Healthcare AI, revenue cycle management, prior authorisation and payer/provider technology.
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Signing as self-funded employers, they're asking their insurers and TPAs to extend the pledge's electronic prior auth improvements to their own health plans.
Read the full story →A CMS deputy administrator said “a lot of things” about the AI-assisted Medicare prior auth pilot running in six states are not working. Expect more scrutiny of AI-led denials.
Read the full story →It plans to take its ambient AI beyond documentation into clinical, financial and operational workflows, and works with 250+ healthcare organisations.
Read the full story →Brellium raises $23M for AI that checks documentation before billing. It's expanding into cardiology, pain management and primary care.
Read the full story →Sunbound closes a $24M Series A and acquires Richter Healthcare Consultants, combining AI RCM with services for senior living.
Read the full story →Sustainable Medical Billing announced two acquisitions in two days (SMRTDO and Impact Healthcare Solutions), adding 300+ nearshore staff.
Read the full story →Senthil Velayutham, formerly Nextiva’s product and technology chief, joins as CTO (announced in September) to lead its AI strategy and the Omega Digital Platform.
Read the full story →RCM AI companies are building out their C-suites as they scale. Adonis named its first CRO (Doug Pickett, ex-Cedar) and a CPO from Oscar Health this summer.
Read the source →Issy Eaden specialises in Digital Health & Healthcare AI hiring at QP Group. Talk to Issy about the market, salaries or a search.
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