CMS Isn't Asking Anymore: Inside the Mandatory Bundle Era (with Tim Elliott, CEO of Navvis)
Tuesday, September 22, 2026
Transcript intelligence
What OpenRounds heard
Source-grounded signals extracted from the episode transcript. Timestamps and supporting excerpts appear when available.
The speaker reports that AI automation could handle 80% of patient inbox emails with human-in-the-loop monitoring, freeing physicians to focus on the remaining 20% requiring clinical judgment.
The speaker reports that AI tools combining claims data, EHR data, and ADT feeds are being used to identify patients who typically have annual wellness visits but have recently visited the emergency room twice and have complications, enabling outreach to bring them in for team-based care.
“ai tools that are uh combining claims data uh ehr data adt feeds and um identifying that hey we have a patient that we typically see once a year for an annual wellness visit but i can see that they've now been to the emergency room twice uh and that they're having these complications let's reach out to that patient and and bring them in so i think that's how the the team based care piece”
The speaker reports that their organization is working with a customer to install an AI platform solely focused on facilitating patient payment of their portion of financial responsibility, which is one element of revenue cycle management.
“we become aware of and are now working with one of our customers in uh installing an ai platform that is solely focused on facilitating patient payment of their portion of the responsibility so i put that in the first yeah what how can the practice perform and that's just one element of revenue cycle an ai is really helping in other elements of of that as well”
Second time's the charm! Blake welcomes back Navvis CEO, Tim Elliott, for a new conversation that goes deeper than round one. Blake and Tim get into why CMS finally ditched its "voluntary" posture on value-based care, what actually happens in the first 60 days when a mandatory bundle lands on a health system, and why specialists, not just primary care, are now squarely in CMS's crosshairs. They also cover physician enterprise 2.0, where AI is actually moving the needle on burnout (spoiler: it's not just ambient scribes), and Tim's read on what health systems get wrong heading into 2027. Genuinely one of Blake's favorite VBC conversations this season. And if you missed Tim's first appearance on Claims Denied from June 2026, be sure to check out that episode here. --- Navvis partners with health systems and health plans to deliver real performance improvement across value-based care and fee-for-service models. https://navvishealthcare.com/vbc --- For expert analysis on healthcare M&A, strategy, finance, and markets, join 68K+ readers of Blake Madden’s Hospitalogy newsletter. Subscribe here: https://hospitalogy.com/ Like our podcast? Check our previous episodes of Claims Denied here: https://hospitalogy.com/podcast/ Be sure to leave us a review, and share our podcast with colleagues. --- Follow Tim Elliott on LinkedIn: https://www.linkedin.com/in/tim-elliott-b246aa151/ Follow Blake Madden on LinkedIn: https://www.linkedin.com/in/blakecmadden/ Second time's the charm! Blake welcomes back Navvis CEO, Tim Elliott, for a new conversation that goes deeper than round one. Blake and Tim get into why CMS finally ditched its "voluntary" posture on value-based care, what actually happens in the first 60 days when a mandatory bundle lands on a health system, and why specialists, not just primary care, are now squarely in CMS's crosshairs. They also cover physician enterprise 2.0, where AI is actually moving the needle on burno
Show transcript excerpt
Second time's the charm! Blake welcomes back Navvis CEO, Tim Elliott, for a new conversation that goes deeper than round one. Blake and Tim get into why CMS finally ditched its "voluntary" posture on value-based care, what actually happens in the first 60 days when a mandatory bundle lands on a health system, and why specialists, not just primary care, are now squarely in CMS's crosshairs. They also cover physician enterprise 2.0, where AI is actually moving the needle on burnout (spoiler: it's not just ambient scribes), and Tim's read on what health systems get wrong heading into 2027. Genuinely one of Blake's favorite VBC conversations this season. And if you missed Tim's first appearance on Claims Denied from June 2026, be sure to check out that episode here. --- Navvis partners with health systems and health plans to deliver real performance improvement across value-based care and fee-for-service models. https://navvishealthcare.com/vbc --- For expert analysis on healthcare M&A, strategy, finance, and markets, join 68K+ readers of Blake Madden’s Hospitalogy newsletter. Subscribe here: https://hospitalogy.com/ Like our podcast? Check our previous episodes of Claims Denied here: https://hospitalogy.com/podcast/ Be sure to leave us a review, and share our podcast with colleagues. --- Follow Tim Elliott on LinkedIn: https://www.linkedin.com/in/tim-elliott-b246aa151/ Follow Blake Madden on LinkedIn: https://www.linkedin.com/in/blakecmadden/
Daily healthcare AI brief
Get the free healthcare AI briefing
One concise briefing built from reporting, research, policy, blogs, videos, and full podcast transcripts.
Free. No account needed. Unsubscribe anytime. Already subscribed? Sign in to save and personalize.