S5 EP3 From Estimates to Advance Claims Rethinking Price Transparency

In this episode of The Wilshire IT RevCast dives deep into the fast‑evolving world of healthcare price transparency and the operational reality of Good Faith Estimates (GFEs) under the No Surprises Act. Our host Evan Martin, VP Revenue Cycle at ZoomCare, and returning guest Travis Gentry, CEO of Hyve Health, unpack how regulations aimed at protecting patients are colliding with fragmented systems, siloed providers, and legacy revenue cycle workflows. They explore why current price transparency data is often unusable, what a “true” 360‑degree GFE would look like, who should really quarterback the estimate, and how advanced claims and advanced EOBs could fundamentally reshape the revenue cycle from reactive to proactive. The conversation also looks ahead to ambulatory surgery centers (ASCs), medical group practices, and the growing regulatory pressure on both providers and payers. The post S5 EP3 From Estimates to Advance Claims Rethinking Price Transparency appeared first on Wilshire Group.