Ayo Omojola is the co-founder and CEO of Substrate, an AI agent platform for revenue cycle automation.

Before starting Substrate, Ayo saw the friction firsthand working in primary and urgent care. In this episode, Ayo explains why Substrate moved from browser automation to agentic AI, why there's so much friction in the revenue cycle, and how healthcare billing could be 5x faster and cheaper using the tools we have.

00:00 Introduction
00:22 What does Substrate do?
01:16 Where does the revenue cycle start?
04:03 Ayo's start in primary and urgent care
07:27 Are payers incentivized not to pay?
12:13 Why do payers still send critical info via snail mail?
15:48 How did Substrate get started?
23:37 Why is revenue cycle so homogeneous?
25:43 Rabbit holes and Substrate's policy agent
38:02 Depth on big payers vs. the long tail?
44:36 How much better could RCM be today?
46:42 What's one thing you'd change about RCM?

Learn more about Substrate: https://www.substrateai.com/
Connect with Ayo on LinkedIn: https://www.linkedin.com/in/omojola/

Eliana Berger is co-founder and CEO of @JoyfulHealthRCM.

In this episode, Eliana and Zack discuss revenue recovery – how healthcare practices lose revenue through unpaid insurance claims.

Eliana explains denials management, why fixing denials requires more than just filing appeals, and how Joyful Health's AI platform recovers that revenue without requiring practices to change their existing systems.

00:00 Introduction
00:43 What is Joyful Health, and how did Eliana start it?
02:33 What does a healthcare practice's billing tech stack look like?
06:31 Why is healthcare revenue so hard to track?
13:43 What's the difference between a rejection, denial, and stale claim?
17:58 What happens when a claim is denied?
22:25 How does Joyful fit into the billing workflow?
28:53 How do you prioritize what to build?
30:58 What does a 90-95% recovery rate mean?
37:07 How does Joyful reduce the cost to collect?
41:00 What would you change about revenue cycle management?

Learn more about Joyful Health: https://www.joyfulhealth.com/
Read about Joyful Health's Series A: https://www.joyfulhealth.com/post/joyful-health-raises-22m-to-build-denial-intelligence-recovery-infrastructure
Connect with Eliana on LinkedIn: https://www.linkedin.com/in/elianaberger/

Dr. Will Morris is Chief Medical Officer at Tennr. He's also a practicing hospitalist, a former hospital CIO, and former Chief Medical Officer at Google.

In this episode, Will explains how Tennr manages the full referral lifecycle from the receiving provider's perspective, why most referrals end up in a black hole for patients, and how intelligent triage and closed-loop communication can match patients to the right provider at the right time.

00:00 Introduction

01:47 What does Tennr do?

02:42 What is the self-pay referral experience like?

05:48 Is waiting for "Dr. Famous" always the right move?

06:24 What's the difference between a formal and informal referral?

11:13 Why do referrals disappear into a black hole?

13:34 How does closing the referral loop benefit everyone?

17:41 Can Tennr solve the Dr. Famous wait time problem?

24:44 What is "The Goal" and why does it apply to healthcare?

34:01 What does a Tennr implementation actually look like?

36:44 Do health systems that use Epic already have this solved?

40:11 If you could change one thing about RCM, what would it be?

Learn more about Tennr: https://tennr.com
Connect with Dr. Morris on LinkedIn: https://www.linkedin.com/in/mowilliam/