Nathan Eddy

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Ambience secures $70 million in funding from Optum, OpenAI Startup Fund

Artificial intelligence technology specialist Ambience Healthcare, which specializes in AI-powered applications and an operating system to improve system efficiency for organizations, announced a $70 million funding round. 
The Series B round was led b…

Medicare beneficiaries to receive Part D out-of-pocket cap

Beneficiaries with Medicare Part D are poised to reap significant savings with the implementation of a $2,000 out-of-pocket spending cap for prescription drugs covered under the program, which is slated to take effect in 2025.
This provision, signed in…

Medicare Advantage growth raises critical financial questions

In the coming year, more than half of Medicare’s 66 million beneficiaries may opt for private Medicare Advantage plans, a development likely to put further strain on an already overstretched healthcare system, according to a report in the New England J…

GenAI adoption grows, but concerns over accuracy dominate

Although the overall implementation of Generative AI in healthcare remains limited, a gradual increase in adoption rates, primarily among larger entities, is starting to take hold, according to a KLAS survey 66 of healthcare executives.
 
While just a …

Hospitals confront mounting reimbursement challenges and diminishing cash reserves

Escalating reimbursement delays and declining cash reserves are placing hospitals and health systems across the nation in a precarious financial predicament, according to data from Syntellis Performance Solutions’ analysis of 1,300 hospitals.
 

Mental health spend, aided by telehealth, surged during the pandemic

Rapid expansion of telehealth services for mental health conditions at the onset of the COVID-19 pandemic helped improve access to care and improved provider ability to meet patient demand, according to a study published in JAMA Health Forum. 

Bon Secours Mercy Health sues Anthem over $93 million in unpaid claims

Healthcare provider Bon Secours Mercy Health (BSMH) escalated its ongoing dispute with regional Elevance Health by filing a lawsuit against insurer Anthem on Monday.
The lawsuit alleges Anthem owes more than $93 million in unpaid claims.

Nurses, mental health professionals in high demand

The staffing and skills shortages in healthcare continues as inflation pressures mount, while roles focused on mental health are among the top 50 healthcare jobs in the US.
The most in-demand position is a nurse, advertising 437,168 vacancies in June 2…

Digital health investment slows as investors dwindle

Digital health startups in the United States have seen a decline in funding, with the sector on track for its lowest funding year since 2019, according to the latest quarterly report by Rock Health.
The decline in funding follows a significant boom in …

Post-COVID-19 healthcare landscape spurs new business models

The effects of the COVID-19 pandemic on the healthcare industry have been profound, resulting in shifting profit pools, spikes in innovation, and the creation of new business models, while diversification and vertical integration are likely to accelera…