Blue Shield of California, Google Cloud to develop real-time claims processing platform

The companies will build its claims processing platform on Google Cloud’s infrastructure, leveraging artificial intelligence and machine learning capabilities. The goal of the collaboration is to improve patient and provider experience and reduce spending on administrative processes.

Devoted Health raises $1.1B, sending valuation soaring past $12B

Though the Medicare Advantage-focused insurance technology startup is smaller than rivals like Clover Health in terms of membership and revenues, this latest financing round places it ahead of, or at least on par with, several larger competitors with regard to total funds raised.

Graphite Health launches with plans to create a marketplace for digital tools

The company, launched by SSM Health, Presbyterian Healthcare Services and Intermountain Healthcare, aims to create a marketplace for digital tools similar to the application stores on smartphones so that health systems can test and implement new solutions in weeks rather than months.

Unite Us acquires NowPow to bulk up SDOH screenings, referrals platform

Unite Us will integrate NowPow’s tools and community partners into its closed-loop referral system, which can be used to screen for social factors that negatively affect health, like food or housing insecurity, and then electronically refer patients to resources in their community.

Hackensack Meridian Health partners with NowPow to create SDOH referral program

The NowPow referral platform, which is integrated into the New Jersey-based health system’s EHR, will enable clinicians and other care team members to provide patients — whose socioeconomic conditions are negatively affecting their health — with referrals to community resources, like food banks or rental assistance.

RxLightning raises $3M to help providers streamline specialty drug enrollment

The health technology company offers a platform that enables clinicians to more quickly and accurately complete specialty drug enrollment processes and communicate with specialty pharmacies. The goal is to simplify the administrative burden on providers and get patients quicker access to the medications they need.

Oscar Health betting on +Oscar business as it posts net loss of $87M in Q1

Despite recording a net loss of $87 million in Q1 2021, the insurance startup’s leaders are optimistic about future growth, especially in light of the launch of +Oscar. A platform business, +Oscar generates revenue by making the company’s technology stack available to providers and payers.

Current Health nabs $43M to scale remote patient monitoring solution

The company is planning to use the newly raised funds to scale its remote patient monitoring solution, which integrates data from wearables and patient-reported symptoms to give clinicians a virtual view into patients’ health at home. The company’s plans also include doubling its workforce this year.

Appriss Health to buy PatientPing, expanding care coordination capabilities  

Appriss Health, which provides behavioral health insights to clinicians, plans to purchase care coordination solutions provider PatientPing for an undisclosed sum. The deal is expected to close within the next two months, but the combined company’s first steps are still being decided.

How UCSF created a data platform that leverages 150+ social determinants variables

UCSF’s interactive data platform allows users to drill down into 150 social determinants of health variables. This data, layered with EHR data, can give researchers and clinicians invaluable insights into the nexus of social factors and health.

Cerner, Philips invest in Carevive Systems’ oversubscribed $18M equity round

The health technology company will use the investment to deploy its cancer care management platform and remote monitoring program at more health systems and to advance its research capabilities. Philips Health Technology Ventures led the equity round, and Cerner was a returning investor.

14 major health systems launch data insights company

In an unusual move, 14 major providers — including Trinity Health, CommonSpirit Health and Tenet — have come together to launch a data analytics company. Insights derived from the company’s platform will be available to providers, biopharma companies and scientific researchers working to advance patient care.

Insightin Health gains $12M to help payers engage, retain members

Insightin Health aims to help payers retain and engage their members via its proprietary platform. The funding round was co-led by the Blue Venture Fund, a collaboration between Blue Cross Blue Shield companies, the Blue Cross Blue Shield Association and Sandbox.

UPMC Enterprises’ latest spinout uses natural language processing to enhance care quality

Astrata, a spinout of UPMC’s innovation arm, has developed natural language processing tools that can help providers and payers adhere to quality measures. This can, in turn, help healthcare organizations bolster their finances as reimbursement is increasingly being tied to these measures.

How digital health startups are staying competitive in a fast-growing arena

In an increasingly crowded landscape, digital health startups must figure out what sets them apart. Three startup leaders shared what differentiates their companies from the competition at this year’s J.P. Morgan Healthcare Conference.

How Cerner plans to bolster rural hospitals’ telehealth efforts amid the pandemic and beyond

In a wide-ranging interview with MedCity News, Cerner CommunityWorks President Mitchell Clark discussed the healthcare challenges facing rural communities amid the Covid-19 pandemic and the company’s new free offering that aims to support rural telehealth.