Baba Emerges From Stealth with $6.5M to Launch Medicare Advocacy Platform
Baba, a patient‑advocacy startup for seniors, announced its emergence from stealth with a $6.5 million seed round led by General Catalyst. The platform blends dedicated nurses and social‑workers with an AI companion to resolve insurance denials, scheduling gaps, and other operational breakdowns in Medicare and Medicare Advantage care. Baba’s advisory board features MIT economist Jon Gruber, and the company is launching a clinical study with Johns Hopkins to measure health‑outcome improvements.
CMS Updates MIPS for 2026: Administrative Claims, TEFCA Bonuses, and AI Safety Measures
CMS released its 2026 Merit‑based Incentive Payment System updates, adding administrative claims scoring, a TEFCA participation bonus, and a new AI safety measure. The changes affect quality, interoperability, improvement activities, and cost categories, with retroactive application to 2025 for large...
Beyond Generative AI: Why Healthcare’s Next Leap Depends on Agentic Systems That Can Actually Do the Work
Healthcare’s administrative crisis stems from fragmented, manual workflows rather than mere documentation. While generative AI has streamlined drafting tasks, it fails to automate end‑to‑end processes like prior authorizations, eligibility checks, and denial management. Agentic AI systems, capable of pulling data...
RevSpring Acquires TrustCommerce to Expand Integrated Healthcare Payment Gateway
RevSpring, backed by Frazier Healthcare Partners, has acquired TrustCommerce to create a comprehensive, end‑to‑end healthcare payment platform. TrustCommerce adds enterprise gateway connectivity and deep Electronic Health Record integrations, enabling a "Bring‑Your‑Own‑Merchant" (BYOM) model that lets hospitals retain existing banking relationships....
6 Ways Hospitals Can Structure CMS TEAM Collaboration Agreements with Specialists
The CMS Transforming Episode Accountability Model (TEAM) now holds hospitals financially accountable for costly surgical episodes, prompting a shift toward true specialist collaboration. Hospitals must craft Collaboration Agreements that align incentives, share data, and avoid punitive scoring to keep surgeons...
Hims & Hers Acquires Australian Digital Health Eucalyptus for Up to $1.15B
Hims & Hers Health announced a definitive agreement to acquire Australian digital‑health firm Eucalyptus for up to $1.15 billion, with $240 million paid in cash and the balance structured as deferred and earn‑out payments. Eucalyptus, founded in 2019, serves more than 775,000...
4 Out of 5 Rural Texans Face a “Life-Threatening” Chronic Disease Crisis, PCCI Data Shows
An analysis by the Parkland Center for Clinical Innovation using its Community Vulnerability Compass finds that four out of five rural Texans live in areas highly vulnerable to life‑threatening chronic diseases. Over 670,000 residents face elevated risk for coronary heart...
Alira Health Sued for Stock Manipulation and Fraud
Alira Health and its CEO Gabriele Brambilla face multiple lawsuits from startup founders alleging fraud, unjust enrichment, and violations of the Securities Exchange Act. The plaintiffs claim Alira used inflated stock to acquire companies, set unattainable performance targets, and then...
Verily Launches Self-Serve Access to Pre Platform with New Segmed and RefinedScience Datasets
Alphabet’s Verily has introduced a free, self‑serve Standard tier for its Pre precision‑health platform, allowing researchers to access the Exchange catalog and Workbench environment with just a Google account. The rollout adds three high‑impact datasets: a single‑cell AML cohort from...
Elsevier ClinicalKey AI Adds NEJM, The Lancet, and HIPAA Compliance
Elsevier has upgraded its ClinicalKey AI platform by adding full‑text access to more than 130 top‑tier medical journals, including NEJM and The Lancet, and by integrating clinical guidelines from leading societies. The new version introduces real‑time traceability, linking AI‑generated answers...
Frist Cressey Ventures Raises $425M Fund to Invest in AI-Native Care
Frist Cressey Ventures closed an oversubscribed $425 million Fund IV, lifting its assets under management close to $1 billion. The new fund zeroes in on early‑stage, AI‑native healthcare companies that can reshape care delivery. Strategic limited partners such as Cigna, MedStar Health and...
Sensei Biotherapeutics Acquires Faeth Therapeutics, Raises $200M to Solve PI3K Resistance
Sensei Biotherapeutics has completed a stock‑for‑stock acquisition of Faeth Therapeutics while simultaneously raising $200 million in a private placement. The deal centers on PIKTOR, an oral combination that simultaneously inhibits PI3K‑alpha and mTORC1/2 to overcome resistance mechanisms in the PI3K/AKT/mTOR axis....
Rainfall Health Raises $15M to Turn CMS Team Mandates Into Revenue
Rainfall Health announced a $15 million Series A round led by Two Bear Capital as the CMS Transforming Episode Accountability Model (TEAM) takes effect on Jan 1, 2026. The TEAM mandate ties reimbursement for five high‑cost surgeries to quality metrics, offering hospitals up to a...
Synchrony Medical Secures $5M to Commercialize LibAirty Airway Clearance System
Pivot Point Consulting Acquired by SV Health Investors’ Portfolio Company to Expand Managed Services
Innovative Consulting Group (ICG), a portfolio company of SV Health Investors, has acquired Pivot Point Consulting, which was divested from Highspring. The combined entity will operate under the Pivot Point brand, leveraging its #1 Best in KLAS managed services unit....
The “Silent” Risk in the NICU: Why Your EHR Can’t Protect Infant Feeding
Feeding in neonatal intensive care units is a high‑risk, high‑frequency workflow that many hospitals still manage with paper logs and manual checks because commercial EHRs were not built for end‑to‑end feeding control. The article highlights how gaps in verification—especially before...
GE HealthCare Expands $35M BARDA Contract to Develop AI-Powered Trauma Ultrasound
GE HealthCare has secured a $35 million expansion of its BARDA contract to accelerate AI‑powered ultrasound development for trauma care. The funding will support both hardware and software to create point‑of‑care devices that automatically detect lung collapse and intra‑abdominal bleeding. The...
The Great Opt-Out: Why Patients Are Ditching Insurance for Cash-Pay Digital Care
Vanessa Slowey, CEO of TelyRx, highlights a growing shift as millions of Americans, burdened by rising premiums, limited ACA subsidies and fragile telehealth policies, are opting for cash‑pay digital care. Uninsured rates sit at 27 million, and roughly one‑quarter of insured...
McLaren Health Care Partners with Bunkerhill Health for AI-Powered Cardiovascular Screening
McLaren Health Care has launched Michigan’s first AI‑driven cardiovascular screening program in partnership with Bunkerhill Health. The initiative uses Bunkerhill’s Carebricks platform to analyze routine chest CT scans for incidental coronary artery calcium and aortic valve calcium, biomarkers of heart...
SpendRule Launches AI-Powered Contract Intelligence Platform with OSF HealthCare and MemorialCare
SpendRule has launched an AI‑driven contract intelligence platform that adds a fourth validation layer—contract terms—to traditional three‑way matching in hospital accounts payable. The solution targets the $323 billion purchased‑services spend category, where industry analysts estimate $32 billion in preventable overpayments each year....
The “Pilot Purgatory”: Why 80% of Pharma AI Projects Fail (And How to Fix It)
Artificial intelligence projects in pharma face a steep attrition rate, with roughly 80% of pilots never reaching production. The primary barrier is not algorithmic sophistication but fragmented data silos and delayed governance that hinder scalable deployment. Experts argue that interoperable,...
How Checking Accounts Cut Cash Flow Woes in Your Clinic
Medical clinics face chronic cash‑flow volatility due to delayed reimbursements, labor costs, and fragmented financial systems. The article argues that the structure of a clinic’s checking account is a core revenue‑cycle asset, not merely a passive fund holder. By integrating...
Atlas Oncology Raises $28M to Take “Full Risk” On Patient Costs
Atlas Oncology Partners closed a $28 million Series A financing round led by Flare Capital, with backing from Rubicon Founders. The startup operates a value‑based care platform that assumes full financial risk for a patient’s entire cancer journey, aligning its incentives with...
Montreal AI Company Secai Raises $6.2M to Automate the Front Desk and the Exam Room
Montreal‑based Secai announced a $6.2 million Series A round to scale its dual AI platform—Voxira, an autonomous voice receptionist, and NoteGen, a real‑time clinical documentation tool. The solutions automate patient intake and EMR entry, directly tackling staffing shortages and physician burnout. Secai...
HealthMark Group Acquires Cloud Imaging Provider Purview to Expand Clinical Data Exchange
HealthMark Group announced the acquisition of Purview, an Annapolis‑based cloud medical imaging platform, to strengthen its clinical information exchange portfolio. The deal targets the persistent reliance on physical discs for radiology image sharing, which still accounts for roughly two‑thirds of...
Should Healthcare Organizations Transition to Biometric Security?
Biometric authentication is now mainstream in U.S. healthcare, with roughly 78% of organizations deploying fingerprint or facial‑recognition systems. The technology promises stronger identity assurance, faster workflow access, and reduced patient misidentification, directly addressing HIPAA compliance and safety concerns. However, high...
How Data Integrity Enhances Healthcare Payer Efficiency and Member Trust
Healthcare payers are increasingly judged on billing accuracy and financial predictability, making data integrity a strategic priority. Clean, verified data enables faster eligibility checks, claim approvals, and reduces manual interventions, directly improving operational efficiency. By minimizing billing errors, payers lower...
Medicomp Launches AI Validation Tools to Stop Clinical Hallucinations
Medicomp Systems unveiled a Model Context Protocol (MCP) that links generative AI models to its 45‑year clinical knowledge graph, filtering hallucinations before data enters electronic health records. The suite enables safe AI APIs for diagnostic prompting, chart summarization, quality‑measure evaluation,...
Achieving Independence: Navigating the Landscape of Advanced Mobility and Recovery Support
Specialized mobility restoration providers are increasingly judged on multidisciplinary expertise, advanced prosthetic technology, and measurable outcomes. The article outlines key components such as individualized assessments, integrated rehab services, and continuous patient education that signal high‑quality care. It also highlights the...
Anterior Secures $40M to Expand AI Deployments in Health Plans
Anterior, a clinician‑led AI platform for health insurers, closed a $40 million financing round, raising its total capital to $64 million with investors including NEA and Sequoia. The company differentiates itself through a “Forward Deployed Clinician” model that embeds medical professionals alongside...
Maven Clinic and Color Health Partner to Expand Virtual Oncofertility Services
Maven Clinic and Color Health have launched a joint oncofertility program that integrates virtual cancer care with a family‑building platform. The partnership targets the roughly 80,000 U.S. young‑adult cancer diagnoses each year, where fewer than half of patients receive fertility‑preservation...
Keragon AI Transforms Healthcare Operations with HIPAA-Compliant Conversational Interface
Keragon has launched an AI‑powered automation platform that links more than 300 healthcare applications through conversational, no‑code prompts while maintaining HIPAA compliance. The solution lets clinical and operations staff design and deploy workflows in minutes, eliminating the traditional reliance on...
Ambience Healthcare Launches “Chart Awareness” To Automate Coding and Clinical Summaries
Ambience Healthcare introduced “Chart Awareness,” an AI capability that reads a patient’s full longitudinal record—including labs, imaging and prior notes—to generate richer clinical summaries. The update adds chart‑aware patient summaries, auto‑extracted diagnostic trends, and coding assistance that can substantiate complex...
Ubie and Mayo Clinic to Launch “Smart Support” AI Triage Platform
Ubie, a Google‑backed AI health platform, has teamed up with Mayo Clinic to co‑develop “Ubie Smart Support,” an AI‑driven triage system that merges chat and voice interfaces into a single digital front door. The solution will assess symptoms, route patients...
GE HealthCare Installs Allia Moveo at USF Center for Advanced Medical Learning and Simulation
GE HealthCare’s Allia Moveo, a compact cable‑free C‑arm with a lateral wide‑bore for Cone Beam CT, has been installed at the University of South Florida’s Center for Advanced Medical Learning and Simulation (CAMLS). This makes CAMLS the first Florida and...
Andor Health Scores Three Premier Contracts to Automate Virtual Care
Andor Health, a leader in agentic AI, has secured three national contracts with Premier Inc. The agreements span Virtual Care (effective Dec 1, 2025), Clinical Communications & Collaboration (Feb 1, 2026), and Remote Patient Monitoring (Mar 1, 2026). They grant Premier members access to ThinkAndor®, an...
Mayo Clinic Platform Standardizes Cancer Data to Speed Up Trials
Mayo Clinic Platform’s Orchestrate tool has added new capabilities that deliver standardized, research‑ready cancer data. The upgrade leverages the OMOP Oncology common data model to transform unstructured inputs such as pathology reports and imaging into consistent tumor characteristics, biomarkers, and...