Najlepsze podcasty z kategorii: Payer (2025)

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Dr. Pooja Mittal, Vice President and Chief Health Equity Officer at Health Net 14:54

1d ago14:54

14:54

In 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.…

1
From Siloed Systems to Seamless Platforms: Transforming Health Plans with Technology

3d ago

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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 overcomin…

1
Dr. Shantanu Agrawal, Chief Health Officer at Elevance Health 12:43

3d ago12:43

12:43

In 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.…

1
Sam Melamed, CEO & Bret Voith, Chief Strategy Officer of NCD 24:28

4d ago24:28

24:28

In 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.…

1
Dr. Ken Cohen, Executive Director of Translational Research at Optum Health 18:56

5d ago18:56

18:56

In 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 M…

1
The New Era of Healthcare Transformation: How Payers Can Leverage Data for Continuous Improvement 19:16

6d ago19:16

19:16

In 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…

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Unlocking Growth: Why Compliance is Key in Digital Marketing for Payers 13:24

7d ago13:24

13:24

In 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, a…

1
Katherine Barresi, Chief Health Services Officer at Partnership HealthPlan of California 12:25

10d ago12:25

12:25

Katherine 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.Autor: Becker's Healthcare

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Brian Janssen, Chief Information Officer for Medicare at WPS Health Insurance 10:32

11d ago10:32

10:32

Brian 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.…

1
Troy Shaffer, VP of Contact Center Operations at SCAN Health Plan

12d ago

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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.…

1
The Future of Price Transparency: Insights from Sidecar Health’s Emily Porter 14:29

13d ago14:29

14:29

In 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.Autor: Becker's Healthcare

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Chris Wasel, President of Marketing & Strategic Partnerships at Vantage Healthcare 11:25

17d ago11:25

11:25

In 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 mo…

1
Rona Li & Rob Scruggs of SCAN Group 16:21

19d ago16:21

16:21

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, an…

1
Breaking Barriers: Enhancing Communication in Behavioral Health 14:41

20d ago14:41

14:41

In 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 prov…

1
Rick Abbott, Senior Vice President of Employer Solutions and Innovation at Priority Health 14:35

24d ago14:35

14:35

In 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, qua…

1
Paul Penzone, Vice President and Chief Community Relations Officer at Blue Cross Blue Shield of Arizona 12:10

25d ago12:10

12:10

In 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 acro…

1
Matt Gibbs, Senior Vice President and Chief Pharmacy Officer at Blue Shield of California 16:33

26d ago16:33

16:33

In 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 t…

1
Dr. Todd May, Vice President and Medical Director at Health Net 17:21

1M ago17:21

17:21

In 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.…

1
Dr. Kate Goodrich, Chief Medical Officer at Humana 23:32

1M ago23:32

23:32

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.Autor: Becker's Healthcare

1
Michael Hunn, CEO of CalOptima 12:18

1M ago12:18

12:18

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, a…

1
Roman Prokes - Episode 109 1:05:55

1M ago1:05:55

1:05:55

Roman Prokes, the premier racket technician in the world (not an exaggeration!), shares his wisdom on racket specifications for junior players. We talk with Roman about the optimal racket and string set up for a variety of junior players. Roman also shares stories of stringing for the US Davis Cup team, working with Andre Agassi to find the right r…

1
The prior auth reform push continues + more 8:31

1M ago8:31

8:31

Tune in for today's industry updates.Autor: Becker's Healthcare

1
UnitedHealthcare names new CEO + more 3:23

2M ago3:23

3:23

Tune in for today's industry updates.Autor: Becker's Healthcare

1
Paige Brogan, Principal CalAIM at Blue Shield of California 6:41

2M ago6:41

6:41

This 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.…

1
Dr. Adrienne Moore, SVP of Finance at Banner Health 5:30

2M ago5:30

5:30

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.…

1
Eric Witte, Chief Operating Officer of Genesis Orthopedics & Sports Medicine 9:13

2M ago9:13

9:13

This 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 al…

1
Pleasant Radford Jr., MBA, CHIE, Health Equity Officer at UCare 9:34

2M ago9:34

9:34

In 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.…

1
Dennis Hillen, Senior Vice President at Oscar Health 8:06

2M ago8:06

8:06

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 strateg…

1
Innovating Health Insurance: A Conversation with Patrick Quigley, CEO of Sidecar Health 16:20

2M ago16:20

16:20

In 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.Autor: Becker's Healthcare

1
Insourcing vs. Outsourcing Payment Integrity: Striking the Right Balance for Your Health Plan 11:51

2M ago11:51

11:51

Health 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 Strat…

1
Anne Groves, Market President at Arkos Health 6:21

2M ago6:21

6:21

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 …

1
Jordan Taggart, SVP of Payer & PBM Growth at Vida Health

2M ago

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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 f…

1
The Future of Payer-Provider Collaboration with Dr. Katherine Hobbs 17:12

2M ago17:12

17:12

In 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 coll…

1
Pankhuri Sharma, Strategy & Operations Leader at Humana

2M ago

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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…

1
Brad Riley, VP of Clinical Delivery at Longevity Health Plan 8:08

2M ago8:08

8:08

This 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 technolo…

1
40 payer execs on 2025 outlook + more 7:45

3M ago7:45

7:45

Tune in for today's industry updates.Autor: Becker's Healthcare

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Krischa Winright, President of Medicare Advantage at Blue Cross Blue Shield of Michigan 11:25

3M ago11:25

11:25

This 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 th…

1
Mihir Kamdar, Chief Medical Officer at Tuesday Health 9:16

3M ago9:16

9:16

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 ca…

1
Dr. Edward Juhn, Chief Quality Officer at Inland Empire Health Plan 9:48

3M ago9:48

9:48

In 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 lea…

1
Scott D. Schweiger, VP of The Clinic by Cleveland Clinic 8:21

3M ago8:21

8:21

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 co…

1
Transforming Maternal and Infant Health: Insights from Dr. Yolanda Lawson 12:30

3M ago12:30

12:30

In 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 …

1
Navigating Network Compliance in Healthcare: Trends, Challenges, and Digital Transformation Insights 19:00

3M ago19:00

19:00

In 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 add…

1
Abdou Bah, SVP of Medical Management and Chief Health Equity Officer at Emblem Health 4:01

3M ago4:01

4:01

This 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…

1
Mitchell Gorodokin, VP of Business Development at Certify 10:26

3M ago10:26

10:26

This 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…

1
Dr. Daniel Beckles, Surgeon at Ochsner Health

3M ago

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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-te…

1
Wayne Pan, Medical Doctor at San Francisco Health Plan 4:36

3M ago4:36

4:36

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…

1
UnitedHealth CEO addresses shooting + more 7:43

3M ago7:43

7:43

Tune in for today's industry updates.Autor: Becker's Healthcare

1
Transforming Healthcare with Russell Van Gorp 7:40

3M ago7:40

7:40

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 sponsor…

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Edward Juhn, Chief Quality Officer at Inland Empire Health Plan 7:23

4M ago7:23

7:23

This 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 e…

1
CMS pitches major MA changes + more 8:51

4M ago8:51

8:51

Tune in for today's industry updates.Autor: Becker's Healthcare

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