Upstream Decisions Drive RCM Costs | Stephen Mitchley, Vitality Group

Stephen Mitchley
23 min 34 sec
February 2, 2026

In this episode of the Healthcare Intelligence Podcast, Ember CEO Charlene Wang sits down with Stephen Mitchley (Chief Strategy Officer, The Vitality Group) to talk about a simple idea most revenue cycle teams feel every day: upstream decisions create downstream cost.

They cover why “heroic” fire drills don’t scale, how to build feedback loops that actually improve the front end of healthcare, and why the best RCM gains come from getting inputs right instead of living in denials and follow-ups.

If you’re trying to boost first-pass rates and net collections, this one is a practical mindset shift: quality at the start beats cleanup at the end.

About the GUEst

Stephen Mitchley

Stephen Mitchley is the Chief Strategy Officer at Vitality Group, where he leads global digital innovation and strategic partnerships for the health technology firm. With over 25 years of experience, he focuses on integrating behavioral science and data to drive health engagement and improve wellness outcomes for organizations worldwide.

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