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Becker’s Payer Issues Podcast
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Manage series 3643684
Becker's Healthcare에서 제공하는 콘텐츠입니다. 에피소드, 그래픽, 팟캐스트 설명을 포함한 모든 팟캐스트 콘텐츠는 Becker's Healthcare 또는 해당 팟캐스트 플랫폼 파트너가 직접 업로드하고 제공합니다. 누군가가 귀하의 허락 없이 귀하의 저작물을 사용하고 있다고 생각되는 경우 여기에 설명된 절차를 따르실 수 있습니다 https://ko.player.fm/legal.
The Becker's Payer Issues Podcast is the must-listen podcast exclusively created for health insurance executives. Two new 15-minute episodes are released weekly with the leaders who shape health insurance in America and the cost of care, policy and regula
…
continue reading
300 에피소드
공유
모두 재생(하지 않음)으로 표시
Manage series 3643684
Becker's Healthcare에서 제공하는 콘텐츠입니다. 에피소드, 그래픽, 팟캐스트 설명을 포함한 모든 팟캐스트 콘텐츠는 Becker's Healthcare 또는 해당 팟캐스트 플랫폼 파트너가 직접 업로드하고 제공합니다. 누군가가 귀하의 허락 없이 귀하의 저작물을 사용하고 있다고 생각되는 경우 여기에 설명된 절차를 따르실 수 있습니다 https://ko.player.fm/legal.
The Becker's Payer Issues Podcast is the must-listen podcast exclusively created for health insurance executives. Two new 15-minute episodes are released weekly with the leaders who shape health insurance in America and the cost of care, policy and regula
…
continue reading
300 에피소드
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Becker’s Payer Issues Podcast
This episode, recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable, features Jarrod McNaughton, CEO of Inland Empire Health Plan. Jarrod shares how IEHP is aligning mission, culture, and bold innovation to drive health equity, improve quality through performance-based partnerships, and enhance member satisfaction with community-centered programs.…
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Becker’s Payer Issues Podcast
1 Inside MD Live: Improving Healthcare Access, Affordability & Outcomes 12:55
12:55 
나중에 재생 
나중에 재생 
리스트 
좋아요 
좋아요12:55
나중에 재생 나중에 재생 리스트 좋아요 좋아요This episode, recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable, features Dr. Eric Weil, Chief Medical Officer at MD Live by Evernorth. Dr. Weil discusses how MD Live is innovating virtual care through a focus on efficiency, prevention, and access—while emphasizing the critical role of quality and safety in transforming healthcare delivery. This episode is sponsored by Evernorth .…
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Becker’s Payer Issues Podcast
This episode, recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable, features Peter Kuipers, CFO of Clover Health. Peter shares how Clover’s technology-first approach is enabling earlier chronic disease diagnosis, improving care quality, and driving down costs—while expanding access through a premium-free PPO model and partnerships with other payers.…
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Becker’s Payer Issues Podcast
1 Leveraging AI and Predictive Models to Improve Member Experience: Insights from Humana and Everise 16:26
16:26 나중에 재생 나중에 재생 리스트 좋아요 좋아요16:26
나중에 재생 나중에 재생 리스트 좋아요 좋아요This episode recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable features Stuart Langley, SVP, Client Services, Everise & Sadie Rizzuto, Vice President, Enterprise Technology Solution Implementation, Humana. They discuss the power of predictive models, AI, and automation in improving member engagement, reducing friction in claims, and advancing proactive care and provider collaboration. This episode is sponsored by Everise .…
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Becker’s Payer Issues Podcast
1 Angie Kalousek, Senior Director, Clinical Strategy and Programs at Blue Shield of California 9:55
9:55 나중에 재생 나중에 재생 리스트 좋아요 좋아요9:55
나중에 재생 나중에 재생 리스트 좋아요 좋아요This episode, recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable, features Angie Kalousek, Senior Director, Clinical Strategy and Programs at Blue Shield of California. Angie shares how her organization is innovating in value-based care, virtual delivery, and health equity initiatives to balance affordability, quality, and access for diverse member populations.…
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Becker’s Payer Issues Podcast
1 Transforming Reimbursement Strategy: How AI and Insights Are Powering Value-Based Care Readiness 27:52
27:52 나중에 재생 나중에 재생 리스트 좋아요 좋아요27:52
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode of the Becker’s Healthcare Podcast, Erika Spicer Mason speaks with Brian Workinger and Lauree Handlon of The Craneware Group about how AI and data-driven insights are helping providers navigate increasingly complex payer contracting and reimbursement environments. The conversation covers predictive modeling, payer transparency, and preparing for shifts in Medicare Advantage participation, all within the broader context of value-based care. Tune in to hear how hospitals can leverage advanced analytics to drive smarter financial strategies and improve long-term sustainability. This episode is sponsored by Craneware .…
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Becker’s Payer Issues Podcast
1 Supporting Families Beyond the NICU: How Harvard Pilgrim Is Extending Postnatal Care with Jake Biscoglio 15:00
15:00 나중에 재생 나중에 재생 리스트 좋아요 좋아요15:00
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Jake Biscoglio, President of Commercial Business at Harvard Pilgrim Health Care, discusses the organization's expanded partnership with Progeny Health to support families for a full year after NICU discharge. He shares personal insights and industry strategies to improve outcomes through comprehensive, family-centered care.…
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Becker’s Payer Issues Podcast
1 Dr. Damanjeet Chaubey, Vice President of Clinical Affairs at Clover Health 15:38
15:38 나중에 재생 나중에 재생 리스트 좋아요 좋아요15:38
나중에 재생 나중에 재생 리스트 좋아요 좋아요This episode, recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable, features Dr. Damanjeet Chaubey, Vice President of Clinical Affairs at Clover Health. Dr. Chaubey shares how Clover is leveraging AI-powered technology, proactive care models, and home-based strategies to improve outcomes, reduce costs, and redefine Medicare Advantage.…
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Becker’s Payer Issues Podcast
1 Driving Behavior Change at Scale: A Conversation with Noom at the 2025 Becker’s Annual Meeting 13:14
13:14 나중에 재생 나중에 재생 리스트 좋아요 좋아요13:14
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this special episode recorded at Becker’s Annual Meeting 2025, leaders from Noom Health share how their platform is advancing whole-person care through behavior change and digital innovation. The conversation highlights how Noom leverages data, coaching, and psychology to support better health outcomes—particularly in chronic disease management and preventative care. Tune in to hear how scalable digital solutions are reshaping engagement and impact across the healthcare ecosystem. This episode is sponsored by Noom Health .…
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Becker’s Payer Issues Podcast
1 Ty Wang, Co-Founder and Chief Executive Officer of Angle Health 7:19
7:19 나중에 재생 나중에 재생 리스트 좋아요 좋아요7:19
나중에 재생 나중에 재생 리스트 좋아요 좋아요This episode recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable features Ty Wang, Co-Founder and Chief Executive Officer of Angle Health. Ty shares how Angle Health is using AI and human-centered advocacy to improve member experience, lower costs, and drive innovation in health plan delivery.…
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Becker’s Payer Issues Podcast
1 Building California’s Physician Pipeline: A Conversation with Dorothy Seleski of Health Net 11:39
11:39 나중에 재생 나중에 재생 리스트 좋아요 좋아요11:39
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Dorothy Seleski, President of Medi-Cal at Health Net, discusses the organization's $9 million investment in strengthening California’s physician workforce, with a focus on underserved communities, cultural representation, and long-term collaboration across sectors.
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Becker’s Payer Issues Podcast
Bob Tavernier of Quest Analytics ® and Karen Tachian of Health Care Service Corporation discuss network performance in health plans including key survey insights, challenges with data quality, and how payers can use network data to drive strategic goals. The conversation highlights the importance of competitive intelligence, compliance, and member access in building high-performing networks. This episode is sponsored by Quest Analytics .…
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Becker’s Payer Issues Podcast
1 Eric Cannon, Chief Pharmacy Benefits Officer at SelectHealth 6:38
6:38 나중에 재생 나중에 재생 리스트 좋아요 좋아요6:38
나중에 재생 나중에 재생 리스트 좋아요 좋아요This episode recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable features Eric Cannon, Chief Pharmacy Benefits Officer at SelectHealth. Eric shares how transparency, evidence-based care, and a personalized approach to member experience are key to driving better outcomes and reducing healthcare costs.…
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Becker’s Payer Issues Podcast
1 Karina Lupercio, VP of Market Integration & Data, and Ann Marie Gomez, Sr. Director of Marketing at Healthcare Highways 15:37
15:37 나중에 재생 나중에 재생 리스트 좋아요 좋아요15:37
나중에 재생 나중에 재생 리스트 좋아요 좋아요This episode, recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable, features Karina Lupercio, VP of Market Integration & Data, and Ann Marie Gomez, Sr. Director of Marketing at Healthcare Highways. They discuss how curated networks, culturally competent communication, and emerging technologies like AI are helping redefine healthcare access, affordability, and trust for members.…
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Becker’s Payer Issues Podcast
1 Innovating Payer-Provider Collaboration with Veradigm’s Courtney Yeakel & Michael Moore 20:28
20:28 나중에 재생 나중에 재생 리스트 좋아요 좋아요20:28
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, we’re joined by Courtney Yeakel, Chief Product Officer, and Michael Moore, Chief Revenue Officer at Veradigm, to explore how technology is driving deeper collaboration between payers and providers. They share strategies for reducing administrative complexity, integrating risk adjustment and quality initiatives, and harnessing AI to improve patient outcomes. Tune in to hear how trusted partnerships, data transparency, and forward-thinking governance are shaping the future of value-based care. This episode is sponsored by Veradigm .…
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Becker’s Payer Issues Podcast
1 Fixing a Broken System: How Health Plans Can Deliver the Right Mental Healthcare at the Right Time 13:13
13:13 나중에 재생 나중에 재생 리스트 좋아요 좋아요13:13
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode of the Becker’s Payer Issues Podcast, Erika Spicer Mason speaks with Dr. Jenna Glover, Chief Clinical Officer at Headspace, about how health plans can better address mental health challenges by moving away from one-size-fits-all models. Jenna shares how smart triage, proactive care, and precision-based strategies can lead to better outcomes, reduced costs, and more equitable access to support. Tune in to hear how health plans can take a leading role in reshaping mental healthcare delivery for the future. This is episode is sponsored by Headspace .…
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Becker’s Payer Issues Podcast
In this episode, Jeff Bak, President and CEO of Imagine360, discusses how his organization is innovating to make healthcare more affordable, equitable, and member-friendly. He shares insights on direct contracting, price protection, health equity efforts, and how better member engagement is driving improved outcomes.…
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Becker’s Payer Issues Podcast
1 Supporting Mental Health from the Inside Out: Dr. Matthew Hurford on UPMC’s Approach 17:27
17:27 나중에 재생 나중에 재생 리스트 좋아요 좋아요17:27
나중에 재생 나중에 재생 리스트 좋아요 좋아요In honor of Mental Health Awareness Month, Dr. Matthew Hurford, President and CEO of Community Care Behavioral Health at UPMC, discusses how UPMC is advancing mental health support across staff, providers, and communities. He highlights practical steps to move from awareness to action and addresses pressing challenges like youth mental health and social isolation.…
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Becker’s Payer Issues Podcast
In this episode of the Becker’s Payer Issues Podcast, Lukas Voss speaks with Whitney Eubanks, VP of Product Management at PointClickCare, about the sharp decline in Star Ratings across major health plans and what it means for the future of value-based care. Whitney unpacks the financial, operational, and patient care implications of slipping scores—and shares how real-time data and smarter care coordination can help plans close gaps, meet critical benchmarks, and regain their edge. Tune in for a candid conversation on what it really takes to reverse the trend and boost plan performance in a competitive landscape. Sponsored by PointClickCare .…
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Becker’s Payer Issues Podcast
1 Dr. Romilla Batra, SVP and Chief Medical Officer at Premera Blue Cross 8:03
8:03 나중에 재생 나중에 재생 리스트 좋아요 좋아요8:03
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Dr. Romilla Batra, SVP and Chief Medical Officer at Premera Blue Cross, discusses how she’s rethinking clinical strategy to align with the quintuple aim, reduce healthcare costs, and enhance equity. She also shares insights on empowering providers, removing barriers to care, and partnering with communities for better health outcomes.…
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Becker’s Payer Issues Podcast
In this episode, we explore how data analytics and clinical expertise can transform kidney health management for health plans. Joining the conversation is Joe Vattamattam, Founder and President of Healthmap Solutions, who shares insights on why tackling chronic kidney disease (CKD) and end-stage renal disease (ESRD) is crucial. Tune in to learn how Healthmap leverages technology, clinical support, and innovative strategies to improve outcomes for patients and providers. This episode is sponsored by Healthmap Solutions .…
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Becker’s Payer Issues Podcast
1 The Path to Payment Accuracy: Tackling Billing Errors with Payment Integrity 9:20
9:20 나중에 재생 나중에 재생 리스트 좋아요 좋아요9:20
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode of the Becker’s Healthcare Podcast, Lukas Voss sits down with Mark Johnson, Senior Vice President at CERIS, to explore how payment integrity can significantly reduce billing errors and financial waste in healthcare. With up to 80% of medical bills estimated to contain mistakes, Mark shares how technology, process modernization, and strategic payer initiatives are making a meaningful impact. Tune in for insights on how payers can improve accuracy, streamline operations, and drive value across the payment lifecycle. This episode is sponsored by CERIS .…
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Becker’s Payer Issues Podcast
1 Driving Impact Through Data and Heart: Inside The Cigna Group Foundation's Community Strategy with Melissa Skottegaard 14:28
14:28 나중에 재생 나중에 재생 리스트 좋아요 좋아요14:28
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Melissa Skottegaard, Chief Communications Officer and Chair of The Cigna Group Foundation, shares how the organization is tackling youth mental health, veteran housing insecurity, and health equity through a data-driven, employee-powered community engagement strategy designed for deeper, more focused impact.…
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Becker’s Payer Issues Podcast
1 Legacy Systems vs. Patient Access: Transforming Payer-Provider Alliances 13:20
13:20 나중에 재생 나중에 재생 리스트 좋아요 좋아요13:20
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode of the Becker’s Healthcare Podcast, Brook and Jocelyne from Verifiable dive into the critical connection between provider network growth, payer collaboration, and the modernization of credentialing systems. They explore how outdated legacy systems hinder patient access and provider onboarding, and share actionable strategies for healthcare leaders to improve compliance, reduce delays, and prepare for upcoming NCQA changes. With real-world examples — including Midi Health's rapid nationwide expansion — this discussion offers a forward-looking roadmap for building more efficient, scalable, and patient-centered networks. This episode is sponsored by Verifiable .…
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Becker’s Payer Issues Podcast
1 Dr. Ruchi Talwar, Medical Director of Episodes of Care Population Health at Vanderbilt Health 17:19
17:19 나중에 재생 나중에 재생 리스트 좋아요 좋아요17:19
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Dr. Ruchi Talwar, Medical Director of Episodes of Care Population Health at Vanderbilt Health, joins Jakob Emerson to discuss how provider-led bundled payment programs are improving outcomes, reducing costs, and delivering value for both employers and patients. She shares insights into Vanderbilt’s innovative “My Health Bundles” and their real-world success in reshaping specialty care.…
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Becker’s Payer Issues Podcast
1 Steve Tringale, President of Mass General Brigham Health Plan 11:17
11:17 나중에 재생 나중에 재생 리스트 좋아요 좋아요11:17
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Steve Tringale, President of Mass General Brigham Health Plan, discusses the evolving landscape of healthcare, the challenges and opportunities brought by change, and how the organization is leveraging AI and integrated care to improve member outcomes and experiences. He also shares insights into leadership in a time of rapid industry transformation.…
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Becker’s Payer Issues Podcast
1 Balancing Innovation and Ethics: The Role of Agentic AI in the Payer Landscape 16:17
16:17 나중에 재생 나중에 재생 리스트 좋아요 좋아요16:17
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode of the Becker's Healthcare Podcast, Erika Spicer Mason speaks with Neetu Rajpal, CEO of Lilac Software, about the evolving role of AI—specifically agentic AI—in the healthcare payer space. Neetu shares how this emerging technology is being applied to streamline claims grievances, close care gaps, and support Medicare Advantage programs, all while emphasizing the importance of ethics, patient-centered design, and regulatory compliance. This episode is sponsored by Lilac Software .…
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Becker’s Payer Issues Podcast
1 Senthu Arumugam, Chief Commercial Officer at SCAN Health Plan 12:35
12:35 나중에 재생 나중에 재생 리스트 좋아요 좋아요12:35
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Senthu Arumugam, Chief Commercial Officer at SCAN Health Plan, discusses the evolving Medicare Advantage landscape, the impact of market disruptions, and how technology and stability-driven strategies can improve member experiences.
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Becker’s Payer Issues Podcast
1 Dr. Ravi Kavasery, Chief Medical Officer at Blue Shield of California 17:13
17:13 나중에 재생 나중에 재생 리스트 좋아요 좋아요17:13
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Dr. Ravi Kavasery, Chief Medical Officer at Blue Shield of California, joins Jakob Emerson to discuss the company’s ambitious goal of shifting 90% of eligible healthcare spending to pay-for-value models. Dr. Kavasery shares insights on the challenges of transitioning from fee-for-service, the importance of aligning incentives, and the innovative models shaping the future of healthcare affordability and quality.…
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Becker’s Payer Issues Podcast
1 Dr. Steve Friedhoff, Senior VP of Healthcare Services at Blue Cross Blue Shield of North Carolina 21:08
21:08 나중에 재생 나중에 재생 리스트 좋아요 좋아요21:08
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Dr. Steve Friedhoff, Senior VP of Healthcare Services at Blue Cross Blue Shield of North Carolina, discusses innovative initiatives addressing healthcare workforce shortages and expanding access to care. From supporting veterans transitioning into medical careers to investing in youth mental health programs, Dr. Friedhoff highlights how Blue Cross NC is shaping the future of healthcare in the state.…
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Becker’s Payer Issues Podcast
In this episode, Jane Brown, Vice President of Medicaid Strategic Support and Oversight at Aetna, discusses the evolving Medicaid landscape. She shares insights on improving connectivity, driving value-based care, and empowering both providers and beneficiaries through data and technology.
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Becker’s Payer Issues Podcast
1 Dr. Dirk Slaker, Chief Medical Officer at Sonder Health Plans 17:08
17:08 나중에 재생 나중에 재생 리스트 좋아요 좋아요17:08
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Dr. Dirk Slaker, Chief Medical Officer at Sonder Health Plans, discusses the evolving Medicare Advantage landscape. He shares insights on addressing rising healthcare costs, improving care coordination, supporting caregivers, and how Sonder’s partnership with Cleo aims to enhance patient outcomes.…
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Becker’s Payer Issues Podcast
1 Dr. Pooja Mittal, Vice President and Chief Health Equity Officer at Health Net 14:54
14:54 나중에 재생 나중에 재생 리스트 좋아요 좋아요14:54
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode of the Becker’s Payer Issues Podcast, Dr. Pooja Mittal, Vice President and Chief Health Equity Officer at Health Net, discusses key challenges and opportunities in healthcare today. She explores the impact of Medicaid funding, the role of telehealth in underserved communities, and how AI can drive better health outcomes.…
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Becker’s Payer Issues Podcast
In this episode of the Becker's Healthcare Podcast, Jakob Emerson is joined by Rob Duffy, CTO at HealthEdge, to discuss the evolving role of platform-based technology in healthcare. They explore how interoperability, regulatory changes, and change management strategies are shaping the future of health plans. Tune in for expert insights on overcoming technological silos, preparing for innovation, and navigating the complexities of the healthcare ecosystem. This episode is sponsored by HealthEdge .…
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Becker’s Payer Issues Podcast
1 Dr. Shantanu Agrawal, Chief Health Officer at Elevance Health 12:43
12:43 나중에 재생 나중에 재생 리스트 좋아요 좋아요12:43
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Dr. Shantanu Agrawal, Chief Health Officer at Elevance Health, discusses the company’s innovative approach to addressing social determinants of health. He highlights the Elevance Health Foundation’s new impact investing program, its focus on behavioral health, and how insurers can drive meaningful change in communities.…
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Becker’s Payer Issues Podcast
1 Sam Melamed, CEO & Bret Voith, Chief Strategy Officer of NCD 24:28
24:28 나중에 재생 나중에 재생 리스트 좋아요 좋아요24:28
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Sam Melamed, CEO of NCD, and Bret Voith, Chief Strategy Officer, discuss major regulatory shifts affecting ACA and Medicare Advantage. They explore how new policies may impact health plans, enrollment trends, and the growing demand for supplemental benefits like dental and vision coverage.…
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Becker’s Payer Issues Podcast
1 Dr. Ken Cohen, Executive Director of Translational Research at Optum Health 18:56
18:56 나중에 재생 나중에 재생 리스트 좋아요 좋아요18:56
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Dr. Ken Cohen, Executive Director of Translational Research at Optum Health, discusses the impact of value-based care models on patient outcomes. He shares key findings from his recent research, including how Medicare Advantage patients in value-based arrangements receive superior care and how these benefits extend to traditional Medicare patients.…
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Becker’s Payer Issues Podcast
1 The New Era of Healthcare Transformation: How Payers Can Leverage Data for Continuous Improvement 19:16
19:16 나중에 재생 나중에 재생 리스트 좋아요 좋아요19:16
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode of the Becker’s Healthcare Podcast, host Lukas Voss is joined by Aarti Karamchandani, Chief Growth Officer at MacroHealth, to discuss how payers can drive continuous improvement in the healthcare ecosystem. They explore the role of price transparency data, interoperability, and robust data analysis in optimizing workflows, improving patient outcomes, and reducing costs. Tune in for key insights on overcoming challenges and implementing effective strategies for data-driven healthcare transformation. This episode is sponsored by MacroHealth .…
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Becker’s Payer Issues Podcast
1 Unlocking Growth: Why Compliance is Key in Digital Marketing for Payers 13:24
13:24 나중에 재생 나중에 재생 리스트 좋아요 좋아요13:24
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode of the Becker’s Healthcare Podcast, host Erika Spicer Mason explores how payer organizations can leverage compliance as a strategic advantage in their digital marketing efforts. David Chai, Senior Manager of Product Marketing at Freshpaint, shares insights on key industry trends, evolving consumer expectations around data privacy, and emerging tools that can help payers stay competitive. This episode is sponsored by Freshpaint .…
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Becker’s Payer Issues Podcast
1 Katherine Barresi, Chief Health Services Officer at Partnership HealthPlan of California 12:25
12:25 나중에 재생 나중에 재생 리스트 좋아요 좋아요12:25
나중에 재생 나중에 재생 리스트 좋아요 좋아요Katherine Barresi, Chief Health Services Officer at Partnership HealthPlan of California, shares insights on the current sphere of healthcare and highlights efforts to improve access to care. She also discusses how rapid advancements in technology are bringing innovative solutions to healthcare.
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Becker’s Payer Issues Podcast
1 Brian Janssen, Chief Information Officer for Medicare at WPS Health Insurance 10:32
10:32 나중에 재생 나중에 재생 리스트 좋아요 좋아요10:32
나중에 재생 나중에 재생 리스트 좋아요 좋아요Brian Janssen, Chief Information Officer for Medicare at WPS Health Insurance, discusses the responsible use of AI in healthcare to improve patient outcomes and reduce costs. He highlights the opportunity to enhance healthcare literacy in response to events from 2024 and shares valuable advice for emerging healthcare leaders.…
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Becker’s Payer Issues Podcast
In this episode, Troy Shaffer, VP of Contact Center Operations at SCAN Health Plan, discusses the evolving healthcare landscape. He shares insights on leveraging technology for member engagement, balancing investments, and maintaining a personalized service approach while driving operational efficiency.…
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Becker’s Payer Issues Podcast
1 The Future of Price Transparency: Insights from Sidecar Health’s Emily Porter 14:29
14:29 나중에 재생 나중에 재생 리스트 좋아요 좋아요14:29
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Emily Porter, VP of External Affairs at Sidecar Health, discusses the latest executive order on price transparency, its impact on insurers and hospitals, and how Sidecar Health is using transparent pricing to empower consumers.
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Becker’s Payer Issues Podcast
1 Chris Wasel, President of Marketing & Strategic Partnerships at Vantage Healthcare 11:25
11:25 나중에 재생 나중에 재생 리스트 좋아요 좋아요11:25
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Chris Wasel, President of Marketing & Strategic Partnerships at Vantage Healthcare, discusses Vantage’s 2025 initiatives, including ACO expansion, new CMS programs, and the challenges of collaboration in value-based care. Chris also shares insights on the impact of AI in healthcare and the need for long-term stability in payment models.…
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Becker’s Payer Issues Podcast
In this episode, Jakob Emerson sits down with Rona Li, SCAN Group's Chief Development Officer, and Rob Scruggs, Chief Digital Officer, to discuss SCAN’s latest digital initiatives. They explore how investments in technology, including the upcoming SCAN member portal and mobile app, are revolutionizing member engagement, improving access to care, and enhancing personalized health experiences.…
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Becker’s Payer Issues Podcast
1 Breaking Barriers: Enhancing Communication in Behavioral Health 14:41
14:41 나중에 재생 나중에 재생 리스트 좋아요 좋아요14:41
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode of the Becker’s Healthcare Podcast, host Erika Spicer Mason speaks with Visar Tasimi, Senior Vice President of Provider Success at Lucet, about the critical communication challenges in behavioral health. They discuss the growing demand for services, the role of primary care in care coordination, and key strategies for improving provider engagement. Tune in for expert insights on how health plans can better support behavioral health providers and enhance patient care. This episode is sponsored by Lucet Health .…
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Becker’s Payer Issues Podcast
1 Rick Abbott, Senior Vice President of Employer Solutions and Innovation at Priority Health 14:35
14:35 나중에 재생 나중에 재생 리스트 좋아요 좋아요14:35
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Rick Abbott, Senior Vice President of Employer Solutions and Innovation at Priority Health, discusses the evolving landscape of employer-sponsored healthcare. From tackling affordability challenges to leveraging digital health and virtual care, Rick shares insights on how Priority Health is driving innovation to improve access, quality, and cost efficiency for employers and members alike.…
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Becker’s Payer Issues Podcast
1 Paul Penzone, Vice President and Chief Community Relations Officer at Blue Cross Blue Shield of Arizona 12:10
12:10 나중에 재생 나중에 재생 리스트 좋아요 좋아요12:10
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Paul Penzone, Vice President and Chief Community Relations Officer at Blue Cross Blue Shield of Arizona, joins the podcast to discuss AZBlue’s mission to support community healthcare needs. He shares insights on the company's initiative to erase medical debt, expand access to preventive care, and foster long-term health equity across Arizona.…
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Becker’s Payer Issues Podcast
1 Matt Gibbs, Senior Vice President and Chief Pharmacy Officer at Blue Shield of California 16:33
16:33 나중에 재생 나중에 재생 리스트 좋아요 좋아요16:33
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Matt Gibbs, Senior Vice President and Chief Pharmacy Officer at Blue Shield of California, joins Becker’s to discuss how the company is dismantling the traditional PBM model to bring cost transparency and flexibility to pharmacy care. He shares insights on specialty drug pricing, the role of biosimilars, and why health plans must take back control of their pharmacy management.…
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Becker’s Payer Issues Podcast
1 Dr. Todd May, Vice President and Medical Director at Health Net 17:21
17:21 나중에 재생 나중에 재생 리스트 좋아요 좋아요17:21
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Jakob Emerson sits down with Dr. Todd May, Vice President and Medical Director at Health Net, to discuss an innovative multi-payer value-based payment model in California. Dr. May shares insights on how major insurers are working together to improve primary care quality, advance health equity, and reshape provider reimbursement.…
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Becker’s Payer Issues Podcast
In this episode of the Becker's Payer Issues Podcast, Dr. Kate Goodrich, Chief Medical Officer at Humana, joins Jakob Emerson to discuss the challenges of the primary care shortage, the impact of value-based care, and Humana’s commitment to improving health outcomes through innovative care models.
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Becker’s Payer Issues Podcast
In this episode, Jakob Emerson sits down with Michael Hunn, CEO of CalOptima, to discuss the organization's plans to offer coverage on California’s ACA exchange by 2027. They explore how this move aims to improve continuity of care for individuals transitioning in and out of Medi-Cal, the challenges faced by low-income residents in Orange County, and the key steps ahead in the regulatory approval process.…
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Becker’s Payer Issues Podcast
Tune in for today's industry updates.
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Becker’s Payer Issues Podcast
Tune in for today's industry updates.
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Becker’s Payer Issues Podcast
1 Paige Brogan, Principal CalAIM at Blue Shield of California 6:41
6:41 나중에 재생 나중에 재생 리스트 좋아요 좋아요6:41
나중에 재생 나중에 재생 리스트 좋아요 좋아요This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Paige Brogan, Principal CalAIM at Blue Shield of California. Paige discusses Medi-Cal transformation through the CalAIM initiative, emphasizing value-based care, health equity, and innovative member engagement strategies to address whole-person needs.…
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Becker’s Payer Issues Podcast
This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Dr. Adrienne Moore, SVP of Finance at Banner Health. Dr. Moore discusses her top priorities, including the shift toward value-based care, addressing industry-wide cost pressures, and leveraging innovation to create a sustainable healthcare future.…
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Becker’s Payer Issues Podcast
1 Eric Witte, Chief Operating Officer of Genesis Orthopedics & Sports Medicine 9:13
9:13 나중에 재생 나중에 재생 리스트 좋아요 좋아요9:13
나중에 재생 나중에 재생 리스트 좋아요 좋아요This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Eric Witte, Chief Operating Officer of Genesis Orthopedics & Sports Medicine. Here, he shares insights on advancing value-based care strategies and the organization's commitment to improving access to care for patients from all backgrounds. Witte also discusses the challenges of recruiting staff and providers in today’s competitive healthcare landscape.…
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Becker’s Payer Issues Podcast
1 Pleasant Radford Jr., MBA, CHIE, Health Equity Officer at UCare 9:34
9:34 나중에 재생 나중에 재생 리스트 좋아요 좋아요9:34
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Pleasant Radford Jr., MBA, CHIE, Health Equity Officer at UCare, discusses initiatives to improve inclusivity in healthcare, including staff training on data usage and addressing members with correct pronouns. Learn about innovative steps toward building a more equitable healthcare environment.…
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Becker’s Payer Issues Podcast
This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Dennis Hillen, Senior Vice President at Oscar Health. Here, he discusses Oscar Health's low-cost, tech-first strategy and how the organization is tailoring its services to accommodate Spanish-speaking and Latino members. Hillen also highlights strategies for driving engagement and retention, ensuring members stay connected and supported in their healthcare journey.…
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Becker’s Payer Issues Podcast
1 Innovating Health Insurance: A Conversation with Patrick Quigley, CEO of Sidecar Health 16:20
16:20 나중에 재생 나중에 재생 리스트 좋아요 좋아요16:20
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Jakob Emerson speaks with Patrick Quigley, CEO of Sidecar Health. Patrick shares insights about his unconventional journey into healthcare and how Sidecar Health is revolutionizing the health insurance industry with a consumer-first approach.
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Becker’s Payer Issues Podcast
1 Insourcing vs. Outsourcing Payment Integrity: Striking the Right Balance for Your Health Plan 11:51
11:51 나중에 재생 나중에 재생 리스트 좋아요 좋아요11:51
나중에 재생 나중에 재생 리스트 좋아요 좋아요Health plans face crucial decisions when it comes to managing payment accuracy. This episode dives into the pros and cons of insourcing Payment Integrity solutions. We explore how control over operations translates to flexibility and cost management in a constantly evolving healthcare landscape. Industry expert Jhana Spence, Vice President of Strategy at CERIS, offers insights for health plan leaders to optimize their insourcing strategy. This episode is sponsored by CERIS .…
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Becker’s Payer Issues Podcast
This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Anne Groves, Market President at Arkos Health. Here, she emphasizes the importance of member engagement, ensuring individuals follow through with creating and adhering to their necessary health plans. Groves also encourages healthcare workers to stay focused on their mission, maintaining a patient-centered approach even amidst operational challenges.…
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Becker’s Payer Issues Podcast
This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Jordan Taggart, SVP of Payer & PBM Growth at Vida Health. Here, he discusses the importance of partnering with organizations that share Vida’s clinical philosophy to drive meaningful growth. Taggart also explores how Vida Health supports individuals from diverse backgrounds in achieving their weight loss goals, emphasizing personalized and inclusive care strategies.…
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Becker’s Payer Issues Podcast
1 The Future of Payer-Provider Collaboration with Dr. Katherine Hobbs 17:12
17:12 나중에 재생 나중에 재생 리스트 좋아요 좋아요17:12
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode of the Becker's Healthcare Podcast, Lukas Voss welcomes Dr. Katherine Hobbs, CEO of Author Health, to explore the evolving dynamics of payer-provider collaboration in healthcare. Dr. Hobbs shares insights on the impact of value-based care models, strategies for integrating mental health services, and overcoming barriers to data collection in behavioral health. Tune in for a forward-looking discussion on how healthcare leaders can drive greater collaboration, improve patient outcomes, and reduce costs. This episode is sponsored by Author Health .…
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Becker’s Payer Issues Podcast
This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Pankhuri Sharma, Strategy & Operations Leader at Humana. Here, she discusses efforts to deliver more holistic population health services, with a focus on supporting vulnerable populations. Sharma also highlights the ongoing need to build patient trust as a critical area for improvement in advancing healthcare equity and access.…
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Becker’s Payer Issues Podcast
1 Brad Riley, VP of Clinical Delivery at Longevity Health Plan 8:08
8:08 나중에 재생 나중에 재생 리스트 좋아요 좋아요8:08
나중에 재생 나중에 재생 리스트 좋아요 좋아요This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Brad Riley, VP of Clinical Delivery at Longevity Health Plan. Here, he discusses how leveraging robust data sets can drive operational efficiency and improve decision-making. Riley also explores the challenges and limitations of generative AI technology in healthcare, emphasizing the need for cautious and informed adoption.…
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Becker’s Payer Issues Podcast
Tune in for today's industry updates.
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Becker’s Payer Issues Podcast
1 Krischa Winright, President of Medicare Advantage at Blue Cross Blue Shield of Michigan 11:25
11:25 나중에 재생 나중에 재생 리스트 좋아요 좋아요11:25
나중에 재생 나중에 재생 리스트 좋아요 좋아요This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Krischa Winright, President of Medicare Advantage at Blue Cross Blue Shield of Michigan. Here, she discusses sustainable solutions for seniors on Medicare, focusing on providing seamless access to healthcare. Winright also examines market shifts in the post-COVID era and highlights the importance of strengthening partnerships with providers to enhance care delivery and outcomes.…
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Becker’s Payer Issues Podcast
This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Mihir Kamdar, Chief Medical Officer at Tuesday Health. Here, he addresses the challenges of member experience that contribute to high healthcare costs and shares how his team is working to intervene earlier, reducing the need for costly end-of-life care. Kamdar also highlights strategies for improving patient engagement to create more proactive and supportive care solutions.…
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Becker’s Payer Issues Podcast
1 Dr. Edward Juhn, Chief Quality Officer at Inland Empire Health Plan 9:48
9:48 나중에 재생 나중에 재생 리스트 좋아요 좋아요9:48
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Dr. Edward Juhn, Chief Quality Officer at Inland Empire Health Plan, shares how IEHP is tackling challenges within the Medicaid system through innovative technology, AI-driven solutions, and community-focused initiatives. Discover how IEHP is addressing provider shortages, advancing care quality, and fostering future healthcare leaders to better serve their vulnerable populations.…
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Becker’s Payer Issues Podcast
This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Scott D. Schweiger, VP of The Clinic by Cleveland Clinic. Here, he explores strategies for enhancing member engagement, encouraging patients to seek necessary care, and connecting them with programs tailored to their needs. Schweiger also discusses cost-reduction strategies aimed at making healthcare more accessible and affordable for patients.…
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Becker’s Payer Issues Podcast
1 Transforming Maternal and Infant Health: Insights from Dr. Yolanda Lawson 12:30
12:30 나중에 재생 나중에 재생 리스트 좋아요 좋아요12:30
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Dr. Yolanda Lawson, Executive Medical Director for Maternal and Infant Health at Health Care Service Corporation, discusses innovative strategies to improve maternal and infant outcomes across diverse communities. From predictive data models to community-driven initiatives like Special Beginnings, Dr. Lawson highlights how HCSE is addressing disparities, leveraging technology, and fostering partnerships to create impactful change.…
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Becker’s Payer Issues Podcast
1 Navigating Network Compliance in Healthcare: Trends, Challenges, and Digital Transformation Insights 19:00
19:00 나중에 재생 나중에 재생 리스트 좋아요 좋아요19:00
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode of the Becker's Healthcare Podcast, host Jakob Emerson is joined by Gianni Aiello, VP of Product at Verifiable, to explore the evolving landscape of network compliance in healthcare. They discuss the core components of successful compliance programs, barriers to effective implementation, and the role of digital transformation in addressing regulatory challenges. This episode is sponsored by Verifiable .…
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Becker’s Payer Issues Podcast
1 Abdou Bah, SVP of Medical Management and Chief Health Equity Officer at Emblem Health 4:01
4:01 나중에 재생 나중에 재생 리스트 좋아요 좋아요4:01
나중에 재생 나중에 재생 리스트 좋아요 좋아요This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Abdou Bah, SVP of Medical Management and Chief Health Equity Officer at Emblem Health. Here, he discusses strategies for controlling and managing ongoing healthcare costs while addressing the invisible barriers that prevent patients from accessing the care they need. Bah highlights the importance of equity-focused solutions to improve patient outcomes and reduce disparities in healthcare.…
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Becker’s Payer Issues Podcast
1 Mitchell Gorodokin, VP of Business Development at Certify 10:26
10:26 나중에 재생 나중에 재생 리스트 좋아요 좋아요10:26
나중에 재생 나중에 재생 리스트 좋아요 좋아요This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Mitchell Gorodokin, VP of Business Development at Certify. Here, he shares strategies for enhancing workflow efficiency and offers advice for leaders on growing their businesses by improving existing systems and processes. Gorodokin also addresses the challenges of navigating changing compliance regulations across jurisdictions and explains how Certify effectively manages these complexities.…
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Becker’s Payer Issues Podcast
This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Dr. Daniel Beckles, Surgeon at Ochsner Health. Here, he discusses the importance of understanding patients' lifestyle choices and explores innovative ways to incentivize healthier behaviors, aiming to improve overall health outcomes and reduce long-term healthcare costs.…
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Becker’s Payer Issues Podcast
This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Wayne Pan, Medical Doctor at San Francisco Health Plan. Here, he discusses the transformative impact of improving patient experience and how it streamlines both internal and external processes. Pan emphasizes the value of maintaining a patient-centric focus to drive meaningful change and enhance healthcare delivery.…
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Becker’s Payer Issues Podcast
Tune in for today's industry updates.
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Becker’s Payer Issues Podcast
Join us on the Becker’s Healthcare Podcast as we delve into the future of consumer-centric healthcare with Russell Van Gorp from Publicis Sapient. Discover how digital solutions, AI, and data interoperability are reshaping the payer space and learn valuable insights from other industries that can enhance healthcare delivery. This episode is sponsored by Publicis Sapient .…
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Becker’s Payer Issues Podcast
1 Edward Juhn, Chief Quality Officer at Inland Empire Health Plan 7:23
7:23 나중에 재생 나중에 재생 리스트 좋아요 좋아요7:23
나중에 재생 나중에 재생 리스트 좋아요 좋아요This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Edward Juhn, Chief Quality Officer at Inland Empire Health Plan. Edward shares strategies for improving member outcomes, addressing provider shortages, and leveraging technologies like AI and machine learning, all while emphasizing the importance of ethical data stewardship and member-centered care.…
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Becker’s Payer Issues Podcast
Tune in for today's industry updates.
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Becker’s Payer Issues Podcast
In this episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, Aric Sharp, CEO of Value-Based Care at Clover Health, discusses how technology is revolutionizing value-based care, improving clinical outcomes, and streamlining workflows for physicians, particularly through the use of AI and data integration. He also shares insights on how Clover’s tech stack is setting new industry standards for care delivery.…
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Becker’s Payer Issues Podcast
Explore how Evernorth Health Services leverages technology and innovative models to meet 2024 healthcare goals with insights from Brendan Kerrigan. This episode is sponsored by Evernorth Health Services .
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Becker’s Payer Issues Podcast
1 Mike Jasperson, Senior Vice President of Provider Network and Health Plan Operations at Priority Health 10:39
10:39 나중에 재생 나중에 재생 리스트 좋아요 좋아요10:39
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Mike Jasperson, Senior Vice President of Provider Network and Health Plan Operations at Priority Health, shares insights into the organization's long-standing success in value-based care. He discusses Priority Health's innovative strategies, provider collaborations, and use of advanced technologies to improve patient outcomes, lower costs, and address social determinants of health across their growing markets.…
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Becker’s Payer Issues Podcast
In this episode recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, Harlon Pickett, President of Eagle Care Health Solutions, discusses his innovative approach to health plans that focus on zero-cost healthcare and improving member access. He shares insights on overcoming barriers to member engagement, the future of healthcare consumerism, and the importance of behavioral health in a digital age.…
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Becker’s Payer Issues Podcast
This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Erin Henderson Moore, President and CEO of Fidelis Care. Here, she discusses her five key priorities for Fidelis Care, focusing on a growth-centric approach to leadership. Erin also shares how she is driving innovation within the organization by leveraging AI to enhance services and streamline care.…
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Becker’s Payer Issues Podcast
1 Driving Growth and Innovation in Rural Healthcare: Insights from Jennifer Shermo 7:36
7:36 나중에 재생 나중에 재생 리스트 좋아요 좋아요7:36
나중에 재생 나중에 재생 리스트 좋아요 좋아요In this episode, Jennifer Shermo, Chief Growth Officer at Security Health Plan, shares her insights on tackling healthcare challenges in rural communities, navigating Medicare Advantage trends, and leveraging innovation and collaboration to enhance care. Jennifer also discusses the future of healthcare leadership and the importance of adaptability in an evolving landscape.…
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Becker’s Payer Issues Podcast
Discover Evernorth Home-Based Care's mission and strategies to overcome industry challenges with John Young, Chief Strategy and Development Officer. This episode is sponsored by Evernorth .
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Becker’s Payer Issues Podcast
This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Angela Perri, President, Medicare Products . Here, she discusses the significant barriers created by lack of access to care and emphasizes the center's commitment to people-first values. Angela also shares how their benefit design supports not only healthcare needs but also the behavioral, social, and community aspects that impact overall well-being.…
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Becker’s Payer Issues Podcast
Join us on Becker’s Healthcare Podcast as we speak with Yvette LeFebvre, Chief Medical Officer at Evernorth Health Services – Home-Based Care. Discover the biggest challenges and opportunities in engaging healthcare members, the strategies for improving quality while maintaining compliance. Tune in for an insightful conversation on transforming home-based healthcare. This episode is sponsored by Evernorth Health Services .…
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