Price Transparency in the Spotlight: Surprise Billing, Cost Sharing and the Power of Data Analytics
Modern Healthcare’s Healthcare Insider Podcast
Release Date: 04/07/2025
Modernizing the Payment Experience: A Roadmap for Healthcare Leaders
Modern Healthcare’s Healthcare Insider Podcast
The payment process in healthcare is often slow, fragmented and paper-based, creating frustration for providers and patients, inefficiencies for payers and rising costs across the system. In this episode of Healthcare Insider, Yusuf Qasim, president of payments optimization at Zelis, shares how digital innovation can meaningfully change the healthcare payment ecosystem. From reducing friction to improving cash flow, Qasim outlines what it takes to transform outdated systems into streamlined, digital-first operations.
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Solving pharmacy inventory headaches with smart consignment solutions
Modern Healthcare’s Healthcare Insider Podcast
Managing specialty drug inventory is exceedingly complex as pharmacy leaders contend with rising costs, unpredictable demand and labor shortages. In this episode of Healthcare Insider, Cardinal Health’s James Roof, director of strategic distribution services, and Diana Castillo, national consignment executive, share how modern consignment models, combined with innovative RFID technology, can dramatically reduce waste, improve medication accessibility and relieve workflow burdens on pharmacy staff. The episode also breaks down best practices for evaluating inventory carrying costs, reducing...
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Why provider-led care is the future of healthcare
Modern Healthcare’s Healthcare Insider Podcast
No one is better equipped to support patients than providers. But do health systems have the power required to improve the healthcare system? In this episode of Healthcare Insider, Premier Inc. President and CEO Mike Alkire explains why a provider-led model—not one led by payers or legacy tech vendors—is the only viable path forward. He outlines how hospitals can take back control and lead transformation by focusing on high-value partnerships, smarter use of data and AI-driven solutions. Listen to learn how health systems can: Shift power from payers to providers through strategic...
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The pharmacy as a driver of health system growth
Modern Healthcare’s Healthcare Insider Podcast
Hospitals today face rising drug costs, workforce shortages, supply chain disruptions and tightening reimbursement, making financial sustainability increasingly difficult to achieve. In this episode of Healthcare Insider, Cardinal Health’s Mike Brown, R.Ph, vice president of managed services, and Michelle Dalton, PharmD, regional director of account management and operations, discuss how a strategic approach to pharmacy management can help hospitals of all sizes reduce costs, optimize operations and unlock new revenue streams. They also share how one Southeastern health system...
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Empowering health plans to navigate price transparency requirements
Modern Healthcare’s Healthcare Insider Podcast
Health plans are under mounting pressure to comply with federal price transparency regulations. But compliance isn’t easy due to vast and complex data sets. In this episode of Healthcare Insider, Heather Cox, president of Insights and Empowerment at Zelis, breaks down the top challenges health plans are facing and offers insightful strategies for achieving compliance. Cox also explores how transparency requirements can be more than a regulatory requirement, but a catalyst to improve member engagement and experience.
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Cracking the Code of TEAM with Data Analytics
Modern Healthcare’s Healthcare Insider Podcast
As hospitals prepare for CMS’s upcoming Transforming Episode Accountability Model (TEAM), embracing data and analytics will be crucial for success under the mandatory bundled payment program. In this episode of Healthcare Insider, we sat down with Scott Driskell, Clinical Director of Medical Device Management, and Kim Wright, Assistant Vice President of Clinical Services—both of HealthTrust Performance Group—to explore how health systems are using data analytics to: Prepare for TEAM and future value-based care models Drive physician engagement through transparency Reduce...
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How health systems can navigate the specialty drug boom
Modern Healthcare’s Healthcare Insider Podcast
Specialty medication spending is projected to rise sharply through 2026, intensifying pressure on health systems to control costs while improving patient outcomes. In this episode of Healthcare Insider, Cardinal Health’s Mike Brown, vice president of managed services, and Naveen Mansukhani, director of specialty and ambulatory pharmacy solutions, break down the critical role specialty pharmacies play in managing spend, capturing revenue and retaining patients within the care continuum. They share real-world examples of how hospitals large and small are benefiting from tailored pharmacy...
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Price Transparency in the Spotlight: Surprise Billing, Cost Sharing and the Power of Data Analytics
Modern Healthcare’s Healthcare Insider Podcast
As healthcare regulations continue to evolve, organizations must stay ahead of complex compliance requirements to remain competitive and protect patients. In this episode of Healthcare Insider, Ann Phillips, Senior Director of Regulatory and Standards at PurpleLab, unpacks the current landscape of price transparency rules –including updates to the No Surprises Act and the Transparency in Coverage rule – and what they mean for providers, payers and patients alike. She dives into the latest regulatory guidance, enforcement challenges and how technology and industry collaboration can bridge...
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The Triple Threat of RCM Automation
Modern Healthcare’s Healthcare Insider Podcast
As healthcare organizations face mounting financial and operational pressures, investing in the right technology is critical to staying competitive. In this episode of Healthcare Insider, Wes Cronkite, Chief Technology and Innovation Officer at TruBridge, breaks down the “triple threat” of automation in revenue cycle management—reducing costs, accelerating revenue velocity and improving employee satisfaction. He explores how AI and automation are transforming RCM, and how a strategic approach to innovation can drive faster claim payments and stronger financial health. Listen to learn how...
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Surgical robotics 101: What providers need to know
Modern Healthcare’s Healthcare Insider Podcast
Robotics and navigation systems have the potential to drastically change how surgical procedures are conducted across the country, offering greater precision, faster recovery times and new possibilities for complex procedures. As this technology evolves, providers face critical decisions such as how to invest wisely, train staff and integrate robotics into existing surgical workflows. In this episode, Brent Ford, senior clinical director of medical device management at HealthTrust Performance Group, and Dr. Michael Gallizzi, a leading spine surgeon at the Steadman Clinic, discuss the impact...
info_outlineAs healthcare regulations continue to evolve, organizations must stay ahead of complex compliance requirements to remain competitive and protect patients.
In this episode of Healthcare Insider, Ann Phillips, Senior Director of Regulatory and Standards at PurpleLab, unpacks the current landscape of price transparency rules –including updates to the No Surprises Act and the Transparency in Coverage rule – and what they mean for providers, payers and patients alike.
She dives into the latest regulatory guidance, enforcement challenges and how technology and industry collaboration can bridge data gaps and support compliance.
Listen to learn how your organization can navigate shifting regulations and leverage data to support compliance, inform strategy and improve decision-making.