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In this special recap episode of the Dysrupt Healthcare Podcast, host Lester J. Morales breaks down the key lessons from his powerful conversation with Kimberly Carlson, CEO of U.S. Beacon — an independently owned medical claims integrity review company helping employers reclaim millions lost to billing errors.
Using a simple grocery-store analogy, Lester exposes the shocking truth: nearly every medical bill in America contains mistakes — and most employers never audit them.
He shares actionable strategies for self-funded employers and advisors to take control, demand transparency, and protect their plan dollars.
You’ll learn:
Why 99% of healthcare bills have errors — and how much that’s costing you.
How independent audits recover 2–6 % (or more) of total claim spend.
The contractual traps that limit employers’ ability to audit their own data.
How to write “audit-friendly” RFP clauses that guarantee full access to your claim data.
Why transparency and leadership are essential to fixing a broken system.
💡 Whether you’re an employer, HR leader, or benefits advisor, this quick recap gives you the insights — and the “why” — to disrupt the way healthcare billing has always been done.
00:00 – “This podcast has been disrupted.”
00:07 – What are Dysrupt Healthcare recap episodes?
00:53 – The Kimberly Carlson conversation in context
01:03 – The grocery-store analogy: transparency in billing
02:39 – What if every checkout had errors?
03:05 – Translating that to healthcare
03:41 – 99 % of medical bills contain errors
04:05 – How U.S. Beacon audits hospital claims
05:10 – The employer’s right (and responsibility) to audit
06:26 – Why large hospital stays create bigger audit opportunities
07:03 – Taking back control: this is your money
08:17 – How to write audit clauses into your RFPs
09:02 – The hidden gag clauses in contracts
09:25 – Consolidated Appropriations Act (CAA) and data ownership
09:42 – Make audits a condition to win the bid
09:57 – Free resources from Kimberly Carlson in the show notes
10:25 – Why independent claim reviews matter for every employer
10:37 – Auditing your plan = protecting your people
10:54 – Final call to action: Disrupt the status quo
🎧 Full Interview: [How Kimberly Carlson Is Fixing Broken Medical Billing | Dysrupt Healthcare Podcast]
with Lester J. Morales & Kimberly Carlson, CEO of U.S. Beacon
🕒 Timestamps🔗 Referenced Episode
By Lester J. Morales5
2121 ratings
In this special recap episode of the Dysrupt Healthcare Podcast, host Lester J. Morales breaks down the key lessons from his powerful conversation with Kimberly Carlson, CEO of U.S. Beacon — an independently owned medical claims integrity review company helping employers reclaim millions lost to billing errors.
Using a simple grocery-store analogy, Lester exposes the shocking truth: nearly every medical bill in America contains mistakes — and most employers never audit them.
He shares actionable strategies for self-funded employers and advisors to take control, demand transparency, and protect their plan dollars.
You’ll learn:
Why 99% of healthcare bills have errors — and how much that’s costing you.
How independent audits recover 2–6 % (or more) of total claim spend.
The contractual traps that limit employers’ ability to audit their own data.
How to write “audit-friendly” RFP clauses that guarantee full access to your claim data.
Why transparency and leadership are essential to fixing a broken system.
💡 Whether you’re an employer, HR leader, or benefits advisor, this quick recap gives you the insights — and the “why” — to disrupt the way healthcare billing has always been done.
00:00 – “This podcast has been disrupted.”
00:07 – What are Dysrupt Healthcare recap episodes?
00:53 – The Kimberly Carlson conversation in context
01:03 – The grocery-store analogy: transparency in billing
02:39 – What if every checkout had errors?
03:05 – Translating that to healthcare
03:41 – 99 % of medical bills contain errors
04:05 – How U.S. Beacon audits hospital claims
05:10 – The employer’s right (and responsibility) to audit
06:26 – Why large hospital stays create bigger audit opportunities
07:03 – Taking back control: this is your money
08:17 – How to write audit clauses into your RFPs
09:02 – The hidden gag clauses in contracts
09:25 – Consolidated Appropriations Act (CAA) and data ownership
09:42 – Make audits a condition to win the bid
09:57 – Free resources from Kimberly Carlson in the show notes
10:25 – Why independent claim reviews matter for every employer
10:37 – Auditing your plan = protecting your people
10:54 – Final call to action: Disrupt the status quo
🎧 Full Interview: [How Kimberly Carlson Is Fixing Broken Medical Billing | Dysrupt Healthcare Podcast]
with Lester J. Morales & Kimberly Carlson, CEO of U.S. Beacon
🕒 Timestamps🔗 Referenced Episode

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