Healthcare

<h2 style="text-align: justify;"><span style="font-size: 12pt;">Q1. Could you start by giving us a brief overview of your professional background, particularly focusing on your expertise in the industry?</span></h2><p style="text-align: justify;">I am the Director of patient access and revenue at George Washington hospital, particularly focused on registration, financial clearance, authorization, HIM and call centre operations.</p><p style="text-align: justify;">&nbsp;</p><h2 style="text-align: justify;"><span style="font-size: 12pt;">Q2. Which healthcare systems are leading in revenue cycle transformation&mdash;and what measurable outcomes (e.g., days in AR, collection rates) demonstrate success?</span></h2><ul style="text-align: justify;"><li>Cerner Oracle</li><li>EPIC</li><li>Optum health</li><li>Change health&nbsp;</li></ul><p style="text-align: justify;">&nbsp;</p><h2 style="text-align: justify;"><span style="font-size: 12pt;">Q3. Which RCM processes have shown the highest ROI from automation&mdash;e.g., prior authorization, patient eligibility verification, automated appeals?</span></h2><ul style="text-align: justify;"><li>Prior authorization</li><li>Eligibility verification&nbsp;</li></ul><p style="text-align: justify;">&nbsp;</p><h2 style="text-align: justify;"><span style="font-size: 12pt;">Q4. Which startups or mid-market platforms are gaining traction in patient engagement and access automation, and what valuation multiples are being seen in recent funding rounds or M&amp;A?</span></h2><ul style="text-align: justify;"><li>R1</li><li>Ensemble</li><li>Experian&nbsp;</li></ul><p style="text-align: justify;">&nbsp;</p><h2 style="text-align: justify;"><span style="font-size: 12pt;">Q5. How are data protection investments shifting between in-house IT security teams and third-party managed security service providers (MSSPs)?</span></h2><p style="text-align: justify;">Due to changing cyberthreats, financial limitations, and a lack of skilled personnel, data protection investments are significantly moving from internal IT security teams to outside managed security service providers (MSSPs).</p><p style="text-align: justify;"><strong>Cost Efficiency</strong>: Outsourcing security operations to MSSPs can be more cost-effective than maintaining a full in-house team, especially for 24/7 monitoring, threat intelligence, and incident response.</p><p style="text-align: justify;">&nbsp;</p><h2 style="text-align: justify;"><span style="font-size: 12pt;">Q6. What payer-specific guidelines (Medicare, Medicaid, private payers) are shaping reimbursement policies for remote consultations, and how are RCM systems adapting to them?</span></h2><p style="text-align: justify;"><strong>Payer types</strong>&mdash;Medicare, Medicaid, and private payers&mdash;have very different reimbursement policies for remote consultations (telehealth/telemedicine), which influences how RCM systems need to change.&nbsp;</p><p style="text-align: justify;">Both commercial payer contracts and state Medicaid differ from one another.</p><p style="text-align: justify;">&nbsp;</p><h2 style="text-align: justify;"><span style="font-size: 12pt;">Q7. If you were an investor looking at companies within the space, what critical question would you pose to their senior management?</span></h2><ul><li style="text-align: justify;">Security of data</li><li style="text-align: justify;">EMR</li><li style="text-align: justify;">Pain points in RCM</li></ul><p>&nbsp;</p><p>&nbsp;</p><p>&nbsp;</p><p>&nbsp;</p><p>&nbsp;</p><p>&nbsp;</p>