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The Health Brief
Podcast

Unfiltered conversations on healthcare revenue cycle, risk adjustment, AI in payer operations, and what's actually moving the needle for U.S. health plans and providers. Hosted by the Lumiknox clinical and technology leadership team.

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Ep. 01 - The $84 Billion Blind Spot
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Ep. 01 - The $84 Billion Blind Spot
Episodes

Latest Episodes

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24
Risk AdjustmentCMS
The $84 Billion Blind Spot: Why Payment Integrity is Still Healthcare's Most Under-Solved Problem

The v28 transition has quietly changed how chronic conditions map to HCCs. We walk through the 75 new codes, 267 deletions, and the recalibration impact on plan revenue - with a checklist for coding ops leaders.

May 8, 2025  /  42 min  /  Dr. Rohan Iyer + Marcus Calderon
23
Agentic AIClaims
When AI Handles Prior Auth: What 60 Days of Live Deployment Actually Looked Like

A frank debrief on our first full agentic prior-auth deployment - the wins, the edge cases that tripped the agent, the human escalation patterns, and the 67% cycle time reduction we did not expect to hit this fast.

Apr 24, 2025  /  38 min  /  Priya Venkatesh + Angela L. (CFO, TPA)
22
HEDISSTARS
From 3.5 to 4.5 Stars in 18 Months - A Gap-Closure Playbook

Which measures moved the composite rating most? How we sequenced interventions, handled hybrid season surge staffing, and kept physician engagement alive through abstraction cycles. With a guest from the plan's quality team.

Apr 10, 2025  /  51 min  /  Dr. Anne Mathisen + Guest
21
RADVAudit
RADV 2025: The Final Rule, Extrapolation, and What MA Plans Are Getting Wrong

CMS's final RADV rule introduced extrapolation for the first time. We break down what it means for audit exposure, documentation standards, and why plans relying on retrospective chart review alone are under-prepared.

Mar 27, 2025  /  44 min  /  Vikram Bhatt + Dr. Rohan Iyer
20
Revenue IntegrityOperations
Why 50 Charts Tell You Everything - The Math Behind a Meaningful Pilot

Statistical power, confidence intervals, and the three things a 50-chart pilot should measure to give a plan actionable signal. Plus: what we see most often when coding accuracy looks fine on the surface but isn't.

Mar 13, 2025  /  29 min  /  Dr. Anne Mathisen
19
AI/MLAnalytics
Predictive Utilization Models - Separating Signal from Noise in Payer Analytics

Most utilization models are overfit on historical data and underperform in live environments. We discuss what good feature engineering looks like for healthcare claims data, and where LLMs genuinely help vs. add noise.

Feb 27, 2025  /  47 min  /  Marcus Calderon
Written Insights

Field Notes

All Articles ->
Risk Adjustment|8 min read

Why your HCC recapture rate is leaking 9 basis points - and what to do about it

A close look at the three concurrent-coding workflows that separate top-decile MA plans from the middle of the pack.

Agentic AI|11 min read

From RPA to agents: a candid field report on autonomous denials work

What worked, what broke, and the supervision pattern that finally made unattended denial triage stick across 11 provider organizations.

HEDIS / STARS|6 min read

The 2026 STARS cut-point shift: a planning guide for plans below 3.5

Tukey outlier deletion is in. Here is how to recalibrate your gap-closure investment portfolio for the new cut-point regime.

Risk Adjustment|9 min read

v28 risk adjustment: a coding-operations checklist

Eleven items every payer ops leader should validate before the next sweep. The CMS-HCC v28 transition has changed coder workflow at the line level.

Claims|7 min read

Auto-adjudication ceilings: why most TPAs settle for 82%

Three categories of edits eat the gap between current and theoretical max first-pass rates. The fix is mostly configuration discipline, not platform replacement.

Methodology|4 min read

The math behind a 50-chart pilot

Why 50 is the smallest sample that is big enough to mean anything - and what its confidence intervals actually tell you about your baseline accuracy.

The Health Brief
🎧 The Health Brief Podcast
Ep. 01 - The $84 Billion Blind Spot / 42 min
16:02 42:00