In this special recap episode of the Dysrupt Healthcare Podcast, host Lester J. Morales breaks down the key lessons from his powerful conversation with Kimberly Carlson, CEO of U.S. Beacon — an independently owned medical claims integrity review company helping employers reclaim millions lost to billing errors.

Using a simple grocery-store analogy, Lester exposes the shocking truth: nearly every medical bill in America contains mistakes — and most employers never audit them.
He shares actionable strategies for self-funded employers and advisors to take control, demand transparency, and protect their plan dollars.

You’ll learn:

Why 99% of healthcare bills have errors — and how much that’s costing you.
How independent audits recover 2–6 % (or more) of total claim spend.
The contractual traps that limit employers’ ability to audit their own data.
How to write “audit-friendly” RFP clauses that guarantee full access to your claim data.
Why transparency and leadership are essential to fixing a broken system.

💡 Whether you’re an employer, HR leader, or benefits advisor, this quick recap gives you the insights — and the “why” — to disrupt the way healthcare billing has always been done.

00:00 – “This podcast has been disrupted.”
00:07 – What are Dysrupt Healthcare recap episodes?
00:53 – The Kimberly Carlson conversation in context
01:03 – The grocery-store analogy: transparency in billing
02:39 – What if every checkout had errors?
03:05 – Translating that to healthcare
03:41 – 99 % of medical bills contain errors
04:05 – How U.S. Beacon audits hospital claims
05:10 – The employer’s right (and responsibility) to audit
06:26 – Why large hospital stays create bigger audit opportunities
07:03 – Taking back control: this is your money
08:17 – How to write audit clauses into your RFPs
09:02 – The hidden gag clauses in contracts
09:25 – Consolidated Appropriations Act (CAA) and data ownership
09:42 – Make audits a condition to win the bid
09:57 – Free resources from Kimberly Carlson in the show notes
10:25 – Why independent claim reviews matter for every employer
10:37 – Auditing your plan = protecting your people
10:54 – Final call to action: Disrupt the status quo

🎧 Full Interview: [How Kimberly Carlson Is Fixing Broken Medical Billing | Dysrupt Healthcare Podcast]
with Lester J. Morales & Kimberly Carlson, CEO of U.S. Beacon

🕒 Timestamps🔗 Referenced Episode

Björn Soenens, Michelle Haas, Jan Bakelants, Guy D'haeseleer