Afleveringen
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In this episode of The Health/Tech Edge, Mike Moore sits down with Michael Riley, co-founder and Chief Product Officer at Gabeo, to talk about one of healthcareās biggest hidden problems: claim denials.
Michael shares how Gabeo uses purpose-built agentic AIānot repackaged chatbotsāto identify, prevent, and reverse denials in real time. With proven ROI as high as 40x, their platform helps providers recover revenue they were ready to write off.
They cover:
Why denials were Gabeoās first AI use case
How their system works with zero integrations
What theyāve learned from payer-specific denial patterns
The real workforce impact of automation in rev cycle ops
Advice for healthcare leaders evaluating AI today
If you're looking to reduce waste, increase efficiency, and get paid for the care you deliver, this one's worth your time.
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In this episode of Health Tech Edge, Mike Moore sits down with Raheel Retiwalla, Chief Strategy Officer at Productive Edge, for a late mid-year check-in on AI in healthcare. Raheel shares what heās hearing from healthcare leaders on both the payer and provider side ā from the drive for measurable ROI and responsible AI to the challenge of too many point solutions.
They discuss the four core functions AI can play in healthcare workflows, how Productive Edgeās 50+ AI accelerators are helping organizations reimagine operations, and why payers focus on integration strategy while providers look to extend their EHR with point solutions and CRM-driven engagement.
Raheel also walks through real-world examples, including a pre-visit face sheet generator for care managers and revenue integrity optimization for providers, and offers practical guidance on building a unified AI strategy, prioritizing use cases, and delivering quick wins in weeks, not years.
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Zijn er afleveringen die ontbreken?
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In this episode of Health/Tech Edge, Mike Moore talks with Shannon Kennedy, Chair of the Healthcare Group at The Digital Economist and a Healthcare Strategy Advisor at Productive Edge. They explore what āethical AI ROIā really meansāand why it matters now more than ever in healthcare.
This isnāt about theory. Itās about recognizing that AI done wrong has real costs: compliance failures, reputational damage, and operational risk. Shannon shares examples from the front linesāstaffing models, patient privacy, and vendor pilot projectsāand breaks down how leaders can use the metrics they already have to track both impact and risk.
If you're a healthcare executive wondering how to connect responsible AI with business value, this episode gives you a simple starting pointāand a few cautionary tales to avoid.
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Jessica Richmond, Head of AI Go-to-Market for Healthcare and Life Sciences at Google Cloud, joins The Health/Tech Edge to discuss how health systems and payers are moving beyond isolated use cases and building scalable AI agent platforms. In this episode, we talk about:
Why improving the patient and provider experience is driving AI adoption
What Googleās Agentspace platform offers for governance, security, and rapid deployment
Key agent use cases in claims, patient readiness, sepsis prevention, and administrative automation
How to think about AI platform strategy versus point solutions
Practical advice for leaders who are stuck or hesitant to move forward
Whether you're just getting started or already deep into AI strategy, this conversation offers clear direction for building with purposeāand speed.
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In this episode, Toryn Slater from Qventus, Inc joins us to talk about how health systems are moving from systems of record to systems of action ā using AI operational assistants to reduce administrative burden, improve patient flow, and help care teams work at the top of their license. We cover real-world examples across inpatient care, perioperative services, and pre-admission testing ā and why relieving below-license work is key to improving operations and outcomes.
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AI is everywhere in healthcare, but how do you know if itās actually delivering results?
Join us as Adam Block, PhD, founder of Charm Economics, shares how health plans, providers, and health tech companies can build real ROI models for AI and digital health investments.
Weāll cover:
ā What counts as ROI and what doesnāt
ā Why AI scribes are a true breakthrough
ā The prior auth āarms raceā between payers and providers
ā Practical advice for healthcare execs making AI investment decisions
If you work in healthcare strategy, finance, or innovation, this oneās for you.
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AI cannot fix broken workflows. Smarter task management helps healthcare organizations build the foundation they need to truly leverage AI and automation.
In this session, we'll talk with Michael Docktor, MD, pediatric gastroenterologist, health tech innovator, and CEO of Dock Health, about how better task management leads to workflow excellence, operational productivity, and AI readiness.
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AI agents are starting to make a real impact in healthcare, but most organizations are still figuring out how to move from idea to execution. In this episode, host Mike Moore talks with Raheel Retiwalla from Productive Edge and Murali Gandhirajan, Global Healthcare CTO at Snowflake, about what it takes to build and deploy AI agents that solve real problems. They cover common use cases, whatās driving adoption, how Snowflakeās platform supports secure, scalable AI, and what to watch for in the year ahead.
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Mike Moore hosts Raheel Retiwalla to unpack the whitepaper, AI Governance, Compliance, and Risk Management: A Responsible AI Framework for Healthcare AI Agents. They explore how AI agents introduce new risks, why healthcare needs a different governance approach, and what a practical framework looks like. Whether you're early in your AI journey or scaling AI agents across your organization, this conversation breaks down what responsible AI should mean in healthcare today.
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With the help of Google's NotebookLM, we put together this discussion of Raheel Retiwalla's book, Transforming Healthcare with AI: Your Definitive Guide to Creating a Winning AI Strategy.
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Join us as we discuss the changing role of the Chief Marketing Officer in Healthcare with Adeline Ashley, Director of Customer Engagement at Sitecore.
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In this episode, we sit down with Nick Adriance, Director of Global Software Product Management at CenTrak, to explore the transformative power of Real-Time Location Solutions (RTLS) in healthcare. Focusing on the broader implications and applications of RTLS technology, we delve into how these systems reshape healthcare facilities' operational dynamics.
Nick shares his insights on the evolution of RTLS and its role in enhancing patient care, streamlining operations, and ensuring the safety of both patients and healthcare professionals. We discuss the challenges of implementing these technologies in complex healthcare environments and the solutions RTLS can offer to overcome them.
Beyond the technical aspects, this conversation highlights the impact of real-time data on decision-making processes, the efficiency of healthcare delivery, and the overall patient experience. By examining case studies and real-world applications, we uncover the significant benefits that RTLS brings to healthcare settings, including improved workflow management, asset tracking, and patient flow.
Tune in to gain a deeper understanding of the future of healthcare through the lens of real-time location technologies and discover how these innovations pave the way for more efficient, safe, and patient-centric care delivery.
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Join Mike Moore and guest Raheel Retiwalla, Chief Strategy Officer at Productive Edge, as they explore the transformative potential of generative AI in healthcare. This episode delves into the challenges and opportunities of implementing AI solutions, focusing on payer and provider perspectives. Topics include:
The rise of generative AI and its impact on healthcare Addressing HIPAA compliance and data sensitivity Real-world use cases: From care management to prior authorization Risk assessment and mitigation strategies Key metrics for evaluating the success of AI implementationsTune in to gain valuable insights on how generative AI can revolutionize healthcare workflows, improve patient experience, and contribute to organizational goals.
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In this episode, we welcome Sarah Kachur PharmD MBA BCACP Executive Director, Population Analytics, Strategy and Solutions at Johns Hopkins Population Health Analytics, to discuss Population Health and the Hopkins ACG System, the worldās leading population health #analytics software.
#healthcare #healthcaretechnology #innovation
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Nikunj (Nik) Sanghvi is the Vice President of Alliances and Business Development at Caspio. This cloud platform enables business developers to rapidly build and deploy applications using low-code and no-code tools. With over 15,000 customers, ranging from Fortune-500 companies like Cisco and Intel to Government agencies such as FAA and EPA, Caspio is a leader in the low-code, no-code platform space as ranked by various analyst firms. Nik will speak about how healthcare organizations use low-code solutions to cut costs, improve patient engagement, and more.
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We're thrilled to be joined by Kyle Koltz, the Chief Operating Officer at SKYGEN USA. Kyle is a senior executive with a proven track record of success in achieving business growth objectives within rapid-change environments.
As the COO of SKYGEN USA, Kyle brings his wealth of experience in developing market strategy, expanding sales/distribution channels, and implementing business initiatives to drive cost containment and profitability improvement. His success in achieving business growth objectives within rapid-change environments makes him a valuable asset to any organization.
Join us as we dive deeper into Kyle's expertise and experience in the healthcare industry and learn from his insights on driving operational excellence and delivering on commitments in a rapidly changing environment. -
In this episode, we welcome Nick McKenzie, the Group Product Manager at Redox. Nick is an expert in healthcare IT platforms, with a wealth of knowledge representing EHR, device, and population health technology platforms.
Nick has vast experience in healthcare IT product management, requirements definition, overall system configuration, support, and maintenance. He is intimately familiar with SMART/FHIR, HL7 v2, relational database (SQL), and JSON API structures.
Nick's deep interactive experience with development and intellectual property teams sets him apart. This has helped him prioritize needed product capabilities to align with the highest-value market demand.
Join us as we dive deeper into Nick's experience and knowledge in the healthcare IT industry. -
Eric Daiter is a seasoned professional with a passion for technology and healthcare. As Manager of Market Strategy and New Ventures at Catalyst by Wellstar, he leverages his expertise in scoping and planning large-scale investments to create new partnerships and drive revenue growth. With a focus on scalable processes, tool design, and relationship building, Eric has a proven track record of enhancing client relationships and successfully onboarding new partnerships. In his free time, he is an MBA student and the President of the Evening program at Goizueta School of Business, where he continues to develop his leadership and strategic skills. Eric's unique blend of technical and business acumen makes him a valuable resource for anyone looking to grow their ventures in technology and healthcare.
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In this episode, we sit with Safi Mansoor, MBA, Program Manager of Data and Analytics at UMass Memorial Medical Center. Safi will take us on a journey through a typical day in the life of a healthcare analytics team and how they work with clinical, operations, finance, and other roles to support their day-to-day decision-making. With his extensive experience in the healthcare industry and deep understanding of data and analytics, Safi will share his insights on how data is used to drive better patient outcomes, improve operational efficiencies, and support financial decision-making. He will also discuss the challenges and opportunities faced by healthcare analytics teams and how they work to overcome them. Join us as we explore the exciting world of healthcare analytics and its role in shaping healthcare's future.
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In this episode of our podcast, we had the privilege of speaking with Dr. Arif Nazir, a board-certified geriatrician and the Chief Medical Officer of Primary Care at BrightSpring Health Services. With a wealth of experience in improving post-acute systems for older patients, Dr. Nazir is a leader in senior care. He's also a respected teacher and researcher, with published work on frail patients and healthcare systems care.
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