Healthcare De Jure: Naomi Murphy, Senior VP of Data Mining and Coordination of Benefits, Cotiviti

Host Matt Fisher talks to Naomi Murphy, Senior Vice President of Data Mining and Coordination of Benefits, Cotiviti about background and explanation of coordination of benefits process; distinctions between commercial insurance, Medicare, and Medicaid for COB; purpose of COB process and influence on relationships; how to improve COB process and encourage efficiency. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

S1E7: 2025 Cyber Reflections & Predictions for Healthcare in 2026 On this episode Tamer and Steven are joined by Carter Groome, CEO of First Health Advisory, to recap the top cybersecurity challenges and trends of 2025 and share predictions for 2026. They explore the hype around AI and emphasize the need for intentional and transparent adoption of new technologies. The session also highlights the importance of shifting focus from revealing risks to actively reducing them and prioritizing governance and authenticity to address deepfakes, social engineering, and evolving threats. Join them for key insights to help shape smarter cybersecurity strategies in 2026. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

2026 PREDICTIONS SERIES: Jane Sarasohn-Kahn & Amy Heymans Join hosts Jared Johnson and Zain Ismail for their annual Predictions Series with popular returning guests Jane Sarasohn-Kahn and Amy Heymans sharing where they see consumer health heading in the coming months and years, including some pretty big trends that may surprise you. All that, plus the Flava of the Week about CMS’ new ACCESS model. What chronic conditions is it targeting, and could this be a pivotal moment for digital health? Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Why EHR Optimization Is Worth The Effort And Budget Host: Phil Sobol, Chief Commercial Officer at CereCore Guests: Bob Gronberg, Assistant Vice President of MEDITECH Professional Services; John Walsh, Director of MEDITECH Professional Services; and Stephanie Murray, Senior Director of Epic Services Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Host: Megan Antonelli Guest: Monica Cepak, CEO, Wisp Join Megan Antonelli and her guest, Monica Cepak, CEO of Wisp for insights on an exclusive evening of networking and insights at the HLTH 2025 Provider Think Tank, hosted by HFMA SoCal on October 6th in Las Vegas. This intimate gathering brought together healthcare executives and industry leaders to explore the latest innovations in revenue cycle management, digital health transformation, and clinical operations. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Building Confidence in AI Coding for Hospital Radiology Departments See how hospitals and health systems are modernizing radiology coding with AI to improve accuracy, compliance, and coder confidence. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Host Dr. Jay Anders welcomes back Amy Gleason, Acting Administrator of the U.S. DOGE Service and Strategic Advisor to the Centers for Medicare & Medicaid Services (CMS). Together they discuss healthcare data interoperability challenges and CMS's initiatives, including efforts to modernize systems and combat Medicare fraud through enhanced data access and AI implementation. This is a must-listen for anyone in health tech. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

On this episode Fred Goldstein invites Steve Kheloussi, PharmD, MBA, FAMCP, Principal Consultant at Kheloussi Consulting, LLC, in the first installment of our four-part series on rare diseases. We discuss a practical overview of Duchenne muscular dystrophy (DMD), the current treatment landscape, and the evidence gaps that complicate payer decision-making. We also touch on the importance of what patients and caregivers need to maintain function, reduce fatigue, and navigate the significant emotional and practical burdens of care. This podcast is supported by an independent medical education grant from ITF Therapeutics. AMCP offers CPE for this podcast through December 31, 2026. For additional information and to claim credit, please visit:  ⁠The Power of Partnership: Bridging Patients and Payers in Duchenne Muscular Dystrophy Management⁠. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Meet Clay Johnston, MD, PhD, MPH, Cofounder & Chief Medical Officer, Harbor Health. They discuss why so many smart care redesign efforts end up as…yet another white paper. Clay talks about his “been there, rebuilt that” experience: you can absolutely reengineer pathways to reduce unnecessary procedures, shift work to the right team members, use tech for follow-ups, and improve outcomes. The problem is that in classic fee-for-service, the system often pays handsomely for the stuff you’re trying to avoid (unnecessary utilization) and barely pays for what actually keeps people well (coaching, check-ins, prevention, navigation). To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

S3E14: What's Trending NOW is the uncomfortable reality that healthcare’s AI adoption is happening faster than its governance, often invisibly. On this episode Shahid and guest Tamer Baker, Healthcare CTO at Zscaler, map the “hidden risk” landscape (data exfiltration, copilots turning loose internal content, prompt manipulation, model poisoning), then pivot to what actually works: measure AI usage, enable safe experimentation by blocking PHI/sensitive prompts, and anchor the program in Zero Trust while layering in AI-specific controls and education. The “B-roll” after the formal close goes even further: the two dig into who holds clinical and product risk as AI becomes more autonomous, why incumbents may hesitate, how regulation (HIPAA NPRM) and defense models (CMMC) might inform healthcare, and why “orchestration” becomes the next trust battleground. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen