Outcomes Rocket

What if patients could use AI to successfully challenge insurance denials and regain access to the care they need? In this episode, Zach Veigulis, Co-Founder & Chief AI Officer at Claimable Inc., discusses how his company uses AI to help patients appeal denied medical insurance claims and regain access to care. Drawing on his experience as the former chief data scientist at the U.S. Department of Veterans Affairs innovation center, Veigulis explains that while billions of medical claims are processed each year, a significant portion are denied and almost none are appealed. Claimable addresses this gap by enabling patients and healthcare organizations to quickly generate evidence-based appeal letters that incorporate medical history, clinical guidelines, and legal protections, achieving about an 80% success rate in some conditions. By empowering patients to exercise their legal right to appeal and involving employers or regulators when appropriate, the platform aims to reduce care abandonment, improve access to treatment, and alleviate administrative burdens on physicians. Tune in to hear how Claimable is empowering patients, reducing physicians' administrative burden, and helping more people get the treatment they deserve! Resources: Connect with and follow Zach Veigulis on LinkedIn. Follow Claimable on LinkedIn and explore their website!

Compliance works better when documentation supports care in real time instead of becoming a burden after the fact. In this episode, Paige Dustmann and Derek Staub discuss how fraud, waste, and abuse pressures are reshaping behavioral health compliance for providers, payers, and managed care organizations. Paige explains how Monolith Health helps teams capture services, assessments, and treatment planning in real time, reducing paperwork and improving audit readiness. Derek highlights how changing regulations, random audits, and documentation gaps can put even well-intentioned providers at risk, emphasizing the need for stronger systems and clearer communication with MCOs. Together, they explore how better workflows, state-aligned lesson plans, and proactive compliance tools can protect organizations while ensuring clients receive care that meets their real needs. Tune in and learn how better documentation, stronger compliance systems, and clearer payer-provider communication can reduce risk and improve behavioral health care delivery! Resources: Learn more about Monolith Health on their LinkedIn and visit their website here.

Connectivity becomes transformational in healthcare when it helps providers extend their expertise, close access gaps, and support care beyond the hospital walls. In this episode, Robin Goldsmith, Practice Leader for Healthcare and Life Sciences at Verizon Business, shares why connectivity is no longer just infrastructure. It is becoming a strategic foundation for healthcare delivery. Drawing on nearly two decades in the space, Robin explains how the pandemic exposed major gaps in access for patients without reliable devices or networks, and why that moment clarified the role telecommunications can play in healthcare transformation. He discusses the growing pressure on providers to improve patient and clinician experience while managing thin margins, workforce shortages, and rising demand for more distributed care. Robin also highlights how stronger network infrastructure, better partnerships, and new models for rural health, remote monitoring, and even robotic surgery can help health systems expand access and move care closer to patients. Tune in to learn how connectivity is helping healthcare become more responsive, more distributed, and more equitable. Resources: Connect with and follow Robin Goldsmith on LinkedIn! Follow Verizon Business on LinkedIn and explore their website! Listen to the Healthcare of Air by Verizon here.

In healthcare innovation, capital alone is not enough. Real scale happens when strong solutions are matched with the right partnerships, a clear path to profitability, and disciplined execution. In this episode, Peter Micca, Managing Partner at Caduceus Capital, shares how his transition from building Deloitte’s digital health technology practice to leading a healthcare investment firm shaped his perspective on scaling businesses. He explains why Caduceus Capital is creating more than a fund by combining capital with go-to-market support, partnerships, and direct access to healthcare stakeholders. Peter outlines what sets companies apart in a more selective investment landscape, emphasizing the need for clear ROI, scalability, and a path to profitability. He also highlights the healthcare innovations that excite him most, particularly those that empower physicians, expand access, and lower costs. Tune in to learn why the future of healthcare innovation belongs to companies that pair strong technology with practical value, smart partnerships, and measurable outcomes. Resources: Connect with and follow Peter Micca on LinkedIn! Follow Caduceus Capital Partners on LinkedIn and explore their website!

Operational efficiency in ASCs improves fastest when manufacturers and distributors align on standardization, supply reliability, and hands-on implementation support. In this episode, Tracy McQuay of Medtronic and Kevin Humphrey and Emily Barnhart of Cardinal Health discuss how their long-standing collaboration helps ambulatory surgery centers reduce complexity while maintaining clinical quality. Emily explains Cardinal’s Performance Plus™ program and how joint planning, KPI scorecards, and added inventory strengthen service across Medtronic’s product lines. Kevin shares how ASC-focused teams support new center builds, optimize layouts, and drive savings through purchasing reviews and vendor consolidation. Tracy highlights a “not a transaction” kickoff model, capital-light tech integration, and examples like rapid suture conversions and Microstream™ capnography standardization to simplify supply chains and relieve cost pressure. Tune in to learn how tighter collaboration between suppliers and distributors can make ASC operations simpler, more resilient, and more cost-effective. Resources: Connect with and follow Tracy McQuay on LinkedIn. Follow Medtronic on LinkedIn and discover their website! Follow and connect with Kevin Humphrey on LinkedIn. Follow and connect with Emily Barnhart on LinkedIn. Follow Cardinal Health on LinkedIn and discover their website!