For the past year, The Edge of Healthcare has been dedicated to addressing the real issues preventing healthcare organizations from operating efficiently and effectively. Topics such as provider data accuracy, payer-provider collaboration, and credentialing inefficiencies remain significant challenges, costing payers and providers millions in administrative waste. These discussions are not merely theoretical—we engage with leaders who are driving tangible change.

Each episode offers insights from top healthcare executives, COOs, and industry thought leaders working to reduce administrative burdens, streamline operations, and promote financial sustainability. These voices are shaping the future of healthcare, sharing strategies and solutions that impact provider networks, health systems, and payer organizations.

The challenges facing payers and providers today extend beyond operational hurdles—they directly affect financial performance, provider access, and patient outcomes. Issues such as outdated provider directories leading to claim rejections and delays, inefficient credentialing processes slowing down provider onboarding and impacting network adequacy, and poor data exchange between payers and providers causing revenue leakage and unnecessary administrative burdens are prevalent.

The Edge of Healthcare brings together experts actively addressing these problems. The insights shared in these conversations assist organizations in reducing inefficiencies, improving compliance, and fostering stronger payer-provider trust. These discussions are not merely high-level but offer actionable strategies from those on the frontlines of healthcare transformation.

Over the past 12 months, The Edge of Healthcare has featured 26 industry leaders who bring fresh ideas and real solutions to the challenges facing healthcare today. These discussions go beyond surface-level issues to uncover what’s truly driving change. Healthcare executives who tune in gain fresh perspectives and actionable strategies from some of the most experienced minds in the industry.

Leadership and executive coaching are critical to driving meaningful change in large health systems. James Hereford, CEO of Fairview Health, puts it simply: “If you’re waiting for perfect data to make a decision, you’re already behind.” “If you’re waiting for perfect data to make a decision, you’re already behind,” he explains.

Breaking down provider data silos is critical to improving efficiency and care coordination. Sri Velamoor, COO of NextGen Healthcare, explains: “Payer-provider collaboration starts with fixing information asymmetry.” “Payer-provider collaboration starts with fixing information asymmetry,” he emphasizes.

Technology should make healthcare easier, not more complicated. Israel Krush, CEO of Hyro, shares how intelligent technology is reshaping provider and patient experiences. “AI in healthcare should reduce friction, not create more complexity.” “AI in healthcare should reduce friction, not create more complexity,” he notes.

Health systems and payers must rethink their technology investments to stay competitive. Ryan Bengtson, CEO of Panda Health, underscores the importance of smarter technology investments to lower costs and improve operational efficiency. “Health systems need to rethink their procurement strategies to survive in today’s economy.” “Health systems need to rethink their procurement strategies to survive in today’s economy,” he advises.

Outdated systems continue to hold the industry back, and real-time data exchange is a necessary evolution. Stuart Hanson, CEO of Avaneer Health, sees the interoperability gap as more than an inconvenience—it’s a revenue and compliance risk that must be addressed now. The interoperability gap isn’t just an inconvenience—it’s a revenue and compliance risk that must be fixed now.

These conversations don’t just highlight problems—they offer solutions. Healthcare leaders tuning in gain practical insights on improving provider data accuracy, fostering payer-provider collaboration, and leveraging technology to reduce administrative friction.

The healthcare industry is undergoing rapid transformation, and the next year of The Edge of Healthcare will continue to explore the critical challenges shaping its future. Upcoming discussions will delve into:

• Streamlining credentialing and provider data management to improve network adequacy and compliance.
• The evolving role of AI and automation in eliminating administrative inefficiencies and accelerating provider onboarding.
• The financial impact of poor provider data exchange and how healthcare organizations can mitigate risks while improving operations.

The insights shared on The Edge of Healthcare are influencing how payers and providers approach efficiency, collaboration, and long-term sustainability. If you’re a healthcare executive seeking strategies that translate into real-world impact, this is the platform for you.