Thoughts on Healthcare Markets & Technology
Thoughts on Healthcare Markets & Technology Podcast
Part II: The Case for a Neutral Healthcare Settlement Exchange That Turns Payer-Provider Contracts Into Executable Code, Guarantees Payment, and Makes Most Denials Structurally Impossible
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Part II: The Case for a Neutral Healthcare Settlement Exchange That Turns Payer-Provider Contracts Into Executable Code, Guarantees Payment, and Makes Most Denials Structurally Impossible

Payers and providers sign one contract. Then each builds separate software to interpret it. Two codebases. Two answers. That gap is where denials live.

The industry response: buy better AI. Providers use it to fight denials. Payers use it to generate them. Both sides get better weapons. The battlefield never changes.

This is a coordination problem, not a …

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