Becker’s Payer Issues Podcast - podcast cover

Becker’s Payer Issues Podcast

Becker's Healthcare•www.beckershospitalreview.com
Health & Fitness
Medicine
Business
Management
Government
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
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Episodes

Caroline Carney, President of Behavioral Health and Chief Medical Officer at Magellan Health

Join us for an insightful conversation with Caroline Carney, President of Behavioral Health and Chief Medical Officer at Magellan Health, as she shares her background and perspectives on current healthcare challenges. Caroline delves into the major issues of 2024, revealing her excitement and concerns, while also discussing the evolving traits necessary for effective healthcare leadership in the near future.

Mar 12, 2024•17 min

Paula Blomquist, Chief Experience Officer at GoHealth

Paula Blomquist, Chief Experience Officer at GoHealth joins the podcast to share insights into her background in retail & journey into healthcare, trends in urgent care she is keeping an eye on, what healthcare leaders need to be successful in the next 2-3 years, and more.

Feb 25, 2024•12 min

Dr. Don Berwick, Former CMS Administrator & Health Policy Lecturer at Harvard Medical School

Join Dr. Don Berwick, former CMS Administrator and esteemed health policy lecturer at Harvard Medical School, as he engages in a dynamic conversation with moderator Jakob Emerson of Becker's Healthcare. Together, they delve into the intricacies of Medicare Advantage in 2024, exploring the ongoing challenges within the industry. Gain valuable insights and expert analysis from this insightful discussion on the current state and future trajectory of Medicare Advantage plans, offering a comprehensiv...

Feb 21, 2024•26 min

James Holland, President & CEO of Johns Hopkins Health Plans

Join Laura Dyrda from Becker's Healthcare as she interviews James Holland, President & CEO of Johns Hopkins Health Plans, discussing key healthcare issues, growth strategies, and exciting projects for the future. Gain insights into Holland's background, his perspective on industry trends in 2024, and the factors driving growth at Johns Hopkins Health Plans along with current challenges and future initiatives.

Feb 18, 2024•18 min

Brian Pieninck, President and CEO of CareFirst BlueCross BlueShield

Join Jakob Emerson from Becker's Healthcare as he speaks with Brian Pieninck, President and CEO of CareFirst BlueCross BlueShield, exploring strategies for addressing social determinants of health and promoting health equity. Gain insights into regional initiatives and the broader national landscape, as Pieninck shares perspectives on healthcare trends and strategies for ensuring affordability, accessibility, and equity for all Americans.

Feb 16, 2024•20 min

No Surprises? Unpacking Challenges and Solutions in the Era of Surprise Billing Protection

Dive into the post-No Surprises Act landscape with Martin Cody, Senior Vice President of Sales for Madaket Health! This podcast tackles key challenges for payers, providers, and patients: inaccurate directories, compliance complexities, and optimizing operations. Discover Madaket Health's platform and how they're helping navigate the new normal. Learn what healthcare leaders should prioritize for smooth sailing in the age of surprise billing protection. Don't miss out on insider insights and val...

Feb 14, 2024•17 min

Susan Beaton, Vice President of Health Plan Strategy at Wellframe

Susan Beaton, Vice President of Health Plan Strategy at Wellframe joins the podcast to share insights into her organization, how she sees the role of digital health management evolving this year, the importance for health leaders to keep cyber security top of mind, and more.

Feb 08, 2024•15 min

Damanjeet Chaubey, Senior Medical Director and Vice President of Clinical Affairs at Clover Health

In this episode, join Damanjeet Chaubey, Senior Medical Director and Vice President of Clinical Affairs at Clover Health, as she provides insights into her background and expertise in healthcare leadership. Damanjeet discusses the prominent issues shaping healthcare in 2024, expressing her excitement and concerns, and offers valuable perspectives on the essential qualities for effective healthcare leadership in the next 2-3 years.

Feb 04, 2024•20 min

Navigating Healthcare M&A and Payment Integrity Challenges with Greg Dorn, President of CERIS

Tune in to the Becker's Payer Issues Podcast as Erica Carbajal engages in an insightful conversation with Greg Dorn, President of CERIS. Explore the complexities of healthcare M&A, payment integrity challenges, and CERIS' unique strategies for sustaining business success in an ever-evolving industry. Gain valuable insights on key drivers for payment integrity success in 2024 and the imperative role of transparency, innovation, and collaboration. Sponsored by CERIS , this episode offers a dee...

Jan 30, 2024•8 min

Musculoskeletal-care navigation with Rachel Winokur, TailorCare Co-Founder and CEO

Half of the US population lives with a musculoskeletal (MSK) condition, which includes joint, back and muscle pain or immobility; tune into this episode on transforming the patient and provider experience around MSK care. Becker's talks with Rachel Winokur, Co-Founder and CEO of TailorCare about her personal experiences and much more. This episode is sponsored by TailorCare

Jan 23, 2024•14 min

Tom Grote, CEO of Banner | Aetna

Join us in this episode of the podcast featuring Tom Grote, CEO of Banner | Aetna, as he provides insights into his background and the organization's growth strategy for the upcoming year. Gain valuable perspectives on the significant challenges and opportunities facing health plans from his vantage point. Additionally, explore the technologies Banner | Aetna employs to enhance the member experience in this engaging conversation.

Jan 13, 2024•12 min

The Rapidly Evolving Specialty Pharmacy Landscape with Mark Conklin, Chief Technology Officer at Free Market Health

In this 9-minute conversation, the CTO at Free Market Health, Mark Conklin, dives into the evolving specialty pharmacy landscape and its impact on payers. The discussion focuses on the complexities of the ecosystem, why the status quo is no longer working, and what payers can expect in the new year. Tune in to gain valuable insights on the changing world of specialty pharmacy, how technology is driving innovation, and more. This episode is sponsored by Free Market Health ....

Jan 04, 2024•9 min

Dr. Adam Wolk, Regional Chief Medical Officer at Alignment Health

This episode recorded live at the 2023 Becker’s Payer Issues Roundtable in Chicago features Dr. Adam Wolk, Regional Chief Medical Officer, Alignment Health. Here, he discusses his background, headwinds health plans are facing, specific technologies his organization is utilizing to enhance the senior care experience, and more!

Dec 26, 2023•4 min

Dr. Arta Bakshandeh, Chief Medical Informatics Officer at Alignment Health

This episode recorded live at the 2023 Becker’s Payer Issues Roundtable in Chicago features Dr. Arta Bakshandeh, Chief Medical Informatics Officer at Alignment Health. Here, he discusses his background, Alignment’s focus on serving seniors, the challenges and opportunities regarding AI, and more.

Dec 22, 2023•7 min

Henriette Coetzer, MD, Chief Medical Officer at Blue Health Intelligence

Henriette Coetzer, MD, Chief Medical Officer at Blue Health Intelligence joins the podcast to discuss her healthcare career, her role as BHI's CMO, and data trends in the payer landscape. Looking ahead to 2024, Dr. Coetzer outlines strategic priorities, initiatives, and advice to payer leaders seeking to harness the power of data analytics.

Dec 22, 2023•14 min

Shifting Horizons: Understanding the Rise of Virtual-First Health Plans with Matt Cook, CCO at Firefly Health

In this episode of the Becker’s Healthcare Podcast series, Brian Zimmerman, AVP of Client Content + Strategy, engages in a thought-provoking conversation with Matt Cook, Chief Commercial Officer at Firefly Health, exploring the dynamic landscape of healthcare through the lens of virtual-first health plans. Together, they delve into the fundamentals of virtual-first plans, the motivations behind their increasing adoption, and the multifaceted benefits they offer to both employers and members. Mat...

Dec 20, 2023•17 min

Kimberly Reich, Interim Executive Director & Compliance & Privacy Officer, Lake County Physicians' Association (LCPA)

This episode recorded live at the 2023 Becker’s Payer Issues Roundtable in Chicago features Kimberly Reich, Interim Executive Director & Compliance & Privacy Officer, Lake County Physicians' Association (LCPA). Here, she discusses her role, Lake County Physicians expanding more into the Medicare & Medicaid space, the importance of health equity in order to achieve quality, and more.

Dec 16, 2023•6 min
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