Monitor Mondays

EXCLUSIVE: The Healthcare Algorithms Arms Race is Heating Up

August 31, 2020 Chuck Buck | Ronald Hirsch, MD | Knicole Emanuel, Esq. | David Glaser, Esq. | Ellen Fink-Samnick | Matthew Albright | Andrew Wachler, Esq. | Ed Roche PhD, JD Season 10 Episode 33
Monitor Mondays
EXCLUSIVE: The Healthcare Algorithms Arms Race is Heating Up
Show Notes

Unlike the Cold War arms race between the then-Soviet Union and the United States, today’s arms race is being fought before computer monitors, and in the deep corners of computer laboratories. And the weapon of choice: algorithms.

This fierce fighting is taking place between auditors and providers, and the stakes are high: money. Lots of it.

No stranger to chronicling the former Cold War arms race, Edward Roche, RACmonitor’s investigative reporter, returns to the Monitor Mondays broadcast to report on how algorithms created by payers tend to foster a camouflage of mediocrity for providers.

Other segments to be featured during the podcast:

  • RAC Report: Healthcare attorney Knicole Emanuel, a partner at the law firm of Practus, files the Monitor Mondays RAC Report.

  • SDoH Report: Ellen Fink-Samnick, a nationally recognized expert on the social determinants of health (SDoH), reports on the news that’s happening at the intersection of COVID-19 and SDoH. Ellen also conducts the Monitor Mondays Listener Survey.

  • Legislative Update: Former Centers for Medicare & Medicaid Services (CMS) official Matthew Albright, now chief legislative affairs officer for Zelis, reports on the status of healthcare legislation associated with the current COVID-19 pandemic.

  • Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, joins the broadcast with his trademark segment, reporting on legal implications during the pandemic.

  • Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, makesg his Monday Rounds with another installment of his popular segment.