Claims Denied: A Hospitalogy Podcast

This episode covers something Claims Denied hasn't touched before: the world's first passive gut health monitoring device. Blake sits down with Scott Hickle, co-founder of Throne Science, for a deep dive into the tech behind hands-free gut health, hydration, and urinary health monitoring — and yes, that means talking about poop for an hour. It turns out to be one of the most fascinating conversati...

In this latest episode of Claims Denied, Blake sits down with Tim Elliott, CEO of Navvis, for one of the most clear-eyed conversations he's had on where value-based models are actually headed. Tim doesn't deal in buzzwords or wishful thinking. He deals in what's actually working, what operators are getting wrong, and where the puck is going — whether you're ready for it or not. Here were some gems...

Blake Madden sits down with two of the people most responsible for re-wiring the employer side of healthcare right now: Dan Mendelson, CEO of Morgan Health — JPMorgan Chase's $280M healthcare investment arm — and John Zutter, CEO of Lantern, a specialty care navigation platform now covering 12 million member lives. The conversation covers serious ground: How Lantern cracked the code on surgeons of...

In this latest episode of Claims Denied, Blake Madden sits down with Navin Nagiah, co-founder and CEO of Daffodil Health. Navin spent nearly two years inside Multiplan trying to modernize their repricing model from the inside — went to the board three times, couldn't get alignment, and left to build the AI-native version himself. Blake and Navin get into the No Surprises Act arbitration imbalance...

Hospitalogy's Blake Madden sits down with Jason Ross, EVP of Medical Groups at Privia Health, a guy who has worked basically every seat at the healthcare table. Jason is currently running the largest portion of Privia's single-TIN medical group footprint across a publicly traded enabler. Coming out of Privia's Q1 print, Blake and Jason leaned into on the stuff Wall Street keeps missing. The MA dow...

You may think the insurance industry is dull, but not this conversation! For this episode, I sat down with Jared Kaplan, CEO and founder of Indigo Technologies, to talk about why medical malpractice insurance is one of the last bastions of healthcare that hasn't been touched by modern technology.  We also discussed how Indigo is using 1,500+ predictive attributes to blow up the 15-page application...

In this episode, Blake Madden sits down with Scott Becker, founder of Becker's Healthcare, practicing healthcare lawyer at McGuireWoods, and one of the longest-running names in healthcare media, for a wide-ranging conversation that ended up being as much about building businesses as it was about healthcare itself. This was Blake's first time meeting Scott, and yeah, they are nominally competitors....

In this latest episode of Claims Denied, Hospitalogy's Blake Madden pulls in two co-hosts — Teira Gunlock, CEO of First Stop Health, and Dr. Eric Bricker, Chief Medical Officer of AHealthcareZ — and the crew battle it out! Three topics. No script. Just healthcare's messiest debates. Listen as Tiera, Eric, and Blake get deep into AI regulation and whether EMRs need to be forced open. They jump into...

Blake sits down with Steve Mackin, CEO of Mercy — one of the top 15 health systems in the country with 55+ hospitals across Missouri, Oklahoma, Arkansas, and Kansas — to talk about how Mercy is quietly building one of the most interesting care model playbooks in the industry. Steve and Blake get into everything: why Mercy deliberately conceded on price to win on care model, how they cut CHF ED adm...

In this episode, Hospitalogy's Blake Madden talks with two operators who actually walk the walk in oncology: Ben Freeberg, founder of Oncology Ventures (recently announced Fund II) and Dan Nardi, CEO of Reimagine Care.  They deep-dive on why 1,000 of the 1,700 Americans who die of cancer every day don't have to, why 97% of the cancer journey happens outside the clinic (and almost nobody is buildin...

What does it actually look like to run clinical strategy inside a vertically integrated giant when payor-provider trust is at a historic low? Blake Madden sits down with Dr. Ali Khan, Chief Medical Officer for Aetna Medicare, to get the answer to this question and more.  Dr. Khan has been employee 34 at Iora Health, a hospitalist/UM and CM medical director at CareMore, a division leader who scaled...

I sat down with Otto Sipe, co-founder of Photon Health, for what turned into one of the most wide-ranging Claims Denied conversations we've had. We riffed on the Medvi debacle, why the NYT whiffed on due diligence, the entire arc from Hims to Cerebral to vibe-coded pill mills, and Otto's vision for AI prescribing modeled after self-driving cars. Otto's April Fool's satire about AI-powered peptide...

I went into this conversation expecting a consumer wearables story. I came out thinking Oura might be quietly building one of the more compelling engagement platforms in healthcare. In this episode, I sit down with Dorothy Kilroy, Chief Commercial Officer at Oura. Dorothy breaks down how a ring originally built around sleep and women's health is now generating 6x engagement vs. prior programs in M...

In this episode, we’re going DEEP on what’s broken in primary care and what it actually takes to fix it - not with another point solution, but with an AI-first care delivery platform. Dr. David Carmouche, Chief Medical and Commercial Officer at Lumeris, has a resume that reads like a masterclass in healthcare transformation: practicing PCP → Blue Cross Louisiana CMO → Ochsner VP of Primary Care &...

Blake sits down with Ian Koons, CEO and co-founder of Karoo Health, to unpack why cardiology is having its “VBC moment” and why most attempts to “do value” in specialty care fail the second they collide with real-world provider incentives. Ian breaks down how Karoo went from planning de novo cardiac clinics to becoming a single source of truth for cardiology VBC.  They also get into Karoo's Humana...

On just Day 4 of his new role as Chief Clinical Product Officer at Nabla, Matt Sakumoto, MD, sat down with me for this live recording at the Nabla Summit in late January. Matt, who was still practicing as a virtual primary care physician, hadn't even finished onboarding, but he was already dropping takes on the future of agentic AI, physician independence, and why your health system's AI readiness...

What does it take to build a real between-visit care engine at scale? In this episode, Blake talks with Sean Duffy, CEO and co-founder of Omada Health, about why the “visit model” is structurally broken for chronic disease, and what Omada is doing about it.  Sean breaks down Omada’s provider model, why they’re leaning into GLP-1 support as employers and plans grapple with cost and adherence, and w...

What happens when a health system stops treating ambulatory like a side project and starts running it like a strategic priority? In this episode, Blake talks with Brent Davis, CEO of the Primary Health Division at AdventHealth. Brent explains why AdventHealth created a standalone division to build “outside-the-hospital” businesses with the focus, capital, and talent they rarely get when they’re ma...

Welcome to Claims Denied, a podcast from Hospitalogy. In this episode, Blake sits down with Charlie Martin (the “wartime general” behind General Care, HealthTrust, OrNda, and Vanguard), founder and chairman of Martin Ventures, and Devin Carty, CEO of Martin Ventures, for a rare, behind-the-scenes masterclass on how healthcare systems actually get built, fixed, and scaled. Charlie unpacks the gritt...

Welcome to Claims Denied, a new podcast from Hospitalogy. In this episode, Blake discusses the year in review and what to expect next with Clete Madden (yes, that’s Blake’s dad!) and the JTaylor Podcast Crew, including Herd Midkiff, Kyle Kirkpatrick, and Anna Brewer. If it feels like healthcare keeps “solving” the same problems with shinier tools, this conversation gets right to the why. The group...

In this episode, Fairview Health Services CEO James Hereford joins Blake Madden to unpack what a real health system turnaround looks like when you inherit “zero trust” and six years of organizational drift.  James walks through his unconventional path into healthcare, why lean management systems (not “lean tools”) became Fairview’s operating backbone, and how labor control, throughput, and supply...

Welcome to Claims Denied, a new podcast from Hospitalogy. In this episode, Blake talks with Pete McCanna, CEO of Baylor Scott & White. Pete explains how legacy health systems are built like “castle walls” (supply-driven, organization-centric, and built to protect themselves), but this design fails customers who are outside the four walls.  Pete walks through what it takes to transform a health sys...

Welcome to Claims Denied. Join one man’s quest to learn everything there is to know about the business of healthcare. Blake Madden and friends cut through the fluff to talk shop with influential healthcare leaders across innovation, strategy, finance, policy, and more. Learn about disruptive health tech startups, hear war stories, stay up to date on emerging health system transformation strategies...