The Beat

Shifting from Denial Management to Denial Prevention with Jason Considine, President of Experian Health

Episode Summary

Simplifying the complex world of healthcare reimbursement. In this episode, Jason Considine, President of Experian Health, discusses shifting the industry's focus from denial management to denial prevention by leveraging AI at the point of registration. He discusses the implementation of the Patient Access Curator, a tool that automates insurance discovery and validation to reduce human error and administrative costs. He also explains how Experian leverages rich data assets, such as employment data, to help providers navigate new regulatory requirements, such as the OBBA. This episode explores the mission of leveraging advanced technology to eliminate administrative waste, enabling resources to be redeployed into direct patient care. Tune in to start from the start with denial prevention.

Episode Notes

Simplifying the complex world of healthcare reimbursement.

In this episode, Jason Considine, President of Experian Health, discusses shifting the industry's focus from denial management to denial prevention by leveraging AI at the point of registration. He discusses the implementation of the Patient Access Curator, a tool that automates insurance discovery and validation to reduce human error and administrative costs. He also explains how Experian leverages rich data assets, such as employment data, to help providers navigate new regulatory requirements, such as the OBBA. This episode explores the mission of leveraging advanced technology to eliminate administrative waste, enabling resources to be redeployed into direct patient care.

Tune in to start from the start with denial prevention. 

About Jason Considine:

Jason Considine is the President of Experian Health, having taken the helm in April 2025. He previously served as the Chief Commercial Officer for more than 3 years, leading sales, marketing, and business development. With nearly 20 years of experience in the healthcare industry, Jason is dedicated to using data analytics and software solutions to simplify administrative processes for hospitals and medical practices.

Things You'll Learn: 

• How Experian Health aims to simplify healthcare by improving the efficiency of how providers are reimbursed by patients and payers.
• The industry shift from costly back-end denial management to proactive denial prevention by leveraging AI at the point of registration.
• How the Patient Access Curator tool automates insurance discovery and updates registration systems in seconds to reduce denials by over 30%.
• The importance of transparency in AI to build trust and unlock the "black box" of decision-making in highly regulated healthcare environments.
• How providers can prepare for the OBBA regulation by using employment data to automate Medicaid qualification decisions.
• Why the AI "arms race" between payers and providers makes adopting intelligent automation essential for an organization to thrive and survive.

Resources: 

• Connect with and follow Jason Considine on LinkedIn.
• Follow Experian Health on LinkedIn and explore their website.