AI Can’t Save You from Bad Data (But Your CFO Might)

AI Can’t Save You from Bad Data
(But Your CFO Might)

By Megan Schmidt, President & CEO, Madaket Health

If you’re a health plan executive betting big on AI, stop. Take a breath. Check your data.

Because while your AI budget may be shiny and “next-gen,” if your provider data is a mess…
You’re just automating the chaos. Faster.

Let’s put it plainly:
You don’t have an AI problem.
You have a data trust problem.
And it’s quietly costing you a lot more than you think.

You’ve likely greenlit AI pilots, heard the pitches, and seen the dashboards.
Maybe you’ve even started measuring ROI. (Good luck with that.)

But here’s what we’re seeing behind the scenes with plans nationwide:

AI-powered denial prediction…using provider rosters from 2022
Quality scoring models…running on mismatched NPIs and wrong affiliations
Compliance dashboards…sweating through CMS audits with 30% directory error rates

Spoiler alert:

That’s not transformation. That’s tech-fueled déjà vu.

What’s the Cost of Dirty Data? CFOs know: the biggest risks aren’t always on the balance sheet, they’re buried in operations.

Let’s add it up:

✅ Denials due to mismatched or outdated provider credentials
✅ Fines and fire drills from directory audits gone wrong
✅ Rework, call center volume, out-of-network flags
✅ Delayed revenue because Dr. Smith’s location data was wrong again

All that wasted effort, all that downstream spend, because no one wanted to fix the upstream data mess.

AI is like a Formula 1 car: fast, exciting, and loaded with potential.
But if you’re putting in low-octane, unverified, inconsistently formatted data?

You’ll still get somewhere.
Just not where you meant to go. And not without a lot of smoke and “why is this broken again?” emails

The good news? Clean provider data doesn’t just power better AI.

It powers faster payments, fewer errors, smoother onboarding, and less time explaining things to regulators.

It’s the kind of operational upgrade CFOs love—because it quietly:

Reduces FTE hours
Lowers cost per claim
Improves compliance scores
Accelerates time-to-value on everytechnology investment

And that’s exactly what we’re building at Madaket.
One clean, automated, API-connected provider record at a time.

Before you spend another dollar trying to “scale” your AI…
Make sure your data isn’t dragging it down.

Read the full piece here
Health Plan AI Has a Data Problem—And It’s Costing CFOs More Than They Think

Because AI can’t save you from bad data.
But your CFO?
They just might.