Revenue Cycle Optimized: Live Demo: Prior Authorization Verification Using the Follow Up AI Agent

Building Trust: From Expanse Rollout to High Reliability Organization Host: Phil Sobol, Chief Commercial Officer at CereCore Guests: Ismelda Garza, Chief Information Officer, Cuero Regional Hospital; Lynn Falcone, Chief Executive Officer, Cuero Regional Hospital 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

Jonathan Aguiar, Senior Solutions Engineer, walks through prior authorization verification and demonstrates how the Follow Up AI agent works within the workflow. You will see how cases move through entry and validation, triage, payer review, pending initiation outreach, exception handling, and final status. The demo highlights how the follow-up AI agent monitors payer portals, tracks authorization status, and escalates exceptions, while outreach specialists coordinate with referring providers when initiation is missing. Together, automation and human intervention create structure and accountability in a process that is often fragmented and manual. 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

The Quest To Make Consumer Health Apps Sticky Stephen Rouse shares the gap in the market that led him to found Savva AI, why screenings play such a large role in engagement, and what’s possible when you unleash AI on your medical records.  All that, plus the Flava of the Week about Garmin’s meal tracking feature. What can we learn from the way that meal tracking has evolved, and why is it now considered an essential feature of wellness apps?  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/

AI-Enabled Growth – Execution and Acceleration On this episode host Adam Turinas is joined by Chris Marin, Associate VP of Digital Marketing at Inovalon, for a deep dive into how AI is moving from an experimental science project to a core piece of operational infrastructure. Chris brings a technologist’s perspective to marketing and shares practical ways his team is using integrated AI systems to change how they get work done. They explore the critical distinction between automation and acceleration, focusing on how to compress the time between a market signal and an intelligent response without hitting a wall. 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 Justin records live at ViVE 2026 in LA. Stay tuned for the next few weeks to hear all his guests. This week, long time friends of the show, Rasu Shrestha, MD MBA, Chief Innovation and Commercialization Officer, EVP at Advocate Health and Aneesh Chopra, Author, Innovator, Former US CTO, Chair, Arcadia Institute. 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

Emergency departments are under more pressure than ever as they are facing overcrowding, extended wait times, workforce strain, and rising patient demand fueled in part by primary care shortages. On this episode Dan examines how these mounting challenges are reshaping the hospital’s front door and what they mean for patient care, operational performance, and long-term sustainability. Dan is joined by Dr. Richard Wolfe, Chief of Emergency Medicine at Beth Israel Deaconess Medical Center and a nationally recognized leader in emergency medicine operations. Together, they explore why emergency departments have become a critical pressure point for hospitals, how overcrowding affects quality, safety, and clinician burnout, and what forward-thinking health systems can do to better support their emergency medicine teams while continuing to serve their communities effectively. 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

On this episode Gil and Gregg welcome Matthew Zachary, a cancer survivor and founder of Stupid Cancer, and organization that helped define the adolescent and young adult (AYA) oncology movement in the United States. Through advocacy and community-building, he had elevated issues of patient autonomy, survivorship identity, and access to care. As host of Out of Patients, he explores how insurance design, prior authorization, pharmacy benefit management, and coverage policy affect the lived experience of patients navigating the healthcare system. 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

The Operation of the Century - Why Total Hip Replacement Keeps Getting Better Interview with Adolph V. Lombardi, Jr., MD, FACS who has performed 38,000+ joint replacements. Topics discussed: Why total hip replacement is considered the “operation of the century” (as described in The Lancet); Modern hips use cementless fixation, advanced ceramics, and highly cross-linked polyethylene, dramatically improving durability to 25–30+ years (or more); Complications like infection, fracture, and dislocation are rare (~1%) and aggressively addressed through patient optimization and surgical advances. Timing now depends on symptoms and quality of life, not just X-rays or age. Emerging innovations, including AI-guided robotics and a promising “reverse hip” design, aim to further improve stability and outcomes. Link to sign up to learn more or enter the ongoing Clinical Trial for this new Technology (https://hipinnovationtechnology.com/) 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

S1E11: Your Vendor’s ‘AI’ Might Be a Trojan Horse: A Hospital CISO’s Reality Check On this episode, Steven Hajny talks with Jim Bowie, VP & CISO at Tampa General Hospital, about the real-world collision between AI hype and healthcare security reality. Jim shares what hospital teams are actually asking AI to do, how his health system evaluates and governs AI use cases (especially where regulations don’t yet exist), the biggest red flags vendors raise, and why “good security hygiene” matters more than any new AI-specific silver bullet. 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

Transparency in Coverage Data Is Transforming Payer Negotiation Host Beth Friedman, Senior Partner, FINN Partners engages Ryan Kelly, Senior Director of Content & Growth at Trek Health, to explore the emerging role of Transparency in Coverage (TiC) data in healthcare payer negotiations. Originally mandated by federal regulation, TiC rules require insurers to publish detailed information about negotiated reimbursement rates between payers and providers. While the data was technically public starting in 2022, its massive scale and complexity made it largely unusable, until recently. Ryan explains how new analytics platforms are transforming this information into actionable insights for health systems and physician organizations. With access to competitive reimbursement benchmarks, providers can now negotiate contracts with payers using real market intelligence rather than assumptions. The conversation also explores how transparency data supports strategic planning, service line expansion, and revenue optimization. Looking ahead, Ryan shares how AI and contract intelligence tools may further personalize these insights, helping provider organizations navigate the increasingly complex landscape of healthcare reimbursement.Leveling the Playing Field: Using Price Transparency Data for Smarter Payer Negotiations: In the world of commercial payer contract negotiations, more data doesn't always mean better intelligence. They explore how health systems are transforming raw Transparency in Coverage (TIC) datasets into strategic leverage to replace guesswork, verify market benchmarks, and secure fair reimbursement with commercial payers. 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