Broken by Default: The Hidden Crisis of Provider Data
Introducing Madaket Health’s new podcast and an open invitation for healthcare leaders to join the conversation.
There’s a problem hiding in plain sight across U.S. healthcare.
It shows up every time a claim is denied. Every time a payment is delayed. Every time a patient calls to verify a provider’s details, and gets the wrong information. It’s embedded in manual workflows that haven’t changed in years, in disconnected systems that can’t talk to each other, and in compliance audits that expose just how fragile the foundation really is.
The problem is provider data, and it’s been broken for a long time.
Despite billions spent on healthcare technology, most organizations still rely on patchy, outdated, and siloed provider information. The consequences ripple outward in ways that are difficult to see but impossible to ignore: revenue leakage, administrative waste, regulatory exposure, and friction that erodes the experience for providers, payers, and patients alike.
This is the problem Madaket Health was built to solve. And it’s the problem at the center of our new podcast: Broken by Default.
What is Broken by Default?
Broken by Default is a podcast that goes deep on one of the most overlooked operational challenges in healthcare, provider data.
Hosted by healthcare industry veteran Ed Calderon, each episode brings together real-world stories, expert analysis, and candid conversations with the leaders navigating these challenges every day. We’re not here to describe the problem and move on. We’re here to examine where it came from, how it compounds, and what it actually takes to fix it.
Guests will include C-level executives and senior leaders from across the healthcare ecosystem — health plan presidents, revenue cycle heads, chief compliance officers, chief medical officers, provider data directors, network operations leaders, and HealthTech innovators building the infrastructure of what comes next.
Why this, why now?
The Provider Data Problem isn’t new. But it’s getting harder to ignore.
CMS mandates are tightening. The No Surprises Act has raised the stakes on directory accuracy. Revenue cycle leaders are under pressure to reduce denials and accelerate payments. And as healthcare systems grow more complex, more payers, more partners, more integrations, the cracks in provider data management get wider.
At the same time, something is shifting. Modern infrastructure, intelligent automation, and API-first design are making it possible to approach provider data differently, not as a liability to manage reactively, but as a strategic asset that can strengthen claims integrity, accelerate onboarding, and reduce compliance risk at scale.
Broken by Default explores both sides: what’s broken, and what’s possible.
What we’ll cover
Episodes will explore topics including:
- The provider data crisis. How inaccurate, outdated, and fragmented provider information became one of healthcare’s most persistent operational failures, and what perpetuates it.
- Claims integrity and revenue impact. The direct line between bad provider data and denied claims, payment delays, and revenue leakage.
- Compliance in a high-pressure environment. Navigating CMS mandates, No Surprises Act requirements, audit exposure, and regulatory risk with a data-first approach.
- Interoperability and system integration. Breaking down data silos and legacy dependencies through connected ecosystems, clearinghouse integration, and API-first design.
- Intelligent automation and operational efficiency. Replacing manual workflows and reactive fixes with automation that accelerates onboarding and reduces rework.
- Rebuilding healthcare’s infrastructure. What healthcare operations could look like if provider data were accurate by default, and the structural shifts needed to get there.
About Ed Calderon
Ed Calderon is a healthcare sales leader with twenty years of experience helping organizations navigate the operational, financial, and technological challenges across the healthcare ecosystem. His background spans IT services, clinical operations, pharmacy, and support services, giving him a practical understanding of how care is delivered and where inefficiencies create friction for providers, staff, and patients.
Throughout his career, Ed has focused on partnering with healthcare organizations to streamline processes, reduce administrative burden, and solve the complex issues that slow progress in the industry. He brings a grounded, real-world perspective shaped by two decades of working directly with leaders across hospitals, physician groups, and technology companies to drive meaningful change.
Join the conversation
We’re actively booking guests for upcoming episodes of Broken by Default.
If you’re a healthcare executive, health plan leader, provider data expert, revenue cycle professional, compliance leader, or network operations executive with a perspective to share, we’d love to hear from you.
This is a conversation that matters. And the leaders who have lived through these challenges are the ones best positioned to move the industry forward.
Contact madaket@outcomesrocket.com to discuss becoming a guest on Broken by Default.
Broken by Default is available on Spotify, Apple Podcasts, and YouTube.
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