Category: Tech

Alternative Headline: CMS approves AeroPace funding

[MM Curator Summary]: CMS granted NTAP status for Lungpacer’s AeroPace® System, providing hospitals up to $23,650.90 in Medicare reimbursement per patient.

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 Lungpacer Medical Inc., a medical technology company focused on neurostimulation therapies for critically ill patients, today announced that the Centers for Medicare & Medicaid Services (CMS) has granted New Technology Add-on Payment (NTAP) status for the AeroPace® System under the Fiscal Year 2026 Inpatient Prospective Payment System (IPPS) Final Rule, effective October 1, 2025.

“This … not only reduces financial barriers for hospital adoption but also brings us closer to delivering our technology to the patients who need it most."

The AeroPace® System is an FDA-designated breakthrough device that uses periodic neurostimulation to exercise the diaphragm, helping mechanically ventilated patients to breathe independently faster. Clinical evidence shows that patients treated with the AeroPace System strengthened their diaphragm by 50%, reduced their risk of being on the ventilator for 30 days by 35%, and reduced ventilator time by 3 days when compared to standard of care.  

Under the FY2026 IPPS Final Rule, NTAP approval allows for up to 65% reimbursement of the additional cost associated with the technology. Specifically, hospitals will be eligible to receive up to $23,650.90 in additional Medicare reimbursement per case using the AeroPace System. The NTAP is intended to offset the cost of innovative therapies that provide substantial clinical improvement over existing options.

“New Technology Add-On Payment (NTAP) approval from Centers for Medicare & Medicaid Services (CMS) for the AeroPace System recognizes its clinical value and the potential impact of this groundbreaking therapy to improve patient outcomes,” said Doug Evans, president and CEO of Lungpacer. “This milestone not only reduces financial barriers for hospital adoption but also brings us closer to delivering our technology to the patients who need it most.”

The NTAP designation supports early adoption of technologies that demonstrate newness, cost-effectiveness, and meaningful clinical advancement. The inclusion of AeroPace in the NTAP program highlights its potential to address a critical gap in care for patients requiring prolonged mechanical ventilation. For more information, view the CMS IPPS Final Rule here:

https://public-inspection.federalregister.gov/2025-14681.pdf.

About Lungpacer Medical, AeroPace and AeroNova

Lungpacer Medical is dedicated to developing minimally invasive technologies designed to reduce ventilator-induced injury and help patients wean off mechanical ventilation and breathe on their own. Lungpacer’s neurostimulation AeroPace System is used to stimulate the nerves that activate and exercise the diaphragm twice daily to strengthen the diaphragm and facilitate weaning from MV. The AeroPace System received premarket approval (PMA) from the U.S. Food and Drug Administration (FDA) in December 2024 to improve weaning success – increase weaning, reduce ventilator days, and reduce reintubation – in patients ages 18 years or older on mechanical ventilation ≥ 96 hours and who have not weaned.

Lungpacer’s second product, currently in the investigational phase, the AeroNova®System, utilizes continual diaphragm neurostimulation in conjunction with mechanical ventilation at reduced positive pressures and is designed to mitigate multi-organ ventilator-induced injury in patients on mechanical ventilation. AeroPace and AeroNova have the potential to help the nearly 2.5 million US patients who require mechanical ventilation every year, accounting for up to $96 billion annually in direct care costs.

Learn more at Lungpacer.com and connect on LinkedIn.

Contact: me***@*******er.com

The AeroPace System is approved by the United States Food and Drug Administration to improve weaning success – increase weaning, reduce ventilator days, and reduce reintubation – in patients ages 18 years or older on MV at least 96 hours and who have not weaned. The AeroPace System is not approved in any other country. 

CAUTION: The AeroNova System is limited by Federal law (United States) to investigational use. Used exclusively for clinical investigations.

https://www.globenewswire.com/fr/news-release/2025/08/14/3133304/0/en/Lungpacer-Announces-CMS-NTAP-Approval-for-AeroPace-System-in-FY2026-IPPS-Final-Rule.html?%3F%3F%3Futm_source=google

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Alternative Headline: Nava builds Medicaid tech solution

[MM Curator Summary]: Nava is launching an open-source Medicaid work requirement system to give states flexible, cost-effective technology.

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Our software solution will provide states with modern, flexible technology to implement Medicaid work requirements while achieving human-centered outcomes and avoiding vendor lock-in.

, /PRNewswire/ — Nava Public Benefit Corporation is announcing an ambitious new effort to build an open-source software solution that supports states in meeting the requirements outlined in H.R. 1, the recent federal legislation that could affect millions of Americans’ benefit eligibility. Backed by a decade of experience helping agencies deliver on tight, high-stakes deadlines, Nava will offer:

• A modular, open-source, and production-hardened architecture and set of templates that jumpstart development
• A suite of software and infrastructure tools to build, operate, and maintain digital service applications quickly and safely
• Regular demo days to work in the open, report on progress, and share lessons learned from states
• Philanthropic opportunities to augment or help offset implementation costs

Nava is a public benefit corporation working to make government services simple and effective. We’re committed to helping our government partners achieve human-centered outcomes, which is why we are developing this modular, open-source solution that enables states to replace components and modules seamlessly over time, without sacrificing delivery speed. States will be able to re-use the resulting code and technology stack, which is designed to reduce the cost, time, and risk of implementation.

"States shouldn’t have to rely on slow, expensive updates to aging systems," said Rohan Bhobe, CEO and co-founder of Nava. "We view the passage of H.R. 1 as a challenge to embrace a new way of working that delivers radically more effectively and efficiently. An open, modular architecture gives states the ability to evolve with legislative changes, user needs, and technology advancements."

Our approach stands in stark contrast to traditional industry models that lock agencies into inflexible technology dependent on consulting companies fielding large teams of relatively junior staff or offshore labor. Instead, our open-source solution reduces unnecessary costs, increases states’ long-term roadmap control, and avoids the pitfalls of traditional procurements.

This new solution builds on Nava’s experience working and iterating in the open with agencies like the Centers for Medicare & Medicaid Services, the U.S. Department of Health and Human Services, the U.S. Department of Veterans Affairs, and states across the nation. We’re also drawing from our experience building the Nava platform — a set of modular, open-source templates that distills our cloud engineering best practices and helps our government partners jumpstart projects in days, not months.

Nava is inviting state technology leaders, policymakers, and civic technologists to shape this community-driven effort. Together, we’ll define requirements, co-create solutions, and deploy modern, effective systems that enhance outcomes for users and agencies.

To learn more about Nava’s open-source initiative or to participate in shaping the future of state technology, visit our Medicaid page.

NOTE: This content is not written by or endorsed by "KTVI", its advertisers, or Nexstar Media Inc.

For inquiries or corrections to Press Releases, please reach out to Cision.

https://fox2now.com/business/press-releases/cision/20250814PH51989/nava-launches-nationwide-effort-to-build-open-source-solution-for-implementing-h-r-1/

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Alternative Headline: MiHIN backs federal data push

[MM Curator Summary]: MiHIN supports the new CMS interoperability framework while emphasizing equity, governance, and community trust.

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, /PRNewswire/ — The Michigan Health Information Network Shared Services (MiHIN), Michigan’s state-designated health information exchange, has issued a public statement in response to the newly announced CMS Health Tech Ecosystem and Interoperability Framework. This federal initiative, introduced by the Centers for Medicare & Medicaid Services (CMS) and the White House, is designed to accelerate patient access to digital health data and drive national interoperability across the healthcare system.

The federal initiative has drawn support from national health data networks, major technology companies, and interoperability platforms. While expressing enthusiasm for the vision, MiHIN emphasized the importance of community-rooted governance, equity-driven exchange, and local trust as foundational to meaningful digital transformation.

The announcement from Dr. Isabell Pacheco, incoming CEO of MiHIN, reads, "We welcome this bold national vision as both a validation of our work and a challenge to step forward with even greater clarity. This is more than a pledge—it’s a race. And it’s one we intend to approach with thoughtful urgency, strong partnerships, and a continued focus on serving the real-world needs of our communities."

The CMS Health Tech Ecosystem outlines a voluntary framework focused on fast healthcare interoperability resource-based APIs, digital health applications, and patient-directed data sharing. More than 60 organizations, including large-scale health data and technology firms, have pledged their support. At the same time, national networks like Civitas have framed the movement as "a movement, not a mandate," highlighting the importance of equity, inclusion, and public trust. MiHIN emphasized that health information exchanges like theirs remain essential to:

• Supporting Medicaid, behavioral health, and public health agencies
• Navigating complex consent and governance across communities
• Delivering accurate, timely, and secure health data where it matters most, including directly to the patient

"We believe the future of interoperability must be built collaboratively," Dr. Pacheco added. "Healthcare innovation can—and should—be balanced with the lived experience and trusted infrastructure of Health Information Exchanges. We’re not here to compete with our communities. We’re here to serve them—and that role remains as vital as ever."

MiHIN will continue to evaluate opportunities and value-added partnerships to align with the CMS initiative as implementation details emerge. MiHIN remains focused on shaping a healthcare ecosystem where interoperability supports trust, health equity, and lasting transformation.

About Michigan Health Information Network Shared Services (MiHIN): Michigan Health Information Network Shared Services (MiHIN) is the state-designated entity for health information exchange in Michigan, dedicated to improving the healthcare experience, improving quality, and decreasing cost for Michigan’s people by making valuable data available at the point of care. For more information, visit www.mihin.org.

For inquiries or corrections to Press Releases, please reach out to Cision.

https://fox8.com/business/press-releases/cision/20250812NY48984/mihin-responds-to-cms-health-tech-ecosystem-initiative-with-strategic-optimism-and-renewed-commitment-to-community-based-interoperability/

Alternative Headline: Hixny expands patient alerts

[MM Curator Summary]: Hixny will now provide statewide patient encounter alerts in New York under a new SHIN-NY contract.

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, /PRNewswire/ — Hixny has been awarded a contract by the Statewide Health Information Network for New York (SHIN-NY) to make patient encounter alerts available to healthcare providers and health insurers statewide, effective immediately. The alerts system is the next iteration of an existing service that has proven reliable to thousands of Hixny’s existing health information exchange (HIE) users over several years.

SHIN-NY Statewide Encounter Alerts powered by Hixny works independently from HIE connections, so alert recipients are not required to be Hixny data contributors or participants. Simply put, providers can choose to receive notifications from Hixny even if they have designated another HIE as their primary connection to state data. Patients are also not required to provide any additional consent for providers to receive the alerts.

"We are pleased the SHIN-NY awarded Hixny’s encounter alert system the contract to expand across New York state," said Mark McKinney, Hixny’s CEO. "For more than 25 years, we’ve worked collaboratively to make it easier for the healthcare community to deliver evidence-based, knowledge-driven patient care. This rollout of our proven alert capability is a step forward in improving transitions of care statewide."

Why Choose SHIN-NY Statewide Encounter Alerting Services – Powered by Hixny?

Hixny’s alert system keeps existing workflows intact, letting providers decide where alerts are delivered. This includes the ability to alert through all commonly used electronic health records systems (EHRs) like Athena, eCW, EPIC, Cerner, MEDENT, Meditech, and NextGen. This is not an exhaustive list of supported EHRs.

Hixny’s solution also reduces extraneous alerting, allowing providers to choose to receive alerts for all—or a subset of—their patient panel admitted to and/or discharged from the ER or inpatient care.

Finally, the alerts are built to national leading security standards and applicable statewide.

Reflects Shift in Structure of SHIN-NY

Until recently, all community HIEs (also called qualified entities [QEs] or regional health information organizations [RHIOs]) certified to provide SHIN-NY services received funding from the state to provide the same set of core services to their participants. Moving forward, certain services will be offered to all SHIN-NY participants across New York State by a more limited number of HIEs. Patient encounter alerts is one of those services and Hixny was one of the HIEs selected to provide them.

Providers who accept patients using Medicaid are able to receive all alerts through Hixny for free. Those who do not accept Medicaid payment will be charged a nominal system access fee. A slightly different pay structure exists for health insurers, who can receive alerts through Hixny for their Medicaid members for free, and will pay a nominal fee to receive alerts for all non-Medicaid members. To enroll for alerts, contact Bryan Cudmore, Hixny’s Vice President of Account Management at bc******@***ny.org.

About Hixny

Hixny is a nonprofit electronic health information exchange (HIE). Its nationally recognized technology has led the way in security and data integration, changing the vision of patient records exchange from one limited to data points to one that breaks down traditional healthcare industry silos and puts meaningful, actionable information in the hands of healthcare teams, payers, and public health officials in real-time. The result is increased quality of care with decreased workflow complexity and cost. Hixny serves New York State as a qualified entity (QE) of the Statewide Health Information Network for New York (SHIN-NY).

https://www.easternprogress.com/hixny-makes-healthcare-encounter-alerts-available-immediately-to-providers-statewide-through-the-statewide-health-information/article_ab22c17f-9130-58a3-8408-058abc147603.html

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Alternative Headline: Faster CBO Payments Launched

[MM Curator Summary]: Unite Us and Nomi Health have partnered to accelerate and simplify payments to community-based organizations supporting healthcare delivery, especially in Medicaid Managed Care organizations. 

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NEW YORK–(BUSINESS WIRE)–Unite Us, the nation’s trusted technology partner integrating health and community-based care, and Nomi Health, a leading national healthcare financial services platform, today announced a strategic partnership to deliver an innovative joint solution designed to dramatically streamline administration and accelerate payments to community-based organizations (CBOs) on behalf of healthcare payers.

New partnership pairs Unite Us’ billing capabilities with Nomi Health’s payment system to enhance financial flows for community services.

This strategic partnership will directly address a critical pain point for CBOs: the slow and unpredictable payment processes that hinder their financial stability and ability to deliver vital services. By integrating the Unite Us and Nomi Health platforms, the partnership ensures that essential community services are efficient and sustainably funded through faster, more reliable reimbursements.

“Nomi Health is committed to eliminating the friction points in healthcare, and this partnership with Unite Us extends that commitment directly to the community level,” said Mark Newman, founder and CEO at Nomi Health. “Our platform is built to eliminate costly administrative processes and accelerate cash flow. Together with Unite Us, we are removing the traditional roadblocks that have prevented CBOs from being reimbursed efficiently. This means less paperwork, more predictable funding, and ultimately, more resources directed towards direct patient care and community well-being.”

Historically reliant on grants, CBOs often struggle to adapt to healthcare reimbursement models, facing operational strain from delayed payments. This new integrated solution dramatically reduces these payment delays, improving financial health for the organizations on the front lines serving the most vulnerable populations. Once a claim (837) is submitted to the healthcare payer through the Unite Us platform, Nomi Health seamlessly facilitates the end-to-end payment process through its platform, delivering funds to CBOs significantly faster than what they see today.

For healthcare payers, the partnership offers an efficient, automated pathway to financially support their community based-partners, ensuring consistency in program execution and broader reach into vulnerable populations. By automating and accelerating the payment process from claim submission to direct funding, healthcare payers can now provide their CBO partners with the consistent cash flow needed to sustain and expand critical services, ultimately strengthening their entire community-based ecosystem.

“Our partnership with Nomi Health is a game-changer for healthcare payers and CBOs nationwide,” said Dan Brillman, co-founder and ceo at Unite Us. "For too long, the financial backbone of community based services has been strained by slow, complex payment processes. By integrating Nomi Health’s modern payment system with our reimbursement solutions, we are not just speeding up payments; we are fundamentally empowering CBOs with the efficiency and financial health they need to expand their impact and focus on delivering critical care and support to those who need it most. This is a monumental step towards a truly integrated and efficiently managed continuum.”

Key Features of the Joint Solution:

• Streamlined Reimbursement Workflow: Unite Us simplifies the entire reimbursement process, facilitating accurate tracking, submission, and approval of services with unparalleled efficiency.
• Faster Payments: Nomi Health’s advanced banking infrastructure significantly shortens payment cycles, ensuring dollars are in the hands of CBOs faster than ever before.
• Reduced Administrative Burden, Increased Impact: Nomi Health assumes the administrative load, drastically cutting down on the paperwork and manual effort traditionally required to process reimbursements, allowing CBOs to dedicate more resources to their core mission.
• Enhanced Financial Stability for Local Organizations: More predictable and accelerated cash flow fosters sustainability and amplifies impact at the community level, all powered by trusted technology built to scale geographically across states and across diverse service areas.

Together, Unite Us and Nomi Health are building a more integrated, resilient, and responsive health and human service ecosystem—starting with the organizations at its foundation.

For more information about the Unite Us and Nomi Health partnership and its impact on community-based organizations, including how non-profit CBOs can use the Unite Us platform free of charge, please visit uniteus.com/contact/.

About Unite Us:

Unite Us is the nation’s premier technology provider for integrating health and community-based care. Our advanced product suite is used to proactively coordinate services using data-driven insights, streamline referral and case management, and facilitate eligibility assessments and reimbursements across government, healthcare, health plans, and community organizations. The first of its kind, our closed-loop referral system prioritizes privacy and dignity and has integrated data and analytics tools used to measure impact, optimize programs, and shape policy. With over 1.7M services, we host the nation’s largest network of community-based health and economic services dedicated to improving whole-person health. Learn more at UniteUs.com and LinkedIn.

About Nomi Health:

Nomi Health is rebuilding healthcare through its direct model. Founded in 2019, the company’s integrated platform combines analytics, pharmacy management, direct provider networks and payment solutions – providing the infrastructure that powers better healthcare for self-insured employers. The company serves 4,000 customers nationwide, impacting 30 million lives and influencing over $150 billion in healthcare spend. Based in Orem, Utah, Nomi Health leads the movement to rebuild America’s healthcare system.

https://www.businesswire.com/news/home/20250723566547/en/Unite-Us-and-Nomi-Health-Partner-to-Accelerate-and-Streamline-Payments-for-Community-Based-Organizations-Serving-Medicaid-Managed-Care-Organizations

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Alternative Headline: Drive Health Named ACAP Vendor

[MM Curator Summary]: Drive Health has been named a Preferred Vendor by ACAP to help its 85 member health plans serving 30M people leverage AI for improved care and efficiency.

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PHOENIX–(BUSINESS WIRE)–Today, digital health startup Drive Health announces that it has been named a Preferred Vendor by the Association for Community Affiliated Plans (ACAP). ACAP is the national trade association representing not-for-profit Safety Net Health Plans who serve their members through Medicare, Medicaid, and more.

With its new designation as a Preferred Vendor, Drive Health solidifies its unwavering dedication to member welfare and the optimization of the healthcare industry. Drive will use its resources and its team’s extensive knowledge of the public sector to support ACAP’s mission: to equitably improve the health and well-being of people with limited resources or significant health needs. This partnership comes at a particularly crucial time, as challenges like regulatory headwinds, industry-wide labor shortages, and rising acuity of member populations require increased attention and resources.

Drive Health’s mission is to create healthier communities through revolutionary technology and approachable artificial intelligence. Founded in 2022, Drive Health’s flagship product, Avery, a Personalized Agentic Caregiver, empowers clinicians to focus on direct members with the highest needs by automating routine tasks – helping plans deliver more personalized care, ultimately delivering higher patient satisfaction and improved outcomes.

Under the partnership, Drive Health will share its mission with ACAP’s network of health plans through numerous platforms, including ACAP’s newsletter, its CEO Summit, and its educational webinar series. These mediums will give Drive Health’s team the chance to speak in further detail about the impact artificial intelligence has on the healthcare industry, and how ACAP members can leverage emerging technology to address workforce challenges and optimize member outcomes.

James Stringham, CSO at Drive Health and former ACAP Board Member and Plan CEO, will host a webinar alongside Chief Nursing Officer Dr. Leeza Constantoulakis and Co-Founder Kevin Longoria in September.

“Partnering with ACAP was an absolute no-brainer for us. Drive Health is well equipped to deliver nonprofit organizations and members alike the tools to harness emerging technology. We’re dedicated to ensuring equitable healthcare outcomes for all, and we will utilize our expertise to help position and differentiate member health plans," said James Stringham, CSO at Drive Health and former ACAP Board Member and Plan CEO.

“ACAP is delighted to welcome Drive Health as a Preferred Vendor,” said ACAP CEO Margaret A. Murray. “Our member plans look forward to learning more about the ways Drive combines hands-on health care experience with innovative technology to offset potential financial and clinical challenges.”

ACAP’s 85 member Safety Net Health Plans provide coverage for more than 30 million people through Medicare, CHIP, Medicaid, and other public healthcare programs across the United States. Drive Health’s team of seasoned industry experts looks forward to helping ensure equitable, high-quality care for all.

About Drive Health

Drive Health makes healthcare simple and accessible – anytime, anywhere, for everyone. Its mission is to ease the burden on healthcare providers, build trust with consumers, and simplify healthcare through secure, AI-enabled solutions. For more information, visit DriveHealth.ai.

https://www.businesswire.com/news/home/20250819073391/en/Drive-Health-Named-Preferred-Vendor-by-the-Association-for-Community-Affiliated-Plans

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Alternative Headline: TennCare Launches Digital Compass

[MM Curator Summary]: TennCare and Findhelp launched a statewide digital care coordination system to modernize Medicaid services and improve outcomes for 1.4 million members.

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, /PRNewswire/ — Findhelp, a proven technology platform supporting public health systems nationwide, has gone live across the state of Tennessee with a digital infrastructure designed to modernize care coordination and reduce inefficiencies while improving health outcomes for over 1.4 million TennCare Medicaid members. The Tennessee Community Compass, powered by Findhelp, connects TennCare, its health plans, healthcare providers, and community-based organizations (CBOs) through a centralized system that supports referral, service authorization, data exchange, and payment workflows.

This partnership is a major step forward in digital transformation for public health systems, and a core component of TennCare’s Health Starts Initiative to improve operational efficiency across the Medicaid ecosystem while addressing the non-medical factors that influence health outcomes.

Tackling Fragmentation with Technology That Enhances, Not Replaces
Government health programs like Medicaid often face the dual challenge of managing high-need populations while navigating outdated processes and disconnected systems. Care managers are expected to coordinate across medical and social sectors, and inefficiencies don’t just slow down service delivery: they can create real risks for the people depending on them.

Tennessee Community Compass replaces manual, fragmented workflows with a single statewide platform that allows care teams to:

• Identify health-related social needs
• Refer and authorize services
• Share and receive data securely
• Track outcomes
• Pay community organizations for provided services
• Report on impact across the care continuum

The platform enables TennCare and its health plans, BlueCare, Wellpoint (Elevance Health), and UnitedHealthcare, to build a standardized, repeatable, and accountable model for integrating social care into existing workflows.

A Practical Model for Government Efficiency
"This launch isn’t just about social care, it’s about a smarter, more efficient government," said Erine Gray, Founder & CEO of Findhelp. "TennCare recognized that in order to meet the needs of residents, especially those facing complex challenges, they needed a system that helps people do their jobs more efficiently. With Findhelp, they’ve built digital infrastructure that enhances productivity and eliminates unnecessary friction. This project shows that technology companies can work cost-effectively with government partners so that more money goes to people in need."

Over just the first three months, the results of this transformation are clear:

• 13,455 social needs screenings completed on behalf of 10,442 members
• 4,031 referrals made for 1,326 members, all tracked and visible to the care team

"Community Compass is one of the best things our organization has done," says Martha Dixon, Community Services Manager at Upper East Tennessee Human Development Agency. "We can help people with things like rental assistance with the money the incentive program has provided."

Collaborative, Scalable, and Built for Public Sector Workflows
To ensure coordination at scale, Findhelp established three coalitions, one for each health plan, to securely connect their networks of providers and service partners. The system integrates with the TennCare health plans’ existing case management and electronic health record platforms to automatically match members to eligible services, reducing administrative overhead and increasing reach.

Jacy Warrell, CEO of the Rural Health Association of Tennessee, which helped lead early implementation efforts, said, "TennCare and Findhelp have built something that’s both high-tech and high-trust. This kind of collaboration, especially in rural communities, is how we build systems that work better for people and more efficiently for the government, not just on paper but in real life."

A Blueprint for Other States
As more state agencies seek to modernize service delivery, TennCare’s partnership with Findhelp offers a replicable model for closing gaps without expanding bureaucracy. By making internal processes faster and smarter, care teams can spend less time filling out forms and more time supporting residents.

Findhelp currently partners with over 650 leading health plans, hospitals, governments, and nonprofits nationwide. In Tennessee, its footprint includes collaborations with Regional One Health, Baptist Memorial Hospital, HCA Healthcare, and all three TennCare health plans.

About Findhelp

Building healthier and happier communities starts with supporting the whole person. That’s why Findhelp was founded in 2010: to connect all people in need to the programs that serve them with dignity and ease. Our software platform enables community organizations, governments, and businesses across industries to easily manage and coordinate care. From screening and closed-loop referrals to outcomes tracking and actionable insights, Findhelp is powering a better social safety net. For more information, visit https://company.findhelp.com.

About TennCare

TennCare is Tennessee’s managed care Medicaid program that provides health insurance coverage to certain groups of low-income individuals such as pregnant women, children, caretaker relatives of young children, older adults, and adults with physical disabilities. TennCare provides coverage for approximately 1.4 million Tennesseans and operates with an annual budget of approximately $18.6 billion.

View original content to download multimedia:https://www.prnewswire.com/news-releases/tenncare-and-findhelp-launch-statewide-digital-infrastructure-to-streamline-care-delivery-and-reduce-system-fragmentation-302532717.html

NOTE: This content is not written by or endorsed by "KLAS", its advertisers, or Nexstar Media Inc.

https://www.8newsnow.com/business/press-releases/cision/20250819DA54072/tenncare-and-findhelp-launch-statewide-digital-infrastructure-to-streamline-care-delivery-and-reduce-system-fragmentation/

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Alternative Headline: AI Tool Guards Medicaid Coverage

[MM Curator Summary]: Eleos launched the OBBBA AI scanner to detect Medicaid eligibility changes in real time, helping providers preserve coverage and continuity of care amid stricter policy rules.

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The new OBBBA AI scanner uses Eleos’ ambient AI technology to alert providers of patient eligibility changes, preserving revenue and ensuring care continuity amid sweeping Medicaid policy changes

BOSTON, Aug. 20, 2025 (GLOBE NEWSWIRE) — Eleos, the leading AI platform in post-acute care, today announced the launch of the OBBBA (One Big Beautiful Bill Act) AI scanner, the first real-time tool to proactively detect potential changes to Medicaid eligibility during client sessions. The OBBBA AI scanner uses Eleos’ purpose-built ambient AI scribing technology to inform providers about changes that may impact coverage, giving them time to act before Medicaid coverage lapses. The tool was launched in response to sweeping Medicaid funding cuts and eligibility rule changes.

Providers can select Medicaid-related "themes” to track such as housing status, diagnosis updates, or life events like marriage or aging out of eligibility. The OBBBA scanner captures contextual clues that could trigger changes in coverage. Providers use this information to take action to prevent eligibility loss, reduce care disruption and maintain treatment continuity. For care organizations, this means fewer denials and greater revenue stability, as well as better client support.

The OBBBA AI scanner arrives at a critical moment: new Medicaid rules introduce shorter retroactive coverage windows, semi-annual (versus annual) redeterminations and narrowed eligibility criteria – all of which lead to a higher risk of churn, especially for vulnerable groups such as people with serious mental illness and those experiencing housing instability.

"We’re hearing from leaders across the country that Medicaid redetermination changes are already causing confusion and fear among clients and providers alike,” said Alon Joffe, Co-founder and CEO of Eleos. "The OBBBA AI scanner gives providers the earliest possible warning via real-time insights so they can protect coverage and avoid treatment disruptions, ensuring clients continue to receive necessary and life-saving care. This kind of provider-first technology is at the core of Eleos.”

Embedded seamlessly within the Eleos Documentation experience, the tracker works in tandem with providers’ existing workflows, requiring no additional software or manual data entry.

Industry leaders see the OBBBA AI scanner as a critical tool in a volatile policy environment.

"OBBBA has created significant uncertainty for the behavioral health sector, and organizations need every possible advantage to navigate it,” said Chuck Ingoglia, President and CEO of the National Council for Mental Wellbeing. "Properly deployed, purpose-built AI tools help organizations navigate an ever-changing landscape while also promoting the health and well-being of clients and communities.”

The OBBBA AI scanner builds on Eleos’ mission to free care providers from administrative burdens and enable better, more data-informed care. Deployed in over 200 organizations in 30-plus states, Eleos is the most-used AI solution in behavioral health, substance use disorder (SUD) treatment and post-acute care. Its suite of AI-powered documentation and compliance solutions has been proven to reduce documentation time by more than 70%, double client engagement and drive 3-4x better treatment outcomes.

For more information about the OBBBA AI scanner or to request a demo, visit www.eleos.health.

About Eleos

Eleos is the leading AI platform for behavioral health, substance use disorder, home health and hospice. At Eleos, we believe the path to better care is paved with provider-focused technology. Our purpose-built AI platform streamlines documentation, simplifies revenue cycle management and surfaces deep care insights to drive better client outcomes. Created using the industry’s largest database of real-world sessions and fine-tuned by our in-house clinical experts, our AI tools are scientifically proven to reduce documentation time by more than 70%, boost client engagement by 2x and improve symptom reduction by 3-4x. With Eleos, post-acute care providers are free to focus less on administrative tasks and more on what got them into this field in the first place: caring for their clients.

https://www.manilatimes.net/2025/08/20/tmt-newswire/globenewswire/eleos-launches-ai-scanner-to-navigate-medicaid-eligibility-risk-in-real-time/2171030

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Alternative Headline: CMS Grants NTAP for Minima

[MM Curator Summary]: CMS granted NTAP approval for Renata Medical’s Minima Stent System, ensuring hospital reimbursement for pediatric use beginning October 2025.

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NTAP approval highlights Minima’s clinical significance and ensures hospital reimbursement for inpatient use beginning October 1, 2025

NEWPORT BEACH, Calif.–(BUSINESS WIRE)--Renata Medical, a company dedicated to transforming care for children with congenital heart disease, today announced that the Centers for Medicare & Medicaid Services (CMS) has granted a New Technology Add-on Payment (NTAP) for the Minima Stent System under the Inpatient Prospective Payment System (IPPS) for Fiscal Year 2026, effective October 1, 2025.

NTAP reflects the clinical value, innovation, and unmet need Minima addresses for the most vulnerable pediatric patients.

The Minima Stent System is the first and only FDA-approved stent designed specifically for neonates, infants, and young children with native or post-surgical pulmonary artery stenoses or coarctation of the aorta. The NTAP designation recognizes Minima as a novel and clinically impactful technology that meets CMS’s stringent cost and clinical criteria.

This NTAP approval serves not only as a powerful reimbursement win, but also as a rare and prestigious endorsement of the Minima Stent System’s meaningful impact on patient outcomes. With only a select number of technologies reaching this milestone each year, NTAP reflects the clinical value, innovation, and unmet need Minima addresses for the most vulnerable pediatric patients. It reinforces the importance of continued investment and leadership in congenital heart disease innovation.

Under the ruling, CMS has finalized a maximum NTAP reimbursement of $22,685 per case. The approval follows Minima’s FDA premarket approval (PMA) on August 28, 2024, and its prior designation as a Breakthrough Device.

“This NTAP approval marks a major milestone for congenital heart centers and their patients,” said Dustin Armer, CEO of Renata Medical. “Minima was designed to meet the urgent need for pediatric-specific solutions in congenital heart disease, and this policy change ensures that hospitals are supported in adopting this life-saving technology.”

CMS granted NTAP approval following a robust cost analysis and public comment period, acknowledging the unique challenges of evaluating pediatric technologies using Medicare claims data. CMS recognized that while Medicare-covered pediatric cases are rare, technologies like Minima address complex, high-acuity conditions that justify supplemental inpatient reimbursement.

Minima is currently commercially available in the United States.

For additional information, visit www.renatamedical.com.

About Renata Medical

Renata Medical is a privately held medical device company committed to revolutionizing treatment for congenital heart disease. The company’s flagship product, the Minima® Stent System, is the first endovascular stent designed specifically for use in neonates, infants, and young children with vascular stenoses, with the ability to expand to adult dimensions over time.

https://www.businesswire.com/news/home/20250812805416/en/Renata-Medical-Announces-CMS-Approval-of-New-Technology-Add-On-Payment-NTAP-for-the-Minima-Stent-System

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Alternative Headline: CMS Backs EUROPA® Spine System

[MM Curator Summary]: CMS granted NTAP status to MiRus’s EUROPA® Posterior Cervical System, enhancing access and reimbursement for its breakthrough spine surgery technology.

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  MiRus has received New Technology Add-on Payment (NTAP) from the Centers for Medicare and Medicaid Services (CMS) for the EUROPA® Posterior Cervical System, based on it’s proprietary rhenium alloys, for treatment of the cervical and upper thoracic spine. 

The EUROPA® PCF system is built around a 2.9 mm MoRe rod which is much smaller than current commercial systems. The lower diameter rod allows low-profile pedicle screw tulips leading to less invasive surgery and less hardware prominence in smaller patients. Although lower diameter, MoRe rods provide a superior level of rigidity, strength, and fatigue resistance which reduces the risk of spine rod fractures compared to current systems. The EUROPA® PCF System was awarded Breakthrough Device Designation by the FDA.

"I have used the 4.5mm MoRe rod TL system for complex cases and have had good results," stated Han Jo Kim MD, Professor of Orthopedic Surgery at the Hospital for Special Surgery, New York "There is tremendous potential in what this proprietary alloy (MoRe) can accomplish in spine surgery, offering implants that are lower profile, more durable and stronger."

"We are pleased that CMS has recognized the EUROPA® PCF System as the superior option for treating the cervical and upper thoracic spine, enabling hospitals to receive reimbursement through the NTAP program and ensuring Medicare patients have access to this breakthrough technology," commented Mahesh Krishnan, Chief Commercial Officer.

"Currently the rates of spine implant failures and revision surgeries for patients remain unacceptably high," commented Jordan Bauman, VP of Regulatory and Quality. "with EUROPA® PCF, spine surgeons will be able to provide durable and less invasive surgery for their cervicothoracic patients. This is another step forward in our mission to provide less invasive and more durable devices across a broad spectrum of disease states."

About MiRus, LLC.
MiRus is a life sciences company headquartered in Atlanta, Georgia that has developed and is commercializing proprietary novel biomaterials and implants that are transforming medicine by making surgeries less invasive and implants safer and more durable. www.mirusmed.com. 

Statements made in this press release that look forward in time or that express beliefs, expectations or hopes regarding future occurrences or anticipated outcomes are forward-looking statements. A number of risks and uncertainties such as risks associated with product development and commercialization efforts, expected timing or results of any clinical trials, ultimate clinical outcome and perceived or actual advantages of the Company’s products, market and physician acceptance of the products, intellectual property protection, and competitive offerings could cause actual events to adversely differ from the expectations indicated in these forward looking statements. The EUROPA® Posterior Cervical System is not FDA approved.

* MiRus® , EUROPA®, MoRe® are all trademarks of MiRus, LLC.

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