In The News
May 7, 2025
A Compelling AI Use Case for Health Insurers
In her recent Health IT Answers feature, Shannon Smith, RN, BSN, AVP of Clinical Success at Zyter|TruCare, explains how health plans can move from retrospective analysis to real-time action by combining predictive analytics, clinical BPO expertise, and intelligent automation. This proactive approach allows plans to identify and intervene with rising-risk members before conditions worsen, helping to prevent avoidable utilization and better manage costs.
April 28, 2025
Medicaid plans must accelerate AI adoption to navigate through unprecedented uncertainty
Shrinking budgets and mounting uncertainty around Medicaid and Medicare are forcing healthcare organizations to rethink how they operate. AI-enabled platforms offer a path forward — helping health plans and providers reduce administrative burden, manage risk earlier, and strengthen care delivery models. Chief Growth Officer, David Hamilton, shares his perspective in Healthcare Business News on why embracing AI isn’t optional — and outlines the capabilities organizations should prioritize today to protect both their business and the patients they serve.
April 17, 2025
Health Plans Can Reduce Costs with a Focus on Rising Risk
Health plans are facing real pressure to manage risk earlier, allocate resources more effectively, and improve outcomes for rising risk populations. Predictive analytics combined with clinical BPO offers a scalable path to meet these challenges head-on. Chief Growth Officer, David Hamilton, shares his perspective in MedCity News on why it’s time for health plans to move from exploring AI to deploying it with purpose — and how pairing data-driven insights with clinician-led coordination drives measurable results.
October 18, 2024
Bridging Healthcare’s Digital Divide: The Interoperability Imperative
Highlights the imperative of interoperability in healthcare, emphasizing its role as a foundational element for effective communication and real-time data exchange across healthcare IT systems. This capability is crucial for enhancing clinical workflows, patient outcomes, and compliance with regulatory standards, ultimately transforming fragmented healthcare systems into cohesive, efficient networks.
September 30, 2024
The CY 2025 CMS physician fee schedule proposals introduce key changes that will affect payment structures, enhance behavioral health services, extend telehealth provisions, and refine quality measurement programs, all of which necessitate strategic adjustments from health care leaders. Authored by Shannon Smith, these proposals signal a shift towards a more integrated and performance-oriented healthcare system, emphasizing quality care and regulatory compliance.
August 19, 2024
Engaging Providers: Key to Value-Based Care Success
This feature byline highlights the Centers for Medicare & Medicaid Services’ initiative aiming to transition all Original Medicare and most Medicaid beneficiaries into accountable care relationships by 2030, focusing on the crucial role of provider engagement in enhancing patient outcomes and reducing healthcare costs through value-based care.
August 15, 2024
Elevating Clinical Excellence: The Vital Role of Interoperability
This feature discusses the critical role of interoperability in modern healthcare, emphasizing its necessity for seamless data exchange across diverse care settings to enhance patient outcomes, reduce costs, and streamline operations, especially as patients increasingly utilize various care options, from office visits to telehealth.
April 2, 2024
Adapting to Change: Navigating the New CMS Prior Authorization Guidelines in Health Care
Shannon Smith, Sr. Director of Clinical & Business Success at Zyter|TruCare, discusses in this byline how the upcoming CMS guidelines for prior authorization, set to take effect in 2026, will drive significant operational changes for healthcare payers, requiring faster decision timelines, enhanced interoperability, and greater transparency, ultimately reshaping healthcare efficiency and delivery.
March 20, 2024
From Data to Decision: How Generative AI is Shaping Patient Care Pathways
Amidst rapid digital advancements, Generative Artificial Intelligence (Gen AI) is revolutionizing healthcare by enhancing personalization, optimizing workflows, and improving data utilization. In this byline, Avikar Govil, Insights Health Product Manager, discusses how Gen AI is transforming healthcare delivery, overcoming data challenges, and paving the way for more efficient and patient-centered care.
March 12, 2024
Generative AI’s role in elevating patient care and self-management
This byline discusses how Generative Artificial Intelligence (GenAI) is revolutionizing patient education, self-management, and communication by making complex medical information more accessible and personalized, ultimately enhancing operational efficiency and health outcomes.
February 28, 2024
The Strategic Application of Generative AI in Care Pathways
Generative Artificial Intelligence (GenAI) is poised to transform healthcare by enhancing personalized care, optimizing workflows, and improving data utilization to tackle chronic disease management challenges. In this byline, Avikar Govil, Insights Health Product Manager, discusses how integrating GenAI into healthcare can revolutionize patient care, reduce administrative burdens, and elevate overall health outcomes.
December 24, 2023
Zyter|TruCare launched TruCare Mobile, which supports remote utilization and medication management, as part of its v10.2 release.
December 19, 2023
The importance of risk stratification and pop health in value-based care
This byline discusses the pivotal role of harmonizing population health management and risk stratification within the value-based care framework, emphasizing their importance in delivering personalized, high-quality care that addresses social determinants of health and optimizes healthcare economics.
November 10, 2023
What Amazon Prime’s new One Medical offering reveals about the future of health care
Discussion in STAT News on how the integration of One Medical into Amazon Prime exemplifies the shift towards digital health solutions that combine telehealth with traditional care, emphasizing the need for healthcare providers to enhance their technological capabilities to meet the demands of a patient-driven, value-based healthcare system.
October 23, 2023
Top 10 Population Health Solution Providers 2023
Zyter|TruCare is recognized as one of the top 10 “Population Health Solution Providers 2023” by Medhealth Outlook Magazine, underscoring our commitment to advancing healthcare through innovative population health management solutions.
August 31, 2023
Unlocking Excellence in Healthcare Through the 7 Levers of Value-Based Care
This feature examines the escalating costs in the U.S. healthcare system and highlights the shift toward value-based care as a solution to enhance patient outcomes and control spending. It emphasizes the industry’s move from fee-for-service to payment models that prioritize value, supported by the adoption of strategies like risk-sharing agreements and investments in digital technologies to improve care delivery and efficiency.
September 3, 2023
Zyter|TruCare integrated findhelp, a social care network, into the latest release of its Connected Health platform.
August 29, 2023
Zyter|TruCare has integrated findhelp into its Connected Health platform, enhancing the platform’s ability to address Social Determinants of Health (SDOH) through a seamless connection between healthcare providers and essential social services, marking a significant advancement in its commitment to value-based, holistic care.