What You Should Know
Blue Cross Blue Shield of Massachusetts ("Blue Cross") has formalized its first-ever specialty-specific, outcomes-based value-based contract by partnering with cancer care orchestration innovator Thyme Care.The risk-bearing model shifts oncology reimbursement metrics entirely away from traditional, volume-driven fee-for-service loops to prioritize reimbursement tied directly to patient health outcomes.While this marks the plan's first specialized oncology venture, Blue
Read More
Health IT | News, Analysis, Insights - HIT Consultant
Stepful Secures $55M to Expand AI-Powered Healthcare Workforce Training
What You Should Know
Healthcare workforce infrastructure leader Stepful has announced a $55M Series C funding round led by premier venture firm Oak HC/FT.The financing round features strategic backing from new investors Foresite Capital, Hearst Ventures, and the Citi Impact Fund, alongside existing investors including Y Combinator and Intermountain Health.The platform addresses severe, systemic labor shortages by serving as a vertically integrated school-as-a-service provider for more than 35
Read More
Tegria Appoints Former TriZetto CEO Craig Mengert to Succeed Retiring Brian Cahill
What You Should Know
Global healthcare consulting and services leader Tegria has announced the appointment of Craig Mengert as Chief Executive Officer, effective immediately.Mengert succeeds Brian Cahill, who is retiring after a 47-year career and transitioning to serve as an independent director on Tegria’s Board of Directors.The executive transition follows Tegria's recent acquisition by Altaris, LLC, a healthcare-dedicated private equity firm focused on tech modernization and operational
Read More
No Surprises Act Reform: What the Latest IDR Changes Mean for Laboratories and Diagnostic Providers
When Congress enacted the No Surprises Act (NSA), the primary objective was straightforward: protect patients from unexpected out-of-network medical bills. Since implementation in 2022, however, the law has created a complex framework for resolving payment disputes between providers and payors through the Federal Independent Dispute Resolution (IDR) process.
What began as a well-intentioned arbitration mechanism has evolved into a system burdened by millions of disputes, operational
Read More
Xealth Appoints Travis Moore as Chief Revenue Officer to Drive EHR-Integrated Digital Health Expansion
What You Should Know
Digital health orchestration leader Xealth has announced the strategic appointment of Travis Moore as Chief Revenue Officer (CRO).Moore brings over 25 years of healthcare industry experience, transitioning from an initial clinical career as a pediatric nurse to senior commercial leadership roles across major health tech and AI-powered behavioral health platforms.In his previous role as SVP of Sales & Growth at Kyruus, Moore successfully scaled start-up commercial
Read More
The Alert Fatigue and EHR Friction Killing Digital Health Apps
Right at this moment, a physician is logging out of a new digital health tool for the very last time. Not because it stopped working. But it started feeling like a chore rather than a savior. The tool never worked right to keep up with the fast pace of her daily workflow.
She will eventually return to her old school ways. A sticky note, a quick phone call, and an old spreadsheet that keeps the staff on life support. That six-figure platform her health system just built? It
Read More
Alternative Funding Programs vs. In-Benefit Optimization: Designing a Sustainable Specialty Drug Strategy
Specialty medications are expanding what is clinically possible, but not without a price. The affordability gap on these therapies continues to widen, placing sustained pressure on health plan budgets. U.S. prescription drug spending reached approximately $467 billion in 2024, with projections exceeding $556 billion by the end of 2026. As costs rise, employers and pharmacy benefit managers (PBMs) face increasing pressure to ensure that high-cost therapies remain both clinically appropriate and
Read More
Health Catalyst to Divest Vitalware Unit for $147M to Med-Metrix
What You Should Know
Healthcare intelligence leader Health Catalyst has signed a definitive agreement to divest its mid-revenue cycle business unit, Vitalware, LLC, to Med-Metrix for $147M in cash.The transaction allows Health Catalyst to shed a non-core financial software asset and sharpen its corporate focus on driving cost, clinical, and consumer performance improvements.The $147M cash injection, combined with existing capital, will be deployed to fully repay and terminate Health
Read More
Philips and WellSpan Health Launch 7-Year Strategic AI and Imaging Partnership
What You Should Know
Philips and WellSpan Health have announced a seven-year strategic alliance establishing a comprehensive research, co-development, and advanced imaging platform across Central Pennsylvania and Northern Maryland.Moving past standard vendor transactions, the agreement marks the first joint innovation and research strategy between Philips and a U.S. community health system.The research framework focuses on validating AI and digital tools to optimize hospital throughput, cost,
Read More
Don’t Let Legacy Data Derail Your Health System’s Growth
As health systems continue expanding through acquisitions and partnerships, many find themselves racing to bring new practices onto shared EHR platforms. The motivation is clear: unify care, streamline operations, and unlock value across the enterprise. But beneath that strategic vision lies a messy operational reality – one that too often gets overlooked until it’s too late.
At the center of this challenge is legacy data.
For every practice or partner brought into the fold, there's a
Read More
