Healthcare IT Today Interviews

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Listen to the latest happenings in Healthcare IT in this series of interviews with leading experts in healthcare technology. Whether you're trying to understand EMR and EHR, healthcare communications, security and privacy, analytics, telehealth and telemedicine, and much more, these interviews will dive into what's really happening on the front lines of healthcare. Learn more at: https://www.healthcareittoday.com

John Lynn


    • Feb 23, 2026 LATEST EPISODE
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    Latest episodes from Healthcare IT Today Interviews

    Hyland Brings Enterprise Content Management to Pathology with Tribun

    Play Episode Listen Later Feb 23, 2026 12:48


    Hyland Brings Enterprise Content Management to Pathology with TribunDigital pathology adoption is picking up speed, but many organizations are discovering that scanners and AI alone do not solve the hard problems. The real challenge is the lack of standards that holds back efforts to scale and optimize. In this interview, Michael Campbell, Chief Product Officer at Hyland, breaks down why enterprise content management is becoming essential for digital pathology. He explains Hyland's partnership with Tribun Health, how responsibilities are split between digitization, analysis, and backend imaging governance, and what health IT leaders should be thinking about as pathology moves beyond pilot programs. The conversation also touches on Hyland's broader product roadmap, including how agentic AI fits into enterprise workflows and why transparency and auditability matter for adoption.Where do you see the biggest bottleneck in digital pathology today? Is it technology, standards, or operational governance? Share your perspective in the comments.

    Netflix Didn't Win by Moving Files. Neither Will Cloud Imaging.

    Play Episode Listen Later Feb 20, 2026 12:14


    Cloud imaging promised speed and simplicity. Many health systems got longer rollouts, higher costs, and workflows that still feel tied to the data center. The issue isn't the cloud. It's how imaging platforms were designed to use it.In this conversation, Brad Levin, General Manager, North America at Visage Imaging, explains why streaming-first architecture changes the equation. The discussion covers why hosted PACS struggle to scale, how six-to-nine-month go-lives can/should be the norm, and why enterprise imaging works better as a single platform rather than stitched-together modules.Share your perspective on cloud imaging and the Netflix-approach in the comments.

    Unstructured Data is Slowing Care. medQ and Consensus Have a Solution.

    Play Episode Listen Later Feb 19, 2026 17:49


    Healthcare still runs on fax. The real question is what happens after those documents arrive.In this conversation, Roy Vincent, Vice President of Sales & Marketing at medQ, and Marianne Soucy, Solutions Engineer at Consensus Cloud Solutions, unpack why unstructured data remains so deeply embedded in healthcare and how it slows radiology workflows, intake processes, and patient care. They explore what changes when unstructured data (like faxes) becomes visible, readable, and routable inside clinical systems, and why speed has become a patient safety issue, not just an efficiency metric.

    How Greenway Health Is Building an AI-First Company From the Inside Out

    Play Episode Listen Later Feb 17, 2026 21:38


    Most leaders talk about AI. Far fewer put it to work inside their own walls. This conversation digs into what happens when a healthcare IT company decides to rebuild its operations, engineering cycle, and support model around AI instead of waiting on the sidelines.In this interview, Richard Atkin, CEO of Greenway Health, explains why he returned to the role and why he believes the company needs to move faster on AI development. We cover Greenway's internal deployment strategy, the creation of its new Agentic AI Factory with AWS, and how AI tools are reshaping release velocity and customer support. Atkin shares real examples from inside the organization, including how “Gale,” Greenway's AI support agent, is already changing day-to-day work.

    Why AI Struggles in RCM and How Front-End Data Can Fix It

    Play Episode Listen Later Feb 16, 2026 18:23


    When a claim fails because of a missing field or outdated insurance detail, it is easy to blame the billing process, but it is incomplete or inconsistent information captured at registration that is often the root cause. This seemingly innocuous oversight may be the reason why AI adoption in revenue cycle management (RCM) has been slow. In this conversation, Clarissa Riggins, Chief Product Officer at Experian Health, and Amy Trogdon, Vice President of Patient Access at Integris Health, break down why AI adoption in RCM depends on accurate front-end data and workflow fit. They share what they learned rolling out Experian's Patient Access Curator inside Epic and how real-time coverage validation is reshaping staff trust and efficiency. You will hear candid insights about workforce strain, error-prone processes, and why many AI projects stall before they start.

    AI Scribes Changed Everything. What Comes Next for Clinicians?

    Play Episode Listen Later Feb 13, 2026 10:46


    [SPONSORED] AI scribes have quickly become part of the daily routine for many clinicians. The question now is whether that momentum keeps building or slows as attention shifts to other operational priorities.In this interview, Dr. Michael Blackman, Chief Medical Officer at Greenway Health, talks about what he is seeing on the clinical front one year after launching their ambient scribe. He shares why he thinks this approach to documentation is here to stay and why he views it as the first step rather than the finished product. He also touches on unexpected moments from early use and what he believes is possible next.Do you think the pace of AI innovation will slow down or speed up or stay the same in the year ahead? Share your thoughts below.

    Why is AI Adoption so Low for Healthcare RCM?

    Play Episode Listen Later Feb 12, 2026 19:38


    Sending data over the wire is just the start of health care data interoperability. Other critical tasks include identifying the right destination (in other words, a directory), identifying the patient and other security practices, and getting patient consent. In this video, we hear about these topics from two co-chairs of the HL7 FHIR at Scale Taskforce (FAST): Jason Teeple, Senior Director Enterprise Architecture and Interoperability Strategy, Evernorth and Duncan Weatherston, CEO at Smile Digital Health.Learn more about EverNorth: https://www.evernorth.com/Learn more about Smile Digital Health: https://www.smiledigitalhealth.com/Learn more about HL7 FAST: https://confluence.hl7.org/spaces/FAST/overviewHealthcare IT Community: https://www.healthcareittoday.com/

    Why AI Is Finally Moving the Ambulatory EHR Market Forward

    Play Episode Listen Later Feb 10, 2026 19:05


    If you've ever wondered why ambulatory EHRs feel stuck in time, you're not alone. A lot of clinicians and IT leaders have been waiting for signs of real movement, and this conversation surfaces why the shift may finally be underway.In this interview, Troy Wasilefsky, Chief Revenue Officer at Greenway Health, talks about the stagnant EHR market, the practical roles AI can play inside physician practices, and why owning both the clinical record and the automation layer matters. He shares direct feedback from customers, where AI helps most, and how the architecture of EHR systems is finally catching up to long-promised functionality.Where do you see AI making the biggest near-term difference in ambulatory care? Drop your thoughts in the comments.

    Is AI Headed for a Blockchain-Style Letdown? CVS Health's Tilak Mandadi Doesn't Think So

    Play Episode Listen Later Feb 9, 2026 6:08


    Will AI actually fix the problems in front of us, or will it fade out the way blockchain did in healthcare?In this conversation, Tilak Mandadi, EVP Ventures and Chief Experience and Technology Officer at CVS Health, tackles that question head on. He lays out what it will take for AI to have real impact and why the next five years will determine whether healthcare changes for the better or breaks under its own weight. He also shares how CVS Health is using AI today to support pharmacists, reduce administrative burden, and improve access without crossing clinical or ethical lines.How are you approaching AI inside your organization, and what guardrails matter most to you? Share your perspective in the comments.

    Applying Rewards to Reduce Hospital Readmissions for Heart Failure Patients

    Play Episode Listen Later Feb 6, 2026 32:53


    One of the biggest challenges that healthcare faces with heart failure patients is the high number of hospital readmissions that occur. These readmissions are expensive to healthcare organizations, a bad experience for patients, and many of them are completely avoidable. This is according to Spencer H. Kubo, MD, Chief Medical Officer at CareCognitics and Shahid Shah, Member, Board of Directors at CareCognitcs who sat down to talk with me about their innovative VIP reward solution that's help heart failure patients avoid being readmitted to the hospital.Learn more about CareCognitics: https://carecognitics.com/Health IT Community: https://www.healthcareittoday.com/Learn more about VIP Care: https://www.vipcarehealth.com/

    NextGen's Take on AI: Many Experts Beat One Big Brain

    Play Episode Listen Later Feb 5, 2026 19:51


    If you've ever felt like “one big AI” can't possibly handle the complexity of healthcare, you're not alone. Clinical work moves in too many directions for a single model to reliably keep up.In this interview, Jacob Sims, Chief Technology Officer at NextGen Healthcare, explains why they have taken the approach of coordinated teams of specialized AI agents and what that means for clinicians, IT teams, and product leaders. Sims breaks down the thinking behind Nia™, how fairness shapes their AI design, and why everyday experimentation drives more progress than any formal training program. He also shares real examples like a 40 percent reduction in case resolution time thanks to AI-assisted log analysis

    Applying Automation and AI to Faxes and Documents at VHC Health

    Play Episode Listen Later Feb 3, 2026 35:07


    The common, classic fax is a fascinating case study in the difficulties of automation. Watch this video as Jess Czelusniak, Associate Vice President of Applications and CNIO at VHC Health, and Tim Hoskins, Vice President of Solutions Architecture at Vyne Medical, discuss the challenges of classifying and sorting incoming fax documents. Through machine learning, automation, and staff training, they reduced the process from 10-15 minutes (described in a 29-page document) to less than 3 minutes per fax, and are reducing the burden even further.Learn more about VHC Health: https://www.vhchealth.org/Learn more about Vyne Medical: https://vynemedical.com/Healthcare IT Today: https://www.healthcareittoday.com/

    How Multi-Agent AI Is Reshaping Patient Experience at Scale

    Play Episode Listen Later Feb 2, 2026 9:44


    It's easy to talk about AI in broad terms. It's harder to show how the technology supports a person trying to navigate benefits, costs, or a complex health journey. That's exactly what Mike Serbinis and Sarah Donnelly break down here.In this interview, Mike Serbinis, CEO of League, and Sarah Donnelly, the company's Chief Product Officer, break down how their multi-agent approach works and why it was designed around four persistent friction points in healthcare. They explain how these agents coordinate inside one platform and share what they're learning from early deployments, including Baptist Health's Hello Pregnancy pathway in Arkansas.Where do you see multi-agent AI having the biggest impact in healthcare?

    Why OntarioMD Rejects a One-Size-Fits-All Digital Health Plan

    Play Episode Listen Later Jan 30, 2026 15:49


    Every clinic wants a simple recipe for digital health adoption. The problem is that most recipes fall apart the moment real-world workflows enter the picture.In this conversation, Dr. Chandi Chandrasena, Chief Medical Officer at OntarioMD, lays out why the province is shifting toward a flexible digital health toolkit instead of a rigid playbook. She explains why “technology is an enabler to the problems you have,” why standardization still matters, and why uniformity misses the mark.She also digs into AI scribes, the rise of AI inbox tools, how bandwidth gaps drive inequity, and why digital literacy needs to start long before medical school.What do you think clinics need most right now: structure, flexibility, or better guardrails? Drop your thoughts in the comments.

    A Healthcare IT Leader Preview of ViVE 2026

    Play Episode Listen Later Jan 29, 2026 13:12


    As those who read Healthcare IT Today regularly know, we attend a lot of healthcare IT conferences throughout the year. One of the newest conferences we attend that has grown to be one of the most influential is the ViVE conference that is co-organized by HLTH and CHIME. As ViVE is just around the corner, we thought it would be valuable for healthcare IT leaders that are attending or still considering whether they should attend to get a preview of the event from the organizers.In our interview below, we sat down with Alifya Parekh, Senior Content Manager and Leah Callahan, Senior Content Manager at HLTH. We kick off our discussion by asking them what the business case is for a CIO or healthcare IT leader at a hospital or health sysetm to attend ViVE 2026 happening Feb 22-25, 2026 in LA.Learn more about ViVE: https://hlth.com/events/vive/Healthcare IT Community: https://www.healthcareittoday.com/

    Integrating Prescription Intelligence and CMEs Into the Prescribing Workflow

    Play Episode Listen Later Jan 27, 2026 22:45


    Healthcare IT leaders are finding innovative ways to address one of medicine's challenges: the exponential growth of clinical knowledge that physicians must navigate daily. In our recent interview, we hear from Julia Vu, Pharm.D., Vice President, GTM North America at Elsevier and Colin Banas, MD, MHA, Chief Medical Officer at DrFirst about their partnership to integrate AI-powered clinical decision support directly into e-prescribing workflows.Both leaders bring extensive backgrounds in clinical informatics, having worked through the Meaningful Use era and witnessed firsthand the challenges of fragmented systems and information overload. Their collaboration addresses a critical gap: providing physicians with trusted, evidence-based content at the moment they need it, without adding to alert fatigue.Learn more about ELSEVIER: https://www.elsevier.com/Learn more about DrFirst: https://drfirst.com/Healthcare IT Community: https://www.healthcareittoday.com/

    Generative AI Crucial for Coding Complex Conditions

    Play Episode Listen Later Jan 26, 2026 17:28


    Ben Beadle-Ryby, Senior Vice President and Co-founder at AKASA, says that a typical patient record contains 50,000 words spread across 59 clinical documents. Trying to code a single patient's conditions is comparable to reading The Great Gatsby and extracting key facts.Historically, he says, organizations "have thrown armies of people at the problem." Not only is that unfeasible; these people are not as accurate they need to be. Due to this and other reasons, claim denials have increased from 9.8% in 2019 to 12.7% now. Other revenue cycle measures have also gone in the wrong direction: for instance, cost to collect has gone from 2.7% in 2019 to 3.7% today.This video at the AHIMA Annual Conference interviews Beadle-Ryby along with two clients: Nick Judd, Senior Director, Revenue Cycle and Health Information Management at Cleveland Clinic, and Jennifer Nicholson, Assistant Vice President, Revenue Cycle and Health Information Management at Duke University Health System. They talk about leveraging generative AI solutions for coding and the benefits of leveraging this technology.Learn more about Cleveland Clinic: https://my.clevelandclinic.org/Learn more about Duke University Health System: https://www.dukehealth.org/Learn more about Akasa: https://akasa.com/Healthcare IT Community: https://www.healthcareittoday.com/

    Connecting the 'Last Mile' in Healthcare: Leveraging Smart Hospitals and Unified Communications

    Play Episode Listen Later Jan 23, 2026 22:42


    Just as Internet providers and transportation companies often struggle with the "last mile" of reaching the customer at the end of the chain, hospitals are too often blind to what's happening in the patient's room. This problem drives the recent acquisition of eVideon, smart room solution provider, by TigerConnect, a unified communication platform. In this video we hear about the goals of the combined companies from Sean O'Neal, CEO of TigerConnect, and Jeff Fallon, General Manager of eVideon, a TigerConnect Company.Learn more about TigerConnect: https://tigerconnect.com/Learn more about eVideon: https://www.evideon.com/Healthcare IT Community: https://www.healthcareittoday.com/

    How an Echocardiogram Went From 12 Clicks to Zero with Wellsheet

    Play Episode Listen Later Jan 22, 2026 18:17


    If you've ever watched a clinician dig through an EHR for a single piece of information, you know the look. The pause. The sigh. The slow click-through of screens that feel like they were designed for someone else.This conversation starts with the moment that broke that pattern.In this interview, Dr. Max Solano, hospitalist and clinical informatics advisor at Ascension, explains how a workflow burden he had simply accepted for years disappeared the moment Wellsheet went live. He shares what it meant to see an echocardiogram that once required 12 clicks appear instantly on the screen.Joining him is Craig Limoli, CEO and Co-Founder of Wellsheet, who talks about clinician-led design, rapid customization, and what it takes to gain the trust of an entire care team. You'll hear real examples of AI-driven summarization, collaborative workflows, and what happens when a vendor actually responds to feedback the next day.What “12-click problem” are your clinicians living with right now? Drop your thoughts below.

    Providing Access to Archived Legacy Data While Saving Costs and Reducing Risk

    Play Episode Listen Later Jan 20, 2026 13:29


    Shawn Fichter, CEO and Head of Product at Legacy Data Access, believes that archived clinical, financial, and operational data represents an untapped resource for health systems. However, access to legacy data must be done in a way that doesn't increase the risk of a breach. The balance between these needs – along with the financial and operational benefits of archiving legacy applications – is at the core of our discussion with Fichter at the AHIMA conference.Listen and subscribe to the Healthcare IT TodayHealthcare IT Community: https://www.healthcareittoday.com/

    Secure Language Translation Device by Pocketalk Enables Better Patient Communication

    Play Episode Listen Later Jan 19, 2026 24:16


    Hospitals and clinics in some areas see enormous numbers of people who don't speak the local language well. While human interpreters have been common in exam rooms during patient care, it turns out that interpretation is beneficial throughout many areas of healthcare that previously haven't had easy access to interpretation. That's the problem Pocketalk addresses with technology that provides secure language translation throughout a healthcare organization.Pocketalk is differentiated from consumer translation services by prioritizing security and providing technology that's optimized for healthcare, which is both HIPAA and GDPR compliant. By default, Pocketalk has translation history turned off, preventing conversations from being stored and guaranteeing privacy. For hospital systems that require reporting for compliance, transcripts can be saved in the history settings. However, transcripts aren't displayed on the home screen, which prevents visitors from reviewing what has been said to previous patients. Transcripts can also be deleted and the device can be set to automatically delete conversations after a specified amount of time.Pocketalk offers an accurate and secure machine translation service in over 92 languages. Jeff Burrow, Pocketalk's National Healthcare Director, says that in addition to medical discussions (for which it offers a large medical terminology directory), clinical sites use it for patient transport, wayfinding, parking lots, gift shops, food services, environmental services, and more. The device takes only about 10 minutes or less to learn and little to no formal training required, making deployment efficient and easy.Learn more about Pocketalk: https://pocketalk.com/Learn more about Augusta Health: https://www.augustahealth.com/Healthcare IT Community: https://www.healthcareittoday.com/

    Healthcare Quality and Equity Through Data Exchange at MedAllies

    Play Episode Listen Later Jan 16, 2026 22:02


    When MedAllies was founded in 2001, the healthcare landscape looked vastly different from what it does today. Long before the HITECH Act spurred the widespread digitization of medical records, the company set out with an ambitious goal: using technology to enhance healthcare quality. Today, as a Qualified Health Information Network (QHIN) at the forefront of implementing the Trusted Exchange Framework and Common Agreement (TEFCA), MedAllies is poised to significantly expand its reach through its integration with Centauri Health Solutions.Learn more about MedAllies: https://www.medallies.com/Learn more about Centauri Health Solutions: https://www.centaurihs.com/Healthcare IT Community: https://www.healthcareittoday.com/

    AI Perspectives and New AI Assistant with Don Woodlock from InterSystems

    Play Episode Listen Later Jan 15, 2026 14:18


    InterSystems, a major data management and healthcare information systems vendor over many decades, has joined the AI rush and is working on a step-by-step approach to making data more useful to healthcare systems through AI. In this video, Don Woodlock, Head of Global Healthcare Solutions, explains the evolution he's seeing in the use of AI, and how AI providers can build trust.Interoperability, as provided by InterSystems, is key to going beyond use of the individual patient record. There are a lot of great things data can do in the aggregate for research, population health, and more: "taking it to the next level."Learn more about InterSystems: https://www.intersystems.com/Healthcare IT Community: https://www.healthcareittoday.com/

    Making the TEAM (Transforming Episode Accountability Model) Work

    Play Episode Listen Later Jan 13, 2026 15:12


    A new program from CMS, the Transforming Episode Accountability Model (TEAM), promises to shake up the industry in a fashion similar to the Hospital Readmissions Reduction Program in 2012. In a recent video interview, Robin Roberts, Director of Health IT Regulatory Affairs at PointClickCare, describes how hospitals can implement the program through technology, better coordination with post-acute facilities, and changes to incentives.Learn more about PointClickCare: https://pointclickcare.com/Healthcare IT Community: https://www.healthcareittoday.com/

    Cybersecurity Aligns With Business Goals at First Health Advisory

    Play Episode Listen Later Jan 12, 2026 15:23


    It's easy to say that security is critical to healthcare operations, since breaches can force hospitals and clinics to cancel patient visits, damage their reputation, and even lead to fines. But how do security professionals get buy-in from board members and the executive-level suite? Some great answers are provided in this interview with two executives from First Health Advisory: Trish Alexander, Executive Vice President of Strategy, and Rick LeMay, Chief Delivery Officer.Learn more about First Health Advisory: https://firsthealthadvisory.com/Healthcare IT Community: https://www.healthcareittoday.com/

    A New HIPAA Compliant LLM Focused on Health Literacy

    Play Episode Listen Later Jan 9, 2026 26:31


    The Institute for Healthcare Advancement (IHA), a non-profit with the mission of helping individuals obtain and understand the health care information they need, found that some healthcare organizations were having trouble getting started with implementing effective, scalable health literacy solutions. But two months ago they released the AI-based HealthLiteracyCopilot, developed through a partnership with HealthcareGPS, to make health literacy scalable and available to all.Michael Villaire, Chief Executive Officer at IHA, says that in the United States, only one in ten people has the skills and ability to get the information that helps them manage their conditions—which includes getting resources, managing treatments, and reducing costs. Health literacy means "the ability of individuals to understand, find, and apply healthcare information in a way that's meaningful for them."Stan Hudson, Director of Professional Development and Training at IHA, says that their focus has evolved from empowering the individual to training organizations to support those individuals and provide the tools they need.Learn more about IHA: https://www.iha4health.org/Learn more about HealthcareGPS: https://healthcaregps.ai/Learn more about HealthLiteracyCopiloty: https://healthliteracycopilot.ai/Healthcare IT Community: https://www.healthcareittoday.com/

    Farzad Mostashari's Aledade Helps Doctors Get Paid for Prevention

    Play Episode Listen Later Jan 8, 2026 28:24


    CMS provides numerous avenues to implement value-based care. Dr. Farzad Mostashari, who was the National Coordinator for Health Information Technology during a critical period of EHR implementations in the U.S., co-founded Aledade 11 years ago to make value-based care feasible—or as he puts it in this interview, “make it more profitable to prevent a stroke than to treat a stroke.”Aledade now works with 2,400 practices and community health centers in 46 states and the District of Columbia. They have built their own technology to better facilitate value-based care, which includes interoperability, a prediction engine, user-friendly guided workflows and cutting-edge data analytics, all tied together to surface actionable insights at the point of care and drive/inform care coordination workflows.Learn more about Aledade: https://aledade.com/Healthcare IT Community: https://www.healthcareittoday.com/

    KLAS Explains Why Cloud Confusion Is Slowing Down Enterprise Imaging

    Play Episode Listen Later Jan 6, 2026 23:05


    Cloud imaging should feel like a clear next step, yet most teams still can't agree on what “cloud strategy” actually means. In this interview, Monique Rasband, Vice President of Strategy & Research for Imaging and Oncology at KLAS Research, breaks down what she's hearing directly from providers in the new KLAS Enterprise Imaging 2025 Report. We talk about why cloud adoption is speeding up, why some vendors are falling behind, and why the market is seeing one of the most active replacement cycles in years.Rasband discusses the choices CIOs are wrestling with, the pressure remote reading is putting on legacy systems, and the surprising trend of providers who thought they were “behind” but are actually moving faster than expected.What's your cloud imaging experience been like? Are your systems aligned or still speaking different languages?

    Healthcare Cloud Hosting and Innovation at Rackspace

    Play Episode Listen Later Jan 5, 2026 13:58


    Rackspace is one of the world's most prominent hosting services, going back long before the term "cloud" was applied to these offerings. In our recent interview, Vice President of Healthcare Tim Lankes says that healthcare is the largest industry segment covered by Rackspace, and that it is the largest private cloud hoster of Epic outside of Epic itself.One of Rackspace's strengths, going back to its early days as a hosting service, is that it supports both public clouds (where clients lease temporary services on shared systems) and private clouds (where particular computers are devoted to a client). Lankes says that Rackspace helps healthcare systems decide how to cut costs and support their innovation by using the best combination of on-premises, private cloud, and public cloud systems.Learn more about Rackspace: https://rackspace.com/HealthcareHealthcare IT Community: https://www.healthcareittoday.com/

    Priming the Ambient AI Medical Scribe with Skriber

    Play Episode Listen Later Jan 2, 2026 30:03


    Many companies promoting AI-driven medical scribe products boast that the physician doesn't have to change their behavior in order to use the product. In contrast, Skriber trains the physician how to use it well, and offers guidance as the physician goes along.The chief advice is to prime the scribe in advance of a medical session by telling it about the patient: just a few sentences about the patient's conditions and diagnoses, the purpose of the visit, and their complaints. Dr. Connor Yost, Chief Medical Officer at Skriber, claims that the quality of the note is "astronomically higher" if the physician prepares the scribe that way.Learn more about Skriber: https://skriber.com/Healthcare IT Community: https://www.healthcareittoday.com/

    Seeing What's Been Missing: How Surescripts Is Making Medication Gaps Visible

    Play Episode Listen Later Dec 31, 2025 12:51


    Millions of prescriptions go unfilled every year and until now, the system had no way to see them.In this interview, Dr. Lynne Nowak, Chief Data and Analytics Officer at Surescripts, joins Healthcare IT Today to discuss how her team is surfacing invisible medication gaps and tackling healthcare's biggest workflow frustrations: prior authorization and prescription abandonment. She explains how Surescripts' new First Fill Abandonment tool and touchless prior authorization are turning real-time data into timely care—helping patients start and stay on therapy sooner.

    Optum Real Delivers Clarity in Claims and Reimbursement

    Play Episode Listen Later Dec 29, 2025 13:53


    The vision for Optum Real is to create real-time transparency between payers and providers in the moments of care that matter. Current AI technology, according to Puneet Maheshwari, SVP, GM of Optum Real is making this possible now.Optum is a major force in health care, serving nine out of ten health care systems and four out of five payers in the U.S. Optum Real is in pilot now with a number of health care organizations. During the pilot, the platform has achieved a 25% reduction in call volume in the first two weeks with one health care provider, a 42% reduction at another, and a reduction in errors in reimbursement submissions of up to 75% with a large health system in Minnesota.Learn more about Optum Real: https://business.optum.com/en/operations-technology/optum-real.html Healthcare IT Community: https://www.healthcareittoday.com/

    IBM and enGen Collaborate to Eliminate Errors in Member Enrollment

    Play Episode Listen Later Dec 26, 2025 16:16


    According to research by enGen, a healthtech company that serves payers and providers with automated solutions, they found that each error in member enrollment data costs an average of $172 in fixes and downstream problems. A new solution called enGen enRoll(TM), an AI-driven collaboration between enGen and IBM, was designed to address this problem. Maynd Jolly, Chief Financial Officer and Senior Vice President of Client Partnership at enGen, and Matt Gierhart, Vice President of Product Management at IBM, discuss the implications and promise of the product in this interview at the recent HLTH Conference.Learn more about enGen: https://goengen.com/Learn more about IBM: https://www.ibm.com/industries/healthcareHealthcare IT Community: https://www.healthcareittoday.com/

    Sound Physicians' Rapid Pivot: Why APIs Won the Day for CharmHealth

    Play Episode Listen Later Dec 24, 2025 23:12


    What do you do when your EHR vendor suddenly shuts down and you only have months to find a replacement? For Sound Physicians, that deadline sparked a bold pivot - one that put APIs and collaboration at the center of their technology strategy.In this interview, Dria McCluskey, SVP of Innovation and Technology at Sound Physicians, and Venky Chellappa, VP of Sales and Business Development at CharmHealth, share how they tackled a high-stakes RFP and built a partnership that will help both organizations in the years ahead. What could have been a crisis, became a solid foundation through close collaboration, dedicated executive leaders, and a willingness to stretch in new directions. The lesson for all Health IT vendors: It's not always about features. It's about being easy to work with too.

    Billings Clinic on AI in Healthcare: Why Trust Beats Speed

    Play Episode Listen Later Dec 22, 2025 14:45


    Everyone talks about AI fixing documentation. But the real story is whether patients and clinicians will trust it enough to use it every day.In this interview, Dr. Randy Thompson, Chief Health Analytics Officer at Billings Clinic, shares what it takes to bring Oracle Health's AI tools into daily practice across Montana's largest independent health system. From rethinking governance structures to gaining patient buy-in even during psychiatric visits. Thompson explains why adoption depends on building confidence first. Along the way, he also reveals an unexpected outcome: providers found the AI agent often produced better notes than they would have written on their own.How is your organization handling patient consent and governance for AI tools? Drop your thoughts in the comments.

    What Drives EHR Innovation in Prescription Management and How Technology Can Help

    Play Episode Listen Later Dec 19, 2025 18:04


    Few patients take a paper prescription down to the local pharmacy any more. The modern era of prescribing is shockingly complex and getting more so, according to Dr. Colin Banas, Chief Medical Officer, and Drew Hunsinger, Head of Growth, at DrFirst.Banas says that the goal at DrFirst, a 25-year-old company, has always been to provide an end-to-end medication journey: for patients, providers, payers, and pharmacies. Hunsinger points out that the prescribing workflow involves payers, PBMs, and even drug companies.Plus, they share how many of the EHR companies they work with are happy to offload all these medication management complexities to DrFirst so that as EHR product managers, they can focus on other EHR innovations. Not to mention EHR vendors can benefit from the innovations that DrFirst continues to implement since their major focus is medication management.Learn more about DrFirst: https://drfirst.com/Healthcare IT Community: https://www.healthcareittoday.com/

    Making AI and NLP Affordable and Trusted in Health Care

    Play Episode Listen Later Dec 17, 2025 16:02


    emtelligent offers a variety of AI-based services in health care. In a recent interview at the HLTH conference with Tim O'Connell, MD, Co-Founder and CEO of emtelligent, explains how they ensure a good ROI, keep deployments affordable, and make each pilot a success.The three services offered by emtelligent are:* Medical Document AI: ingests documents such as faxes, splits them into separate documents, and categorizes them.* Medical language engine: interprets and structures the content* Chart review: offers a graphical user interface to make reviews more accurate and efficient for prior authorization, legal reviews, etc.Learn more about emtelligent: https://emtelligent.com/Healthcare IT Community: https://www.healthcareittoday.com/

    RapidClaims' LLM-Powered RCM Solution Seeks Truth in Billing & Fewer Denials

    Play Episode Listen Later Dec 15, 2025 17:29


    Although providers and payers feel like they're engaged in an epic, ongoing battle over claims, Abhinay Vyas, Co-Founder and Chief Data Officer at RapidClaims, believes that approvals can increase when both realize that they are fundamentally interested in truth. RapidClaims' AI-driven revenue cycle tools help to uncover the complexities in care and provide the evidence to back up a claim.Vyas says that AI has to be both accurate and explainable to be adopted. RapidClaims' algorithms are self-hosted and self-trained. They are flexible enough to support every specialty and adapt to the needs of different institutions. To this end, they have more than 118 AI models, which they set against each other to eliminate errors and hallucinations.Lisa Rosenkoetter, Vice President of Sales at RapidClaims, says they address cost, revenue, and compliance. As the complexity and severity of health conditions increase, providers "need to recoup every dollar for the care you've provided."Learn more about RapidClaims: https://www.rapidclaims.ai/Healthcare IT Community: https://www.healthcareittoday.com/

    Leveraging Unstructured Data to Improve Care and Reimbursement at PointClickCare

    Play Episode Listen Later Dec 12, 2025 12:58


    PointClickCare is a major EHR service with a 25-year history, originally focused on post-acute care settings such as skilled nursing and assisted living but has expanded to provide health it services to the full spectrum of healthcare provider organizations.  As they've expanded their services, one of the areas they wanted to help was care transitions between acute care and post acute care and back. After a two-year investment in AI, they've enhanced the services they offer to make transitions go more smoothly and intelligently.Plus, they have recently unveiled a service named Chart Advisor within their skill nursing EHR. It looks through freeform documentation such as progress notes to find important information that isn't in the structured fields and could have an immediate impact on care. For instance, if the patient had a fall in the hospital, have the doctors performed the necessary assessments and accommodations to prevent more falls?According to Chief Revenue Officer Brian Drozdowicz, who we interviewed at the HLTH conference, searches through plain text documentation can help with both liability and reimbursement.  Leveraging technology to search and sort through all the unstructured data in documentation is really the key to improving care and revenue.Learn more about PointClickCare: https://pointclickcare.com/Healthcare IT Community: https://www.healthcareittoday.com/

    Making Sure a Physician Advisory Program Improves Both Care and ROI

    Play Episode Listen Later Dec 10, 2025 21:40


    Physician advisory programs, which educate clinicians in peer-to-peer fashion, are growing in several ways. This video at the AHIMA Annual Conference explores the many uses of these programs, as well as how to implement them and make sure they're effective. The speakers are Dr. Adriane Martin, Vice President of Physician Services at Enjoin, a CDI consulting firm, and Shameka Hooks, Executive Director, Midcycle Operations: Coding, CDI, Revenue Integrity and HIM at WakeMed, a teaching hospital with 970 beds and more than 1200 employees.Learn more about Enjoin: https://www.enjoincdi.com/Healthcare IT Community: https://www.healthcareittoday.com/

    eClinicalWorks Analytics Dramatically Reduce FQHC No-Shows

    Play Episode Listen Later Dec 8, 2025 10:04


    T.H.E. Clinic, a federally qualified health center serving a low-income communmity in Los Angeles, recently reduced missed patient visits ("no-shows") from 25-28% to 13-14%. To learn more about this exceptional improvement, we sat down with CIO Wilson Santos who describes how the healow AI-Powered No-Show Prediction Model helped their clinic achieve this goal.Many factors create what Santos called an "unacceptable" rate of missed visits. People are tied down taking care of family members, forget visits, get busy, or simply get well before the time of their visit and fail to cancel.T.H.E. Clinic was one of first adopters of healow AI-powered no-show prediction model, and after implementing it saw the great results.  The clinic now identifies the appointments most likely to be missed through predictive analytics on EHR data, and dedicates front desk staff to contacting them.Learn more about T.H.E. Clinic, Inc.: https://www.tohelpeveryone.org/Learn more about eClinicalWorks: https://www.eclinicalworks.com/Healthcare IT Community: https://www.healthcareittoday.com/

    Tight Collaboration Between Vyne Medical and Client Drives Continuous Improvement

    Play Episode Listen Later Dec 5, 2025 18:10


    AI has proven itself as a way to remove the burden of scanning, identifying, and uploading information. For Nemours Children's Health, AI solutions from Vyne Medical completely restructured and optimized their document handling practices.Cathy Murphy, HIM Operations Manager at Nemours Children's Health, gives an account in this video of what data management consisted of before automation, and how Vyne's automated systems have transformed their practices. With the same staff, they can meet turnaroud times consistently and relieve clerical burdens on staff.Andrew Loeffler, Technical Project Manager at Vyne Medical, meets with Nemours every two weeks to check on the progress of current data collection projects and discover new ones. Most of the operations that used to be performed through a sequence of manual steps are now available through the Vyne API. They continuously look at processes that are still done manually to find automation possibilities.Learn more about Nemours Children's Health: https://www.nemours.org/Learn more about Vyne Medical: https://vynemedical.com/Healthcare IT Today Community: https://healthcareittoday.com/

    From Ambient Voice Documentation to Care Partner at Heidi

    Play Episode Listen Later Dec 3, 2025 22:39


    Although ambient voice transcriptions driven by AI are seeing widespread adoption in healthcare institutions, only 20%-40% of clinicians adopt it in each institution, according to Dr. Thomas Kelly, CEO & Co-Founder at Heidi. However, when Heidi's AI medical scribe is brought in, they achieve an average 60-70% adoption by clinicians.This is because they focus directly on how to help clinicians do their jobs, according to Kelly, although they don't ignore the larger issues such as compliance and integration with EHRs. By maintaining independence from the EHR, and by offering many different templates for each specialty, Heidi allows more customization.Learn more about Heidi: https://www.heidihealth.com/Healthcare IT Community: https://www.healthcareittoday.com/

    Making RCM Part of the Clinical Interview

    Play Episode Listen Later Dec 1, 2025 17:23


    Dr. Mike Gao, President of Smarter Technologies, says that the distinction between clinical care and revenue cycle management (RCM) was a historical decision that is no longer valid. Clinical care is determined partly by what payers cover and what proof they require of the patient condition. In turn, the codes and other information used for billing are summaries of what happened in the clinical visit.In this environment, doctors have to take into account not just the symptoms and history presented by the patient, but the patient's environment and insurance coverage. No one can keep all this in mind.So AI tools such as Smarter Technologies provide a "super-intelligence" that can combine the data needed by the physician. Dr. Ruben Amarasingham, Co-Founder of Pieces Technologies which is now part of Smarter Technologies, says that AI can bring doctors "real contextual understanding of what's happening to their patients."Learn more about Smarter Technologies: https://www.smartertech.com/Healthcare IT Community: https://www.healthcareittoday.com/

    Hyro Sees Health System Call Centers as Potential Revenue Generators

    Play Episode Listen Later Nov 28, 2025 17:29


    Hyro's Responsible AI Agent platform enables health systems to safely automate patient workflows and conversations across key channels such as call centers, websites, SMS, and mobile apps, supporting use cases like scheduling, appointments, and prescription refills and more. But CEO and Co-Founder Israel Krush thinks that providers should look beyond just the high costs of call centers toward their potential for generating revenue.Instead of being a "black box," a call center that leverages technology like that offered by Hyro measures how many calls were made and what the conversion rate (appointments scheduled) was.To handle detailed and specific workflows (such as "I'm looking for a dermatologist in a specific area") Krush says that Hyro supplements the traditional large language models (LLMs) with "small language models."Learn more about Hyro: https://www.hyro.ai/Healthcare IT Community: https://www.healthcareittoday.com/

    Achieving Patient-Centered Excellence Through Process Improvement

    Play Episode Listen Later Nov 26, 2025 25:11


    Thibodaux Regional Health System, a Louisiana health system with both a hospital and clinics, has focused on process improvement to pursue what they call “patient-centered excellence.” In this video, CEO Greg Stock and CIO Bryan Samaha talk about their use of the MEDITECH EHR and how they are reducing errors and improving clinical quality.Advantages they cite for MEDITECH include the balance between a relatively low operating cost and proven results, as well as the ability to maintain their own autonomy over their EHR without being at the mercy of another health system. The latter advantage allows them to maintain control over downtime, updates, the flexibility of the EHR, and other operations. Stock refers to the partnership as a “marriage between a hospital and an IT system,” which now spans 24 years.Learn more about Thibodaux Regional Health System: https://www.thibodaux.com/Learn more about MEDITECH: https://ehr.meditech.com/

    Innovation at Community Health Centers in America

    Play Episode Listen Later Nov 24, 2025 21:16


    Community health centers make up the largest primary care network in the U.S. health care system, serving 1 out of 7 Americans—and in rural areas, 1 out of 3. Dr. Kyu Rhee, President and CEO of the National Association of Community Health Centers, says that their patient base has tripled over the past 20 to 25 years, and he expects it to triple again over the next 20.Watch the video for details about the reach of community health centers, the role of the National Association of Community Health Centers, and Rhee's hopes for technology to meet clinicians' needs.Learn more about National Association of Community Health Centers: https://www.nachc.org/

    Healthcare Billing Complexities Call For Consistency and AI Support

    Play Episode Listen Later Nov 21, 2025 10:31


    Reimbursements in health care have gotten more complex with the growing importance of risk-based, value-based plans and behavior change. In this video interview, Tiffany Waltos, Director of Revenue and Analytics at Community Health Care in Northern Ohio, discusses today's pressures on revenue cycle management and ways health care providers can respond.Community Health Care, with 19 offices and 65 providers with a focus on primary care, realized they needed to put clear rules in place for coding and billing and create consistency among doctors so that submissions would be approved the first time around. One of the big things that helped them do this was to contract for the RCM (Revenue Cycle Management) consulting services offered by their eClinicalWorks EHR vendor. Working together they were able to address some of the more complex issues they faced and improve their RCM efforts.Learn more about Community Health Care: https://www.chci.com/Learn more about eCW: https://www.eclinicalworks.com/Healthcare IT Community: https://www.healthcareittoday.com/

    How Oracle Is Bringing Retail Supply Chain Lessons to Healthcare

    Play Episode Listen Later Nov 19, 2025 14:42


    [SPONSORED] Empty shelves in a hospital aren't just an inconvenience—they can delay care. Other industries solved this problem years ago with predictive tools and smarter supply chains.At the 2025 Oracle Health Summit, Kristen Miles, Vice President of Healthcare Product Strategy at Oracle, discusses how automation, robotics, and AI are reshaping supply chain management in healthcare. Miles explains how Oracle is adapting lessons from retail and logistics, integrating them directly with Oracle's EHR, and helping clinicians see inventory status at the bedside. Do you believe that the lessons from retail can be effectively applied in healthcare? Share your thoughts in the comment.

    Time Saving Features in eClinicalWorks That Help Clinicians Be More Efficient

    Play Episode Listen Later Nov 17, 2025 17:10


    In a recent interview at the eClinicalWorks National Conference, Josh Baker, Operations Manager at Orthopaedic Institute of Ohio, reports on some time-saving features offered by the eClinicalWorks EHR. A combination of mobile device support, rules engines, and AI takes administrative burdens off of clinical and support staff alike.The Orthopaedic Institute of Ohio has 12 locations in northwestern Ohio and sees about 900-1000 patients per day. They have used eClinicalWorks since 2006.Learn more about Orthopaedic Institute of Ohio: https://www.orthoohio.com/Learn more about eCW: https://www.eclinicalworks.com/Healthcare IT Community: https://www.healthcareittoday.com/

    Clinician Surveys and EHR Workflow Improvements Drive Improved Satisfaction and Efficiency

    Play Episode Listen Later Nov 13, 2025 15:16


    Our recent interview was all about measurements. The Wooster Community Hospital Health System in Wayne County, Ohio achieved a 20% improvement in their nurses' satisfaction with their MEDITECH EHR after a six-month effort. This video, interviewing Eric Gasser, Vice President of Information Systems and CIO, shows how statistics and survey data made that achievement possible.Gasser says that Wooster offers high quality care and has won awards. Yet, always interested in doing better, they took up a suggestion by MEDITECH to join the KLAS Arch Collaborative. As part of that collaborative, they surveyed their clinicians. Although they were mostly happy with their jobs, nurses found documentation to be a burden.Learn more about Wooster: https://www.woosterhospital.org/Learn more about MEDITECH: https://ehr.meditech.com/Healthcare IT Community: https://www.healthcareittoday.com/

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