| Page 13 | Kisaco Research
 

Steve Kirton

President
Circa Healthcare

Steve Kirton

President
Circa Healthcare

Steve Kirton

President
Circa Healthcare
 

Max Pluss

Principal
Rhea Capital Management

Max Pluss

Principal
Rhea Capital Management

Max Pluss

Principal
Rhea Capital Management
 

Buff Greebe

Executive Director
SKU

Buff Greebe

Executive Director
SKU

Buff Greebe

Executive Director
SKU
 

Anna Skya

Founder & CEO/Partner
BasePaws/Ani.VC

Anna Skya

Founder & CEO/Partner
BasePaws/Ani.VC

Anna Skya

Founder & CEO/Partner
BasePaws/Ani.VC
 

Sam Schwager

Co-Founder & CEO
SuperDial

Sam Schwager

Co-Founder & CEO
SuperDial

Sam Schwager

Co-Founder & CEO
SuperDial

In a market flooded with AI-powered RCM tools, how do you separate real innovation from empty buzzwords? This panel will guide payers, providers, and RCM leaders through what really matters when evaluating AI vendors, highlighting key red and green flags, how to measure real-world impact, and clarifying what “AI” actually means in today’s healthcare environment

Author:

Sam Schwager

Co-Founder & CEO
SuperDial

Sam Schwager

Co-Founder & CEO
SuperDial

Accurate risk adjustment coding is a cornerstone of effective payment integrity, directly impacting reimbursement accuracy and audit risk. This session will explore how health plans can strengthen HCC coding through targeted audits, technology solutions, and coder education—ensuring proper risk score capture, reducing payment errors, and supporting defensible, compliant payment practices.

Author:

Josh Miller

Director, Payment Integrity
Prominence

Josh Miller

Director, Payment Integrity
Prominence
Understand the strategic considerations behind deciding whether to insource or outsource key operational functions, such as billing and pre-certification, and how to assess both financial and operational impacts.
Learn how to evaluate vendor relationships effectively, including identifying the true costs of outsourcing, recognizing areas for potential in-house solutions, and assessing when to pivot away from third-party vendors for long-term sustainability.