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"I need an MRI for my knee. How much will it cost?" For decades, American healthcare's shocking answer has been: "We'll bill you after." Carol Skenes of Turquoise Health joins HealthTech Remedy to reveal how her company is dismantling this absurdity by aggregating the once-secret negotiated rates between hospitals and insurers. Discover why identical radiation treatments can cost $20,000 at one facility and $400,000 at another, how these hidden prices affect your wallet, and why price transparency has garnered rare bipartisan support in Washington. Skenes shares how Turquoise's platform is revolutionizing healthcare negotiations, helping employers secure better rates, and finally enabling patients to comparison shop for medical care like any other service. The veil is lifting on America's most price-obscured industry - hear how this transformation affects you before your next medical appointment.
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Dr. Andrew Norden reveals his journey from Dana-Farber neuro-oncologist to OncoHealth's Chief Medical Officer, where he now oversees prior authorization decisions for cancer treatments that can cost $400,000 per patient. When the emotional toll of watching his brain cancer patients suffer became unbearable, Dr. Norden sought broader impact on the lives of cancer patients through technology that could identify and prevent inappropriate care - saving millions while preserving quality. In this candid conversation, he confronts healthcare's perverse incentives (where physicians earn more from prescribing expensive drugs regardless of benefit) and explains how AI is transforming utilization management from a bureaucratic hurdle into an invisible guardian of appropriate care. Gain insider perspective on the challengess at the intersection of cancer economics, physician autonomy, and patient outcomes.
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When COVID-19 shut down elective surgeries in 2020, orthopedic surgeon Dr. Brian Covino faced a career crossroads after nearly 30 years in practice. His unexpected pivot to join Cohere Health's leadership team accelerated a revolution in healthcare's most burdensome administrative process. Dr. Covino reveals how physician-guided AI is now reading medical records (eliminating those dreaded fax machines), why "green lighting" outperforms traditional "gold carding," and how responsible technology is reducing administrative burden by 30-40% while improving care quality. Beyond the technology, this conversation offers a masterclass in physician career transitions and attacking burnout at its administrative source. Whether you're drowning in healthcare paperwork, contemplating life beyond clinical practice, or fascinated by AI's ethical implementation in healthcare decision-making, you'll find actionable insights from someone who's lived on both sides of medicine's technological divide.
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