...of AI failure. Oracle has the bottomless pit of Oracle Health, only one part of which is the VA EHR. It has a crushing burden of a massive debt load, the most recent being financed by a large bond fund since banks wouldn’t touch it. It kicked 30,000 employees and their expertise to the curb. Will Larry Ellison sell a yacht or an island to help finance this as a 40% owner? More in Oracle Steps Back From The Debt Brink and Oracle’s Rock and Hard Place in Abilene This is one long, well-written, and researched analysis by Mr. Zitron,... Continue Reading
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News roundup: Amwell narrows Q1 and full year losses, AMA urges Congress for guardrails on mental health chatbots, hospital at home study finds lower ED visits and lower hospital mortality
...patients (hospital at home, 4,174; in-patient 11, 697), treatment via “hospital at home was associated with significantly lower in-hospital mortality and emergency department (ED) use within 30 days of index admission discharge, with no significant difference in hospital readmissions within 30 days of index admission discharge compared with traditional inpatient care.” The study concluded that may maintain the same or better short term outcomes depending on “appropriately selected patients” (not specified) and that “future studies should evaluate implementation and equity”. The vast majority of patients in the hospital at home sample (nearly 97%) were urban. Healthcare Dive, JAMA Open Network... Continue Reading
Is the health tech business neglecting validated deep learning medical AI models versus less proven LLMs and generative AI?
...progress.) He calls it a paradox between imaging AI and LLMs. This Editor calls it a shame that healthcare technology and investment keep chasing what’s easy, ‘sexy’, and can generate fast revenue/ROI. Not what is more difficult but proven, and that can have a potential huge impact on health outcomes. Dr. Topol’s closing is fitting: Let’s fix this paradox of medical AI implementation. It’s a two-fold and major undertaking. Amping up the use of medical AI where it’s proven and performing the clinical trials required to justify wide-scale adoption where pivotal evidence is lacking. The Paradox of Medical AI Implementation... Continue Reading
Even famous doctors have their identity stolen: Dr. Eric Topol “authors” an apparently fake, AI-generated paper
And now, it’s author names on research papers being spoofed. Eric Topol, MD, the noted physician, cardiologist, health tech maven, and director/founder of the Scripps Research Translational Institute, just experienced Grand Theft Auto on his identity. He was listed as the lead author of a paper entitled “Implementation Science for AI Integration in Digital Health Systems”, along with five other author/contributors. It was published in the “Journal of Digital Health Implementation” by Ellinger Publishing Media on 29 March. Except, as Dr. Topol wrote in a post on his Substack blog, “Ground Truths“, he never wrote it. From his post along... Continue Reading
Chutes & Ladders: Click Therapeutics raises $50M, lays off 27%; India’s IKS Health in talks to buy TruBridge for over $600M; TELCOR buys Sample for RCM expansion
...final FDA approval may be more distant than the funding and turnover make it appear. Indian RCM provider IKS Health seeks to add TruBridge’s RCM for $675 million. Talks are reportedly in an advanced stage with an all-cash offer funded by a $675 million debt facility from banks like Citi, Deutsche Bank, and JP Morgan. It covers both purchase price and refinances TruBridge’s existing debt. No formal offer has been tendered to TruBridge’s board or shareholders. Surprisingly, this has gained little notice in the US healthcare press. TruBridge provides HIT, an EHR, and RCM for health systems and practices. It... Continue Reading
VA’s Oracle EHR resumes go-lives at four Michigan systems–finally
...20’s Anchorage, Alaska VA Health System. [TTA 8 Feb] The only exception to the hiatus was a joint Military Health System/VA implementation at Lovell in Chicago, which has had its own bumps after its start in March 2024. VA previously had five disastrous implementations, VA Mann-Grandstaff (VISN 20) in October 2020 and four more in 2022. After many actions to fix them, the VA halted implementations in April 2023. Even in 2025, in its agency report, the VA’s Office of Inspector General in their March 2025 report, and their January 2026 report on VA’s Management and Performance Challenges for FY... Continue Reading
Funding/deal roundup: WHOOP’s $575M Giant raise, Anthropic buys med AI startup for $400M, early stage fundings for Jimini, Insight Health; Noom buys compounder; Mount Sinai NY to embed OpenEvidence
...announcement last week. It will be integrated into their Epic EHR. OpenEvidence, with a eyeblinking valuation of $12 billion [TTA 13 Feb], claims a daily average usage by 40% of US doctors in 10,000 hospitals and medical centers of their free search engine trained on journals and clinical medical data only. It fills a gap that competitors Doximity, Epocrates, and Medscape aren’t doing. It has added clinical trial matching to its capabilities filtering trials by study design, enrollment status, and geographic proximity. This adds on to Sutter Health’s integration into doctors’ Epic workflows announced earlier this year. Healthcare IT News... Continue Reading
Former VA EHRM executive director Federally charged with accepting vendor cash and gifts, making false statements
...threatened this Power Group with economic and reputational harm, particularly but not only related to his diversity networking expectations (General Allegations, point 14). John Windom, aged 64, has an interesting background. He joined the VA in September 2017 after retiring from service as a Navy Captain. While in the Navy, he had direct experience of the Cerner EHR implementation at the Department of Defense (DoD) as a program manager for their Defense Healthcare Management System Modernization Program. His 2017 appointment as executive director of the OEHRM replaced Genevieve Morris, interim chief health information officer, who had moved from ONC in... Continue Reading
A study in contrasts: OpenAI raises $122B, eMed’s $200M Series A. Then there’s Avo’s $10M Series A, Stedi’s $50M Series C. And Oracle expands Nashville campus!
...Readers know, the latter is a subjective and oft-inflated estimate of market value especially at this early stage. TTA dug into eMed and some of the company’s interesting history, crossing over into Ali Parsa and Babylon Health, here. Reuters, FierceHealthcare, Mobihealthnews Moving back into reality, Avo, a NYC-based clinical AI information platform, raised a $10 million Series A. Avo’s calling card is bringing together EHR, revenue cycle including payer, patient data, and knowledge bases to streamline use at the point of care. Funders were led by Noro-Moseley Partners, with participation from existing investors AlleyCorp, Las Olas Venture Capital, MedMountain Ventures,... Continue Reading
The Oracle shoe dropped: Oracle lays off 18%–20-30K–of global employees, in their largest ever layoff (Updated 2 Apr)
...many thousands in IT and development, indicated the layoffs hit hardest in these areas–FTA RollingOut via Times of India: RHS (Revenue and Health Sciences) — employees described a reduction in force of at least 30%, with 16 or more engineers from individual business units cut in a single action. (Editor’s Note: this includes the Oracle Health EHR team which was the former Cerner) SVOS (SaaS and Virtual Operations Services) — similarly reported a 30% or greater reduction, with manager-level roles included in the sweep. NetSuite’s India Development Centre (IDC) — cuts spanned project management, individual contributor, and manager roles across... Continue Reading
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