October 13, 2026
Podcast: Follow the Money — Revenue Cycle Is a $1 Trillion Dilemma
Healthcare spends billions processing claims, negotiating payments and managing administrative complexity. That’s money that could be spent delivering better care at lower costs. So why does the system keep feeding the machine?
In the new episode of the Follow the Money podcast, 4sight Health CEO David W. Johnson sits down with Jennifer Alvey, Senior Vice President and CFO of Indiana University Health, to explore what it takes to dismantle healthcare’s administrative machinery.
From bond lawyer to revenue cycle leader to CFO, Alvey has learned that fixing healthcare’s broken economics requires more than negotiating better contracts. It requires aligning incentives so payers and providers succeed together.


The Follow the Money podcast is a joint venture between 4sight Health and Innovaccer. In each episode of the podcast, 4sight Health’s David W. Johnson explores with healthcare leaders where and how smart healthcare companies are investing for the industry’s transformative future.
Listen on YouTube, Apple Podcasts and Spotify.