EPISODE DESCRIPTION

Starting in 2028, every health plan will have to confirm that every doctor in its directory is actually there, every 90 days. Nick Bernold thinks the goal is right and the mechanics are close to impossible. Picture ten to fifteen payers calling the same practice, reading sixty names down the phone to an office that's booked from open to close. His words for what happens next: the practices hang up. Nick is chief product officer at J2 Health, where he was the first hire and has built the company's provider network analytics since. Before that he spent three years designing network analytics and strategy products at Oscar Health, after starting his career in finance at Bridgewater Associates. In this conversation with Nick Helfrich and Mitch Gorodokin, he explains why network adequacy is an ops problem before it's a data problem, and why he's already testing AI voice agents on secret shopper calls.

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