Episode Details

Care is delivered every day in American hospitals, but getting paid for that care has become a battle. Denials, prior authorization, billing complexity, and rising costs have created a financial crisis behind the scenes of modern medicine. Insurance companies use automation to control payments, while hospitals struggle to keep up. Now AI is entering the fight. Dr. Sanjay Juneja and Dr. Douglas Flora speak with Monique Lappas, Founder and CEO of Qualify Health, about the growing war over who pays for care and how intelligent automation is helping providers recover lost revenue, reduce patient debt, and keep hospitals from closing.