In the U.S., payors and providers need each other to deliver the highest-quality care at the lowest cost—but they don’t always get along. Russ Thomas, CEO of Availity, joins Justin to discuss the systemic factors driving the misalignment between payors and providers. Russ and Justin discuss how technology and a new perspective might be able to simplify two of biggest points of friction: utilization management and authorization workflow.

Justin and Russ ask the tricky questions facing our overly complicated system of healthcare reimbursement: How can payors and providers create more transparency in the claims process? Can AI and other tech solve payors’ yield problems? And is a single-payor system really the answer to our healthcare woes?

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