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The Hospital Blueprint of the Future. Part 1 of 2.

The pandemic forever changed the way we engage with healthcare, but the road to change was a long time coming. While exasperated by the pandemic, the way people interact with healthcare was already big on virtual visits and connected infrastructure. The hospital of the future is already here, so what does that look like, how…

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By Lea Sims · ·
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The pandemic forever changed the way we engage with healthcare, but the road to change was a long time coming. While exasperated by the pandemic, the way people interact with healthcare was already big on virtual visits and connected infrastructure. The hospital of the future is already here, so what does that look like, how do current standards react to this change, and how do new technologies keep it evolving?

On this episode of Healthcare on Air by Verizon, host Lea Sims spoke with guests Danny Johnson and Gary Lynch about the hospital of the future and what it looks like. While Johnson looks at how Verizon’s 5G technology can be used for more interconnectivity between sectors, Lynch focuses on major market trends. They understand that private networks, private 5G, edge computing, and core security are important to the new ways hospitals are running.

“Looking at what happened in the pandemic, where are providers focused? They’ve moved to being more patient centric, right?” said Lynch, regarding the vision of the hospital of the future. “I’m putting the patient at the center of the universe and kind of building their services and solutions around it. We’re moving more virtual, more care moving out of the four walls of the hospital into the home, more ambulatory.”

This episode also covers:

  • The physical and virtual environment of hospitals and healthcare
  • Changing technologies within healthcare
  • How new technology can be implemented into established legacy hospitals

Lynch noted that some hospitals remained profitable and functionable during the pandemic, thanks to going virtual. This is part of why the hospital of the future is very much the hospital of the present, as many hospitals and healthcare facilities are using this technology successfully. “This hospital of the future has kind of evolved into this really ‘ecosystem of the future,’ if you will.”

Danny Johnson is the Director of Product Marketing at Verizon, focusing on 5G, MEC, IoT, SDN, and next generation services. Gary Lynch is the Global Practice Lead of Healthcare and Life Sciences at Verizon, having first started as their Managing Partner of Global Solutions for Healthcare and Life Sciences Vertical.

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About the author

Lea Sims
Lea SimsChief Marketing & Communications Officer, TruMerit

Lea Sims leads marketing and communications at TruMerit and hosts Care Anywhere. Her career began in healthcare documentation, where she spent 15 years before moving into teaching, writing and communications. At AHDI, she directed professional practices and authored The Book of Style for Medical Transcription, third edition. She later led healthcare and life sciences marketing at Verizon. On Care Anywhere, Lea follows the people behind healthcare workforce decisions. With Obafemi Arowosegbe, the conversation traces a nursing student’s response to a mentorship gap: building the Nightingale Summit. With Earl Dalton, it turns to what international recruitment should give back to the communities nurses leave. A discussion with Robin Goldsmith connects hospital technology to clinical work, from virtual nursing to care at home. Her earlier Care Anywhere interviews widen that picture. With nursing-informatics leaders Kathleen McGrow and Romina Elias, Lea explores the routes into technology roles and the need to involve nurses in designing their tools. The show began in 2024 at CGFNS International, with Peter Preziosi and Julia To Dutka discussing career mobility, certification and work across professional boundaries.

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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.

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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.

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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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About the Expert

Lea Sims
Lea Sims

Chief Marketing & Communications Officer

TruMerit

Lea Sims leads marketing and communications at TruMerit and hosts Care Anywhere. Her career began in healthcare documentation, where she spent 15 years before moving into teaching, writing and communications. At AHDI, she directed professional practices and authored The Book of Style for Medical Transcription, third edition. She later led healthcare and life sciences marketing at Verizon. On Care Anywhere, Lea follows the people behind healthcare workforce decisions. With Obafemi Arowosegbe, the conversation traces a nursing student’s response to a mentorship gap: building the Nightingale Summit. With Earl Dalton, it turns to what international recruitment should give back to the communities nurses leave. A discussion with Robin Goldsmith connects hospital technology to clinical work, from virtual nursing to care at home. Her earlier Care Anywhere interviews widen that picture. With nursing-informatics leaders Kathleen McGrow and Romina Elias, Lea explores the routes into technology roles and the need to involve nurses in designing their tools. The show began in 2024 at CGFNS International, with Peter Preziosi and Julia To Dutka discussing career mobility, certification and work across professional boundaries.

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