Care Decoded is the go-to podcast for clinicians, health plan leaders, and quality champions navigating the evolving world of risk adjustment, value-based care, and smarter documentation. Hosted by Inferscience, this show takes you inside the workflows, decisions, and technologies that turn clinical complexity into clarity. From demystifying HCCs and RAF scores to decoding CMS changes and exploring the impact of AI, we help you understand the data behind every diagnosis.
This show isn't about theory. It's about impact. Not about compliance. But confidence. Not about more clicks. But clarity at the point of care.
If you're building the future of care – one chart, one visit, one code at a time – Care Decoded is your ultimate guide.
From Hype to Accountability: Lessons and Shifts in Healthcare Tech for 2026
Welcome back to Care Decoded, the podcast where we break down the complexities of healthcare technology, documentation, coding, quality, and clinical AI to help organizations work smarter, not harder. In this special New Year’s episode, hosts Dr. Sunil Nihalani and Mark McKeown turn the spotlight inward, reflecting on everything 2025 taught the industry and their own team at Inferscience. This year was nothing short of a stress test for healthcare, marked by evolving CMS expectations, tougher...
14 Jan 2026
Transforming Clinical Care with AI: How Physicians Can Lead the Healthcare Revolution
Welcome back to Care Decoded, the podcast where we break down the complexities of documentation, coding, and clinical AI to empower better care. In this episode, host Dr. Sunil Nihalani, CEO of Inferscience, sits down with Dr. Hassan Bencheqroun, critical care pulmonary specialist, creator of Med AI Academy, and host of the AI Ready Doctor podcast, to explore how artificial intelligence is reshaping healthcare. Together, they dive deep into why AI is entering exam rooms faster than it’s enter...
16 Dec 2025
Navigating Healthcare Interoperability: Tailwinds, Headwinds, and the Human Impact
Welcome back to Care Decoded! In this episode, host Dr. Sunil Nihalani, CEO of Inferscience, sits down with interoperability expert Brendan Keeler, better known as the “health API guy.” Together, they tackle one of health tech’s biggest promises: interoperability. You’ll hear a down-to-earth exploration of what interoperability really looks like in practice, from the daunting challenges of connecting healthcare systems and sharing patient data, to the recent regulatory pushes trying to bridge...
18 Nov 2025
The Future of Risk Adjustment: Preparing for CMS Audits, Extrapolation, and AI Technology
Welcome back to Care Decoded, the podcast where we make sense of the fast-evolving world of documentation, coding, and clinical AI to power better patient care. In today’s episode, host Michael Lesnik welcomes healthcare innovation and policy leader Dr. Shannon Decker for a deep dive into the major changes facing risk adjustment as we approach 2026. You’ll hear Michael Lesnik and Dr. Shannon Decker tackle the ripple effects of a recent court ruling that vacated CMS’s RADV final rule and what ...
3 Nov 2025
Moving Beyond Compliance: Building Teams for Population Health and Clinical Transformation
Welcome back to Care Decoded, the podcast where we simplify the complex world of healthcare documentation, coding, and clinical AI so we can power better care, today and for the future. In this episode, Dr. Sunil Nihalani is joined by Dr. Stella Onuoha-Obilor, a nationally recognized leader in clinical quality and population health. Her track record speaks volumes: she’s driven high-star ratings, optimized value-based programs, and built systems that put patient outcomes at the heart of perfo...
8 Oct 2025
How Provider-First Tech and Collaboration Drive RADV Audit Success
Welcome back to Care Decoded! In this episode, we dive into the second part of our RADV miniseries, shifting focus from what RADV is, to the crucial role of frontline providers in ensuring accurate, defensible documentation as part of everyday care. Host Mark McKeown is joined once again by Colleen Gianatasio, an expert in risk adjustment and value-based care with over 20 years of experience. Together, they explore why provider documentation is the foundation for RADV compliance, the biggest ...
29 Sept 2025
Building a Proactive RADV Audit Readiness Plan: People, Process, Technology, and More
Welcome to a brand new episode of Care Decoded! In this episode, host Mark McKeown is joined by renowned risk adjustment and coding expert Colleen Gianatasio to kick off a special two-part series diving into CMS’s heightened focus on RADV (Risk Adjustment Data Validation) audits. As Medicare Advantage plans face unprecedented scrutiny with CMS now pledging to audit all eligible contracts every year, the stakes have never been higher for compliance, documentation, and risk management. Together...
8 Sept 2025
Closing Care Gaps and Turning Data Into Action for Better Patient Outcomes
Welcome to another episode of Care Decoded, the podcast where we break down the most pressing issues in modern healthcare. In today’s episode, host Michael Lesnik, VP of Provider Sales at Inferscience, sits down with Dr. Sunil Nihalani, CEO of Inferscience and a practicing physician, to unravel the complexities of “care gaps”, those critical yet often overlooked opportunities to improve patient care and outcomes. Drawing on over fifteen years of experience in healthcare IT and value-based car...
1 Aug 2025
Decoding CMS HCC V28 for Real-World Impact
Welcome back to Care Decoded, the podcast where we make sense of the evolving world of healthcare documentation, coding, and clinical AI. In today’s episode, hosts Dr. Sunil Nihalani and Biodun Kajopaiye, Risk Adjustment and Stars Manager at CareFirst BlueCross BlueShield, dive into the seismic changes brought about by version 28 of the CMS HCC risk adjustment model. Whether you’re a seasoned pro or new to the world of risk adjustment, this episode will break down exactly what V28 is, how it’...
8 Jul 2025
Tackling Physician Burnout: The Hidden Costs of Clunky Documentation Systems
Host Lucy Medina interviews Dr. Sunil Nihalani about physician burnout, exploring how inefficient EHR systems and excessive documentation contribute to clinician stress and reduced well-being.
18 Jun 2025
Bridging Risk Adjustment and Quality: Turning Data Into Meaningful Patient Outcomes
Subbu Ramalingam discusses with Dr. Sunil Nihalani how integrating star ratings with risk adjustment enhances patient care and outcomes, in this interview episode.
25 May 2025
Why Risk Adjustment Matters More Than Ever: Sunil’s Journey From Medicine to Health Tech
Dr. Sunil Nihalani recounts his path from practicing medicine to founding Inferscience, which focuses on improving risk adjustment and clinical documentation, in an interview on healthcare innovation.
8 May 2025
Care Decoded - Promo
This promotional episode introduces Care Decoded, a podcast hosted by Inferscience, which helps clinicians and health plan leaders understand risk adjustment, value-based care, and smarter documentation.
Reach and audience
Public platform figures. Ratings count people who left a rating, not total listeners.
Apple Podcasts (US)
4.5 / 5
2 ratings
Podcast Authority Score: 26 / 100
A composite of feed quality, social presence, YouTube performance and engagement. Read the methodology.
Quality
20
Social presence
0
YouTube
0
Engagement
81
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