Provider Data Dorks

Provider Data Dorks

By CertifyOSBusinessManagement
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Provider Data Dorks episodes

  • How a Former $10B Hospital CEO Would Fix Provider Data if He Started Today | Steve Klasko

    Steve Klasko was a DJ named Little Stevie Kent who got into medical school partly because an admissions officer recognized his voice from the radio. He then spent 40 years proving that listening (really listening) separates transformational leaders from the ones who just manage decline.

    As CEO of Jefferson Health, he took a $1.5 billion system to $10 billion in nine years, fought the FTC, and made enemies in every insurance boardroom in Philadelphia. His method was simple: stop asking lawyers what you're allowed to do. Tell them what you're going to do, and ask them how to defend that action.


    In this episode:


      Why Jefferson was "a place where good ideas go to die" and how Klasko changed that by deciding the lawyers worked for him, not the other way around
      The credentialing nightmare hiding inside every hospital M&A deal, and what those three months of lost revenue actually cost
      Why healthcare is 15 years behind finance: "We select doctors for organic chemistry grades. Then we're amazed they aren't more empathetic."
      The MRI pricing story: Klasko called six facilities, asked a simple question, and the last one hung up on him
      How defragmenting a hard drive became his mental model for fixing broken provider data infrastructure
      His vision for 2031: patients own their data, credentialing happens in milliseconds, and the whole apparatus is a commodity
      His one wish for healthcare, told through a Jason Kidd quote about turning things around 360 degrees

    Follow Provider Data Dorks on Spotify and Apple Podcasts for weekly conversations with the leaders who built the system and the ones rebuilding it. New episodes every Wednesday.

    1 hr 3 min
  • Why Shared Credentialing Has Failed Every Time (and Why It's Different Now) | Tyler Ford

    Provider data has been called the invisible backbone of healthcare. It drives directories, network adequacy, credentialing, claims… basically everything. And in most organizations, it's still managed through spreadsheets, siloed systems, and a stack of vendors that don't talk to each other. So why hasn't the industry fixed it?


    Tyler Ford has spent his career at the center of that question, from the Advisory Board to UnitedHealth Group to his current role as SVP of Strategy and Operations at Union Healthcare Insight. He's one of the few people who has seen this problem from every angle: the plan side, the regulatory side, and the advisory side. And in this conversation, he doesn't pull punches.


    What's covered in the first episode of Provider Data Dorks with Tyler Ford:

    • Why provider data is a definitions problem, a technology problem, and an incentives problem all at once and why that intersection is what makes it so hard to solve
    • The credentialing standoff: health plans need accuracy and compliance; providers need speed. Why bridging those two priorities has never worked
    • The one provider data standard that actually succeeded (the CRED App), why it worked, and the lesson the industry hasn't learned from it
    • Why standards without enforcement are just suggestions and what No Surprises Act implementation taught the industry about accountability
    • What Tyler calls the "Gordian knot" problem: why shared credentialing isn't one solvable problem but a system of layered complexity in technology, incentives, process, and people
    • The five pillars of CertifyOS's shared credentialing model and why Tyler thinks the conditions to finally make it work are actually here
    • Why the shift toward consumer-driven health plans (ICHRA/ECS) is about to make clean provider data mission-critical for health plan survival


    Subscribe to the show on YouTube, Spotify, and Apple Podcasts, or wherever you get your podcasts.

    49 min

About Provider Data Dorks

From the publisher's feed

Provider Data Dorks is the podcast for anyone who works with, buys, or builds on provider data. Hosted by Nick Helfrich and Mitch Gorodokin, each episode features the leaders who understand…