TTA’s Spring Fever: VA resumes Oracle EHR rollout, Click clicks on $50M, 27% layoff, IKS Health may buy TruBridge, and TELCOR’s tuck-in of Sample.

 

17 April 2026

The last couple of weeks must have exhausted everyone, because this week is downright sleepy. As scheduled, VA finally resumed its Oracle Health EHR rollout with four health systems in Michigan–the first since 2022. Nine more to come if these go well. For companies, spring fever deals were absent. Digital schizophrenia adjunct treatment Click Therapeutics raised both $50 million to move to commercialization, then pink slipped 27% of current staff. TELCOR tucked in Sample to bolster AI  in the RCM area. Pending in RCM, IKS Health may be making a $600 million offer for TruBridge–but that hasn’t been finalized. Yet.

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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

VA’s Oracle EHR resumes go-lives at four Michigan systems–finally

Last week, though, was fairly stupendous, including an indictment…

Two weekend ‘must reads’: the New Yorker’s Sam Altman/OpenAI exposé–and comments; a further deep dive into Carbon Health’s implosion

Perspectives: Exploring the Telehealth Extension: Building Infrastructures for Better Access

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

NY Times’ highly questionable but glowing–and viral–portrait of AI-created GLP-1 e-prescriber and marketer Medvi

Former VA EHRM executive director Federally charged with accepting vendor cash and gifts, making false statements

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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

So far, not a lot of ups and downs this week….

What’s both a Ladder and a Chute?

Click Therapeutics put together a healthy Series D of $50 million to commercialize its digital therapeutic for the treatment of the experiential negative symptoms of schizophrenia. That’s a cheerful earful, except for the reported 27% of their employees who just got chuted with a pink slip. In the reported range of 100-250 employees, that means 27 to 67 employees being told ‘no work for you’ after bringing the company to the commercialization point. That is a deep cut.

Boehringer Ingelheim and Click jointly developed the digital technology, which received Breakthrough Device Designation by the FDA in 2024 as an investigational technology. It provides an an adjunct to standard antipsychotic therapy through interactive psychosocial intervention techniques.

With the $50 million funding, Boehringer turned over commercialization to Click. What is odd here is that companies with investigational tech and large partners usually keep the staff lean. Commercialization and funding then means that hires change from researchers to marketers, sales, and compliance, for a net gain. The next question is…when?

Austin Speier, chief strategy officer, commented to Behavioral Health Business: “While we are incredibly excited about the potential of CT-155, that shift means making hard changes to our team to match our new commercial mission. These were not decisions we made lightly, and we are deeply grateful to everyone who helped us reach this stage.” CT-155, as it is formally known, does not yet have FDA clearance. It has a Phase III study, CONVOKE (NCT05838625), a Phase III, multicenter, randomized, double-blind, 16-week study evaluating the efficacy and safety of CT-155 versus a digital control app. Neither the BHB and FierceBiotech articles nor Click’s release reveal a timeline for FDA clearance and marketing. Which means that 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 is both established from the late 1990s, when RCM was new, and fairly large–it serves 1,500 healthcare organizations and employs 3,500 people with revenue of $347 million. It IPO’d in 2002 as CPSI on Nasdaq, converting to TruBridge in 2024. IKS Health is HQ’d in Mumbai but has a US HQ in Texas. It has 13,350 employees and a global base of 600 clients. It’s public on the National Stock Exchange of India Limited (NSE) and BSE Limited (BSE). In addition to RCM, it offers care coordination, risk and optimization, and utilization management tools for value-based care. Digital Health News (India)

Also in RCM, TELCOR is buying Sample Healthcare. Amount and transitions are undisclosed. Like TruBridge, TELCOR started in the late 1990s. It serves both hospital and independent labs’ RCM for billing plus point-of-care and laboratory data. It has a 57% market share in the US for point-of-care solutions and serves over 2,700 hospitals and laboratories. Sample will add an AI-driven workflow engine that will be marketed as a separate product. It received seed funding out of Y Combinator in 2024. It’s easy to determine that Sample is a tuck-in acquisition for TELCOR.  TELCOR release.

Rounding up fundings and startups: Override(ing) pain; brainy Synchron and In-Med Prognostics; Click off migraine; Cardiosense and CHF detection

Looking at the brighter side–new companies and fundings, even the modest ones:

Override, a virtual pain management startup, emerged from stealth mode this week with $3.5 million in hand. The company’s program applies an interdisciplinary methodology to virtual pain management in a continuity from diagnosis and physical therapy through to pain coaching and mental health. According to their release, the company combines the “latest in pain neuroscience research to help patients make functional, behavioral, and movement-related changes needed to calm the nervous system and rewire pain neural pathways. The program strives to transform people dependent on opioids, chiropractors, and repeat injections into self-managers of their own pain experience and broader health.” Pain coaching is offered nationwide, while pain physicians, physical therapy, and pain psychology treatment are only available to residents in FL, Maryland, New Jersey, Virginia, and Texas. Services may be purchased à la carte or bundled. Override’s present model is direct to patients first, then piloting with employer and health system partners.

What is also intriguing is that Override is a family affair–David Shulkin, MD, former VA Secretary, and his daughter, Jennie Shulkin, a lawyer who is herself a chronic pain sufferer. Dr. Shulkin is also experienced in this via the VA’s opioid treatment program. Seed funding of $3.5 million was raised from 7wireVentures and Martin Ventures, joined by SignalFire and Confluent Health. Prior to coming out of stealth, Override used the funding to purchase pain management coach Take Courage Coaching. Something very needed for the estimated 50 million Americans with chronic pain. Hat tip to HISTalk 16 Dec.

Recent fundings rounded up concentrate on the brain and heart:

The largest is brain-computer interface (BCI) developer Synchron with an oversubscribed Series C of $75 million. Lead investor was ARCH Venture Partners, joined by heavy hitters such as Gates Frontier, Bezos Expeditions, Reliance Digital Health Limited, and 11 others. Synchron’s value proposition is centered on a minimally invasive, surgically inserted brain implant (Synchron Switch) for what they term Neurointerventional Electrophysiology (Neuro EP). FDA granted them Breakthrough Device designation in 2020 for the Stentrode device, an implant delivered to the brain through blood vessels to give paralysis patients the ability to control digital devices with their thoughts. It is currently in human clinical trials in the US and Australia. The fresh funding will be used for additional development. A number of these funders have made public their interest in BCI for other uses for which thought tracking and action might be useful. Mobihealthnews, Crunchbase, VC News Daily 

Speaking of brains, Pune, India’s In-Med Prognostics has received $2.13 million in a seed round from Exxora and other angel investors. In-Med has developed AI diagnostics to aid in the assessment and early detection of neurological disorders such as dementia, Alzheimer’s, and Parkinson’s. The funding will further develop their NeuroFlow analytics platform; NeuroShield, an app powered by NeuroFlow that provides ethnicity-specific volumetric brain analysis within 20 minutes; and VivoShield Sports for performance analysis. Currently, they are marketed in Africa but In-Med has offices in Australia and San Diego.  VCCircle (India), Mobihealthnews 

And for that pain in the head known as migraine, Click Therapeutics has received FDA Breakthrough Device Designation for its prescription digital therapeutic for episodic migraine. CT-132 is being developed as an adjunctive preventive treatment for episodic migraine in patients aged 18 years+. In April, Silicon Valley Bank loaned them $15 million to retire an earlier term loan from K2 Health Ventures. Release 16 Dec, Release 15 April, Mobihealthnews

Moving from the head to the heart, Cardiosense garnered a $15 million Series A for its AI-based detection of cardiovascular disease. In February, it received Breakthrough Device designation from FDA for combining monitoring of  seismocardiogram, electrocardiogram and photoplethysmogram readings from the CardioTag wearable sensor with AI algorithms to determine pulmonary capillary wedge pressure (PCWP). PCWP is a measure of congestive heart failure (CHF) that at present can only be assessed through catheterization. The new funding will speed up other products in its portfolio as well as studies to further refine and validate the CHF algorithm over a diverse population. Leading the Series A were Broadview Ventures and Hatteras Venture Partners joined by four others.  Release, FierceBiotech