Dr. Eric Bricker is an internal medicine physician and Chief Medical Officer at ‪AHealthcareZ, a popular healthcare finance YouTube channel.In this episode, Eric and Zack break down revenue cycle management (RCM), the flow of money in U.S. healthcare.They cover how healthcare plans are funded, how Medicare Advantage differs from traditional Medicare, how eligibility checks work, medical coding, and why what doctors bill insurers isn't what they're paid.--- AHealthcareZ videos related to this episode:Revenue Cycle Management in Healthcare Explained: https://www.youtube.com/watch?v=rqdWr9ynZ_oDo Insurance Carriers Want Healthcare Costs Up or Down? https://www.youtube.com/watch?v=ELyvOLkxADUTraditional Medicare vs Medicare Advantage vs Medicare Part D vs Medicare Supplement Explained: https://www.youtube.com/watch?v=KRzBxPj-eQkHealthcare Uncovered Ep 2: Denied Requests: Medicare Advantage and the Rise of Prior Authorizations: https://www.youtube.com/watch?v=5hwCF1HPjOIMedical Coding Overview: https://www.youtube.com/watch?v=fqNBNE_YSroHealth Insurance Claims Adjudication: https://www.youtube.com/watch?v=bM9e2EPUg0gHealth Insurance Claim Repricing: https://www.youtube.com/watch?v=u8upoDe0nwIHospital Chargemaster Explained: https://www.youtube.com/watch?v=2PUwLXW2-swInsurance Float Explained: https://www.youtube.com/watch?v=WBOYDnPfkUUPatient Out-of-Pocket Healthcare Costs Explained: https://www.youtube.com/watch?v=ilfgZiJNwyMHospital Finance Explained: https://www.youtube.com/watch?v=O1CGDi50Nys

Brendan Keeler is Interoperability Practice Lead at HTD Health and author of the Health API Guy Substack.In this episode, Brendan explains why healthcare standards are actually a good thing, how HIPAA and X12 enable interoperability, the history of FHIR (Fast Healthcare Interoperability Resources), how information blocking and related laws are changing health tech, and how AI may reshape the healthcare standards and regulation.

Caroline Loy is Principal Product Strategist at Turquoise Health. In this episode, she explains what health plan design is, the decisions employers make when designing or buying plans, and how plan design affects care.