In dental practices, where reimbursement cycles are tighter and administrative inefficiencies are immediately visible, AI is already being evaluated not for novelty, but for operational impact.

The post What Dentistry Is Teaching Healthcare About Operational AI appeared first on MedCity News.

AI is not a silver bullet, but its thoughtful application to administrative automation offers one of the most realistic paths to reducing healthcare costs without sacrificing quality.

The post Can AI Help Cure America’s Healthcare Pricing Problem? appeared first on MedCity News.

As AI-enabled coding increasingly adjudicates and reimburses claims on the first pass, often at higher levels, payers face a growing challenge: traditional cost-containment mechanisms are unable to keep pace.  

The post AI-Driven Coding is Driving Costs Up.  How Can Payers Adapt? appeared first on MedCity News.

Technology alone won’t solve prior authorization. But refusing to adopt it guarantees the status quo: a system where insurers operate at machine speed, providers operate at human speed, and patients pay the price in delayed care.

The post Prior Authorization Is Broken. CMS’s New Rule Shows Why Regulated AI Is the Way Out appeared first on MedCity News.

Health informatics leaders at NYU Langone Health think fully autonomous clinical AI is coming in the next five years or so, with algorithms soon able to manage routine tasks like blood pressure medication titration and diabetic retinopathy screening without human oversight. They argue automation is not just about efficiency, but also a practical and necessary solution to workforce shortages and system inefficiencies.

The post NYU Langone Health: We’re Close to Clinical AI with No Human in the Loop appeared first on MedCity News.

[Sponsored] Temperature-sensitive medications represent one of the most critical operational and regulatory challenges in modern pharmacy management.

The post Best Automated Systems for Cold Chain Pharmacy Management appeared first on MedCity News.

The promise of automation in RCM is undeniable, but achieving it requires more than simply adopting new tools. Hospitals must take deliberate steps to prepare their people, processes, and systems for change. 

The post 5 Tips for How Hospitals Should Prepare for RCM Automation appeared first on MedCity News.

By keeping our AI and ML grounded in real-world medicine, we can shape a future where prior authorization works smarter, faster, and better for everyone involved.

The post Physician-led AI: Unlocking Clinical Productivity In Prior Authorization appeared first on MedCity News.

Ochsner Health is expanding its use of Latent Health’s AI platform after its reduced medication prior authorization times to just 4-5 minutes. The technology is designed to both streamline pharmacists’ workflows as well as improve patients’ access to medications.

The post Ochsner Health Scales AI Tool After Its Cuts Prior Authorization Time to Just 4-5 Minutes appeared first on MedCity News.

Healthcare technology has shifted from a back-office function to a strategic imperative. This evolution presents a powerful opportunity to redefine organizations’ futures.

The post A CIO’s Guide to Scalable Patient Data Management appeared first on MedCity News.

Cohere Health raked in $90 million in Series C capital, taking its total funding to date to $200 million. This round of funding cements Cohere as the emerging winner in the prior authorization tech category, according to Michael Greeley, general partner at Flare Capital Partners.

The post Cohere Health Snags $90M to Automate the Much-Maligned Prior Authorization Process appeared first on MedCity News.

[Sponsored] In a webinar sponsored by Jotform, scheduled for Thursday, March 13 at 2 pm ET, panelists will discuss how health tech companies approach data automation and how practices implement it.

The post Making Automation a Mainstream Function in Healthcare Practices appeared first on MedCity News.

The operational benefits of automated eligibility and payment workflows are clear, but its impact on people — both patients and staff — may be even more profound. 

The post Automating Insurance Verification: A Game-Changer for Pre-Visit Payment Collection appeared first on MedCity News.

[Sponsored] In a webinar sponsored by Jotform, scheduled for Wednesday March 5 at 1pm ET, panelists will discuss how health tech vendors and healthcare practices approach data automation and how they can collaborate effectively.

The post Using Automation to Streamline Healthcare Practice Workflows and Maximize Staff Effectiveness appeared first on MedCity News.

Tech-enabled services with humans in the loop are vital components to healthcare organizations’ overall prosperity. Here are three tools that every RCM leader needs in their toolkit when approaching automation. 

The post How to Make True RCM Automation Work for You: Three Tools Every Organization Needs in Their Toolkit appeared first on MedCity News.

Patient flow automation startup Qventus closed a $105 million Series D financing round. The company’s technology is used by more than 115 hospitals and health systems, including Northwestern Medicine, Banner Health and Allina Health.

The post Qventus Snags $105M for Its Patient Flow Automation Tech appeared first on MedCity News.

Clearinghouses are just one great example of how the enhanced exchange of healthcare data can increase efficiency for healthcare providers and the greater healthcare community.

The post Increasing Efficiency and Reimbursements with Clearinghouses appeared first on MedCity News.

The scaling power of AI can simultaneously remove barriers to access, drive costs down system-wide and elevate the role of the human clinician so they can focus on human touch that their patients need.

The post Establishing Better Health Care Outcomes through AI appeared first on MedCity News.

Autonomous coding startup Nym raised $47 million. The New York City-based company has 21 provider customers, including Geisinger and Ochsner Health.

The post Nym Rakes In $47M for Autonomous Coding Engine  appeared first on MedCity News.

Plenful has completed a $17 million Series A funding round, bringing its total fundraising amount to date to more than $25 million. The startup offers a software platform that automates the manual and administrative tasks that burden pharmacists and pharmacy technicians.

The post Plenful Raises $17M to Help Curb Rising Levels of Pharmacy Burnout appeared first on MedCity News.

Banner Health is deploying Qventus’ perioperative technology across the entire organization following the success of an initial pilot. The software integrates with EHRs and uses machine learning to automate operating room scheduling processes and maximize surgical caseloads.

The post Why Banner Health Is Scaling Automation Tech In Its Operating Rooms appeared first on MedCity News.

As healthcare IT undergoes continual evolution, the integration of automation and human connection is poised to define the trajectory of IT support. This synergy promises a smooth experience for users and ultimately contributes to enhanced patient care.

The post The Human Behind the Screen: Why Empathy Matters in your Healthcare IT Strategy appeared first on MedCity News.

Embracing the possibilities that AI unlocks, our commitment to seamlessly integrating AI into healthcare workflows reflects our belief that technology should melt into the background, empowering human caregivers to focus on delivering compassionate patient care.

The post AI’s Role in Transforming Healthcare appeared first on MedCity News.

By streamlining front-end processes, reducing errors, and ensuring prompt service delivery, AI and automation not only boost the patient experience but also optimize revenue streams.

The post Long Term Impact: How the Healthcare Industry Can Survive Staffing Shortages appeared first on MedCity News.

[Sponsored] The revenue cycle management business is using AI tools to automate cumbersome tasks to help hospitals operate more efficiently. It’s beginning to attract the attention of major healthcare organizations.

The post Jorie Healthcare CEO Shares Why Automation is Critical to Revenue Cycle Management appeared first on MedCity News.

It is no longer a question of whether we should use automation for care orchestration. The technology for intelligent automation of care coordination is available now and can help providers reduce costs, generate revenue, and overcome understaffing.

The post How care orchestration technology improves the perioperative care process appeared first on MedCity News.

The healthcare AI space will be an exciting one to watch over the next couple years, as investment dollars flow to startups and providers launch more AI pilots. Two of the most interesting trends to watch will be the use cases that healthcare organizations prioritize when deploying generative AI models, as well as M&A activity within the healthcare AI field, a CB Insights analyst declared during a recent webinar.

The post Healthcare AI Trends to Watch: M&A Exits & Generative AI Use Cases appeared first on MedCity News.

[Sponsored] Health systems need to turn their attention to technology that can improve staff retention by reducing employee burnout, according to HCA Divisional CIO Andy Draper. Here’s a look at what Parlance is doing to realize ROI with conversational AI.

The post What is the ROI for Conversational AI in Patient Access? appeared first on MedCity News.

By properly selecting and implementing the right technologies for your practice you can reduce burnout and increase earnings. Follow these steps to double your reward.

The post Is This the Secret To Combating Burnout? appeared first on MedCity News.

CodaMetrix, an AI platform for hospital revenue cycle management, recently closed a $55 million Series A funding round. The company, which was launched out of Mass General Brigham in 2019, is focused on simplifying the complicated process of translating patient records into codes for billing and clinical research.

The post Mass General Brigham-Born Revenue Cycle Company Snags $55M appeared first on MedCity News.