In this episode of Disruption/Interruption, host KJ interviews Matt Seefeld, CEO at MedEvolve, about the chaos and inefficiencies in the US healthcare revenue cycle. Matt shares how generative AI and a focus on human accountability can help providers achieve "zero touch" claims, reduce waste, and improve access to care, especially for small and rural hospitals.

Four Key Takeaways:

1. The Real Cost of Healthcare is Obscured (3:00)
   The US healthcare system lacks alignment between consumers, providers, and payers, making it nearly impossible to know the true cost of care.
2. Administrative Waste is a Billion-Dollar Problem (04:01)
   Most providers touch claims multiple times, with 63% of those touches being wasted effort due to system inefficiencies and payer games.
3. AI is a Tool, Not a Cure-All (31:50)
   While AI can automate and improve processes, more than half of claim errors still require human intervention, and technology alone won't solve systemic issues.
4. Access to Care is Shrinking for Many Americans (24:00, 27:00)
   As costs rise and reimbursements fall, small and rural hospitals are closing, and more Americans are forced to seek care through emergency services or go without.

Quote of the Show (31:50):
"More than half—53%—of the errors that we see that humans have to get involved with come from AI solutions, so they're not smart enough yet." - Matt Seefeld

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Ways to connect with Matt Seefeld:

LinkedIn: https://www.linkedin.com/in/matt-seefeld-521319/

Company Website:  https://medevolve.com

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