Healthcare systems are changing and adapting rapidly. Healthcare finance decisions are built on a solid foundation of data and results. Follow the Money, hosted by CEO of 4sight Health David Johnson, identifies how modern health systems are tackling contemporary challenges while also investing in building future-proof health systems. From industry leaders to AI-native changemakers, each episode follows the money to bring you the real story behind the evolving face of healthcare finance.

Whether you're a healthcare professional, a policymaker, or someone who just received a bill they can't afford to pay, this show is for you.

🎧 Subscribe so you never miss a conversation.

Jennifer Alvey, Senior Vice President and Chief Financial Officer of Indiana University Health, speaks with Dave Johnson about the administrative machinery sitting between healthcare providers and payers, and what it takes to dismantle it.

She walks through how she came to run revenue cycle from a background in bond law and treasury, why she stopped trying to solve the payer relationship through negotiation and started building contracts where both sides win or lose together, and what a full day spent mapping shared interests with a major payer changed about the way her team works.

Jennifer also makes the case that AI investment in healthcare should be judged on whether it reduces the cost of care or merely shifts it, and explains why the answer runs through administrative work: clinicians operating at the top of their license, and the resources currently spent moving claims back and forth redeployed into care management. She and Dave discuss where automation is genuinely ready today, what still needs a human, and how a CFO funds a bet that cannot be proven out on a spreadsheet.

Also covered: Indiana University Health's ten-year planning cycle, a new downtown academic campus designed to be reconfigured as needs change, a system-wide Epic implementation, and one bold prediction about what healthcare looks like five years from now.

🎧 Subscribe so you never miss a conversation.