PODCAST · business
Claims Denied: A Hospitalogy Podcast
by Blake Madden
Join one man’s quest to learn everything there is to know about the business of healthcare. Blake Madden and friends cut through the fluff to talk shop with influential healthcare leaders across innovation, strategy, finance, policy, and more. Learn about disruptive health tech startups, hear war stories, stay up to date on emerging health system transformation strategies, and listen in to scalding hot takes on pressing topics and the future of the industry. New episodes drop Mondays. Subscribe to get the latest!
Episodes
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How Lantern and Morgan Health Are Re-Wiring Employer Healthcare, And Why Narrow Networks Are Suddenly Worth a Second Look (with Dan Mendelson, CEO Morgan Health and John Zutter, CEO Lantern)
Blake Madden sits down with two of the people most responsible for re-wiring the employer side of healthcare right now: Dan Mendelson, CEO of Morgan Health — JPMorgan Chase's $280M healthcare investment arm — and John Zutter, CEO of Lantern, a specialty care navigation platform now covering 12...
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From Multiplan Insider to Multiplan Disruptor: The Daffodil Health Story (with Navin Nagiah, CEO of Daffodil Health)
In this latest episode of Claims Denied, Blake Madden sits down with Navin Nagiah, co-founder and CEO of Daffodil Health. Navin spent nearly two years inside Multiplan trying to modernize their repricing model from the inside — went to the board three times, couldn't get alignment, and left to...
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MA is a Flat Circle, the Physician Subsidy Bear Case, and Why Density Beats Scale (with Jason Ross, EVP at Privia Health)
Hospitalogy's Blake Madden sits down with Jason Ross, EVP of Medical Groups at Privia Health, a guy who has worked basically every seat at the healthcare table. Jason is currently running the largest portion of Privia's single-TIN medical group footprint across a publicly traded enabler. Coming…
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Insuring Against the Incumbents: Why Indigo Technologies' Jared Kaplan Is Betting MedMal Is Ripe for Disruption
You may think the insurance industry is dull, but not this conversation! For this episode, I sat down with Jared Kaplan, CEO and founder of Indigo Technologies, to talk about why medical malpractice insurance is one of the last bastions of healthcare that hasn't been touched by modern technology....
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From Surgery Center Newsletter to Healthcare Media Empire (with Scott Becker)
In this episode, Blake Madden sits down with Scott Becker, founder of Becker's Healthcare, practicing healthcare lawyer at McGuireWoods, and one of the longest-running names in healthcare media, for a wide-ranging conversation that ended up being as much about building businesses as it was about...
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Debating AI, ICHRA, and the Employer Exit (with Teira Gunlock & Dr. Eric Bricker)
In this latest episode of Claims Denied, Hospitalogy's Blake Madden pulls in two co-hosts — Teira Gunlock, CEO of First Stop Health, and Dr. Eric Bricker, Chief Medical Officer of AHealthcareZ — and the crew battle it out! Three topics. No script. Just healthcare's messiest debates. Listen as...
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1,300 Point Solutions Killed, CHF Admissions Halved, and the Mercy Playbook | Steve Mackin, Mercy CEO
Blake sits down with Steve Mackin, CEO of Mercy — one of the top 15 health systems in the country with 55+ hospitals across Missouri, Oklahoma, Arkansas, and Kansas — to talk about how Mercy is quietly building one of the most interesting care model playbooks in the industry. Steve and Blake get...
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Cancer's $220B Tab Isn't Going Anywhere: Reimagine Care, Oncology Ventures, and the Evolving State of the Cancer Care Space | Dan Nardi, Reimagine Care and Ben Freeberg, Oncology Ventures
In this episode, Hospitalogy's Blake Madden talks with two operators who actually walk the walk in oncology: Ben Freeberg, founder of Oncology Ventures (recently announced Fund II) and Dan Nardi, CEO of Reimagine Care. They deep-dive on why 1,000 of the 1,700 Americans who die of cancer every day...
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Going Back to the Future: How Aetna is Redefining Itself and the Current State of Value-Based Care | Dr. Ali Khan, Chief Medical Officer of Medicare, Aetna/CVS Health
What does it actually look like to run clinical strategy inside a vertically integrated giant when payor-provider trust is at a historic low? Blake Madden sits down with Dr. Ali Khan, Chief Medical Officer for Aetna Medicare, to get the answer to this question and more. Dr. Khan has been employee...
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The Grifters and the Builders: Pharmacy's Gray Market, AI Prescribing, and the Medvi Meltdown | Otto Sipe, CEO and Co-founder at Photon Health
I sat down with Otto Sipe, co-founder of Photon Health, for what turned into one of the most wide-ranging Claims Denied conversations we've had. We riffed on the Medvi debacle, why the NYT whiffed on due diligence, the entire arc from Hims to Cerebral to vibe-coded pill mills, and Otto's vision…
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Oura's Healthcare Pivot: How a Smart Ring Is Outperforming Every Engagement Play in Digital Health by 6x | Dorothy Kilroy, Chief Commercial Officer, Oura
I went into this conversation expecting a consumer wearables story. I came out thinking Oura might be quietly building one of the more compelling engagement platforms in healthcare. In this episode, I sit down with Dorothy Kilroy, Chief Commercial Officer at Oura. Dorothy breaks down how a ring...
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The Primary Care Manifesto: Lumeris, Ochsner’s Bold AI Bet with Tom, and the End of the 15-Minute Visit | Dr. David Carmouche, Chief Medical and Commercial Officer, Lumeris
In this episode, we’re going DEEP on what’s broken in primary care and what it actually takes to fix it - not with another point solution, but with an AI-first care delivery platform. Dr. David Carmouche, Chief Medical and Commercial Officer at Lumeris, has a resume that reads like a masterclass…
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De Novo Clinics to National Enabler: How Karoo Health Is Architecting the Future of Cardiology Care | Ian Koons, Co-Founder and CEO, Karoo Health
Blake sits down with Ian Koons, CEO and co-founder of Karoo Health, to unpack why cardiology is having its “VBC moment” and why most attempts to “do value” in specialty care fail the second they collide with real-world provider incentives. Ian breaks down how Karoo went from planning de novo...
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From Words to Actions: Nabla's New Clinical Chief on the Post-Ambient AI Frontier | Matt Sakumoto, MD
On just Day 4 of his new role as Chief Clinical Product Officer at Nabla, Matt Sakumoto, MD, sat down with me for this live recording at the Nabla Summit in late January. Matt, who was still practicing as a virtual primary care physician, hadn't even finished onboarding, but he was already…
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The Year of the G's: Sean Duffy on GLPs, GPTs, and Chronic Care's Inflection Point
What does it take to build a real between-visit care engine at scale? In this episode, Blake talks with Sean Duffy, CEO and co-founder of Omada Health, about why the “visit model” is structurally broken for chronic disease, and what Omada is doing about it. Sean breaks down Omada’s provider…
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Carving Out Primary Care: AdventHealth's Standalone Division Experiment | Brent Davis, CEO, Primary Health Division at AdventHealth
What happens when a health system stops treating ambulatory like a side project and starts running it like a strategic priority? In this episode, Blake talks with Brent Davis, CEO of the Primary Health Division at AdventHealth. Brent explains why AdventHealth created a standalone division to…
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The Bill Parcells of Healthcare: Charlie Martin on 60 Years of Hospital Turnarounds and Where Martin Ventures is Investing Next | Charlie Martin and Devin Carty
Welcome to Claims Denied, a podcast from Hospitalogy. In this episode, Blake sits down with Charlie Martin (the “wartime general” behind General Care, HealthTrust, OrNda, and Vanguard), founder and chairman of Martin Ventures, and Devin Carty, CEO of Martin Ventures, for a rare, behind-the-scenes...
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What to Expect in Healthcare for 2026 | Clete Madden and the JTaylor Podcast Crew
Welcome to Claims Denied, a new podcast from Hospitalogy. In this episode, Blake discusses the year in review and what to expect next with Clete Madden (yes, that’s Blake’s dad!) and the JTaylor Podcast Crew, including Herd Midkiff, Kyle Kirkpatrick, and Anna Brewer. If it feels like healthcare...
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From Basketball Coach to Health System Turnaround CEO: A Random Walk Through Healthcare | James Hereford, Fairview Health CEO
In this episode, Fairview Health Services CEO James Hereford joins Blake Madden to unpack what a real health system turnaround looks like when you inherit “zero trust” and six years of organizational drift. James walks through his unconventional path into healthcare, why lean management systems...
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The New Age of Health System Consumerism | Pete McCanna, CEO, Baylor Scott & White
Welcome to Claims Denied, a new podcast from Hospitalogy. In this episode, Blake talks with Pete McCanna, CEO of Baylor Scott & White. Pete explains how legacy health systems are built like “castle walls” (supply-driven, organization-centric, and built to protect themselves), but this design…
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Claims Denied: A Hospitalogy Podcast (Series Trailer)
Welcome to Claims Denied. Join one man’s quest to learn everything there is to know about the business of healthcare. Blake Madden and friends cut through the fluff to talk shop with influential healthcare leaders across innovation, strategy, finance, policy, and more. Learn about disruptive…
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ABOUT THIS SHOW
Join one man’s quest to learn everything there is to know about the business of healthcare.
Blake Madden and friends cut through the fluff to talk shop with influential healthcare leaders across innovation, strategy, finance, policy, and more.
Learn about disruptive health tech startups, hear war stories, stay up to date on emerging health system transformation strategies, and listen in to scalding hot takes on pressing topics and the future of the industry.
New episodes drop Mondays. Subscribe to get the latest!
HOSTED BY
Blake Madden
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Frequently Asked Questions
How many episodes does Claims Denied: A Hospitalogy Podcast have?
Claims Denied: A Hospitalogy Podcast currently has 33 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.
What is Claims Denied: A Hospitalogy Podcast about?
Join one man’s quest to learn everything there is to know about the business of healthcare. Blake Madden and friends cut through the fluff to talk shop with influential healthcare leaders across innovation, strategy, finance, policy, and more. Learn about disruptive health tech startups, hear war...
How often does Claims Denied: A Hospitalogy Podcast release new episodes?
Claims Denied: A Hospitalogy Podcast has 33 episodes. Check the episode list to see recent publication dates and frequency.
Where can I listen to Claims Denied: A Hospitalogy Podcast?
You can listen to Claims Denied: A Hospitalogy Podcast on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.
Who hosts Claims Denied: A Hospitalogy Podcast?
Claims Denied: A Hospitalogy Podcast is created and hosted by Blake Madden.
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