to shift and for there to be patterns that align with the new thresholds.

If you’re an expert in real-world evidence, I would love to hear from you, and I’m happy to keep you anonymous. Maybe a fireside chat on the hamster wheel of clinical guidelines is in order? Or just some good old-fashioned ranting about the challenges of practicing medicine in an era where physicians are seen as less knowledgeable than TikTok celebrities?

What do you think of the new clinical guidelines, the ramifications to your health IT systems, and their impact on real-world evidence tools? Leave a comment or email me.

Email Dr. Jayne.

HIStalk Interviews William Cavanaugh, CEO, Concord Technologies

William Cavanaugh, MBA is CEO of Concord Technologies.

Tell me about yourself and the company.

I’ve been in technology for over 30 years and health tech for 20. I’ve worn just about every hat there is to wear in a healthcare technology company, from making the coffee, developing the software, taking out the trash, closing the deals, and writing the business.

The high-level mission of Concord Technologies is to advance healthcare through universal exchange and intelligent processing of data. We leverage advanced AI to drive a smarter, faster, and more connected healthcare ecosystem.

What kinds of documents do health systems receive and what challenges do they experience in processing them?

The big challenge in healthcare is the exchange of data between disparate healthcare entities. You have to look at the volume of data. There are 2.3 zettabytes of data generated every year across healthcare. What’s a zettabyte? I can tell you that it’s a billion gigabytes, but that doesn’t really represent the challenge.

If you look at one hospital to paint the picture, one hospital creates 50 petabytes every year. Again, that is difficult to comprehend. Picture yourself in an NFL stadium, in the upper bowl. If you printed the physical equivalent of the annual data from just one average hospital, it would fill 750 NFL stadiums to the brim, and it is growing at 36% a year.

Now you need to share that data. You can’t email it to a doctor because it will go to junk or spam. You need a secure, ubiquitous way of sharing that data. Everyone thinks that the big EHR vendors are going to solve the problem, but there are 500 EHR vendors. They are also not the only player when you add in radiology information, PACS, payers, and pharma. There are thousands of different systems.

On the entity side, the US has 6,000 hospitals, but the number blooms over 200,000 disparate entities and growing when you add in post-acute, outpatient, private practices, urgent cares, specialty practices, et cetera. The problem that we are solving spans 200,000 disparate entities, 1,000 software vendors, 2.3 zettabytes of data growing at 36% a year, and you need to share data.

The space that we play in is documents. Think about documents between your payer, pharmacist, EHR, specialty, and primary. Our very large customers do big volumes. We do about 22 million pages a day through our network. Our big customers do over 50 million documents a month. One of our big EHRs does 90 million a month. We bring that data through an exchange protocol, universal protocol, and then we like to say that we bring it to life. We classify the document, extract key pieces of information, and then insert it into the systems that we’re on.

People might think of interoperability as a FHIR-based data exchange. How does that approach coexist with how documents are managed?

I always say that we’re not in the fax business. But at 10,000 feet, we are a fax company, even though we don’t use paper and fax machines. We use the digital fax protocol to exchange these documents.

FHIR has been around for a long time, plus HL7, integration engines, QHINs, and HIEs are trying to create the structured data exchange. We keep it simple. You have a phone number, and from any EHR, you click “send document.” If MD Anderson wants to send a document to Debbie’s Dermatology in Rice Lake, Minnesota from the EHR, they click “send document” and Debbie’s Dermatology, if she has a fax number, receives a document. Then it automatically sends a response back to the referring physician at MD Anderson that the document was received.

That’s what we do very simply, but we don’t stop there. Your big dermatology clinic gets 5,000 documents in a month. What is this document? We classify it. Then a dermatology clinic is looking for different pieces of information in that 50-page chart that just came across and that a urology clinic would be looking at. We extract the pieces of information, leveraging AI, that are relevant to the receiver of the document. That’s where we bring it to life.

Fax gets a bad rep in the market. I almost didn’t take this job as CEO because I heard we were a fax company, but we’re in the digital exchange business, using a universal protocol.

You asked about FHIR, though. There are instances where FHIR comes into play. We use FHIR to do a lookup to find that patient in Debbie’s Dermatology to match it so we can insert into the system a record. Then we use HL7, which has been around for 15 to 20-plus years as well.

The mental picture of faxing is someone watching thermal paper spool off a fax machine that is covered by taped-on “send” numbers. Is healthcare the only industry where faxing is still a viable way to exchange information?

When you say fax, you think of the curly paper, and if you’re as old as I am, the dial tone. That’s not the business we’re in.

We had a third party do some market research and I’m still surprised by the number of fax machines and paper faxing that is still done in healthcare. Anywhere from at least 10% to 15% of the documents still go through that old-fashioned, corded phone protocol.

Other entities also use fax, both digital and old-fashioned fax. Legal still uses it to fax documents. Payers, the FBI, and the IRS still use it. Other big government entities and institutions, along with mortgage companies, use old-fashioned fax. They’re also migrating to digital fax.

There is still that need when you want a secure ubiquitous protocol to send and receive documents where email doesn’t work, and that fax protocol is still used outside of healthcare. But I would say that around 70% of the digital document exchange via that fax protocol is within healthcare.

How does the process change in moving to digital fax, and what technology criticisms does that eliminate?

The biggest criticism of digital fax is that it’s not structured. By structured, I mean that you are mapping specific data fields from one system to the next. Fax comes in as an unstructured document, such as a PDF, Word document, or chart. It’s not broken down into its discrete fields. 

When that document is received, whether it’s a two-page prior authorization or a 500-page patient chart, it’s just a big PDF. What am I going to do with that big, unstructured document? If you stop just with the digital transmission, even through a cloud-based digital fax protocol, that’s the knock on fax. It doesn’t get me to where I need to be. I still need to scan through the document or read it to figure out what it entails.

With the introduction of large language models, which is the generative AI that is permeating all parts of society, I see the ability to grab unstructured data, pieces of information, from a 500-page patient chart through a large language model that can understand the context as well, which large language models are really good at. They extract the key pieces of information that are needed for the recipient. That will transform how digital fax will have higher quality, lower cost, and better efficiencies for healthcare than try to use things that have been around for a long time. I get to be too geeky, but it’s called CCDAs to structure all these fields in HL7 and FHIR to map all these discrete fields from one system to the other.

Why don’t we just do this mapping and do all this structured data exchange? Again, you just have to look at the volume. Epic has anywhere from 50,000 to 150,000 discrete data elements, based on the configuration, and every configuration of Epic alone is different. Doing that mapping isn’t rocket science, but it takes a lot of one-time work and ongoing effort to keep that up versus just sending the whole document through a secure, ubiquitous protocol that everybody has. You don’t need FHIR, HL7, a QHIN, or HIE. You have a phone number, so you can leverage the telecommunication backbone and security that is already there. Now let technology do the work to bring that unstructured document to life.

That’s relatively new even for our company, and within the overall digital fax industry. But it’s a way to transform interoperability within healthcare.

How much of the information in those documents needs to be integrated into the EHR and other systems?

The unstructured document that comes into the hospital, usually through digital fax protocol, is still probably at least 80% of the transmissions in healthcare. We’re seeing Direct Secure Messaging, and think of that as secure email. Maybe it’s about 10% of the transmissions right now. When you do it through a Direct Secure Message, it comes in through structured, but the challenge is that it doesn’t represent all of the data.

You can’t put an image in there, obviously. You’re not going to structure clinical notes. You still have to provide some unstructured data, which gives context to the recipient, the physician who needs to review the patient who was just imaged at a facility or gone to an emergency room, to get the whole context of the patient.

You call your AI approach “Practical AI.” What does that mean?

We call it Practical AI because it’s exactly what it is. A lot of AI doesn’t add much value. Ours is practical because it’s pretty straightforward and we’re focused on solving real, practical problems. So with 10,000 documents coming into a payer, hospital, or pharmacy, is it a purchase order that goes to finance? Is it a prior authorization with high priority that needs to be responded to within the next 30 minutes because there’s a patient in an ER waiting for that prior authorization? Or is it a claim that needs to be processed in the next 30 days? The first part of our Practical AI is that we’re going to look at this document that just came in and identify its type. 

The other part of the practical side is that in healthcare, nine times out of 10, there’s a patient associated with it, and probably a provider and a record number. We have to extract the patient and identify them by date of birth and address so we can find that patient in the recipient system. That’s a practical use of AI to classify, extract, and then decide what the system needs out of this 50-page document. Sometimes 20 pages and sometimes only three fields. We will make it practical in terms of what’s needed for this incoming transmission for that hospital provider or payer.

How does AI fit into the hype cycle and your company’s business strategy?

It is definitely advancing along the hype cycle and finding some real practical uses. We who use ChatGPT or any of the tools see its ability to digest information in human speech, synthesize information, and create really nice clinical summaries. If the meeting you’re in has three action items, you don’t have to take notes, because it’s going to find it for you. That’s the practical side of how AI is being used.

In our world, we’ve been doing machine learning for over 10 years. It requires a lot of training and use. It gets more challenging and specific with the introduction of large language models. Now you can throw large pieces of information at a large language model, especially when it’s been fine tuned with customized prompts for healthcare, to add real advantages of efficiency, accuracy, and clinical efficacy in the delivery of care.

Morning Headlines 11/10/25

Towards Humanist Superintelligence

Microsoft forms an MAI Superintelligence Team to develop AI that exceeds human capability, with medical diagnostics being its first focus area.

Volpara Now Operating Under Lunit Brand

Cancer diagnostics company Lunit retires the Volpara Health Technologies brand, integrating its AI breast health technology under the Lunit name.

WISeR (Wasteful and Inappropriate Service Reduction) Model

CMS chooses six vendors to participate in the six-year, six-state WISeR pilot program to automate prior authorization with AI: Cohere Health, Genzeon, Humata Health, Innovaccer, Virtix Health, and Zyter.