Insights and Resources
Thought Leadership
HealthWorks Acquires Forensic Claims Solutions to Expand Payer Performance Studio
HealthWorks today announced the acquisition of Forensic Claims Solutions, expanding the capabilities of the HealthWorks Payer Performance Studio with new technology and leadership. Forensic brings its proprietary Sleuth© platform and a library of advanced data mining algorithms that simplify complex contract compliance audits, identify inappropriate payments with precision, and provide payers with predictive, defensible insights. Co-founders Mike McGauley and Craig Mills will join HealthWorks as Executive Vice President of Data Mining Operations and Executive Vice President of Data Mining Technology, respectively. Together, this integration strengthens HealthWorks’ ability to help payers reduce medical spend, strengthen compliance, and embed accuracy into every step of the payment process.
Industry Veteran Harold Davis Joins HealthWorks to Lead Payer Performance Studio
HealthWorks is pleased to announce that Harold Davis has joined the organization as President of the Payer Performance Studio. With nearly 30 years of payer-side leadership at Humana, Harold brings deep expertise in payment integrity, cost containment, compliance, and provider relations. At HealthWorks, he will lead the Payer Performance Studio—helping health plans reduce medical spend, improve audit readiness, and streamline operations. His appointment reflects HealthWorks’ commitment to advancing beyond payment integrity into Process Integrity, embedding accuracy and efficiency directly into the claims process.
HealthWorks Appoints Brad Cross as Chief Commercial Officer to Lead Strategic Growth and Client Success Across Its Provider Performance Studio
Nashville, Tennessee, June 17, 2025 — HealthWorks, a leader in healthcare revenue transformation and patient financial engagement, is pleased to announce the appointment of Brad Cross as Chief Commercial Officer (CCO). In this role, Cross oversees commercial strategy…
HealthWorks Launches to Rewrite the Narrative of How Healthcare Works
Nashville, Tennessee, May 13, 2025 – HealthWorks, a transformative healthcare orchestration company, announces its official launch with a bold vision: to make healthcare work better for patients, providers, and payers by fostering collaboration and eliminating…
The Case for Thoughtful Precision in Healthcare
In a system overwhelmed by complexity and administrative burden, “good enough” no longer cuts it. HealthWorks introduces a new standard—thoughtful precision—aligning people, processes, and data to solve problems before they start. The future of healthcare isn’t just faster. It’s smarter.
Rethinking Denials: The $200B Opportunity
Denials aren’t just expensive—they’re preventable. HealthWorks leverages real-time data and denial intelligence to shift from reactive cleanup to proactive prevention. The result? Fewer denials, faster payments, and a $200B opportunity reclaimed across the industry.
The Power of Alignment in a Disconnected System
More layers won’t fix what’s broken in healthcare. Alignment will. HealthWorks unites payers, providers, and patients on a single platform—bringing clarity where there’s confusion and ensuring every step of the care-to-payment journey just works.