Care Beyond Code

What happens when critical care is blocked by administrative red tape? In this episode of Care Beyond Code, we sit down with Jerame Dellapenta, Director of Service Delivery and Engagement. He shares a powerful story of navigating the complexities of healthcare administration to help a family afford essential autism spectrum testing. What you’ll learn: -- How a dependent care account (FSA) provided...

In this episode of Care Beyond Code, we're joined by Alberta Manga and Miranda Buder from Custom Design Benefits . They discuss how their unique in-house medical management and patient advocacy teams use data to predict and prevent high-risk hospital admissions. Listen as they share two high-impact stories of real people navigating difficult diagnoses. Learn how Custom Design Benefits secured...

In this episode of Care Beyond Code, we sit down with Todd Archer , President of Concierge TPA (CTPA), to discuss how technology is injecting more humanity into healthcare administration. We explore how his team leverages hospital bill reviews and the 501(r) tax code to assist vulnerable members on limited benefit plans. What you’ll learn: -- How a life-changing wrist surgery bill was successfully...

What happens when a pharmacy system denies a prescription for a sick patient? Or when a member battling a serious illness is buried under a mountain of confusing medical bills? In healthcare administration, code and software can only do so much. Sometimes, you just need a human to pick up the phone. In this episode of Care Beyond Code, we sit down with Mike Castleberry , CRO of Consociate Health ,...

Can a health insurance denial actually save a life? In this powerful episode of Care Beyond Code, that's exactly what happened. Jessica Vander Zanden, SVP of Operations and Member Experience at Network Health , shares the incredible true story of how a "mission moment" and a culture of human-centric care transformed a routine denial into a life-saving diagnosis. She explains how Netw...

The TPA world is moving faster than ever. What happens when legacy systems can no longer keep up with the demand for real-time data, complex integrations, and AI? In this episode of Care Beyond Code: VBA's SVP of Engineering Matt Salerno, and Allegiance President & CEO Stephen Tahta, pull back the curtain on the massive tech modernization happening right now. They break down the critical s...