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Controlling Health Care Costs by Listening to Patients

It’s no secret that the cost of health care in the U.S. has reached critical proportions. Estimated to be in the trillions annually, finding ways to cut costs is an urgent matter. While medical care has a lot of moving parts with issues that are complex to navigate, there may one simple solution: listen to…

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It’s no secret that the cost of health care in the U.S. has reached critical proportions. Estimated to be in the trillions annually, finding ways to cut costs is an urgent matter. While medical care has a lot of moving parts with issues that are complex to navigate, there may one simple solution: listen to patients.

Fortune Magazine’s Brainstorm Health conference, held in Laguna Niguel, California, earlier this month, assembled industry leaders for a discussion led by the senior vice president of Diabetes Care at Abbott, Jared Watkin. Watkin described its new, more compact and affordable blood sugaring monitoring device. The device replaces a former version that was too bulky and pricey for users. Abbott’s goal was to better meet patient needs, as learned by listening to them.

Katherine Steinberg, vice president for the Center for Healthcare Transformation at Avalere Health, had something to offer on the subject, as well. Steinberg recalled that while working at UCLA, she participated in sessions in which patients were invited to talk to doctors and product developers at the hospital and encouraged to share their specific needs. One critical piece of knowledge they gained is that post joint replacement patients experienced a lack of support. Thus the hospital began discussing ways to better partner with this group of patients transitioning back home and learning to live with their new knee or hip.

Likewise, Dr. Toby Cosgrove, former president and CEO of the Cleveland Clinic, shared insight into that hospitals’ cost-cutting measures, based in doctor-patient engagement practices. Patients were given a voice regarding their perceptions and concerns with costs of various aspects of care, and doctors were educated about the realities of the price-tag attached to their decisions for patients. They also implemented group sessions in which 12 patients with a similar medical problem would meet and have open discussions about their care with a doctor from that specialty.

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More Healthcare Insights

Denials get a queue, underpayments just look like paid claims

Denials get a queue, underpayments just look like paid claims

Underpayments in healthcare revenue cycle operations lack the visibility of denied claims because they don't trigger alerts or queue workflows. Without dedicated ownership and line-level verification against contract terms, paid claims that fall short of their contractual amount pass through undetected.

  • 01Denial workflows activate on rejection events, but underpayments produce no event, leaving paid claims unverified by default.
  • 02The speaker says many provider groups lack line-level contract intelligence to check each paid line against the applicable terms.
  • 03Payment received and payment checked are separate tasks: one verifies acceptance, the other verifies correctness—and the second often has no assigned owner.

Nov 6, 2026

A zero-paid claim line is not automatically an underpayment

A zero-paid claim line is not automatically an underpayment

A zero payment on a claim line isn't automatically an underpayment; contract terms, particularly packaging rules, determine whether zero is correct. Chasing unsupported findings damages credibility with payers and weakens the position of legitimate disputes, so revenue cycle teams must verify the full contract terms and effective dates before treating any payment difference as a finding.

  • 01When a contract packages add-ons into the primary procedure, the add-on line may legitimately show zero payment because it is folded into the primary procedure reimbursement.
  • 02Pursuing payment differences that lack contract support burns credibility with payers and can weaken the team’s position on later disputes, including valid ones.
  • 03Always verify the complete contract terms, fee schedules, carve-outs, amendments, and the specific version in effect on the date of service before treating a payment variance as a recoverable underpayment.

Nov 6, 2026

A clean, paid, closed claim can still be short of the contract

A clean, paid, closed claim can still be short of the contract

Practices can receive payment on closed, clean claims that still fall short of negotiated contract amounts because billing ends at coding, submission and posting, while no role owns checking whether payer payments match fee schedules. The speaker argues that contract-level payment review is a separate, complementary function that compares closed claims to contract terms and, run continuously, helps surface shortfalls in time to act within timely filing windows.

  • 01Correctly coded and billed healthcare claims can still result in underpayment.
  • 02Practices should review closed-claim payments against contract terms to spot underpayments.
  • 03Discrepancies in claim payments can persist despite adherence to billing protocols.

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