April has seen a slew of executive hires, promotions and layoffs across the healthcare industry. For instance, Aledade, Humana and Zimmer Biomet named new executives. There were also layoffs at organizations including Baylor Scott & White Health Plan, Novo Nordisk and UnityPoint Health.

The post Healthcare Moves: A Monthly Summary of Hires, Exits and Layoffs appeared first on MedCity News.

The first major update to HIPAA in more than a decade will eliminate the distinction between “required” and “addressable” safeguards, making key cybersecurity and physical security measures mandatory for all healthcare providers. This shift will expose gaps in hospitals’ fragmented security systems, though, according to Kumar Sokka, CEO of cybersecurity platform Acre Security.

The post Why Some Hospitals Won’t Be Able to Comply With Upcoming HIPAA Updates appeared first on MedCity News.

Medtronic suffered a cyberattack on its corporate IT systems. The incident highlights growing cybersecurity risks in the medtech sector, with cybergangs increasingly using phishing and other human-engineering tactics to gain access to data.

The post 6 Things to Know About Medtronic’s Cyberattack appeared first on MedCity News.

Nvidia and Hoppr are betting that healthcare AI will scale not through standalone applications, but through a new infrastructure layer that lets providers develop and deploy their own imaging models.

The post Why Healthcare AI Still Can’t Scale — and How Nvidia & Hoppr Are Trying to Fix It appeared first on MedCity News.

Midstream Health is taking a bit of a different approach to healthcare AI by focusing on reducing hospitals’ costs rather than boosting their revenue. The startup uses AI to identify savings opportunities across fragmented spending data, which helps health systems like Mount Sinai and CommonSpirit quickly improve their purchasing decisions.

The post Why Some Hospitals Are Betting on Midstream Health to Help Eliminate Waste appeared first on MedCity News.

Telehealth clinic Hone Health partnered with imaging company BodySpec to give its patients access to DEXA body composition scans. The partnership seeks to help providers and patients on GLP-1s distinguish fat loss from muscle loss and better evaluate how these drugs are affecting the body.

The post Beyond the Scale: How Imaging Can Help Determine GLP-1 Efficacy appeared first on MedCity News.

The AI Health Fund launched Treehub, a new residency program designed to back and build healthcare AI startups at the earliest stages, often before companies are even formed. It is supported by prominent figures in the Silicon Valley venture capital world, including Tim Draper and Anne Wojcicki.

The post Top Silicon Valley VCs Are Backing a New Health Tech Residency Program appeared first on MedCity News.

CMS is rolling out its health tech ecosystem initiative with a new Medicare app library that functions like a healthcare “App Store,” aiming to make patient data more portable and accessible across vetted digital health apps.

The post CMS’ New ‘App Store’ Is Trying to Turn Interoperability Into a Digital Health Distribution System appeared first on MedCity News.

Innovaccer is committing $250 million to expand its AI agent platform, which automates workflows across areas like prior authorization, revenue cycle management and population health. The move comes amid an ongoing debate over whether administrative AI tools can ultimately reduce costs for providers.

The post Why Innovaccer Is Pouring $250M into Its Agentic AI Platform appeared first on MedCity News.

HeartFlow, which makes AI tools to analyze cardiac images, sued its rival Cleerly, alleging infringement on six patents. Cleerly is pushing back.

The post Heartflow Sues Cardiac AI Rival Cleerly Over Alleged IP Theft appeared first on MedCity News.

Hospitals are still on quite fragile financial footing if you look beneath the surface, according to new Kaufman Hall data. Rising costs, uneven patient volumes, and ongoing reimbursement and payer mix pressures continue to limit the sector’s financial recovery.

The post Hospital Margins Squeeze as Costs Outpace Revenue Growth appeared first on MedCity News.

The Department of Justice has sued both OhioHealth and NewYork-Presbyterian Hospital this year, alleging that they use contracting tactics that limit competition and keep healthcare prices high. The cases mark a broader push by regulators to scrutinize how health systems use “all-or-nothing” contracts to shape insurance networks and patient access.

The post Inside The DOJ’s Hospital Contracting Crackdown: What Message Are the Feds Sending? appeared first on MedCity News.

The Social Security Administration’s move onto the TEFCA interoperability framework is beginning to streamline disability determinations by enabling faster exchange of medical records from hospitals. Dr. David Kaelber, chief health informatics officer at MetroHealth System in Ohio, said the shift is replacing a months-long, fax-driven process with near real-time data sharing.

The post How TEFCA Is Speeding Up Disability Benefits Determinations at Hospitals appeared first on MedCity News.

Luminai raised $38 million in Series B funding to scale its AI platform that automates healthcare administrative workflows. The company is working with Cleveland Clinic to expand the use of its system across high-volume processes, starting with referral management.

The post Luminai Raises $38M With Cleveland Clinic Using Its AI for Hospital Operations appeared first on MedCity News.

Jefferson Health in Philadelphia is suing Aetna over a new Medicare Advantage payment policy that hospitals say unfairly reduces reimbursements for legitimate inpatient stays. The case highlights a broader clash between providers and Medicare Advantage plans over “downcoding” short hospital stays and controlling costs.

The post Jefferson Health Sues Aetna As Providers’ Frustration with MA Grows appeared first on MedCity News.

Healthcare leaders can’t tell whether value-based care and Medicare Advantage are truly lowering costs. Some see promise in these models and ongoing innovations, while others say the programs haven’t delivered measurable savings and point to direct contracting as a more transparent way to control spending.

The post Do Healthcare CEOs Agree on Whether VBC and MA Actually Save Money? appeared first on MedCity News.

Digital health funding rebounded in the first quarter of 2026, reaching $4 billion across 110 deals, according to data from Rock Health. The surge was fueled mainly by megadeals, reflecting a market where investors are placing larger bets on fewer startups.

The post Digital Health Startups Raised $4B in Q1: How Cash Is Flowing Amid Uncertainty appeared first on MedCity News.

Uma (Veerappan) Nuggehalli of Flare Capital Partners thinks the healthcare AI startups that will come out on top will be companies that integrate seamlessly into workflows, build proprietary datasets and quickly determine how to sell their technology.

The post What Will Separate Healthcare AI Winners From Losers? appeared first on MedCity News.

A group of 131 hospitals has sued HHS over a CMS policy they say improperly reduces Medicare disproportionate share hospital (DSH) payments. The lawsuit is the latest in a decade-long legal battle over how the agency counts patient days and calculates payments for safety net hospitals.

The post Why 131 Hospitals Are Suing HHS Over Alleged Underpayment appeared first on MedCity News.

New research from Cedar found that about 40% of collectible healthcare dollars now come from uninsured patients, a share that has jumped 54% in three years. The shift is forcing providers to rethink their revenue cycle strategies as patient payments become more difficult — and more important — to collect.

The post The Uninsured Rate Is Soaring — What Can Providers Do About It? appeared first on MedCity News.

Untreated dental problems are driving millions of Americans to emergency rooms each year, costing the country billions and worsening chronic health conditions. Experts say bridging the historic divide between medical and dental care — through data connectivity, integrated health centers and AI-driven tools — could improve patient outcomes and reduce healthcare spending.

The post From Cavities to Chronic Disease: Why Medicine and Dentistry Can’t Operate Separately appeared first on MedCity News.

March has seen a slew of executive hires, exits and layoffs across the healthcare industry. For instance, Flare Capital Partners, SCAN Group and Advocate Health named new executives. There were also layoffs at organizations including Oracle, Takeda and Blue Shield of California.

The post Healthcare Moves: A Monthly Summary of Hires, Exits and Layoffs appeared first on MedCity News.

Mass General Brigham evaluates AI tools by carefully monitoring real-world performance before scaling them system-wide. At HIMSS earlier this month, Rebecca Mishuris, the health system’s chief health information officer and vice president of digital, explained what this process looks like.

The post How Mass General Brigham Decides Which AI Tools Are Worth Scaling appeared first on MedCity News.

Michael Meucci, CEO of health data platform Arcadia, thinks health systems are changing their thinking about ROI when it comes to AI projects. As providers face tighter budgets, he said they’re broadening how they measure AI’s ROI, including benefits like reducing clinician burnout.

The post How Are Health Systems Assessing ROI for AI Tools? appeared first on MedCity News.

The Department of Justice filed an antitrust lawsuit against NewYork-Presbyterian, alleging the hospital used “all-or-nothing” contracts that blocked lower-cost plans and limited competition. The case comes just five weeks after the Justice Department filed a similar lawsuit against OhioHealth.

The post DOJ Cracks Down on Unfair Contracts with New Lawsuit Against NewYork-Presbyterian appeared first on MedCity News.

Fawad Butt, CEO of Penguin Ai, gave his candid thoughts on where the healthcare AI market is headed, including how data leakage could be fueling smarter AI models and the limits of agentic AI in enterprise settings.

The post Why Agentic AI Is Useful But Limited & Other Hot Takes on the AI Market appeared first on MedCity News.

Adonis raised a $40 million Series C funding round to help hospitals use AI to tackle denied and underpaid claims. Its platform automates manual revenue cycle tasks and provides real-time insights, which allows staff to focus on higher-value work. Customers include Mount Sinai Health System, Baptist Health South Florida, AdventHealth and ApolloMD.

The post Adonis Scores $40M for AI Platform Aiming to Boost Hospital Revenue appeared first on MedCity News.

At Wayne General Hospital in rural Mississippi, clinicians are using Eko Health’s AI-powered digital stethoscope to detect heart conditions earlier in patients with limited access to specialists.

The post How A Small Rural Hospital Is Using AI to Catch Heart Disease Sooner appeared first on MedCity News.

Rachel Springate, general partner at Muse Capital, said the next wave of healthcare startups will be driven by consumer demand — but pure direct-to-consumer models rarely work. Companies like Midi Health, Mavida Health and Mahmee are showing a different path: starting with patients, collecting outcomes data, and integrating with clinicians, payers and the broader healthcare system.

The post Why Pure DTC Doesn’t Work in Healthcare, Per Muse Capital appeared first on MedCity News.

Utah is piloting an AI system developed by Doctronic to autonomously handle routine prescription refills, aiming to reduce delays and boost medication adherence. But a report from Mindgard AI claiming that there are vulnerabilities in the company’s chatbot underscores the broader challenge regulators and developers face in ensuring healthcare AI systems remain safe and reliable in real-world use.

The post The Saga of Utah’s Rx Refill Bot: A Bold Bet on AI & Researchers Who Cried Foul appeared first on MedCity News.