# #534 - Can Cotiviti build the infrastructure layer healthcare's never had? | Ric Sinclair (CEO, Cotiviti)

Page: https://stenobird.com/podcast/slice-of-healthcare-676665/534-can-cotiviti-build-the-infrastructure-layer-healthcare-s-never-had-ric-sinclair-ceo-cotiviti
Text version: https://stenobird.com/podcast/slice-of-healthcare-676665/534-can-cotiviti-build-the-infrastructure-layer-healthcare-s-never-had-ric-sinclair-ceo-cotiviti.md
Podcast: [Slice of Healthcare](https://stenobird.com/podcast/slice-of-healthcare-676665)
Published: 2026-06-17T16:18:42+00:00
Episode link: https://share.transistor.fm/s/7c56149f
Audio file: https://media.transistor.fm/7c56149f/0fd880fc.mp3
Processing state: not_requested
JSON: https://stenobird.com/v1/public/podcasts/slice-of-healthcare-676665/episodes/534-can-cotiviti-build-the-infrastructure-layer-healthcare-s-never-had-ric-sinclair-ceo-cotiviti
Duration seconds: 1140

## Resource

Ric Sinclair is the CEO of Cotiviti, an enterprise healthcare software and data company that serves hundreds of health plans — including the top 25 in the country — across payment integrity, interoperability, risk adjustment, value-based care, and member engagement, touching coverage for over 300 million patients and members. Cotiviti pairs algorithms and AI with thousands of clinical nurses, MDs, and content experts in a human-in-the-loop model, working across the full administrative ecosystem that moves between payers, providers, patients, and pharma. Ric's core conviction is that healthcare's central problem isn't a data problem or a technology problem — it's a coordination problem, and what the system has never had is a true infrastructure layer to tie it together. Cotiviti isn't trying to pick a side between payers and providers; the bet is that a neutral party sitting in the middle can drive fair, transparent outcomes and pull down the trillion-plus dollars of administrative waste in U.S. healthcare. We discuss: Why healthcare's core problem isn't a data problem or a technology problem — it's a coordination problem, and what it actually takes to build the first infrastructure layer the system has ever had The real difference between owning a decade of data assets (and the Edifecs integration) and becoming the infrastructure the industry runs on — and where Cotiviti is in that build today How "human in the loop" works at scale — pairing AI with thousands of nurses, MDs, and content experts so every claim is reviewed fairly and problems get predicted before they happen Why Ric's answer to AI isn't "cut the 10-person team to 2" — it's "take all 10 and do what 50 could," and what that augment-don't-replace math means for client ROI How you build trust and accountabil…

## Actions

- request_transcript: `POST https://stenobird.com/v1/public/podcasts/slice-of-healthcare-676665/episodes/534-can-cotiviti-build-the-infrastructure-layer-healthcare-s-never-had-ric-sinclair-ceo-cotiviti/transcription-requests` — Idempotently request low-priority transcript generation for this episode.
- read_markdown: `GET https://stenobird.com/podcast/slice-of-healthcare-676665/534-can-cotiviti-build-the-infrastructure-layer-healthcare-s-never-had-ric-sinclair-ceo-cotiviti.md` — Read the agent-friendly Markdown representation of this episode resource.

A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed.

## Transcript

Full transcripts are not published on public pages unless there is a clear rights basis.