< + > Approaching health system-level IT redesign

Dr Kun-Ju Lin, deputy information security chief at Chang Gung Memorial Hospital, Linkou in Taiwan, will share real-world execution of their digital transformation strategies at HIMSS25 APAC. 

< + > Episource ransomware attack leaked patient health data

Sharp Community Medical Group and Sharp Healthcare confirmed that patient data was compromised in an attack on the business association earlier this year and the company is sending breach notification letters to its patients.

< + > Acute care telemedicine pays dividends for Prime Healthcare

The 51-hospital health system improved patient throughput in the ED for behavioral health patients, reduced door-to-needle times for stroke patients, and enabled rural hospitals to retain more patients through increased specialist access.

< + > Canadian Health IT Gets Real: Progress Over Posturing at eHealth 2025

Interoperability has long been the punchline of Canadian health IT conversations—always necessary, rarely actionable. But this year’s eHealth 2025 conference (eHealth25) in Toronto marked a shift from theory to execution. Instead of hand-wringing over standards, attendees shared real examples of data-sharing collaborations that are already underway. Just as exciting is the forward momentum on AI Scribes in Canada.

Watch this video summary for more details.

Featuring (in order of appearance):

• Duane Jackson, Patient Advocate
• Robyn Fulkerson, Tectonic Advisory Services
• Alifa Khan, Holland Bloorview
• Russ Patten, Consensus Cloud Solutions
• Maria Zaccaria Cho, CIHI
• Mark Casselman, Akinox
• Dana Greenberg, Diabetes Action Canada
• Jallel Harrati, Suki
• Allie Anderson, MEDITECH

Interoperability Isn’t Just Talk Anymore
After years of “we need to do better,” attendees finally heard what better looks like. Sessions spotlighted how Canadian organizations are sharing patient data—without waiting for a perfect national framework. MEDITECH, for example, spoke about their expanding Traverse network which can now share electronic health data with Oracle Health, Epic, PointClickCare, and provincial databases in Ontario (e.g. OLIS).

Serious Momentum Behind AI Scribes
There was a lot of talk in the eHealth25 exhibit hall about AI scribes and a standing-room-only session on the topic led by OntarioMD and Women’s College Hospital. On the second day of the conference OntarioMD dropped big news on their new Vendor-of-Record Program for AI Scribes. This program is designed to make it easier for physicians to adopt the technology safely and affordably. Look for Healthcare IT Today’s forthcoming interview with OntarioMD CEO Robert Fox for more details.

Unattached Patients Are Driving Innovation
With emergency departments overloaded, the conference took a hard look at one of the system’s biggest stressors: unattached patients. The long-term fix—more primary care providers—isn’t coming fast enough. In the meantime, attendees explored how virtual care, better patient communication, and even AI agents are helping keep patients out of the ED.

Welcome Lack of Glitzy Booths
eHealth25 wasn’t about glitzy booths or big unveilings—it was about sharing what’s working. The sessions and conversations were grounded in practicality: public-private partnerships that work, scale what is proven, and focus innovation where it can reduce real-world strain on staff and patients.

< + > Cohere Health Secures $90M Series C to Expand AI-Powered Platform Transforming Health Plan Clinical Decision-Making

New Investment Accelerates Cohere’s Reach Into Broader Clinical Workflows and Reinforces Its Market Leadership in Prior Authorization Transformation

Cohere Health, the leader in clinical intelligence solutions for health plans and risk-bearing providers, today announced it has raised $90 million in Series C funding. The round was led by Temasek, with continued support from Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners. This new investment brings Cohere’s total funding to $200 million.

The new investment will accelerate Cohere’s next phase of growth, scaling the Cohere Unify platform, expanding into new clinical use cases, and deepening investment in its AI-powered product portfolio. Cohere Unify enables critical collaboration points between health plans and providers, and modernizes utilization management (UM) by personalizing provider workflows and optimizing engagement through real-time performance data. Together, these capabilities lay the foundation for Cohere’s broader vision of transforming clinical decision-making.

“Our mission has always been simple: to help people receive the right care at the right time, in the right place, and with the right value,” said Siva Namasivayam, Co-Founder and CEO at Cohere Health. “This funding is a catalyst to drive Cohere’s growth, expanding our industry-leading UM expertise into new use cases, scaling our operations, and allowing us to continue to transform how plans and providers collaborate to deliver care in ways that truly differentiate us.”

As AI’s role in healthcare continues to draw scrutiny, Cohere’s clinician-led model and responsible AI-first approach ensure that clinical expertise remains at the core of every solution the company develops. This strategy underpins the company’s commitment to innovation, accuracy, and accountability, offering a responsible and transparent model for healthcare automation. Cohere’s platform delivers measurable administrative and clinical efficiencies to streamline the authorization of pending services, reducing provider friction, accelerating time to care, and ultimately helping improve outcomes for health plan members. The platform’s precision clinical insights mean up to 90% of requests can be auto-approved, helping providers spend less time on paperwork and more time with patients, and allowing for deeper collaboration between physicians and health plans on critical cases.

“Since the founding of the company, we have believed Cohere’s approach to AI is distinctive because it brings real clinical intelligence to the table,” said Michael Greeley, Co-Founder & General Partner at Flare Capital Partners. “As the pioneer of the clinical intelligence category, they are not just digitizing an outdated system — they have reimagined prior authorization from the ground up to fundamentally change how clinical decisions are made by facilitating how plans and providers collaborate and incorporate best clinical evidence and guidelines. They have achieved an impressive 93% provider satisfaction rating and have dominated this category. The platform is well-positioned to serve other areas of the healthcare ecosystem. It has been gratifying to watch the company scale, and we are excited to continue our support for Cohere’s next chapter.”

Over the past year, Cohere Health expanded its client base, strengthened its executive leadership team, and deepened platform adoption across the healthcare sector. The company currently processes more than 12 million prior authorization requests annually for more than 600,000 providers nationwide. Additionally, Gartner, LinkedIn, and KLAS have recognized Cohere’s contributions to advancing clinical intelligence, healthcare automation, and collaboration, reflecting its growing influence and sustained innovation in the field.

Looking ahead, Cohere is committed to leading healthcare in places where clinical insight drives decision-making with transparency, responsibility, and a steadfast focus on improving member care.

About Cohere Health

Cohere Health is a clinical intelligence company delivering AI-powered prior authorization solutions that streamline access to quality care by improving collaboration between physicians and health plans. Cohere works with nearly 600,000 providers and processes over 12 million prior authorization requests annually. Its AI auto-approves up to 90% of requests for millions of health plan members. Cohere has been recognized in the Gartner Hype Cycle for U.S. Healthcare Payers, named a Top 5 LinkedIn Startup in 2023 and 2024, and is a three-time KLAS Points of Light award recipient.

Originally announced May 14th, 2025

< + > Amazon to rejigger its healthcare business

The restructuring will divide Amazon Health Services into six divisions to better focus on improving patient experiences and solidifying its pharmacy business, led by appointees from within the company.

< + > Lawmakers draft VA oversight plan for Oracle Health EHR implementation

Proposals would require Veterans Affairs to contractually prohibit the sale of patient information and report on electronic health record workflow benchmarks, quality metrics and resources provided to VA facilities ahead of new installations.

< + > CIO Podcast – Episode 97: Clinical Documentation Improvement with Faisal Hussain

For the 97th episode of the CIO podcast hosted by Healthcare IT Today, we are joined by Faisal Hussain, MD, MHIIM, RHIA, CCDS, CDIP, CCS, Executive Director, CDI at Wellstar Health System, to talk about Clinical Documentation Improvement (CDI)! We kick this episode off as Hussain details the aspects that many CIOs and healthcare leaders don’t understand about CDI but should. Next, we debate over whether RCM or more clinical quality efforts are driving the most CDI. Then, Hussain shares the keys to how he was able to centralize CDI across a growing integrated health system.

There have been a lot of strides in integrating AI into healthcare for both simplification and improvement purposes, so how does this affect CDI? We first discuss if AI will fully take over doing all CDI. Then we take a look at technologies where AI creates notes, such as AI Medical Scribes or Ambient Clinical Voice, and analyze how they will help and/or hurt documentation CDI. Next, we discuss what aspects of revenue cycle management or clinical documentation Hussain feels not enough people are talking about. We then conclude this episode with Hussain sharing career advice to anyone who’s interested in the CDI space.

Here’s a look at the questions and topics we discuss in this episode:

• What’s something about CDI (Clinical Documentation Improvement) that many CIOs and healthcare leaders don’t understand about it, but should?
• What’s driving most CDI—RCM or more clinical quality efforts?
• How were you able to centralize CDI across a growing integrated health system? What were the keys?
• Isn’t AI going to take over doing all CDI?
• How do you think technologies like AI Medical Scribes/Ambient Clinical Voice, where the AI creates the notes, are going to help and/or hurt documentation CDI?
• What’s something that’s happening with revenue cycle management or clinical documentation that not enough people are talking about, and they should be?
• What career advice would you offer someone that’s interested in the CDI space?

Now, without further ado, we’re excited to share with you the next episode of the CIO Podcast by Healthcare IT Today.

We release a new CIO Podcast every ~2 weeks. You can also subscribe to the Healthcare IT Today podcast on any of the following platforms:

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We’d love to hear what you think of the podcast and if there are other healthcare CIO you’d like to see us have on the program. Feel free to share your thoughts and perspectives in the comments of this post with @techguy on Twitter, or privately on our Contact Us page.

We appreciate you listening!

Listen to the Latest Episodes

< + > Understanding Mayo Clinic Platform: A Strategic Overview for Health IT Leaders

Mayo Clinic Platform is an initiative designed to accelerate and enable digital transformation in healthcare for Mayo Clinic and healthcare providers around the world. By leveraging data and clinical expertise from Mayo Clinic, Mayo Clinic Platform aims to empower health IT leaders, clinicians, and technology developers to create and deploy AI-driven solutions that enhance patient care and operational efficiency. This overview explores how Solutions Studio, one of Mayo Clinic Platform’s core programs supports the advancement and integration of digital health solutions. ​

What Is Mayo Clinic Platform?

Mayo Clinic Platform facilitates the development, validation, and deployment of digital health solutions through a number of unique capabilities. It serves as a bridge between healthcare providers, technology developers, and researchers, enabling collaboration to address complex healthcare challenges. Platform offers access to high-quality, longitudinal, de-identified clinical data, advanced AI tools, and a network of healthcare institutions committed to innovation. 

Core to the platform is Solutions Studio, a program designed to accelerate digital health applications from development to deployment.  The program leverages three main capabilities: discovery, validation, and deployment.  These capabilities help innovators train, test, and deploy their solutions to improve both administrative and clinical processes.

Core Capabilities of Mayo Clinic Platform_Solutions Studio

At the core of Mayo Clinic Platform is its distributed data network.  It’s clear that AI solutions are only as good as the data that powers them.  The breadth and depth of this de-identified data provides a solid foundation for validating and powering the AI solutions involved in the platform.  Plus, Mayo Clinic Platform provides programs for startups and digital health companies across all stages of development.  That includes Accelerate for early stage companies and Solutions Studio for later stage companies.

Check out the overview of what’s available as part of Mayo Clinic Platform Solutions Studio.

1. Mayo Clinic Platform_Discover

Mayo Clinic Platform_Discover provides access to a vast repository of de-identified clinical data, encompassing over 13.6 million patients, 5.8+ billion images (CT, MRI, PET), and 2.72+ billion lab test results to name a few.  Check out the list of de-identified data included in Mayo Clinic Platform.

As of May 2025

As you can see, this data includes structured information such as demographics, diagnoses, and medications, as well as unstructured data like clinical notes, imaging reports, and pathology findings. Platform’s environment allows users to analyze this information to uncover clinical insights, validate them, and train AI models. Access to this data can quickly accelerate digital health companies’ innovation efforts.  

2. Mayo Clinic Platform_Validate

Mayo Clinic Platfrom_Validate independently assesses the accuracy and effectiveness of artificial intelligence models and digital health solutions used in healthcare. It analyzes how these solutions perform across different patient demographics using a vast dataset of de-identified clinical records that come from urban and rural communities. The goal is to identify potential biases and limitations before these technologies are integrated into clinical practice. By offering third-party evaluations, Platform provides transparency and builds trust in medical AI tools among healthcare providers.

Check out an example report from Mayo Clinic Platform_Validate.

3. Mayo Clinic Platform_Deploy

Mayo Clinic Platform_Deploy streamlines the integration of AI solutions into clinical workflows. It provides a technical and operational framework that facilitates rapid deployment, allowing innovators to bring their solutions to market quickly. Deploy connects developers with a network of healthcare organizations eager to adopt novel AI solutions, thereby accelerating the transition from model development to real-world application.

All the clinical research and validation of AI models is useless if those insights do not make it into the hands of clinicians.  Deploy provides the operational and technical framework along with a dedicated team of experts to allow healthcare organizations to more easily adopt novel AI solutions.

Strategic Benefits for Health IT Leaders

As we shared, in our previous look at platforms in healthcare [Will link to platform article], there are a lot of benefits to choosing a platform approach to innovation in healthcare.  Along with the operational and security aspects of platforms, there are a number of strategic benefits that solution developers receive from working with a well designed platform like Mayo Clinic Platform.

Accelerated Innovation – By providing access to extensive clinical data and advanced AI tools, Mayo Clinic Platform enables developers to rapidly prototype and test digital health solutions. This acceleration reduces the time and cost associated with bringing new technologies to market.​

Rigorous Validation – Platform’s qualification process ensures that digital health solutions meet high standards for performance, credibility, and fairness. This rigorous evaluation builds trust among healthcare providers and patients, facilitating the adoption of new technologies.​

Seamless Integration – Mayo Clinic Platform_Deploy simplifies the process of integrating AI solutions into existing clinical workflows. By addressing technical complexities and interoperability challenges, Deploy enables smoother transitions from development to implementation.​

Collaborative Ecosystem – The platform fosters collaboration between healthcare providers, technology developers, and researchers. This ecosystem approach promotes the sharing of knowledge and resources, leading to more effective and innovative healthcare solutions.​

Conclusion

Mayo Clinic Platform is a collaborative effort built on robust data and industry insight to enable digital innovation at scale. By offering access to high quality clinical data, advanced AI tools, and a supportive infrastructure for solution development and deployment, Platform empowers health IT leaders to drive meaningful change in patient care. For innovators and organizations seeking to collaborate with a trusted partner in healthcare innovation, Mayo Clinic Platform provides a powerful and reliable foundation.

For more information on how to engage with Mayo Clinic Platform, visit www.mayoclinicplatform.org.

Mayo Clinic Platform is a proud sponsor of Healthcare Scene.

< + > Datavant to Acquire Aetion, Empowering Healthcare and Life Sciences Organizations to Generate High-Quality, Scalable Real-World Evidence from Connected, Privacy-Protected Data

Combination Will Enable Faster, More Actionable Insights Across the Clinical and Commercial Lifecycle

Datavant, a leading health data platform company, today announced that it has signed an agreement to acquire Aetion, a leading real-world evidence (RWE) platform that powers critical decision-making in healthcare. With this acquisition, Aetion will join Datavant to deliver an end-to-end RWE platform, enabling healthcare and life sciences companies to more efficiently answer research questions about the clinical impact of therapies in development and in market.

This complementary combination unites two leaders to make RWE truly actionable, covering the full spectrum of services needed to deliver scientifically validated, transparent, and reproducible RWE accepted by global regulators, including the FDA and EMA. Aetion brings industry-leading technology, services, and data partners to help life science and medical device customers develop decision-grade evidence plans and analyses. Stakeholders across the healthcare value chain use Datavant’s industry-standard platform for secure, compliant health data exchange to fuel connected, comprehensive insights that empower smarter decisions and advance patient outcomes.

“As Datavant has grown and scaled, our life sciences and ecosystem partners have been asking us for a deeper capability set to bring together disparate data sources so they can tap into a more comprehensive and longitudinal view of patient health across the product lifecycle,” said Kyle Armbrester, Chief Executive Officer at Datavant. “The addition of Aetion’s team of scientists and technologists further bolsters our complementary capabilities and expertise so we can better leverage data from our ecosystem of partners to support efforts before, during, and after commercialization – generating evidence from trial to treatment and beyond to deliver life-improving therapies.”

The companies will focus on leveraging their complementary capabilities to create an end-to-end offering on data discovery, linkage, privacy, curation, and advanced analysis to enable their ecosystem and life sciences partners to create analytics-ready insights. This announcement follows the launch of Datavant Connect, powered by AWS Clean Rooms, an enhanced capability that facilitates cloud-first data discovery and evaluation to accelerate time to insight. Through Datavant Connect, ecosystem partners’ data is more easily and equitably accessible and able to be combined with complementary data sources, thus unlocking additional value to partners and customers alike. Aetion greatly enhances the Datavant Connect platform’s data discovery features, and will enhance privacy assessments and give end-customers clean datasets and analytics they can leverage for a range of uses. In addition, the Aetion Evidence Platform is now available in AWS Marketplace.

This announcement also coincides with the launch of Aetion Activate. Activate expands Aetion’s software portfolio to better serve biostatisticians and data scientists, creating a collaborative, auditable, and secure platform for both code and no-code users. It also removes the burdens of manual, error-prone data preparation, freeing teams to focus on research and critical analysis. Together with Datavant’s connectivity and tokenization capabilities, Aetion now offers a more integrated ecosystem for preparing and analyzing real-world data at scale.

“Our mission at Aetion has always been to power critical decisions in healthcare with data science-driven technology,” said Jeremy Rassen, ScD, CEO at Aetion. “By joining forces with Datavant, we’ll unlock the full potential of real-world evidence to advance confident, data-driven decisions that improve patient care. Today, we are taking a bold step toward realizing our shared vision: a world where health data is seamlessly connected and actionable—so we can answer what treatments work, for whom, and what they should cost.”

Upon closing, Datavant and Aetion will have a combined ecosystem of over 300 data partners. Datavant’s RWD partners comprise datasets across electronic health records, claims, specialty pharmacy, registries, imaging, lab, social determinants of health, and more. With Aetion, RWD partners across the Datavant ecosystem will gain improved visibility of their data’s utility through sharper querying of the datasets, scaling value, demand, and additional use cases across a more expansive base of life sciences companies.

About Datavant

Datavant is a health data platform company. We make the world’s health data secure, accessible, and actionable. Datavant drives data connectivity into action by offering a proprietary platform and network that delivers critical solutions across the healthcare ecosystem. Datavant enables more than 60 million healthcare records to move between thousands of organizations, more than 70,000 hospitals and clinics, 75% of the 100 largest health systems, and an ecosystem of 300+ real-world data partners. To learn more about Datavant, visit datavant.com and follow us on LinkedIn.

About Aetion

Aetion is a global healthcare technology company that delivers real-world evidence (RWE) solutions to biopharmaceutical companies, medical device manufacturers, payers, and regulators. Powered by Aetion Evidence Platform, Aetion applies advanced causal inference, rigorous epidemiologic methods, and purpose-built AI to transform complex healthcare data into transparent, reliable evidence on the safety, effectiveness, and value of medical treatments. Through this evidence-based approach, Aetion informs healthcare’s most critical decisions—what works best, for whom, and when—while enabling scalable solutions for regulatory submissions, market access, and clinical development. Aetion’s investors include Flare Capital Partners, NEA, Warburg Pincus, B Capital, and leading life sciences and payer organizations. Learn more at aetion.com and follow us on LinkedIn.

Originally announced May 15th, 2025

< + > Bonus Features – June 15, 2025 – 2 in 3 orgs use outdated tech to manage IoT and medical devices, less than 30% of orgs ready for AI-driven cyberattacks, plus 26 more stories

Welcome to the weekly edition of Healthcare IT Today Bonus Features. This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job.

Studies

• Only 29% of healthcare executives are prepared for AI-driven cybersecurity threats, according to research from LevelBlue.
• Research from SOTI found 65% of healthcare organizations use unintegrated, outdated systems for managing IoT and medical devices.
• A white paper from Luna found hospitals risk losing nearly $40 billion in downstream revenue over three years when orthopedic patients go out of network for system-referred physical therapy.

Partnerships

• Altera Digital Health selected Health Gorilla as its QHIN partner. In addition, Altera Digital Health is collaborating with Managed Care Advisory Group to bring MCAG’s class action lawsuit recovery services to hospitals and providers.
• The Lieber Institute for Brain Development and AWS are partnering to identify treatments for brain disorders using generative and predictive AI. In addition, AWS expanded its commitment to the Advanced Research Projects Agency for Health (ARPA-H) Sprint for Women’s Health performers.
• Interpretation services from Homeland Language Services are now integrated with DT Research medical tablets and all-in-one computers.
• IQVIA is launching multiple AI orchestrator agents in collaboration with NVIDIA to manage complex life sciences workflows. In addition, Novo Nordisk and NVIDIA are collaborating to create custom AI models for drug discovery.
• The Joint Commission and the Coalition for Health AI are partnering to co-develop a suite of AI playbooks, tools, and a certification program.
• Lumeris is using Google Cloud to build Tom, its new platform for supporting care coordination, chronic disease management and preventive health.

Products

• AdvancedMD launched its 2025 Summer Product Release with enhanced navigation workflows and AI integrations across its offerings.
• Corti launched FactsR, an AI agent for clinical consultations.
• Komodo Health launched MapLab Enterprise to provide stakeholders in life science organizations with access to real-time data and insights.
• Workflow automation platform Medsender updated MAIRA, its AI voice agent, with scheduling integration, call tracking, and additional EHR integrations.
• PatientPay launched PatientPay Accelerate to help close the time gap between payer-collected patient payments and cleared revenue.
• RadiantGraph launched AI Voice Studio to support personalized member outreach.
• Wolters Kluwer Health updated Sentri7 Drug Diversion and Sentri7 Pharmacy to streamline workflows for drug diversion and medication management.

Sales

• MultiCare Health System expanded its deployment of Merge by Merative to include cloud PACS.
• Health benefits company Gravie chose Paymedix for patient billing as well as access to the Wisconsin-based provider network of Paymedic parent company HPS.
• GPS Dental expanded its deployment of VideaHealth‘s dental AI assistant across the enterprise.
• Oregon-based St. Charles Health System chose WovenX Health to support virtual gastroenterology care.
• Blue Shield of California selected ZocDoc to support scheduling in-network in-person and virtual appointments.

Company News

• DirectTrust announced agenda details for its annual conference, which is August 4-7 in St. Louis. Highlights include an update on the cybersecurity threat landscape, e-prescribing of controlled substances, and quantum computing.
• Research from AppOmni uncovered security vulnerabilities in Salesforce FlexCards, Data Mappers, and Integration Procedures.
• Research from Hinge Health found an average annual savings of $2,343 per member for users of digital tools for managing chronic musculoskeletal conditions.
• Research from Mayo Clinic spinoff Phenomix Sciences validated its MyPhenome genetic obesity test for personalized GLP-1 and phen-top treatment.
• Value-based technology vendor Roji Health Intelligence achieved HITRUST e1 Certification for its clinical data registry.

People

• Women’s telehealth company Wisp appointed Dr. Jennifer Peña as Chief Medical Officer.
• Senior digital health company DUOS hired Isaac Lyles as Lead Data Scientist, Product & Partner Analytics.

If you have news that you’d like us to consider for a future edition of Healthcare IT Today Bonus Features, please submit them on this page. Please include any relevant links and let us know if news is under embargo. Note that submissions received after the close of business on Thursday may not be included in Bonus Features until the following week.

Happy Father’s Day! I don’t know about you, but I’m pretty sure there are doughnuts and LEGO in my future, and I’m excited.

< + > Weekly Roundup – June 14, 2025

Welcome to our Healthcare IT Today Weekly Roundup. Each week, we’ll be providing a look back at the articles we posted and why they’re important to the healthcare IT community. We hope this gives you a chance to catch up on anything you may have missed during the week.

The Power of AI-Based Breast Cancer Detection Technology. John Lynn sat down with Rob Sandler at RamSoft and Thomas Bertinotti at Therapixel to discuss the benefits of embedding AI into PACS, which can increase rates of early detection, generate reports, and otherwise streamline radiology workflows. Read more…

Unlocking New Revenue Potential With AI Agents. Franco Cardillo at the Medical University of South Carolina shared their success in automating everything from eligibility checks and insurance verification to copay collection and reminders, which decreased no-show rates and increased collections. Read more…

The ROI of Online Patient Payments Is Significant. Colin Hung connected with Jose Rocha at First Choice Neurology to learn about speeding up revenue collection and cutting the costs of paper bills – all while implementing technology patients were already asking for. Read more…

Executive Thoughts from SIIM 2025. John and Colin collected insights on the intersection of radiology and AI, including data access challenges, the perils of legacy infrastructure, and the benefits of application integration. Read more…

Life Sciences Today Podcast: Gene Therapy for Inherited Retinal Diseases. Dr. George Magrath at Opus Genetics joined Danny Liberman to discuss the role of AI in predicting clinical outcomes and accelerating trial design – and, the company hopes, restoring sight to the blind. Read more…

Healthcare IT Today Podcast: The CMS RFI on Technology to Improve Medicine. Colin and John debated what CMS is asking for, whether the right stakeholders will chime in, and how Medicare can make technology easier for beneficiaries to use. Read more…

Addressing the Impending Risk Adjustment Data Validation Audit Crisis. All Medicare Advantage plans are now subject to annual RADV audits, in an effort to reduce $40 billion in excess payments to MA plans. A RAAPID webinar on June 20 will help plans proactively prepare for audits. Read more…

America Needs a National Healthcare Directory. CMS has committed to creating a national provider director. As the agency gets started, experts from Epic, Smart Health Network, and UC San Diego Health said CMS should prioritize data governance, automated updates, and national provider identifiers. Read more…

A Healthy Approach to IT Services. As healthcare organizations are continually called on to do more with less, partnering with a third-party service desk provider offers a range of benefits, said Brian Nunziato at Mechdyne. These include better flexibility, lower operational costs, and fewer interruptions. Read more…

Healthcare’s Next AI Push Will Be About Empowerment. The industry has moved on from “AI for AI’s sake” and has decided AI must empower clinicians and not sideline them, according to Joy Avery at CipherHealth. For AI vendors, that means workflow integration, transparency, and top-of-license support. Read more…

This Week’s Health IT Jobs for [DATE]: Roles in population health and clinical administration, plus technology services company Nutex Health is looking for a Chief Nursing Officer. Read more…

Bonus Features for June 8, 2025: Only 18% of orgs have governance in place for using generative AI; meanwhile, 46% of orgs report significantly higher volume of cyberattacks. Read more…

Funding and M&A Activity:

• Press Ganey Forsta acquired InMoment, which applies AI and NLP to measuring customer experience.
• Care at home vendor Sprinter Health closed a $55 million Series B financing round.
• Cancer lifestyle modification platform Complement 1 secured a $16 million oversubscribed seed funding round.
• Care coordination software maker Olio raised $11 million in Series B funding.

Thanks for reading and be sure to check out our latest Healthcare IT Today Weekly Roundups.

< + > Gene Therapy for Inherited Retinal Diseases – Life Sciences Today Podcast Episode 13

We’re excited to be back for another episode of the Life Sciences Today Podcast by Healthcare IT Today. My guest today is Dr. George Magrath, CEO at Opus Genetics, practicing ophthalmologist, and someone who’s quite literally restoring sight to the blind. Under George’s leadership, Opus is developing gene therapies for ultra-rare inherited retinal diseases, including one that recently gave a 39-year-old man the ability to see for the first time in his life. They’re also pioneering the use of AI to predict clinical outcomes and accelerate trial design.

Check out the main topics of discussion for this episode of the Life Sciences Today podcast:

• What made you take the leap from the clinic to launching Opus Genetics—and why now, for rare inherited retinal diseases?
• You’re midway through a Phase 1/2 trial for LCA5 with big implications for patients who’ve never had treatment options. What are you hoping the data unlocks, and where do you go from here?
• What does AI make possible in rare disease trials that wasn’t possible before?
• How do you build a viable business model around ultra-rare diseases like LCA5 — where the science is powerful but the patient population is small?
• What are the 3 things you’re most determined to achieve in the next 12–24 months — scientifically or operationally?
• If we stripped away the biggest barrier in your path, what would become possible that isn’t possible today?

Now, without further ado, we’re excited to share with you the next episode of the Life Sciences Today podcast.

Be sure to subscribe to the Life Sciences Today on your favorite podcasting platform:

• Apple Podcasts
• Spotify
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Along with the popular podcasting platforms above, you can Subscribe to Healthcare IT Today on YouTube.  Plus, all of the audio and video versions will be made available to stream on Healthcare IT Today.

If you work in Life Sciences IT, we’d love to hear where you agree and/or disagree with our takes on health IT innovation in life sciences. Feel free to share your thoughts and perspectives in the comments of this post, in the YouTube comments, or privately on our Contact Us page. Let us know what you think of the podcast and if you have any ideas for future episodes.

Thanks so much for listening!

< + > One Novant Health nurse on the technology that helps shape a career

Panissa Caldwell, RN, the health system’s director of clinical services, explains how telehealth, artificial intelligence and other tools can help nurses make the most of their educations and careers.

< + > RADV Audit Crisis: RAAPID Hosts Webinar as CMS Targets All 550 MA Plans

Industry experts warn: Organizations have months, not years, to prepare for unprecedented audit expansion

The Medicare Advantage industry faces its most significant regulatory disruption in decades. CMS has announced a historic expansion of Risk Adjustment Data Validation (RADV) audits, moving from approximately 60 plans annually to auditing ALL 550 Medicare Advantage plans. With potential clawbacks reaching tens of millions per organization, healthcare executives can no longer treat RADV audits as a distant possibility—they’re now an annual certainty.

The New Reality: From Selective to Universal Coverage

The scale of this change cannot be overstated. CMS is deploying 2,000 medical coders and advanced analytical tools to conduct comprehensive audits across the entire Medicare Advantage ecosystem. For health plans that previously operated under a 1.5% audit probability, the new reality represents an 800% increase in audit exposure.

“Organizations that have been gambling on audit avoidance now face mathematical certainty,” explains Wynda Clayton, MS, RHIT, a recognized leader with over 20 years of experience in risk adjustment and compliance. “The question isn’t whether you’ll be audited—it’s whether you’ll navigate the audit when it comes.”

This transformation reflects CMS’s commitment to addressing what the Medicare Payment Advisory Commission (MedPAC) estimates as $40 billion in excess payments to Medicare Advantage plans compared to traditional Medicare beneficiaries.

Technology Arms Race: CMS vs. Health Plans

Perhaps most concerning for healthcare executives is CMS’s deployment of “advanced analytical tools” designed to efficiently flag unsupported diagnoses. These systems represent a fundamental shift from manual review processes to AI-powered audit capabilities that can process massive volumes of medical records while maintaining accuracy.

“CMS is essentially telling the industry: we’re bringing sophisticated technology to this fight,” notes Chris Lally, Vice President of Operations at RAAPID, who brings over 30 years of healthcare operations expertise. “Organizations that continue relying on manual processes are bringing calculators to a supercomputer battle.”

Emergency Response: Industry Leaders Demand Immediate Action

Recognizing the urgent need for executive education and strategic guidance, RAAPID is hosting a webinar titled “Don’t Wait for the Notice: How to Prepare for RADV Audits Now” on June 20, 2025, at 11:00 AM EST.

The 40-minute session specifically targets C-suite executives, including CEOs, CFOs, Chief Compliance Officers, and VP-level leaders who bear ultimate responsibility for organizational preparedness. Unlike typical compliance enlightenment, this executive briefing focuses on strategic decision-making, financial risk assessment, and leadership accountability in the new audit environment.

What Makes This Different: Strategic vs. Tactical Focus

Most RADV audit discussions center on operational details—documentation requirements, coding accuracy, and submission processes. This webinar takes a different approach, addressing the strategic business implications that keep executives awake at night.

Attendees will learn how single audit findings can cascade into enterprise-threatening financial exposure, the executive framework needed to identify audit vulnerabilities before CMS does, and proven defense strategies that have protected health plans from devastating penalties. Perhaps most importantly, leaders will receive a clear action plan with immediate responsibilities and critical questions to ask their teams within 48 hours.

“We’re not teaching compliance basics,” Clayton emphasizes. “We’re providing crisis prevention strategies for executives who need to protect their organizations, their careers, and their stakeholders from regulatory catastrophe.”

The Competitive Advantage

Beyond compliance requirements, the RADV expansion creates competitive advantages for well-prepared organizations. Health plans that excel at documentation and audit preparation can offer providers better support, reducing administrative burden and improving physician satisfaction with Medicare Advantage contracts. This capability becomes crucial for provider recruitment and retention.

Conversely, organizations struggling with audit preparation face a downward spiral: poor documentation leads to audit findings, financial pressure, reduced provider support, provider attrition, and ultimately threatens contract viability.

Technology as Thriving Infrastructure

The webinar addresses how organizations can compete with CMS’s advanced analytical capabilities. RAAPID’s AI-powered risk adjustment platform represents sophisticated technology infrastructure that organizations need to survive the new audit reality.

“Traditional approaches to risk adjustment were designed for a world where audits were rare exceptions,” explains Lally. “Now they’re annual requirements that demand technology capable of matching CMS’s analytical sophistication.”

The company’s neuro-symbolic AI technology combines pattern recognition with logical reasoning, creating systems that analyze medical documentation with both speed and accuracy while providing explainable results, crucial for audit defense and regulatory compliance.

The Executive Imperative

For healthcare executives, the RADV expansion represents more than a compliance challenge—it’s a test of organizational capability and leadership preparedness. Board members and senior executives have direct fiduciary responsibility for enterprise risk management, and RADV audit failures can quickly escalate into career-defining crises.

The webinar addresses this reality directly, providing executives with the intelligence and strategic frameworks needed to protect their organizations and professional standing.

Time Is Running Out

With CMS already beginning the expanded audit process and organizations facing immediate selection for review, the window for preparation is rapidly closing. Smart executives are building audit-proof infrastructure while competitors scramble to understand new requirements.

As Clayton warns attendees: “Forty minutes today could save your organization millions tomorrow. Don’t let inadequate preparation become an executive-level catastrophe.”

The Medicare Advantage industry has entered a new era where compliance excellence isn’t just good practice—it’s a survival requirement. Organizations that recognize this reality and act accordingly will thrive.

Register for “Don’t Wait for the Notice: How to Prepare for RADV Audits Now” at RAAPID’s webinar portal. The session takes place on June 20, 2025, at 11:00 AM EST.

RAAPID is a proud sponsor of Healthcare Scene.

< + > Sprinter Health Raises $55 Million To Expand Access To Preventive Care And Close Critical Care Gaps For People Nationwide

This Series B Round Led by General Catalyst, With Investments from Andreessen Horowitz (a16z) and Other Prominent Investors, Will Enable Sprinter Health to Scale Its Tech Stack, Broaden Its Scope of Services, and Engage More People in Communities Across the Country

Sprinter Health today announced the close of a $55 million Series B financing round led by General Catalyst, with participation from Andreessen Horowitz (a16z) Bio + Health and other existing investors, including the Regents of the University of California, Google Ventures, and Accel. Sprinter Health’s mission is “healthcare untethered.” They specialize in engaging hard-to-reach populations, utilizing a technology-first approach paired with in-person clinical staff to increase access to care. Since its founding in 2021 by Max Cohen and Cameron Behar (both formerly of Oculus and Google), Sprinter Health has now raised over $125 million.

In a crowded market of traditional providers and digital health companies, Sprinter has distinguished itself by creating a system that pairs virtual and in-home care. Sprinter couples its in-home W-2 staff, cross-trained as medical assistants, community health workers, and phlebotomists, with a virtual team of nurse practitioners and specialists. “Meeting patients where they are” often means a virtual-only solution, which fails to actively connect with those least engaged in the healthcare system. Most significant care pathways require an in-person component. When Sprinter Health’s staff (known as Sprinters) arrive at patients’ doorsteps, the human touch makes a big difference in delivering impactful, high-quality care and ensuring patients are drivers on their health journey, not just passengers. Since Sprinters are hired from the communities they serve, healthcare is delivered by people that patients see at the grocery store or the movie theater, creating a sense of comfort and trust right from the start.

With a laser-like emphasis on routing, logistics, and engagement, Sprinter Health is making “last-mile healthcare” not just possible, but delivered efficiently. With the patient experience at its core (manifesting in a 90+ Net Promoter Score), Sprinter’s technology innovation and proprietary full-stack approach extends the normal geographic area that Sprinters can cover, helping them see more patients, cover more regions, and provide access to people whose location is often a barrier to receiving care.

“Sprinter Health’s advanced technology ensures that our Sprinters’ schedules are optimized to be with the right patient, at the right location, at the right time,” said Max Cohen, Co-Founder and CEO at Sprinter Health. “For example, our Sprinter Platform enables the average Sprinter to engage with and provide services for up to twelve people a day. It could be lead screening for a child in one location, an eye exam for a patient with diabetes in another, and a comprehensive assessment with care planning through a hybrid visit with a nurse practitioner for a Medicare Advantage member in the afternoon. This level of service and scale is possible only because of Sprinter Health’s technology and artificial intelligence that account for a long list of variables, including traffic and weather patterns, location-based parking considerations, individualized patients’ needs and appointment times, and region-specific idiosyncrasies.”

As chronic disease continues to be a burden to patients and the healthcare system alike, identifying gaps in care and taking action on them becomes more critical to reducing the massive increases in healthcare costs. Sprinter’s own research has shown that over 30 percent of American adults have known unattended care needs to manage their chronic health issues. Their approach doesn’t stop with closing a gap, but rather is designed around closing the loop. Sprinter reconnects these patients with their existing care team or with a team of navigators to connect them with the clinical and community resources they need. This ensures that the activation of these previously unengaged patients can result in positive longitudinal outcomes, not just a transactional encounter.

Since they first launched in California, Sprinter Health has expanded from five states in 2023 to 18 today, with plans to reach 22 by the end of summer 2025. They have completed nearly 100,000 visits to people in their homes, on behalf of national health plans. Sprinters follow a customized checklist to ensure that they administer the proper tests and provide the appropriate care that matches patients’ needs, improving quality and reducing error and wasted spend. Sprinter Health prioritizes a holistic approach to care; Sprinters are able to identify unmet social needs in patients’ homes, from fall risks to an empty fridge, and ensure that the proper referrals are made to address those issues. Sprinter Health addresses up to 20 quality measures with an 80 percent gap closure rate, and impacts 45% of the requirements to achieve a 4 Star rating or better for plans.

“We believe Sprinter Health is emerging as a category-defining company in home-based care,” said Holly Maloney, Managing Director at General Catalyst, who also led Sprinter’s seed round. “They’ve built the technological infrastructure to make care both scalable and impactful for the people who need it most. Max, Cameron, and the team have reimagined how care reaches patients — expanding access, improving outcomes, and delivering real value to health plans and providers.”

About Sprinter Health

Sprinter Health is a mobile healthcare provider that combines technology and a full-stack medical practice to reimagine care at home. We partner with healthcare organizations to drive engagement with proactive, preventive care by combining convenient in-home visits for hands-on diagnostics with support from virtual clinicians to close care gaps, develop care plans, and reconnect patients back into longitudinal care. For more information, visit sprinterhealth.com.

Originally announced May 15th, 2025

< + > Unlocking New Revenue Potential with AI Agents at an Academic Medical Center

Discover how MUSC Health is using AI-powered automation to transform its revenue cycle, using AI Agents to boost pre-visit completion rates, reduce no-shows, and capture additional revenue.

Academic medical centers have long faced tight financial constraints, juggling their research and education commitments with operational demands. The situation has been further strained by recent reductions and limitations in NIH funding, making it increasingly difficult to sustain the quality these institutions are known for.

For many AMCs, the traditional approach of hiring more staff to manage a growing list of administrative tasks is no longer viable. Leaders are actively seeking alternatives that can fill the gap without adding headcount.

Franco Cardillo, Executive Director of Digital Strategy and Operations at the Medical University of South Carolina (MUSC Health), shares how his organization has responded by deploying Notable’s AI Platform to not only alleviate the burden on staff but also open doors to new revenue streams.

A shift in perspective

With 760 care locations operating across South Carolina, MUSC Health was facing operational headwinds common to health systems nationwide: five to ten support staff per provider, a 28% workforce attrition rate, and more than 100 vacancies within revenue cycle operations alone.

Rather than continuing to ask, “How do we hire more people to do these tasks?” MUSC leadership pivoted to a new question: “How can we leverage technology to change what’s possible?”

Cardillo explains how shifting the organizational mindset was essential for successful automation adoption. Key tactics included:

• Establishing automation as a foundational approach, rather than a short-term add-on
• Clearly communicating the purpose and vision behind automation efforts
• Framing success by improvement over time, explaining that, “If we can be 30%, 40%, or even 50% better than we are today, then that’s a huge win.”

How MUSC Health deployed AI Agents at scale

MUSC Health achieved revenue cycle transformation by leveraging AI Agents, intelligent digital workers that automate complex, multistep tasks while learning and adapting along the way. These agents have reshaped revenue cycle operations and improved performance via three strategic pillars:

1. Interoperability – Ensuring the technology integrates seamlessly with existing workflows, EHRs, and patient data systems to avoid disruption and enhance the care experience
2. Productivity – Identifying high-volume, low-value tasks that automation can absorb, allowing skilled staff to focus on patient-centered, strategic work
3. Scalability – Rather than running isolated pilots, MUSC seeks solutions that prove effective and are scalable across the enterprise

These principles continue to guide the system’s automation strategy and execution.

Measurable Outcomes and Operational Gains

AI Agents are now embedded in tasks across MUSC Health’s enterprise, automating everything from eligibility checks and insurance verification to copay collection and reminders.

Key results include:

• A rise in pre-visit completion rate from 25% to 47%—an 88% improvement
• A reduction in no-show rates from 14% to 8% using targeted appointment reminders
• Time-of-service copay collections now reaching 52%, up from 44% prior to automation

As Cardillo puts it, “Everything goes back to the revenue cycle. You can’t do anything that we’re doing with technology if you don’t include the revenue cycle.”

Explore MUSC Health’s full journey and insights by watching the webinar, where Cardillo outlines how automation powered by Notable’s AI Platform is delivering performance gains, provider relief, and a more seamless experience for patients across the enterprise.

< + > Press Ganey Forsta Acquires InMoment, Accelerating AI Innovation in Customer Experience and Expanding Cross-Industry Expertise

Combined Technology and Expertise Will Support Clients with a Deeper, Data-Driven Understanding of their Customers—Delivering Personalized Insights that Drive Innovation and Growth

Press Ganey Forsta, a leading provider of experience measurement, data analytics, and insights, today announced it is acquiring InMoment, a customer experience technology company with deep expertise in AI, natural language processing, and cross-industry solutions. United by a shared purpose—helping organizations create better experiences and stronger outcomes—the two companies will combine their capabilities to deliver the most advanced experience technology, connecting employee, customer, and operational data to turn insights into action.

“In today’s competitive landscape, understanding customer sentiment and experience is one of the most powerful levers organizations have to build loyalty, earn trust, and drive growth,” said Patrick T. Ryan, Chairman and CEO at Press Ganey Forsta. “The ability to gain deep insights from the voice of the consumer directly shapes a company’s brand, reputation, and bottom line. Press Ganey Forsta is committed to leading with innovation and partnering with clients to elevate the human experience across their organizations. We’re excited to welcome the InMoment team and deliver unmatched capabilities to our combined client base.”

“In joining Press Ganey Forsta, we become part of an organization that has a demonstrated track record of innovation and elevating both the consumer and employee voice,” said John Lewis, Chairman and CEO at InMoment. “Together, we have the resources to deliver even greater value to our clients—through faster insights, more advanced research tools, and expanded expertise.”

The combination of InMoment’s conversational intelligence, reputation management, and customer experience expertise with Press Ganey Forsta’s solutions creates transformative omni-channel listening capabilities spanning call centers, social reviews, surveys, and other interactions. The acquisition also broadens Press Ganey Forsta’s expertise across industries such as retail, hospitality, automotive, and financial services, while deepening its leadership in healthcare through richer patient insights.

“InMoment and Press Ganey Forsta are both recognized by Gartner as Leaders in the Magic Quadrant for Voice of the Customer Platforms, each bringing highly complementary strengths. Together, from day one, we’ll offer clients even more powerful experience and research tools to drive measurable outcomes,” said Kyle Ferguson, CEO at Press Ganey Forsta’s cross-industries division. “Beyond our leading technology, both companies share a strong commitment to deep client partnerships, industry expertise, and hands-on support—qualities our clients greatly value. These strengths remain central to everything we do.”

Key Facts

• Press Ganey Forsta is acquiring InMoment to accelerate innovation and strengthen its leadership in customer experience (CX) technology and expertise across industries
• Press Ganey Forsta is a trusted partner to leading global market research firms, top U.S. retailers, and the largest banks and insurance companies; it is a leading provider of experience measurement, analytics, and insights in healthcare—helping organizations improve safety, quality, and the overall experience of care
• InMoment brings deep domain expertise in industries such as retail, hospitality, financial services, automotive, and consumer services—complementing Press Ganey Forsta’s strengths and expanding its cross-industry reach
• Both companies were recently named Leaders in the Gartner Magic Quadrant for Voice of the Customer Platforms, recognized for their innovation, scalability, and ability to deliver measurable outcomes
• Together, they offer the most advanced capabilities in AI, natural language processing, and omni-channel listening—transforming feedback from call centers, social reviews, surveys, and support channels into real-time, actionable insights
• The combined company will serve clients globally with a team of more than 3,000 employees; clients will benefit from accelerated innovation, an expanded suite of tools and analytics, and continued hands-on support from teams they know and trust

About Press Ganey Forsta

Press Ganey Forsta is a leading global provider of experience technology, data analytics, and insights that help companies better understand and serve their customers, employees, and stakeholders. Press Ganey Forsta powers the Human Experience (HX) Platform – a comprehensive experience and research technology platform that brings together CX (Customer Experience), Employee Experience (EX), Patient Experience (PX), and Market Research. It serves more than 43,000 clients globally across healthcare, financial services, hospitality, market research, professional services, retail, and technology.

About InMoment

InMoment is a customer experience technology company with deep expertise in AI, natural language processing, and cross-industry solutions. It helps clients collect and connect customer experience data from everywhere – from surveys and social reviews to conversational chat logs and transcripts. Over 3,000 brands trust InMoment’s software and services to activate structured and unstructured data, breaking down team silos to take the most impactful actions.

Originally announced May 14th, 2025

< + > VA takes steps to eliminate 80K jobs, says report

The Department of Veterans Affairs has reportedly signed an interagency agreement with the Office of Personnel Management to oversee staff reductions in force of up to 80,000 staff members.

< + > MetroHealth and MUSC Health make for a patient engagement powerhouse

The health systems' MyCare Anywhere app fuses the Epic EHR, MyChart, telemedicine, expert health content, self-guided health journeys and more. MetroHealth has done 27,000 virtual visits with thousands of referrals in the first year.

< + > Dr. Oz Has It Right: America Needs a National Healthcare Directory

The following is a guest article by Ladd Wiley, Senior Vice President for Global Corporate Affairs, Public Policy, and Advocacy at Epic,  Paul Meyer, Co-Founder and CEO of the Smart Health Network, and Christopher Longhurst, Chief Clinical and Innovation Officer at UC San Diego Health.

Every day in America, sick patients are sent to medical providers who no longer practice where the patients were told to go. Private medical records are sometimes faxed to places as inappropriate as auto repair shops. Insurers, working to prevent fraud, inadvertently deny legitimate claims and care authorizations simply because they haven’t been notified of a provider’s new location. These breakdowns delay necessary care, increase stress on families, drive up waste, and open the government up to fraud.

All these things happen because the United States lacks a single, reliable source of truth for the most basic information about physicians, such as their practice location, contact information, and specialty. Without this source of truth, patients and insurers are left playing a real-life game of “Where’s Waldo” as they try to locate physicians. And some hospitals are even paying staff to read obituaries so that they don’t send discharged patients to deceased specialists.

On June 3, Dr. Mehmet Oz, the Centers for Medicare and Medicaid Services (CMS) Administrator, at a meeting with health technology stakeholders in Washington, DC, announced that CMS plans to help fix these problems by building a national healthcare directory, starting with provider information. He has laudably identified the lack of a well-functioning national provider directory as one of the problems that creates waste, inefficiency, and opportunities for fraud throughout the healthcare ecosystem. America lacks a complete and consistently reliable source of necessary provider information. Instead, what we have is a confusing patchwork, often out of date, that breeds mistrust throughout the healthcare community, drives up costs for taxpayers, and harms the patient.

Research from the Council for Affordable Quality Healthcare’s (CAQH) highlights the magnitude of this problem. They’ve found that payers spend more than $2 billion and providers spend almost $2.8 billion on annual maintenance. Despite that colossal financial commitment, a CMS review of Medicare Advantage Organizations’ provider directories found that slightly more than fifty percent of the provider directory locations had at least one inaccuracy.

As CMS builds consensus on a national healthcare directory – a key component of modernizing our healthcare system – we encourage them to consider three important principles along the way:

First, a unified national directory should have federated inputs with an unambiguous source of truth for each data element. CMS should support the establishment of a common directory for provider identity, including name and National Provider Identifier (NPI). Other organizations should be the source of truth for their relationship with that person. Provider organizations should be responsible for updating contextual information like location, contact information, and specialties. It is important that the responsibility should rest with the organization, not the individual provider as it does today. Similarly, payers should track and update which physicians are in their network. And each actor should be responsible for their own FHIR endpoints, including healthcare providers and payers.

This seemingly simple approach addresses one of today’s common challenges: physicians who practice at multiple locations. With a directory tracking the relationships between actors, multiple concurrent relationships can coexist with no need to manually reconcile.

Second, a national directory must have strong governance to manage data quality. The data in the directory will be used to automate workflows that directly affect patient care and financial operations, so precision and accuracy are non-negotiable. Without governance and validation, even a small number of poor-quality data entries can undermine trust and increase system-wide inefficiencies. To avoid repeating the mistakes of past directories, CMS must prioritize API-based, machine-readable data attestation instead of manual attestation through web portals or flat files.

Third, access and updates to the directory should be automated. Machine-to-machine communication reduces human error and burden while speeding updates, and it requires interoperable standards with which all insurers and providers can comply. When a provider changes clinic locations, there should be an automated push to the directory without human intervention. When a provider leaves an insurer’s network, an automated push should go to the directory. With automated updates to the directory, patients will get near-real-time electronic referrals sent to the right in-network doctor at the right location.

Though the work to build a useful and trusted national directory will not be easy, we and many others across the country stand ready to contribute to the success of this important project. Under Dr. Oz’s guidance, CMS has already taken the right step by seeking broad input from private and public stakeholders with representation from patients, healthcare organizations, payers, and health IT experts.

Built properly, a national directory of healthcare will reduce patient abrasion, cut waste for all stakeholders, and serve as a cornerstone for the modern digital ecosystem our country deserves.

Ladd Wiley is the Senior Vice President for Global Corporate Affairs, Public Policy, and Advocacy at Epic. Paul Meyer is Co-Founder and CEO of the Smart Health Network. Christopher Longhurst is the Chief Clinical and Innovation Officer at UC San Diego Health.

Epic is a proud sponsor of Healthcare Scene.

< + > This Week’s Health IT Jobs – June 11, 2025

It can be very overwhelming scrolling though job board after job board in search of a position that fits your wants and needs. Let us take that stress away by finding a mix of great health IT jobs for you! We hope you enjoy this look at some of the health IT jobs we saw healthcare organizations trying to fill this week.

Here’s a quick look at some of the health IT jobs we found:

• VP, Information Technology – rendr
• Privacy and Compliance Specialist (Hybrid) – Mozarc Medical
• Security Analyst I (Cybersecurity) – Tandem Diabetes Care
• Clinical Data Specialist – Cleerly
• Privacy Information Specialist – HIM (Hybrid) – Denver Health
• Insider Threat Program Analyst – Molina Healthcare
• Chief Nursing Officer – Nutex Health Inc.
• Analyst, Patient Relations – Oak Street Health
• Care Planner Behavioral Health – CVS Health
• Healthcare Analytics Data Analyst III – Centene Corporation
• Patient Access Data Specialist – MultiCare Health System
• Clinical Business Systems Analyst – Comagine Health
• Population Health and Health Equity Strategy Lead – Humana
• HIPAA Privacy Analyst – Sentara Health
• Clinical Services Operations Manager – HealthQ
• Analyst, Corp Compliance – DaVita Kidney Care
• Director, Data Privacy – Natera
• Sr Analyst, Population Health, Specialty Partnerships – Oak Street Health
• HIPAA Specialist – UCHealth
• Medical Management Policy & Research Analyst I – HMSA
• Clinic Administrator – Trinity Health

If none of these jobs fit your needs, be sure to check out our previous health IT job listings.

Do you have an open health IT position that you are looking to fill? Contact us here with a link to the open position and we’ll be happy to feature it in next week’s article at no charge!

*Note: These jobs are listed by Healthcare IT Today as a free service to the community. Healthcare IT Today does not endorse or vouch for the company or the job posting. We encourage anyone applying to these jobs to do their own due diligence.

< + > This rural Australian health service enables telecollab to retain workforce

The new telesurgery service in Central Queensland will also accelerate the training and upskilling of surgical residents and trainees. 

< + > AHA warns hospitals as Play ransomware targets RMM tool vulnerability

After SimpleHelp disclosed a security vulnerability in its remote monitoring and management tool earlier this year, threat actors are gaining access to U.S. networks and exploiting the flaw to steal data before shutting down operational systems.

< + > Olio Raises $11M Series B Funding to Expand Product Innovation and Market Reach

Investment Led by Fulcrum Equity Partners to Accelerate Olio’s Mission of Transforming Care Coordination

Olio, the leading software platform streamlining care coordination, announced today the closing of an $11 million Series B funding round. The round was led by Fulcrum Equity Partners with participation from Mutual Capital Partners (MCP), a growth equity firm specializing in scaling innovative healthcare and B2B software companies.

Philip Lewis, Partner at Fulcrum Equity Partners, states, “Olio is transforming a manual, error-prone, and unscalable discharge process. With real-time patient status across the care continuum, providers can truly drive performance.”

Bill Trainor, Partner at Mutual Capital Partners, adds, “With rising demand for operational efficiencies and data-driven cost savings, we’re excited to continue partnering with Olio to improve patient outcomes and reduce readmissions and costs.”

Olio empowers payers, health systems, and physician groups to efficiently manage patient transitions across care settings: Skilled Nursing, Home Health, Behavioral Health, Long-Term Care, and more. Olio delivers improved outcomes and operational efficiencies, enabling organizations to engage their entire footprint at scale, addressing a critical need in the care continuum.

With new capital, Olio plans to expand its product offerings and accelerate go-to-market initiatives, deepening its impact on healthcare organizations nationwide.

“Olio is solving one of healthcare’s most critical challenges — connecting care across the continuum in a scalable, impactful way,” said Jill Sharp, Sr. VP of Care Delivery at Emcara Health, and Olio board member. “I’m thrilled to support a company that is not just innovating, but truly transforming how providers partner with each other for better patient care.”

“At Olio, our mission is to transform the way healthcare organizations coordinate care,” said Ben Forrest, CEO at Olio. “The continued investment from Fulcrum Equity Partners, combined with the support from Mutual Capital Partners, positions us to scale our impact and drive meaningful change across the industry.”

Olio’s growth reflects a broader shift in healthcare toward operational excellence, where seamless transitions and stakeholder alignment are paramount. With proven success stories and new strategic partnerships, Olio is poised to lead this next chapter of healthcare innovation.

About Olio

Olio makes complex care more organized, coordinated, and effective, improving patient outcomes by requiring mutual participation in processes that work. When providers work together seamlessly and effectively, people and populations get better.

About Fulcrum Equity Partners

Fulcrum Equity Partners is an Atlanta-based growth equity firm that gives entrepreneurs the capital and hands-on support they need to take their companies further, faster. Fulcrum invests in healthcare services and B2B tech executives searching for $5 million to $35 million of equity in minority and majority growth opportunities. Fulcrum’s partners believe in building businesses the right way, meeting teams where they are, and helping them imagine a bigger and brighter future by building the right systems, processes, teams, and culture. All of that starts with the right experience, the right support, and the right relationship. Learn more at fulcrumep.com.

About Mutual Capital Partners

‍Mutual Capital Partners is a Cleveland-based venture capital fund that helps innovative healthcare startups reach their full potential. Our investment is more than just financial; we become partners and lend full support to our portfolio companies’ efforts. Learn more at mutualcapitalpartners.com.

Originally announced May 12th, 2025

< + > LLM-driven precision medicine decision support system live at Seoul National University Hospital

It initially supports personalised cancer treatment based on the hospital's big clinical and genomic data.

< + > VA Chief AI Officer: Technology is secondary to human problem-solving

Artificial intelligence alone is not the answer, says Charles Worthington of the U.S. Department of Veterans Affairs. Connecting AI-enabled insights like risk scoring to a larger healthcare program is what helps move the needle on outcomes.

< + > CMS’ Request for Input on Technology to Improve Medicine – Healthcare IT Today Podcast Episode 168

For the 168th episode of the Healthcare IT Today Podcast, we are talking about CMS’ request for input on technology to improve medicine! We kick this episode off by sharing our thoughts on CMS’s ask for input on technology for Medicare beneficiaries. Next, we debate on whether or not we think they are asking the right stakeholders and if they will get stakeholder involvement. Then, we talk about the topics or areas in the CMS/ASTP/ONC RFI that stand out to us. Lastly, we conclude this episode with a discussion on some of the things Medicare could do with technology to improve it for patients.

Here’s a preview of the topics and questions we discuss in this episode:

• What do you think of CMS asking for input on technology for Medicare beneficiaries?
• Are they asking the right stakeholders, and will they get stakeholder involvement?
• What are the topics or areas in the CMS/ASTP/ONC RFI that stand out to you?
• What are some things that Medicare could do with technology to improve it for patients?

Now, without further ado, we’re excited to share with you the next episode of the Healthcare IT Today podcast.

We publish a new Healthcare IT Today podcast every ~2 weeks. Thanks to our friends at Healthcare Now Radio, you’ll be able to listen to the latest episodes of Healthcare IT Today on their radio station for the first two weeks. Then, we’ll be publishing each episode as a podcast and YouTube video here after it finishes on the radio.

You can also subscribe to the Healthcare IT Today podcast on any of the following platforms:

• Apple Podcasts
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Thanks for listening to Healthcare IT Today and if you enjoy the content we’re sharing, please rate the podcast on your favorite podcasting platform.

Along with the popular podcasting platforms above, you can Subscribe to Healthcare IT Today on YouTube.  Plus, all of the audio and video versions will be made available to stream on HealthcareITToday.com.

If you work in Healthcare IT, we’d love to hear where you agree and/or disagree with the perspectives we shared. Feel free to share your thoughts and perspectives in the comments of this post, in the YouTube comments, with @Colin_Hung or @techguy on Twitter, or privately on our Contact Us page. Let us know what you think of the podcast and if you have any ideas for future episodes.

Thanks so much for listening!

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