Daily EHR & Health IT Brief
Most Important Today
- ★ Optum Real Delivers Clarity in Claims and Reimbursement — John Lynn (13 Nov 2025) Optum Real aims to create real-time transparency between payers and providers at the point of care, leveraging AI to streamline prior authorization and reimbursement. With broad market reach, the platform targets friction in claims resolution by exposing status and decision logic earlier in the process.
Why It Matters: Fewer denials and faster adjudication can drive measurable cash-flow and cost-to-collect improvements—but only if integrated deeply with EHR, clearinghouses, and payer APIs and supported by strong change management. - ★ Attuned Intelligence Raises $13M to Transform Hospital Call Centers with Supervised AI — Healthcare IT News (13 Nov 2025) Attuned’s supervised voice AI is already handling thousands of hospital calls daily, from urgent to routine, with new funding led by Radical Ventures and Threshold Ventures. The solution is purpose-built for hospital workflows, aiming to reduce wait times and improve patient access while keeping humans in the loop.
Why It Matters: AI-driven call handling can relieve staffing pressure, cut abandonment rates, and improve experience—but requires tight guardrails, escalation pathways, and integration with scheduling, CRM, and EHR systems to ensure safety and compliance. - ★ Datamonk Raises $1.9M Pre-Seed to Accelerate Medical Imaging Data Migrations with Agentic AI — Healthcare IT News (13 Nov 2025) Datamonk uses agentic AI to automate migration and cleanup of decades of medical imaging data, tackling one of healthcare IT’s most stubborn infrastructure challenges. The funding supports faster PACS consolidations and cloud transitions with embedded data quality controls.
Why It Matters: Automating imaging migrations can cut project timelines and risk, enabling decommissioning savings and smoother cloud moves—CIOs should validate PHI protections, audit trails, and clinical QA before cutover.
EHR Vendor Releases / Sales
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Hospital Implementations
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Other Healthcare Technology
- Seeing What’s Been Missing: How Surescripts Is Making Medication Gaps Visible — Colin Hung (13 Nov 2025) Surescripts is addressing a critical blind spot by surfacing when first-fill prescriptions go unpicked, helping organizations proactively intervene on primary medication nonadherence. The capability aims to feed actionable signals into care team workflows to improve safety and outcomes.
Why It Matters: Closing first-fill gaps reduces readmissions and boosts quality metrics; ensure alerts are routed to the right team with clear outreach playbooks and tie improvements to STAR/HEDIS and value-based incentives. - The End of Guesswork: Why Insight, Not Data, Will Decide TEAM Winners — Guest Author (13 Nov 2025) As CMS rolls out TEAM, the authors argue hospitals must turn data volume into decision-ready insight to manage episode-based care effectively. Success will hinge on cross-setting data liquidity, timely risk signals, and workflow-level actionability rather than dashboards alone.
Why It Matters: Episode-based models demand analytics that drive interventions (not just reports); prioritize data governance, care coordination tools, and playbooks that measurably change clinician and navigator behavior.
Why It Matters — A Healthcare Leader’s Perspective
Today’s themes are about operational leverage and speed: real-time payer transparency to accelerate cash, supervised AI to scale patient access without compromising safety, and automation to de-risk imaging migrations. Pair these with insight-driven population and episode management, and you have a near-term path to reduce administrative waste, improve throughput, and strengthen value-based performance—provided integrations, governance, and frontline adoption are treated as first-class workstreams.
