EPISODE DESCRIPTION

Most health plans run provider data across disconnected systems, spreadsheets and vendors that don't talk to each other. One bad record cascades into claims, payments and patients who can't find a doctor. So why do so many plans still try to build their own fix? Sam Deshpande spent 17 years at Capital One in risk and credit, then served at Humana as chief risk officer and later CIO. He has sat on both sides of every business versus IT fight. In this episode he gives Nick and Mitch a clear rule for what to build and what to buy, and explains why provider data is the textbook case for buying: complicated, universal and costly to get wrong.

Key takeaways