California eyes single-payer again + more
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Apr 29, 2024•9 min
Becker’s Payer Issues Podcast
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
Catalight's Commitment: Reshaping the Future of Autism Care
Join Jakob Emerson at Becker’s April Annual Meeting as he sits down with Trent Iden, Chief Growth Officer for Catalight, to explore the challenges and innovations in autism and IDD care. Gain insights into the future of behavioral health and Catalight's unique approach to supporting individuals with developmental disabilities. Sponsored by Catalight .
Apr 29, 2024•12 min
Bryan Holgerson, President of U.S. Employer at Cigna Healthcare
Join us as we sit down with Bryan Holgerson, President of U.S. Employer at Cigna Healthcare, for an insightful conversation about the company's new podcast with Holly Robinson Peete and the intersection of job satisfaction and health. Bryan discusses his role at Cigna, the importance of the podcast in supporting employers and their workforces, and the impact of invisible challenges on organizational culture. Tune in for valuable insights and advice on promoting employee well-being in the workpla...
Apr 28, 2024•17 min
Transparency in Coverage: Excellus BCBS's Strategy for Member Engagement
Join Erika Spicer Mason as she discusses Excellus BCBS's experience during the transparency in coverage mandate with Nicole Columbare and Kim Valenti. Delve into their strategies for member engagement and learn about the future of healthcare transparency. This episode is sponsored by Kyruus Health .
Apr 27, 2024•13 min
Tech Bridges: Innovating Healthcare for Better Outcomes with Veradigm
Join us as we delve into the realm of healthcare innovation with Michael Moore and Courtney Yeakel, experts from Veradigm, discussing the integration of advanced technologies to enhance outcomes and quality for payers, providers, and patients. From navigating regulatory changes to leveraging AI's potential, discover how technical automation is revolutionizing the healthcare landscape. This episode is sponsored by Veradigm .
Apr 25, 2024•19 min
Praveen Thadani, CEO of Priority Health
Tune in as Praveen Thadani, CEO of Priority Health, shares insights into the organization's involvement in expanding patient navigation services through the Biden Cancer Moonshot initiative. Learn about the unique opportunity to discuss the initiative with First Lady Jill Biden and gain valuable insights into the support provided to cancer patients through patient navigation services. Gain a deeper understanding of Priority Health's role in enhancing healthcare access and support for those battl...
Apr 24, 2024•11 min
Optum reportedly enacts layoffs + more
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Apr 22, 2024•8 min
Bridging Mental Health Barriers: Insights from Rula's Chief Commercial Officer
Join Jay Meyers, Chief Commercial Officer of Rula, as he discusses how Rula is tackling the mental health crisis, particularly for adolescents and young adults. Gain insights into the challenges of accessing quality mental healthcare with insurance and learn how Rula collaborates with the current ecosystem to facilitate easier access to high-quality mental health services.
Apr 22, 2024•5 min
Lawmakers blast UnitedHealth over Change attack + more
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Apr 18, 2024•10 min
Dr. Joel Nelson, President of UPMC International
Join us as we sit down with Dr. Joel Nelson, President of UPMC International, for a captivating discussion on the current landscape of healthcare. Dr. Nelson shares his insights on the biggest issues shaping healthcare in 2024, his excitement for upcoming developments, and the essential qualities for effective healthcare leadership in the years ahead. Tune in for valuable perspectives from a prominent leader in the healthcare industry.
Apr 18, 2024•25 min
Unlocking GLP-1 Success: Insights from Noom's Chief Medical Officer
Join Dr. Linda Anegawa, Chief Medical Officer at Noom, as she delves into why the success of GLP-1 therapy hinges on lifestyle changes. Discover insights into Noom's clinical support for payers in treating obesity, including managing GLP-1 medications, and learn about the integration of medication management with lifestyle modification techniques for optimal health outcomes. This episode is sponsored by Noom .
Apr 17, 2024•7 min
NYT investigates MultiPlan + more
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Apr 15, 2024•9 min
Dr. Adam Myers, former Chief Clinical Transformation Officer at Blue Cross Blue Shield Association
Join us as Dr. Adam Myers, former Chief Clinical Transformation Officer at Blue Cross Blue Shield Association, shares his expertise and insights. Discover the pressing healthcare issues of 2024, Dr. Myers' excitement and concerns, and the key attributes essential for healthcare leaders to thrive in the coming years.
Apr 12, 2024•13 min
Beyond Maternity Closures: Personalized Care for a Changing Women's Health Landscape
In this episode Dr. Senan Ebrahim, Founder and CEO of Delfina, dives into the critical landscape of women's health, particularly maternal care. We explore the challenges of maternity service closures and evolving regulations, alongside the opportunities presented by personalized healthcare. This episode is sponsored by Delfina .
Apr 09, 2024•20 min
Prepay Claims Review: A Strategy for Reducing Healthcare Costs
Payer executives are increasingly focusing on claims management to cut costs. Prepayment review offers a proactive approach compared to traditional post-payment methods, allowing payers to identify and address potential issues before claims are processed. This episode is sponsored by CERIS .
Apr 08, 2024•9 min
Navigating the Future of Medicare Advantage: HEI and Social Risk Factors
This podcast discusses the upcoming Health Equity Index (HEI) replacing the Reward Factor in Medicare Advantage Star Ratings with Dr. Ashwin Patel, the Chief Medical Officer at Pyx Health. Learn how this impacts plans in 2024-2025 and what steps they can take to prepare for the HEI shift. We'll also explore how Pyx Health helps identify and address member needs related to social risk factors and the HEI. This episode is sponsored by Pyx Health ....
Apr 05, 2024•16 min
CMS finalizes 2025 MA rates + more
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Apr 05, 2024•8 min
Unlocking Growth: How Insourcing Credentialing Drove Surprising Benefits for Humana
Tune into this episode featuring Rehan Mirza , Chief Growth Officer at Verifiable, and Dara McDaniel, Associate Director of Credentialing at Humana. Dara and Rehan share insights on credentialing outside of patient safety and compliance, new approaches to leverage technology and much more. This episode is sponsored by Verifiable .
Apr 04, 2024•16 min
AI-Driven Engagement: How Tech is Transforming Member Care Navigation
In this episode, we explore how member engagement and care navigation are crucial for value-based care, population health, and member satisfaction. We discuss the challenges health plans face and the opportunities presented by AI technology. Our guest, Amanda L. Bury, MS Chief Commercial Officer at Infermedica, shares how AI tools can drive member engagement and improve care journeys. She also dives into real-world examples and the positive outcomes health plans can achieve through this approach...
Apr 03, 2024•9 min
Part 2 - Supporting Complex Diabetes Care in 2024: Challenges, Opportunities, and a Look Ahead
In this episode, Dr. Bloom returns to discuss the specific challenges and opportunities in supporting preventive care for patients with complex diabetes. We explore how value-based care models can align with best practices in this area, and what future shifts we can expect as chronic disease prevalence rises. Dr. Bloom also shares his insights on exciting developments in caring for this population. This episode is sponsored by Podimetrics ....
Apr 02, 2024•11 min
Lawmakers set date for UnitedHealth CEO hearing + more
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Apr 01, 2024•6 min
Taming the Tide: How Payers Can Leverage Care Management for Chronic Disease
The rising tide of chronic diseases threatens healthcare costs. In this episode, we are joined by Dr. Sam Toney, CEO of Toney Healthcare, as we explore how payers can leverage care management programs to address this challenge. We discuss the opportunities technology presents to enhance patient care, the importance of psychosocial determinants of health and looking at each patient uniquely, and offer insights into the future of care management for payers. This episode is sponsored by Toney Healt...
Mar 29, 2024•6 min
Biden cracks down on junk plans + more
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Mar 28, 2024•5 min
Unlocking Payer Growth: Overcoming Barriers and Embracing Tech
Payers are on a mission: boost growth and improve member experiences. But navigating new technologies and reducing costs can be tricky. This episode dives into the top challenges and opportunities payers face, plus expert advice on how to streamline operations, leverage exciting tech advancements, and ultimately, empower members. This episode is sponsored by EXL .
Mar 28, 2024•19 min
Star Strategies: Improving Medicare Ratings with Provider Data
Join Nate Maslak, CEO of Ribbon Health, as he hosts health plan leaders Will Shrank and Jill Hummel for a discussion on strategies to improve Medicare Star Ratings using provider data. Delve into the significance of Star Ratings for health plans, the impact on revenue, enrollment, and retention, and the crucial role of accurate provider data in improving ratings. Tune in for valuable insights from two health plan executives on how to prioritize Star Ratings and optimize for more positive member ...
Mar 27, 2024•19 min
Change to begin processing claims + more
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Mar 25, 2024•10 min
Top 10 health insurers of 2024 + more
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Mar 20, 2024•6 min
Centralizing provider data to improve healthcare with Anshul Rathi of CertifyOS
Join Erika Spicer Mason on the Becker’s Healthcare Podcast as she sits down with Anshul Rathi, Founder, and CEO of CertifyOS, to discuss improving healthcare by addressing critical issues like administrative burdens on providers, inefficiencies in provider data management and the impact on patient care. Learn how improving provider data accuracy will improve access to quality care, enhance provider satisfaction, and ultimately transform the healthcare industry's operational framework for facilit...
Mar 19, 2024•15 min
Bridging the Behavioral Health Gap: Payers Take Action
Join us in this episode as we speak with Shana Hoffman, President & CEO of Lucet, as she dives deep into how provider shortages are impacting everyone, the importance of timely access and the innovative technology solutions payers are using to bridge the gap. We'll also explore how payers and providers can work together to address the social determinants of health and ensure equitable access to behavioral health care for all. This episode is sponsored by Lucet, The Behavioral Health Optimiza...
Mar 18, 2024•15 min
Dr. John Bulger, Chief Medical Officer of Geisinger Health Plan
Tune in as Jakob Emerson from Becker's Healthcare interviews Dr. John Bulger, Chief Medical Officer of Geisinger Health Plan, exploring the factors driving member satisfaction, integration with Geisinger Health System, and Medicare Advantage strategies for 2024. Gain insights into recent developments in the healthcare landscape and valuable advice for insurance executives in this engaging conversation.
Mar 14, 2024•14 min
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