← Back to Insights
October 13, 2026
Authors
David W. Johnson
Topics
Outcomes System Dynamics

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.

About the Author

David W. Johnson

David Johnson is the CEO of 4sight Health, an advisory company working at the intersection of healthcare strategy, economics, innovation. Johnson is a healthcare thought leader, keynote speaker, and strategic advisor to organizations busting the status-quo to reform our healthcare system. He is the author of Market vs. Medicine: America’s Epic Fight for Better, Affordable Healthcare, and his second book, The Customer Revolution in Healthcare: Delivering Kinder, Smarter, Affordable Care for All (McGraw-Hill 2019). As a speaker, Dave plays the role of rebel, challenger, industry historian, investor and company evaluator to push audiences forward. (Watch bio video.) Johnson applies his 25+ years of investment banking in healthcare to identify ways the healthcare industry must change to deliver better care. He received a Masters in Public Policy from Harvard Kennedy School, an English degree from Colgate University, and served in the African Peace Corp service. Join over 10k+ healthcare executives who read our weekly insights and commentary on www.4sighthealth.com.

Dave wakes up every morning trying to fix America’s broken healthcare system. Prior to founding 4sight Health in 2014, Dave had a long and successful career in healthcare investment banking. He is a graduate of Colgate University and earned a Masters in Public Policy from Harvard Kennedy School. Employing his knowledge and experience in health policy, economics, statistics, behavioral finance, disruptive innovation, organizational change and complexity theory, Dave writes and speaks on pro-market healthcare reform. His first book Market vs. Medicine: America’s Epic Fight for Better, Affordable Healthcare, and his second book, The Customer Revolution in Healthcare: Delivering Kinder, Smarter, Affordable Care for All (McGraw-Hill 2019), are available for purchase on www.4sighthealth.com. Get his new book with Paul Kusserow, “The Coming Healthcare Revolution: 10 Forces that Will Cure America’s Healthcare Crisis” now.

Recent Posts

System Dynamics
Podcast: How to Break Bad Digital Health Tech Buying Habits 10/8/26
Health systems, health plans and employers all buy digital health tools for their patients, members and employees. Are… Read More
By October 8, 2026
System Dynamics
Original Parts Included
Earlier this week, I went to a 40th wedding anniversary party for a close friend of mine. I… Read More
By October 7, 2026
Default Image
Innovation
4sight Friday 10/2/26
4sight Friday | 11 Ideas on Bending the Healthcare Cost Curve | Data Reveals Healthcare Affordability Crisis Is No… Read More
By October 2, 2026