The Edge of Healthcare

Provider data drives every payment, every credentialing decision, every provider directory in U.S. healthcare, and it's broken almost by design. Broken by Default is a new podcast from Madaket Health hosted by Ed Calderon. With 20 years of experience across healthcare IT, clinical operations, pharmacy, and revenue cycle, Ed brings together operators, executives, and innovators to tackle one of hea...

What if the key to fixing healthcare starts with listening differently? In this episode, Jill Piazza shares how personal experiences shaped her passion for preventative care and whole-person health. She explores the shift to value-based care, the power of addressing social determinants of health, and the importance of staying grounded, embracing growth, and leading with purpose. Tune in and learn...

Even with insurance, nearly half of Americans delay care simply because they can’t find a doctor in their network. In this episode, Eric Demers discusses how inaccurate provider data is causing nearly half of Americans, especially millennials, to delay or avoid medical care despite having insurance. Demers explains that outdated and unsynchronized data between payers and providers leads to major a...

What does it really take to bring groundbreaking medical technology to market and get it paid for? In this episode, Mark Miller draws on 30 years of experience to explain how early planning around evidence, coding, economics, and advocacy is critical for medtech success. He shares how Lumicell is tackling market access for a novel cancer detection technology. He outlines six essential elements tha...

What if we treated AI like a new team member instead of just another tool? In this episode, Shahid Shah shares takeaways from a recent AI conference in Dubai, contrasting the region’s culture of experimentation with the U.S. healthcare system’s regulatory caution. He urges healthcare leaders to treat AI not as just another tool, but as a team member requiring ethical oversight, cultural alignment,...

Why is healthcare one of the slowest industries to adopt AI, and what can be done about it? In this episode, Dr. Lisa Schaffner explains how AI can drive healthcare transformation when viewed as augmented intelligence that supports caregivers, not replaces them. She emphasizes that clean, high-quality data and strong leadership buy-in are critical. She shares how her three-phase “Jumpstart” progra...

Nonprofits must embrace a business mindset to thrive and effectively deliver their mission.  In this episode, Toni Pergolin discusses her journey turning a near-bankrupt nonprofit into a thriving organization serving individuals with autism and intellectual disabilities. She addresses funding challenges, advocating for a more coordinated, lifetime care approach rather than piecemeal funding, and t...

Consumer engagement is key to improving healthcare outcomes and affordability.  In this episode, Tom Policelli discusses how his company is simplifying the complex world of healthcare insurance and patient financing to improve access to care. Tom explains that the company acts as an intermediary, consolidating financial information, reconciling bills, and providing a simple monthly statement for c...

What if healthcare went beyond clinics and hospitals to address the root causes of poor health, like housing and food security? In this episode, Joshua Boynton shares how CareSource, founded over 35 years ago by a social worker, focuses on Medicaid, marketplace, and military healthcare programs while addressing social determinants of health like housing and food security. As a growing national org...

Navigating the complexities of healthcare billing can feel like solving a puzzle with missing pieces. So, how do providers ensure they get paid accurately and on time? In this episode, Sarah Cevallos explains the three stages of RCM and the importance of each step in ensuring accurate payments to providers. She also discusses the challenges of outsourcing RCM and the need for patient education in...

Effective change management in healthcare requires tailoring communication, consistent measurement, and strategic alignment with organizational goals.  In this episode, Mike Kramer discusses the evolution of the CMIO role and the importance of emotional intelligence and management skills for physicians in leadership positions. He emphasizes the need to build trust and bidirectional communication w...

The key to long-term success in healthcare is consistent, incremental improvements over time.  In this episode, Dr. Farzad Mostashari explains Aledade's mission as a public benefit corporation to improve care and reduce costs, focusing on value-based care models, specifically Accountable Care Organizations (ACOs). Dr. Mostashari also shares how Aledade works with primary care practices, taking on...

Embracing innovation and community needs is paramount for successful healthcare leadership. In this episode, Mary Sunahara discusses her company’s unique approach to community-based healthcare and the importance of caregiver investment. She emphasizes the necessity of employee engagement, including "rounding" with team members for feedback, especially when transitioning to virtual work environment...

Ever wonder what it takes to transform healthcare decision-making in a world of high stakes and endless innovation? In this episode, Ryan Bengtson discusses the challenges of decision-making as a CEO, emphasizing the need to stay mission-focused and empower teams while addressing inefficiencies in healthcare. Panda Health supports health systems by streamlining decision-making and technology renew...

How can technology bridge the gap between complex healthcare challenges and innovative solutions while fostering trust and collaboration? In this episode, Sudipto Srivastava emphasizes the transformative potential of digital health to deliver faster, better, and more cost-effective solutions. He believes that leadership, operational efficiency, and a focus on reducing costs and improving workflows...

Finding fulfillment in your career path, even if it takes unexpected turns, is crucial for long-term success and well-being.  In this episode, Stanley Nachimson shares his experience working on Medicaid quality control, the pivotal role he played in implementing HIPAA standards, and his insights into the effectiveness of government incentives and penalties in driving change within the healthcare i...

In its inaugural year, The Edge of Healthcare podcast aimed to provide valuable lessons for aspiring and current C-suite executives and tech pioneers in the healthcare industry. In this special holiday edition of The Edge of Healthcare, host Martin Cody shares top soundbites from nine standout episodes, showcasing insights from 20 diverse healthcare leaders to help listeners thrive in this challen...

How do you balance the slow-moving complexities of healthcare with the fast-paced innovation of startups to deliver meaningful, patient-centered solutions? In this episode, John McCluskey discusses the challenges of building and innovating within the healthcare system, focusing on virtual primary care solutions. He emphasizes the importance of access to care, addressing healthcare disparities, and...

As dementia rates soar, AI and decentralized data are key to transforming care and early detection. In this episode, Scott Warner discusses the importance of using AI and decentralized semantics to enable early detection of cognitive impairments. He highlights the growing dementia crisis and emphasizes the need for preventative measures, AI-driven solutions, and robotics in caregiving. He explains...

An inspiring journey unfolds as a personal experience transforms a heartfelt calling into a career focused on redefining palliative care and improving patient outcomes. In this episode, Dr. Stacie Pinderhughes reflects on her healthcare journey, inspired by her grandfather's battle with cancer, and highlights her training at Robert Wood Johnson University Hospital and Mount Sinai. After building a...

Aparna Ananth transforms resistance into an ally in healthcare leadership, empowering professionals to overcome challenges and prioritize patient care. In this episode, Aparna Ananth discusses her transition from physician to leadership role, emphasizing that qualities like accountability and influence are inherent in the medical profession. She highlights the importance of embracing resistance as...

The healthcare industry faces a significant technology debt that must be addressed to support innovative solutions. In this episode, Stuart Hanson, CEO of Avaneer Health, focuses on the leadership and strategies of key healthcare leaders in addressing data interoperability challenges. He delves into the industry's technology debt and the need for innovative solutions to update provider data prompt...

Financial pressures lead more patients to delay care, resulting in higher emergency room visits and healthcare costs. In this episode, Jared Johnson, Chief Marketing Officer of Praia Health, discusses the evolving digital front door in healthcare and the need for an engaging digital experience for patients, members, and providers. Jared covers the challenges of navigating complex healthcare system...

A venture that offers physicians empathy and support while aligning incentives to mitigate business risks posed by regulations and authorizations - just what we need to revolutionize the healthcare landscape. In this episode, Kim Lynch shares her extraordinary journey and sheds light on the intricacies of healthcare systems, policy, innovation, and visions for the future of healthcare. Kim discuss...

The role of CFOs in healthcare has evolved from purely technical to one that requires empathy and active participation in decision-making processes. In this episode, Kim Hodgkinson discusses the evolving role of CFOs, emphasizing the blend of technical expertise and empathetic leadership required in today's healthcare landscape and the significance of mentorship, self-awareness, and overcoming per...