TopHealth Media
Care Decoded
Care Decoded is the go-to podcast for clinicians, health plan leaders, and quality champions navigating the evolving world of risk adjustment, value-based care, and smarter documentation. Hosted by Inferscience , this show takes you inside the workflows, decisions, and technologies that turn clinical complexity into clarity. From demystifying HCCs and RAF scores to decoding CMS changes and exploring the impact of AI, we help you understand the data behind every diagnosis. This show isn't about theory. It's about impact. Not about compliance. But confidence. Not about more clicks. But clarity a...
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TopHealth Media
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Strona podcastu
Ostatni odcinek
20 sty 2026
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Odcinki
From Hype to Accountability: Lessons and Shifts in Healthcare Tech for 2026 20.01.2026 13:13
Welcome back to Care Decoded, the podcast where we break down the complexities of healthcare technology, documentation, coding, quality, and clinical AI to help organizations work smarter, not harder. In this special New Year’s episode, hosts Dr. Sunil Nihalani and Mark McKeown turn the spotlight inward, reflecting on everything 2025 taught the industry and their own team at Inferscience. This yea...
Transforming Clinical Care with AI: How Physicians Can Lead the Healthcare Revolution 14.01.2026 24:41
Welcome back to Care Decoded, the podcast where we break down the complexities of documentation, coding, and clinical AI to empower better care. In this episode, host Dr. Sunil Nihalani, CEO of Inferscience, sits down with Dr. Hassan Bencheqroun, critical care pulmonary specialist, creator of Med AI Academy, and host of the AI Ready Doctor podcast, to explore how artificial intelligence is reshapi...
Navigating Healthcare Interoperability: Tailwinds, Headwinds, and the Human Impact 16.12.2025 49:19
Welcome back to Care Decoded! In this episode, host Dr. Sunil Nihalani, CEO of Inferscience, sits down with interoperability expert Brendan Keeler, better known as the “health API guy.” Together, they tackle one of health tech’s biggest promises: interoperability. You’ll hear a down-to-earth exploration of what interoperability really looks like in practice, from the daunting challenges of connect...
The Future of Risk Adjustment: Preparing for CMS Audits, Extrapolation, and AI Technology 18.11.2025 49:54
Welcome back to Care Decoded, the podcast where we make sense of the fast-evolving world of documentation, coding, and clinical AI to power better patient care. In today’s episode, host Michael Lesnik welcomes healthcare innovation and policy leader Dr. Shannon Decker for a deep dive into the major changes facing risk adjustment as we approach 2026. You’ll hear Michael Lesnik and Dr. Shannon Decke...
Moving Beyond Compliance: Building Teams for Population Health and Clinical Transformation 03.11.2025 46:00
Welcome back to Care Decoded, the podcast where we simplify the complex world of healthcare documentation, coding, and clinical AI so we can power better care, today and for the future. In this episode, Dr. Sunil Nihalani is joined by Dr. Stella Onuoha-Obilor, a nationally recognized leader in clinical quality and population health. Her track record speaks volumes: she’s driven high-star ratings,...
How Provider-First Tech and Collaboration Drive RADV Audit Success 08.10.2025 17:47
Welcome back to Care Decoded ! In this episode, we dive into the second part of our RADV miniseries, shifting focus from what RADV is, to the crucial role of frontline providers in ensuring accurate, defensible documentation as part of everyday care. Host Mark McKeown is joined once again by Colleen Gianatasio, an expert in risk adjustment and value-based care with over 20 years of experience. Tog...
Building a Proactive RADV Audit Readiness Plan: People, Process, Technology, and More 29.09.2025 24:56
Welcome to a brand new episode of Care Decoded! In this episode, host Mark McKeown is joined by renowned risk adjustment and coding expert Colleen Gianatasio to kick off a special two-part series diving into CMS’s heightened focus on RADV (Risk Adjustment Data Validation) audits. As Medicare Advantage plans face unprecedented scrutiny with CMS now pledging to audit all eligible contracts every yea...
Closing Care Gaps and Turning Data Into Action for Better Patient Outcomes 08.09.2025 24:04
Welcome to another episode of Care Decoded, the podcast where we break down the most pressing issues in modern healthcare. In today’s episode, host Michael Lesnik, VP of Provider Sales at Inferscience, sits down with Dr. Sunil Nihalani, CEO of Inferscience and a practicing physician, to unravel the complexities of “care gaps”, those critical yet often overlooked opportunities to improve patient ca...
Decoding CMS HCC V28 for Real-World Impact 01.08.2025 32:02
Welcome back to Care Decoded, the podcast where we make sense of the evolving world of healthcare documentation, coding, and clinical AI. In today’s episode, hosts Dr. Sunil Nihalani and Biodun Kajopaiye, Risk Adjustment and Stars Manager at CareFirst BlueCross BlueShield, dive into the seismic changes brought about by version 28 of the CMS HCC risk adjustment model. Whether you’re a seasoned pro...
Tackling Physician Burnout: The Hidden Costs of Clunky Documentation Systems 08.07.2025 19:50
Welcome back to Care Decoded , the show where we break down the complexities of risk adjustment, documentation, and the evolving role of AI in healthcare. In today’s episode, host Lucy Medina sits down with Dr. Sunil Nihalani, CEO of Inferscience and practicing physician, to tackle a topic that hits close to home for every clinician: documentation burnout. Together, they pull back the curtain on h...
Bridging Risk Adjustment and Quality: Turning Data Into Meaningful Patient Outcomes 18.06.2025 44:16
Welcome to another episode of Care Decoded , the show where we break down the complexities of risk adjustment, documentation, and AI to power better healthcare. In today’s episode, host Dr. Sunil Nihalani is joined by Subbu Ramalingam — a seasoned former health plan executive and expert at the intersection of star ratings, risk adjustment, and healthcare quality. Together, Sunil and Subbu dig into...
Why Risk Adjustment Matters More Than Ever: Sunil’s Journey From Medicine to Health Tech 25.05.2025 29:08
Welcome to the very first episode of Care Decoded , where we peel back the layers of healthcare innovation with people who are reshaping the industry from the inside. In this episode, Dr. Sunil Nihalani, Founder and CEO at Inferscience, dives into his unconventional journey from his childhood in India where his family was far from medicine to the creation of Inferscience, a company dedicated to ma...
Care Decoded - Promo 08.05.2025 1:00
Care Decoded is the go-to podcast for clinicians, health plan leaders, and quality champions navigating the evolving world of risk adjustment, value-based care, and smarter documentation. Hosted by Inferscience , this show takes you inside the workflows, decisions, and technologies that turn clinical complexity into clarity. From demystifying HCCs and RAF scores to decoding CMS changes and explori...
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