In this more casual, free-flowing episode of The Shift: RCM Talks, the team trades “magic wand” ideas on what they’d change to put healthcare- and revenue cycle- on a better trajectory, from technology investment to payer/provider dynamics and the growing patient-balance burden. They dig into practical ways providers can rebuild leverage and collaboration—like simply asking payers what providers could do differently (and being surprised by the answer).

In this episode of The Shift: RCM Talks, Bill Eikost, Valerie Barckoff, and Heather Dunn are joined by special guest Travis Gentry, CEO of Hyve Health, to discuss how data collaboration can reshape provider revenue cycle performance. Travis shares his path from engineering and early healthcare IT work—including building one of the first patient estimation tools—to his current mission: helping providers pool claims and remits to create a normalized, “forest-level” view of payer behavior. The group digs into why providers and payers often “talk past each other,” and how siloed patient accounting definitions make it hard to see systemic issues or hold payers accountable at scale. They also explore the idea of a provider-focused “data co-op” that enables faster trend detection, stronger negotiating leverage, and more evidence-based payer conversations. The conversation closes with an update on evolving CMS price transparency requirements and why the spirit of transparency often gets lost in complicated execution.

In this episode of The Shift RCM Talks, Bill, Valerie, and Heather are joined by Katie Adams and Robert Boos to explore how provider collaboration can fundamentally change payer relationships.

The discussion dives into:

• Why revenue cycle and managed care leadership belong together
• The power of aggregated, third-party data in payer negotiations
• Practical steps any organization can take to build collaboration—even without a formal committee