As AI Enters Patient Charts, Safeguards Are Critical
AI-driven tools are rapidly entering patient charts to automate clinical documentation improvement (CDI) and revenue‑cycle tasks. Accuity’s Dr. Sari Green warns that without a human‑in‑the‑loop physician governance model, AI can introduce documentation errors that affect billing and compliance. The push for efficiency is colliding with the need for rigorous oversight to protect claim accuracy. Stakeholders are now balancing speed gains against potential revenue loss from mis‑coded entries.
Personalized AI-Powered Training Helps Clinicians Learn New Tools
Healthcare technology firm uPerform is deploying an AI‑driven training platform that predicts clinicians' learning needs for new devices and delivers personalized micro‑learning at the point of care. The system monitors real‑time usage data, generates just‑in‑time videos and prompts, and integrates...
Federal Pressure Aims to Accelerate Interoperability for Payers, Providers
The Centers for Medicare & Medicaid Services (CMS) and the Department of Health‑related Interoperability Initiative (DOGE) are jointly urging payers and providers to accelerate clinical data exchange. In a HIMSS TV interview, Health Gorilla CEO Bob Watson highlighted the federal...
Digital Maturity Sets the Foundation for AI-Powered Care
Health systems are accelerating digital transformation to build robust data backbones that support seamless interoperability and strong governance. By standardizing data exchange, they create a foundation for AI-driven tools that can personalize patient interactions. Alexandra Wright of HIMSS highlights that...
HIMSSCast: ‘Implement an AI Solution in Digestible Chunks’
Northwell Health Labs has integrated artificial intelligence into its revenue cycle management, achieving a 40% reduction in error rates. The AI was deployed in small, digestible chunks, allowing the system to generate quick wins and avoid the pitfalls of a...
CXO Summit Lets Healthcare Leaders Share Ideas
The HIMSS Southern California Chapter will host a CXO Summit aimed at fostering candid dialogue among health‑care executives. The event targets chief information, finance, and operations officers who must navigate rapid policy shifts and modernize care delivery. Sessions will explore...
Clover Health's Medicare Advantage Membership Increases by 51%
Clover Health reported a 51% year‑over‑year increase in Medicare Advantage membership, reaching 155,773 members in Q1 2026. Retention remained strong, exceeding 95% during the annual enrollment period. Financially, the company posted $160 million gross profit, a 47% rise, and $40 million adjusted...
Health System Downtime Recovery Must Involve All Technologies
Hospital contingency plans for network downtime typically center on electronic health records (EHR), leaving specialty applications unprotected, according to Rebecca Romine of Polsinelli Law Firm. When a network outage occurs, these critical tools can become inaccessible, jeopardizing patient care and...
Three Wins for AI in the Revenue Cycle
Brian Kenah, CTO of EnableComp, outlines three early AI wins in hospital revenue cycle management. First, document intelligence converts unstructured PDFs—contracts, fee schedules, regulations—into real‑time decision data for reimbursement. Second, intelligent integration leverages APIs and robotic process automation to replace...
The Risk of Keeping Humans in Healthcare AI's Loop
Regulators are mandating that clinicians review AI‑generated recommendations before any patient‑care decision is made. Blue x Blue founder Julia Zarb cautions that this pre‑emptive oversight could expose doctors and health systems to heightened liability. The shift moves the safety net from post‑decision...
Frictionless Data Flow Streamlines Medicaid Enrollment
Contexture announced a new platform that streams clinical data directly to state Medicaid agencies. The real‑time exchange removes the need for caseworkers to conduct multiple manual record searches. By automating eligibility verification, the system speeds up enrollment and cuts administrative...
Patient-Facing Revenue Cycle Starts at the Front-End
Curae is launching a patient‑facing revenue cycle that begins at the front end of care, using artificial intelligence to pull together physician notes, clinical history, and claims data. Matt Fisher, VP of Operations, says the AI creates a single, comprehensive...
AI, Digital Tools May Increase Rural Clinician Satisfaction
The Rural Health Transformation Program, announced by PointClickCare’s government affairs VP Steve Holt, will fund AI and digital tools for rural hospitals. The initiative aims to streamline clinical workflows, reduce burnout, and improve staff retention in underserved areas. By integrating...
Validated Quality Signals Will Drive Digital Health Adoption
The Digital Medicine Society’s DiMe Seal and the CARIN Code of Conduct are being adopted by CMS to highlight high‑quality digital health apps for Medicare beneficiaries. By attaching these validated quality signals to apps, CMS can surface trustworthy solutions amid...
AHA Federal Funding Requests Include Workforce Development for Rural Communities
The American Hospital Association (AHA) has asked Congress to allocate federal funds for 2027 healthcare workforce programs, targeting the chronic staffing gaps in rural America. In letters to House and Senate leaders, the AHA, representing roughly 5,000 hospitals and clinicians,...
How Healthcare Can Prepare for Quantum Computing
Health systems are being urged to modernize legacy IT and develop migration roadmaps after NIST officially approved a suite of post‑quantum cryptographic algorithms. Mike Nelson, DigiCert’s field CTO, warns that existing encryption in electronic medical records and patient portals is...
Telehealth Can Provide Rural Healthcare Lifeline
NHIT‑INSPIRED interns Belina Sapkota and Sarah Zak presented a capstone project that proposes expanding telehealth services to bridge the chronic health‑care gap in rural America. Their plan couples broadband‑enabled virtual visits with a curriculum to build an AI‑ready workforce capable...
CMS Extends GENEROUS Model Deadline for Pharma and States
The Centers for Medicare & Medicaid Services has pushed back the application deadline for the GENEROUS Model, a program that lets state Medicaid programs buy drugs at prices comparable to those in other nations. Manufacturers now have until June 11 to...
Clinician Exhaustion Is the Biggest Barrier to AI Adoption
Clinician exhaustion has emerged as the primary obstacle to widespread AI adoption in healthcare, according to Dr. Jesse Ehrenfeld, Aidoc’s global CMO. While AI promises efficiency, many clinicians view new tools as additional burdens that exacerbate burnout. Vendors are therefore...
CMS Rules Compliance Will Improve Patient Experiences
The Centers for Medicare & Medicaid Services (CMS) will enforce new interoperability rules in 2027 that require real‑time disclosure of prior‑authorization requirements through FHIR‑based APIs. According to eHealth Exchange consultant Scott Rossignol, the mandate will let patients see when a prior...
The Best Possible Patient Outcome Goes Beyond Prior Authorization
Brian Smith, chief pharmacy officer at Shields Health Solutions, argues that prior authorization alone fails patients who cannot afford prescribed drugs. He emphasizes that true patient care must address financial barriers alongside clinical approval processes. Shields Health is promoting a...
HIMSS Chapters Can Help Educate Policymakers
HIMSS is leveraging its local chapters to meet state legislators and discuss healthcare data security and patient rights. Lawrence Voyten, chair of the HIMSS Chapter Advocacy Task Force, says these meetings amplify HIMSS' policy voice. The initiative aims to translate...
CEOs Face Congressional Hearing on High Hospital Prices
Four hospital CEOs testified before the House Ways and Means Committee about soaring hospital prices, which have risen roughly 300% over the past two decades. Committee Chair Jason Smith highlighted that 2,000 of the nation’s 4,500 hospitals have merged, giving...
ACA Market Dynamics Cost HCA $150M in Q1
HCA Healthcare posted a modest 0.6% rise in Q1 net income to $1.6 billion and a 4.3% revenue increase to $19.1 billion. A milder-than‑expected respiratory season slashed related admissions by 42% and ER visits by 32%, curbing volume growth. Storms disrupted markets...
Hartford HealthCare to Invest $1 Billion, Anchored by Patient Tower
Hartford HealthCare announced a $1 billion, ten‑year capital program anchored by a $950 million patient and surgical tower at Hartford Hospital. The tower will add 250 private smart rooms, an expanded emergency department, and a light‑filled lobby, while the broader plan includes...
AI Deployment May Actually Increase Healthcare Costs
A new Peterson Health Technology Institute report finds that while AI eases administrative tasks for hospitals, it often drives up costs. The technology accelerates the volume of billing, prior‑authorization and claim‑processing transactions without addressing deep‑seated inefficiencies. More complete documentation and...
Partnership for Clinical Decision Support Moves AI to Next Level
AI-driven clinical decision support has taken a leap forward as Abridge announced a partnership with the New England Journal of Medicine and JAMA. The collaboration will embed peer-reviewed articles and guideline evidence directly into Abridge’s platform, linking them with real-time...
HIMSS Membership Is a 'Game-Changer' For Legislators
HIMSS membership is being touted as a "game‑changer" for lawmakers, according to Florida Senator Gayle Harrell, a HIMSS26 Policy Influencer Changemaker. By joining the Health Information and Management Systems Society, legislators gain a structured channel to understand the health issues...
Health Plans Adopt Standardized Approach to Prior Authorization
Health plans, including UnitedHealthcare, Cigna, Aetna, Humana and major Blue Cross entities, announced a voluntary initiative to use a standardized electronic prior‑authorization (e‑PA) format beginning Jan. 1, 2027. The new standard will cover common services such as orthopedic surgery, CT scans and...
Flexibility Is Key to Future-Ready Hospital Design
Hospital leaders are moving away from permanently installing equipment toward modular, reconfigurable spaces that can evolve with emerging technologies. Cleveland Clinic CIO Sarah Hatchett emphasizes that flexibility enables rapid adoption of AI, digital health tools, and new treatment modalities. The...
How to Help Nurses Avoid Technology Over-Reliance
Healthcare leaders are urged to balance digital fluency with core clinical skills to prevent nurses from becoming overly dependent on AI tools, according to NYU informatics professor MaryAnn Connor and FANA CEO Olga Kagan. The experts stress that while AI...
Rules-Based Systems Provide Clinical Accuracy Guardrails
Medicomp Systems CEO David Lareau argues that deterministic, rules‑based AI models act as safety nets for large language models (LLMs) used in clinical documentation. While LLMs generate rich, probabilistic text, they can also produce inconsistent or erroneous statements. Rules‑based systems...
HIMSS Measures Healthcare AI Progress and Shares Successful Strategies
HIMSS has launched its 2026 AI Adoption Index, a comprehensive benchmark that evaluates how hospitals and health systems are integrating artificial intelligence across clinical and operational domains. The index surveyed more than 500 institutions, identifying the AI techniques that deliver...
PBM Proposed Transparency Rule Supported by Public Comment
The U.S. Department of Labor has closed a public comment period on a proposed rule that would require pharmacy‑benefit managers to disclose all direct and indirect compensation to self‑insured employer health‑plan sponsors. The accelerated rule, opened on Jan. 30 and closed...
More than 70% of CFOs Report Margins of 2% or Less
A recent LeanTaaS survey of 100 U.S. hospital CFOs reveals that 72% are operating with profit margins of 2% or less, a level comparable to low‑margin retail. The primary pressures stem from declining reimbursement rates, reduced government funding, rising labor...
How Computer Vision Fits Into a Smart Hospital Room
Artisight’s Chief Nursing Officer Karie Ryan outlined the company’s ambient intelligence platform that fuses audio, video, sensor data and computer‑vision algorithms into a single smart hospital room. The solution continuously monitors patients and staff, automatically detecting safety risks such as...
What Other HIMSS Chapters Can Learn From Georgia
HIMSS Georgia has emerged as one of the most active local chapters, according to HIMSS executive Lisa Counsell. The chapter’s success stems from hospitals treating each other as collaborators rather than competitors, fostering a culture of shared learning. Members also...
How to Close the Healthcare IT Skills Gap
Healthcare IT faces a widening talent shortage, prompting leaders like Davenport University’s Joseph Brown to call for tighter ties between academia and the industry. He argues that direct instruction from seasoned IT professionals can better equip graduates for real‑world challenges....
What Providers and Vendors Can Expect From Regulatory Changes
Jonathan French, senior director of public policy at HIMSS, outlined how the CMS Health Tech Ecosystem and the ONC’s HTI‑5 proposed rule could overhaul interoperability requirements for digital health tools. The proposals aim to create a unified framework that links...
HIMSS Executive Connect Brings 'Life-Changing' New Perspectives
The HIMSS Executive Connect program gave Sophia Brown, RN and CEO of Strategic Informatics Solutions, a fresh view on collaborative problem‑solving across health‑tech firms. By convening leaders from diverse organizations, the initiative highlighted shared challenges in AI, business intelligence and...
Patients' AI Privacy Concerns Meet Practicality
A recent HIMSS TV survey reveals that while AI‑savvy patients remain wary about where their health data is stored, an overwhelming 95% are willing to use ambient AI to enhance patient‑doctor interactions. Dr. Matt Sakumoto of Nabla interprets this high acceptance...
3 Steps for Successful Healthcare AI Deployment
Healthcare leaders can accelerate AI adoption by following three core steps: first, clearly define the clinical problem the technology will address; second, ensure the AI project is tightly aligned with the organization’s broader strategic goals; and third, implement robust governance...
NYU Langone Health Is Eliminating Plastics From Food Service
NYU Langone Health is phasing out more than 5 million pieces of plastic serveware, removing roughly 62,000 lb of conventional plastic from its operations. The hospital has already swapped 68% of its bowls, trays and cutlery for paper and bagasse alternatives that...
Accurate Information Helps Health Systems Compete for Patient Attention
ChristianaCare’s director of patient education, Greg O'Neill, warns that health systems must adopt health‑literacy best practices or risk patients seeking answers elsewhere. The article highlights how clear communication, plain‑language materials, and proactive education can keep patients within a system’s care...
Executive Coaching Helps Leaders Grow Through Discomfort
UVA Health Chief Technology Officer Zeb Elliott credits executive coaching from the Healthcare Leadership Institute, delivered via HIMSS Executive Connect, for surfacing uncomfortable but honest feedback that highlighted gaps in his leadership style. The coaching program prompted Elliott to confront...
NorthBay Health to Take Ownership of Queen of the Valley Medical Center
Providence St. Joseph Health has signed a definitive agreement to transfer ownership of its Queen of the Valley Medical Center in Napa to NorthBay Health, a locally governed nonprofit system. The deal, with no disclosed purchase price, moves the 60‑year‑old acute‑care...
HIMSS and NHIT Help Develop Global Talent Pipeline
HIMSS and the National Health Innovation Trust (NHIT) have unveiled NHIT INSPIRED, a global initiative that pits student teams against real‑world healthcare challenges. Participants apply artificial‑intelligence tools to deliver quantifiable community health improvements. The program bridges academia, industry and providers,...
Redefining Healthcare IT Certification
At HIMSS26, HIMSS senior vice president Tom Leary outlined a streamlined health‑IT certification framework unveiled by ONC’s Dr. Thomas Keane. The new approach consolidates multiple certification pathways into a single, risk‑based model, aiming to cut approval timelines and reduce costs for...
Active HIMSS Communities Drive Healthcare Industry Progress
HIMSS’s global community of committees, workgroups and task forces, led by senior thought leaders, is translating strategic plans into measurable change across the health‑care sector. By pooling expertise in business intelligence, operations and workforce development, the organization accelerates digital transformation,...
AHA Names Its Preferred Cybersecurity Provider
The American Hospital Association (AHA) has appointed Rubrik as its Preferred Cybersecurity Provider, giving roughly 5,000 member hospitals access to Rubrik’s cyber‑resilience tools and a breach‑recovery playbook. The designation is part of the AHA’s Preferred Cybersecurity & Risk Provider Program...