Medicaid Is Now Auditing Before It Pays

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Medicaid and Medicare used to pay first and chase fraud later. That model is changing fast, and the providers who haven't adapted are about to feel it.

In this clip from our episode “AI and The Future Of Behavioral Health”, host John Driscoll and Alon Joffe, Co-Founder and CEO of Eleos Health, break down why the shift to audit-first payment in Medicaid and Medicare is an existential threat for behavioral health organizations already operating on razor-thin margins.

Listen to the full episode here

🎙️⚕️ABOUT ALON JOFFE
Alon Joffe is the Co-Founder and CEO of Eleos Health, a behavioral health technology company that uses AI to automate clinical documentation and generate insights from provider-client conversations. Since its founding in 2020, Eleos has raised $28 million and expanded to more than 25 community mental health centers across 15 states.

Inspired by close friends who experienced PTSD following his military service in an elite Israeli Air Force unit, Alon focuses on using technology to improve behavioral healthcare delivery. Before founding Eleos, he launched two companies and worked on the investment team at a Boston-based venture capital firm. He holds a B.A. and an LL.B., summa cum laude, from Reichman University and was named to Forbes 30 Under 30.

🎙️⚕️ABOUT CARETALK
CareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy. 

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