News & Events

Referral generation is one thing, says Rakshith Yaslvanth of ZeOmega. But referral completion and documenting that the service has actually been provided is how health outcomes will improve.

ZeOmega's Rakshith Yashvanth joined host Karen Jagoda to talk about why predictive risk models in population health often overlook the people most at risk, and what it takes to close that gap. When a model flags the wrong members, care teams spend their time in the wrong places, and the people who most need outreach slip through.

Rakshith discusses how, as states hit the August 31 notification deadline, the coverage losses that follow will not be determined by the policy itself but by whether states execute verification well using existing data, flexible reporting windows, proactive exemption outreach, and early communication – rather than treating compliance as a paperwork exercise.

Suhas Ramachandra contributes to healthcare IT predictions for 2026, asserting payers and providers will operate in more transparent, connected partnerships built on shared accountability and value.

Read predictions from the healthcare IT community on what will happen with AI and automation in the coming year.

A top prior authorization expert highlights how health plans can align compliance mandates with strategic goals.

Karen Iapoce discusses how improving Star Ratings and advancing value-based care requires health plans to integrate SDOH data, workflows, and community partnerships into a unified, interoperable system.

ZeOmega expert predicts payers and providers will spend 2026 advancing CMS-0057 compliance, expanding AI-enabled improvements, and collaborating through the CMS Interoperability Ecosystem.

ZeOmega expert provides insights on implementing FHIR® API to improve prior authorization, reduce administrative burdens, and improve care management.

Top subject matter expert discusses how healthcare professionals can build trust, enhance communication methods, and leverage technology to address primary care barriers.

The Massachusetts Health Data Consortium (MHDC) and ZeOmega have launched a network solution to automate prior authorization and streamline clinical data exchange for quality measurement among Massachusetts health plans and providers.

ZeOmega’s SDOH expert discusses how AI helps healthcare organizations drive better outcomes and support vulnerable populations.

Automation is improving member engagement. Matt Adamson, VP of Product Planning, explains how leveraging the right technology can enhance outcomes.

Dr. Sand, Chief Medical Officer, explains the importance of transparency surrounding AI use in healthcare.

Learn how communication applications can optimize the patient experience and save time as Sandra Hewett, Chief Nursing Officer, shares her expertise on the topic.

ZeOmega’s GenAI prediction makes an impact, as Pravin Pant, Vice President of Advanced Analytics, discusses how payers can leverage it to better assess SDOH data and improve member outcomes.

Health IT’s 2025 predictions shine a spotlight on Dr. Sand, Chief Medical Officer at ZeOmega, as he looks ahead to the future of Medicare Advantage and what changes may be in store.

First Report Managed Care shares Cynthia Henry, PMP, and her 2025 insights on MA plans and supplemental benefits.

Health IT Answers features Michael Gould, AVP of Interoperability Strategy, and his prediction of increased focus on interoperability between payers and providers in 2025.

HIMSS TV interviews Cindy Henry, Director of Population Health Informatics, on 2025 Star Ratings and health plan recommendations for 2025.

Director of Population Health Informatics Cynthia Henry, PMP, discusses MA’s projected growth and quality despite lower ratings.

Star Ratings expert Cynthia Henry, PMP, breaks down the decline in 2025 Star Ratings scores in Population Health Learning Network.

David J. Sand, Chief Medical Officer at ZeOmega, discusses challenges within prior authorization processes with Population Health Learning Network.

VP of Government Programs Karen Iapoce shares her thoughts on how healthcare technology creates an equitable healthcare system in Healthcare IT Today.

VP of Government Programs Karen Iapoce offers commentary on multifaceted initiatives that address SDOH, covering AI, community health programs, and more.

Pravin Pant, Vice President of Advanced Analytics at ZeOmega, expertly explains how payers and providers can leverage GenAI and other tools to identify SDOH data and improve patients’ access to care.

Healthcare IT Today features Dr. Sand, Chief Medical Officer at ZeOmega, and Mike Gould, Associate Vice President of Interoperability Strategy, on the topic of how digital tools effectively reach members and improve administrative processes.

Dr. Sand, Chief Medical Officer at ZeOmega, and Mike Gould, Associate Vice President of Interoperability Strategy, discuss how HL7 FHIR® and APIs support efficient data exchange between payers and providers, exploring how automation in prior authorization provides insights into request approvals.

HIMSS TV interviews Pravin Pant, Vice President of Advanced Analytics, and Mike Gould, Associate Vice President of Interoperability Strategy, about implementing AI to value-based care and leveraging interoperability to reach vulnerable populations.

Healthcare IT Today interviews Dr. Sand, Chief Medical Officer at ZeOmega, and Mike Gould, Associate Vice President of Interoperability Strategy, about the need for human touch in digital prior authorization and future CMS regulations to digitize the process, reducing delays in turnaround times.

Cindy Henry, Director of Population Health Informatics at ZeOmega, describes how the CMS Medicare Advantage Final Rate Announcement brings significant updates to the Risk Adjustment Model, Star Ratings system, Inflation Reduction Act, and other key areas impacting health plans.

ZeOmega experts Cindy Henry and Michael Gould unpack how payers can automate prior authorization, improve Star Ratings, and follow risk adjustment regulations as more members enroll in MA plans.

Karen Iapoce, Senior Director of Government Programs at ZeOmega, discusses how the final rule will help close gaps in care, streamline enrollment processes, and improve plan utilization.

Dr. David J. Sand, Chief Medical Officer for ZeOmega, offers insight on workflow automation and how implementing AI/ML helps alleviate workplace burdens.

Mike Gould, Associate Vice President of Interoperability Strategy at ZeOmega, covers the impact on payer and provider processes plus API requirements created to improve data transparency and prior authorization turnaround times.

Dr. David J. Sand, Chief Medical Officer for ZeOmega, forecasts the continued need for automation and regulatory changes in 2024 and beyond.

Dr. David J. Sand, Chief Medical Officer for ZeOmega, explores how healthcare will grow in 2024 through AI, M&A, and federal legislation.

Dr. David J. Sand, Chief Medical Officer for ZeOmega, shares his predictions on 2024 healthcare trends, including follow-up to the COVID public health emergency.

Dr. David J. Sand, Chief Medical Officer for ZeOmega, discusses the benefits of the proposed regulations, addressing the importance of minding price transparency while navigating state burdens that may follow.

Mike Gould, Associate Vice President of Interoperability Strategy, breaks down the steps to advancing EHRs and workflow integration.

Mike Gould, Associate Vice President of Interoperability Strategy, expertly unravels what a new CMS ruling could mean for prior authorization turnaround times.

Mike Gould, Associate Vice President of Interoperability Strategy, and Cindy Henry, PMP, Director of Population Health Informatics, discuss how the right technology can help reduce costs and administrative burden while optimizing processes to improve member outcomes and provider relationships.

Cindy Henry, Director of Population Health Informatics at ZeOmega, discusses how MAOs fall into false claims and the federal government’s role in maintaining risk adjustment threats.

Matt Adamson, Vice President of Product Planning, provides key insights into the barriers limiting patient engagement and the steps needed to increase members’ access to care.

Karen Iapoce describes best practices for managing the re-enrollment process, outlining how health plans can leverage technology to automate re-enrollment outreach, identify high-risk members, and route ineligible members to appropriate coverage.

Mike Gould, Associate Vice President of Interoperability Strategy for ZeOmega, offers a unique perspective on prior authorization regulations, reaching beyond automation while diving into interoperability and patient cost transparency. Read Healthcare IT Today’s article, “Upcoming Healthcare Regulations and Their Impact on Healthcare IT,” to absorb his industry-leading insight.

Healthcare Business Today featured Michael Gould’s byline on why a cultural shift is needed to revolutionize prior authorization.

Healthcare de Jure interviewed Michael Gould on impact of CMS Interoperability and Prior Authorization proposed rule.

Part B News featured Cynthia Henry’s insights on AMA risk adjustment policy,

HIMSS TV interviewed Michael Gould and Pravin Pant on the recent CMS prior authorization proposed rule, Medicaid Redetermination, and SDOH.

Health Data Management featured Karen Iapoce and Pravin Pant’s commentary on the importance of SDOH data.

On December 29, 2021, the Department of Health Care Services (DHCS) received approval of the CalAIM Section 1115 demonstration waiver, CalAIM Section 1915(b) waiver, and Medi-Cal State Plan Amendments from the federal Centers for Medicare & Medicaid Services (CMS) through December 31, 2026.

1115 waivers offer states a way to test new approaches in Medicaid that differ from what is required by federal statute. As we look at states leveraging Section 1115 Eligibility Changes, take notice of a strong emphasis on the justice-involved, housing/homelessness, and behavioral health.

The Health Care Blog interviewed Michael Gould on role at ZeOmega and latest in population health.

Part B News featured Cynthia Henry’s insights on Medicare Advantage risk adjustment.

Healthcare IT Today featured Dr. David Sand’s commentary on automation in healthcare.

Authority Magazine interviewed Michael Gould on social impact of technology on healthcare.

Vator.TV News interviewed Sam Rangaswamy on population health management, AI at home care and public health policy.

Integrated Healthcare Executive featured Dr. David Sand’s insights on increase of healthcare M&A and rapid adoption of automation and business solutions technology in healthcare.

DOTmed Healthcare Business News featured Cynthia Henry’s insights on plans adapting new technologies in 2023.

Rama On Healthcare interviewed Karen Iapoce on CalAIM,

Health IT Answers featured Matt Adamson’s predictions on states implementing whole-person care models

Fierce Healthcare featured Cynthia Henry’s insights on 2023 star ratings for CMS and Medicare Advantage ratings report.

HIT Consultant featured Dr. Sand and Pravin Pant’s byline on AI best practices for SDOH

Authority Magazine interviewed Dr. David Sand on healthcare industry outlook