# # 531 Eliminating Financial Barriers - with Tom Policelli of PayMedix Page: https://stenobird.com/podcast/the-shiftshapers-podcast-1089968/531-eliminating-financial-barriers-with-tom-policelli-of-paymedix Text version: https://stenobird.com/podcast/the-shiftshapers-podcast-1089968/531-eliminating-financial-barriers-with-tom-policelli-of-paymedix.md Podcast: [The ShiftShapers Podcast](https://stenobird.com/podcast/the-shiftshapers-podcast-1089968) Published: 2025-09-30T10:00:00+00:00 Episode link: https://www.buzzsprout.com/2045524/episodes/17834944-531-eliminating-financial-barriers-with-tom-policelli-of-paymedix.mp3 Audio file: https://www.buzzsprout.com/2045524/episodes/17834944-531-eliminating-financial-barriers-with-tom-policelli-of-paymedix.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/the-shiftshapers-podcast-1089968/episodes/531-eliminating-financial-barriers-with-tom-policelli-of-paymedix Duration seconds: 1419 ## Resource High-deductible health plans have created "functionally uninsured" people who have insurance cards but can't access care due to high out-of-pocket costs, creating barriers to necessary healthcare and driving up long-term expenses. We discuss a solution with Tom Policelli of Paymedix. • Consumer confusion about benefits is the #1 issue, with affordability a close second • 45% of insured people avoided necessary care last year due to cost concerns • Nearly 30% of hospitals now require payment... ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/the-shiftshapers-podcast-1089968/episodes/531-eliminating-financial-barriers-with-tom-policelli-of-paymedix/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/the-shiftshapers-podcast-1089968/531-eliminating-financial-barriers-with-tom-policelli-of-paymedix.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.