What if patients could use AI to successfully challenge insurance denials and regain access to the care they need?

In this episode, Zach Veigulis, Co-Founder & Chief AI Officer at Claimable Inc., discusses how his company uses AI to help patients appeal denied medical insurance claims and regain access to care. Drawing on his experience as the former chief data scientist at the U.S. Department of Veterans Affairs innovation center, Veigulis explains that while billions of medical claims are processed each year, a significant portion are denied and almost none are appealed. Claimable addresses this gap by enabling patients and healthcare organizations to quickly generate evidence-based appeal letters that incorporate medical history, clinical guidelines, and legal protections, achieving about an 80% success rate in some conditions. By empowering patients to exercise their legal right to appeal and involving employers or regulators when appropriate, the platform aims to reduce care abandonment, improve access to treatment, and alleviate administrative burdens on physicians.

Tune in to hear how Claimable is empowering patients, reducing physicians' administrative burden, and helping more people get the treatment they deserve!

Resources:

• Connect with and follow Zach Veigulis on LinkedIn.

• Follow Claimable on LinkedIn and explore their website!

Compliance works better when documentation supports care in real time instead of becoming a burden after the fact.

In this episode, Paige Dustmann and Derek Staub discuss how fraud, waste, and abuse pressures are reshaping behavioral health compliance for providers, payers, and managed care organizations. Paige explains how Monolith Health helps teams capture services, assessments, and treatment planning in real time, reducing paperwork and improving audit readiness. Derek highlights how changing regulations, random audits, and documentation gaps can put even well-intentioned providers at risk, emphasizing the need for stronger systems and clearer communication with MCOs. Together, they explore how better workflows, state-aligned lesson plans, and proactive compliance tools can protect organizations while ensuring clients receive care that meets their real needs.

Tune in and learn how better documentation, stronger compliance systems, and clearer payer-provider communication can reduce risk and improve behavioral health care delivery!

Resources:

• Learn more about Monolith Health on their LinkedIn and visit their website here.

Connectivity becomes transformational in healthcare when it helps providers extend their expertise, close access gaps, and support care beyond the hospital walls.

In this episode, Robin Goldsmith, Practice Leader for Healthcare and Life Sciences at Verizon Business, shares why connectivity is no longer just infrastructure. It is becoming a strategic foundation for healthcare delivery. Drawing on nearly two decades in the space, Robin explains how the pandemic exposed major gaps in access for patients without reliable devices or networks, and why that moment clarified the role telecommunications can play in healthcare transformation. He discusses the growing pressure on providers to improve patient and clinician experience while managing thin margins, workforce shortages, and rising demand for more distributed care. Robin also highlights how stronger network infrastructure, better partnerships, and new models for rural health, remote monitoring, and even robotic surgery can help health systems expand access and move care closer to patients.

Tune in to learn how connectivity is helping healthcare become more responsive, more distributed, and more equitable.

Resources:

• Connect with and follow Robin Goldsmith on LinkedIn!

• Follow Verizon Business on LinkedIn and explore their website!

• Listen to the Healthcare of Air by Verizon here.

In healthcare innovation, capital alone is not enough. Real scale happens when strong solutions are matched with the right partnerships, a clear path to profitability, and disciplined execution.

In this episode, Peter Micca, Managing Partner at Caduceus Capital, shares how his transition from building Deloitte’s digital health technology practice to leading a healthcare investment firm shaped his perspective on scaling businesses. He explains why Caduceus Capital is creating more than a fund by combining capital with go-to-market support, partnerships, and direct access to healthcare stakeholders. Peter outlines what sets companies apart in a more selective investment landscape, emphasizing the need for clear ROI, scalability, and a path to profitability. He also highlights the healthcare innovations that excite him most, particularly those that empower physicians, expand access, and lower costs.

Tune in to learn why the future of healthcare innovation belongs to companies that pair strong technology with practical value, smart partnerships, and measurable outcomes.

Resources:

• Connect with and follow Peter Micca on LinkedIn!

• Follow Caduceus Capital Partners on LinkedIn and explore their website!

Operational efficiency in ASCs improves fastest when manufacturers and distributors align on standardization, supply reliability, and hands-on implementation support.

In this episode, Tracy McQuay of Medtronic and Kevin Humphrey and Emily Barnhart of Cardinal Health discuss how their long-standing collaboration helps ambulatory surgery centers reduce complexity while maintaining clinical quality. Emily explains Cardinal’s Performance Plus™ program and how joint planning, KPI scorecards, and added inventory strengthen service across Medtronic’s product lines. Kevin shares how ASC-focused teams support new center builds, optimize layouts, and drive savings through purchasing reviews and vendor consolidation. Tracy highlights a “not a transaction” kickoff model, capital-light tech integration, and examples like rapid suture conversions and Microstream™ capnography standardization to simplify supply chains and relieve cost pressure.

Tune in to learn how tighter collaboration between suppliers and distributors can make ASC operations simpler, more resilient, and more cost-effective.

Resources:

• Connect with and follow Tracy McQuay on LinkedIn.

• Follow Medtronic on LinkedIn and discover their website!

• Follow and connect with Kevin Humphrey on LinkedIn.

• Follow and connect with Emily Barnhart on LinkedIn.

• Follow Cardinal Health on LinkedIn and discover their website!

Healthcare interoperability only works when patient data is not just accessible, but trustworthy, contextualized, and actionable.

In this episode, Abhi Sindhwani, Chief Growth Officer at Particle Health, shares how his own experience coordinating care for his mother after a stroke exposed the painful reality of fragmented records across health systems and state lines. He explains why interoperability is still broken, why simply giving patients access to raw data is not enough, and why healthcare organizations need validated, enriched, and structured information they can actually use. Abhi also discusses how Particle Health helps care teams access longitudinal patient records, receive meaningful alerts, and use AI-generated discharge summaries to reduce friction, improve trust, and help clinicians work at the top of their license. He highlights the importance of portability, the risks of information blocking, and the need to refocus the system around the patient.

Tune in to learn how better data flow can create better care experiences for patients, providers, and the broader healthcare ecosystem. 

Resources:

• Connect with and follow Abhi Sindhwani on LinkedIn.

• Follow Particle Health on LinkedIn and explore their website!

Application decommissioning only creates lasting value when health systems treat it as a long-term operating discipline rather than a one-time IT cleanup effort.

In this episode, Jason Rose, CEO and Board Member of Clearsense, explains why application decommissioning has become one of the most important financial strategies for health systems facing margin pressure, rising costs, and growing demands for innovation. He shares that many organizations are carrying bloated application stacks filled with redundant, legacy, and “zombie” systems created by mergers, EHR rollouts, cloud migrations, and years of technical debt. Jason also discusses how Clearsense and Trinity Health built a programmatic approach to application rationalization that has already removed hundreds of applications and is approaching $100 million in software licensing cost savings. By combining governance, procurement planning, data extraction, curation, and decommissioning into an “assembly line” model, organizations can move faster, reduce risk, and create permanent savings that fund future priorities.

Tune in to hear why application rationalization is no longer optional, and how health systems can turn it into a repeatable strategy for cost optimization and operational transformation.

Resources:

• Connect with and follow Jason Rose on LinkedIn.
• Follow Clearsense on LinkedIn and explore their website!

AI-driven scribe solutions are freeing doctors to focus on patient care.

Unburdening physicians through AI documentation. In this episode, Pat Williams, CEO and Co-Founder at iScribeHealth, talks about making EHRs easier to navigate for high-volume specialty physicians. He discusses transitioning from a network of human scribes to a high-accuracy AI model that leverages a decade of market data. He also explains how real-time AI can coach providers to adhere to managed care rules and prevent claim denials at the front end. This episode focuses on removing the administrative boat anchor so doctors can focus on patients and their families. 

Tune in to recapture your time and focus!

Resources:

• Connect with and follow Pat Williams on LinkedIn.
• Follow iScribeHealth on LinkedIn and explore their Website!
• Listen to the Truly Integrated podcast.

Recovery outcomes improve when support is continuous, trust-based, and built around human connection rather than episodic treatment alone.

In this episode, Chris Thompson, founder and CEO of Sober Sidekick, shares how his personal experience with addiction inspired him to build a platform focused on reducing isolation and providing real-time support. He explains why relapse, overdose, and crises often occur outside traditional care settings, where support is limited. The platform addresses this gap through peer support, behavioral signals, and care navigation to engage people when it matters most. Chris also critiques traditional treatment incentives and emphasizes the need for a more empathetic, proactive, and trust-based approach to long-term recovery.

Tune in and learn how always-on, empathy-driven support can help people sustain recovery and rethink how addiction care is delivered!

Resources:

• Connect with and follow Chris Thomson on LinkedIn.
• Learn more about Sober Sidekick by Empathy Health Tech on their LinkedIn and explore their website.

Healthcare resilience depends on more than cybersecurity alone; it requires a broader view of risk, readiness, and the ability to act before disruption spreads.

In this episode, Ed Gaudet, CEO and founder of Censinet, returns to discuss the growing momentum in healthcare risk, governance, and AI. He explains how the industry has moved from early curiosity about AI to a focus on practical implementation, measurable value, and real outcomes. Ed shares Censinet’s latest work in benchmarking cybersecurity and AI governance maturity, along with its expansion into systemic risk to strengthen organizational resiliency. He also highlights the company’s GRC AI vision, including agentic capabilities designed to move healthcare organizations from passive documentation to more actionable, connected governance.

Tune in to learn how healthcare leaders can think more broadly about resiliency, embrace AI with intention, and build systems that are better prepared for disruption. 

Resources:

• Connect with and follow Ed Gaudet on LinkedIn.

• Follow Censinet on LinkedIn and explore their website!

• Listen to Risk Never Sleeps Podcast here. 

Clinical decision support only works when it fits naturally into the workflow and helps clinicians act without adding more friction.

In this episode, Bo Bartholomew, CEO and chairman of EvidenceCare, shares how his experience as a hospital administrator shaped his focus on improving care and clinical operations. He explains how EvidenceCare embeds insights and decision support directly into the electronic health record, replacing manual processes with workflow-friendly automation. Bo discusses how the platform supports clinical, care management, and financial leaders by improving documentation, reducing administrative burden, and enabling better decisions at the point of care. He also emphasizes that real value in AI comes from solving clear problems without disrupting security or clinical workflows.

Tune in to learn how smarter clinical decision support can give providers more time, improve operational efficiency, and create meaningful value for hospitals.

Resources:

• Connect with and follow Bo Bartholomew on LinkedIn!

• Follow EvidenceCare on LinkedIn and explore their website!

• Email Bo Bartholomew: [email protected]