IU Health's CFO on the $1 Trillion Revenue Cycle Problem and Why Payers Have to Fix It Together

Click here for more: https://shorturl.at/56lNv Jennifer Alvey took over revenue cycle at Indiana University Health without knowing how the organization got paid. She had come from bond law and treasury. Her first reaction to the job offer was that accounts receivable could not be that complicated. What she found instead was a system so tangled that patients, payers, and providers were all losing inside it. In Episode 2 of Follow the Money, host Dave Johnson, CEO of 4sight Health, sits down with Jennifer Alvey, Senior Vice President and Chief Financial Officer of Indiana University Health, to talk about what she has spent the last decade doing about that. 00:00 Introduction: Dave Johnson welcomes Jennifer Alvey to Follow the Money 01:24 From CPA to law school to bond counsel: how Jennifer got to the CFO chair 02:24 Joining the Mitch Daniels administration and the through-line of her whole career 03:32 "It's accounts receivable. How hard can that be?" Taking over revenue cycle 04:29 Price transparency, and the moment she was told to do something about it 06:14 Dave on the HFMA exhibit floor: why revenue cycle may rival commercial banking in size 10:04 Simplifying pricing, and the spaghetti map of thirty-plus revenue cycle partners 11:15 Why Jennifer disagrees with the studies saying AI will only raise the cost of care 12:18 Technology that reduces the cost of care instead of shifting it, and clinicians at the top of their license 13:47 The catch: providers and payers have to change their systems together 14:43 Two contradictory truths about AI in healthcare, held at the same time 16:14 Decisions, problems, and dilemmas: where revenue cycle actually sits 18:14 Don't hate the player, hate the game 19:13 Rebuilding payer contracts as win-win or lose-lose instead of zero-sum 21:44 What a full-day strategy session with a major payer changed 22:15 The affordability plan, Indiana's commercial pricing, and why payer mix is misunderstood 24:01 The antitrust irony: trying to lower prices together without colluding 24:19 Placing bets: how investment follows strategy in a ten-year planning cycle 26:51 The new downtown campus, rural critical access hospitals, and the academic partnership 31:27 Taking financial risk, and why shifting value-based care rules make it hard 33:02 Dave on the five stages of automation, from data visibility to full autonomy 35:46 How IU Health decides which technology bets to make 36:56 The GLP-1 problem: funding investments you cannot prove out yet 38:01 Building a hospital for future unknowns: rooms that flex as needs change 39:54 Project Prevention, and the cost difference between stage one and stage four 40:27 Why health systems have played defense, and what playing offense requires 41:22 One bold prediction for the next five years 🎧 Subscribe to Follow the Money for more conversations with the leaders deciding where healthcare's money goes next. #innovaccer #healthcare