Becker’s Payer Issues Podcast - podcast cover

Becker’s Payer Issues Podcast

Becker's Healthcarewww.beckershospitalreview.com
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

Wayne Pan, Medical Doctor at San Francisco Health Plan

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.

Dec 13, 20245 min

Transforming Healthcare with Russell Van Gorp

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 .

Dec 09, 20248 min

Edward Juhn, Chief Quality Officer at Inland Empire Health Plan

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 ethical data stewardship and member-centered care.

Dec 04, 20247 min

Aric Sharp, CEO of Value-Based Care at Clover Health

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.

Dec 02, 20249 min

Mike Jasperson, Senior Vice President of Provider Network and Health Plan Operations at Priority Health

In 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.

Nov 30, 202411 min

Harlon Pickett, President of Eagle Care Health Solutions

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.

Nov 27, 20249 min

Erin Henderson Moore, President and CEO of Fidelis Care

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.

Nov 26, 20248 min

Driving Growth and Innovation in Rural Healthcare: Insights from Jennifer Shermo

In 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.

Nov 25, 20248 min

Innovating Home-Based Care: Insights from John Young

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 .

Nov 25, 20249 min

Angela Perri, President, Medicare Products

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.

Nov 23, 202410 min

Breaking Barriers in Home-Based Healthcare

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 .

Nov 22, 202410 min

Chris Wasel, President, Marketing & Strategic Partnerships at Vantage Healthcare

In this episode, Chris Wasel, President, Marketing & Strategic Partnerships at Vantage Healthcare shares insights into his background & scope of his current role, Vantage Healthcare’s growth strategy, what traits the most effective healthcare leaders will need to be successful in the coming years, and more.

Nov 22, 202417 min

Gary Rosenfield, Director, Medicaid Product & Strategy, United Concordia Dental

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Gary Rosenfield, Director, Medicaid Product & Strategy, United Concordia Dental. Here, he discusses strategies for overcoming community access barriers to connect people with essential services and providers. Gary also emphasizes initiatives for enhancing quality and clinical outcomes in home-based care.

Nov 20, 202413 min

Addressing Food Insecurity through Innovative Programs: Dr. Crystal Clark, the CMO for the Community Health Choices Program at UPMC Health Plan

In this episode, Dr. Crystal Clark, the CMO for the Community Health Choices Program at UPMC Health Plan, discusses the vital role of addressing food insecurity and other social determinants of health. Dr. Clark shares insights on UPMC’s programs, including meal delivery, healthy food allowances, and community partnerships that are transforming healthcare access and promoting holistic well-being.

Nov 19, 202417 min

Talent transformation, leveraging AI for HR, and more

In this episode, Karen Downes, Senior Director or HR Technology and HR Operations at Prime Therapeutics, discusses the company's transformation, including the pivotal Magellan acquisition and how Workday technology has supported Prime’s talent and organizational changes.They explore commitment to transparency, avoiding conflicts of interest, and the role of modern technology and AI in driving strategic objectives and business growth. This episode is sponsored by Workday...

Nov 19, 202420 min

Eric Cannon, Chief Pharmacy Officer and General Manager of Select Health/Scripius.

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Eric Cannon, Chief Pharmacy Officer and General Manager of Select Health/Scripius. Here, he discusses how transparency can help drive down costs and improve the member experience. Eric also explores innovative approaches to helping members choose the best care through an e-commerce experience tailored to their needs.

Nov 18, 20248 min

Ty Wang, Co-Founder and CEO of Angle Health

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Ty Wang, Co-Founder and CEO of Angle Health. Here, he discusses strategies for improving the member experience and shares insights on growing the business while keeping patient experience as the top priority. Ty also explores how Angle Health is leveraging AI and new technology to enhance service and care.

Nov 15, 20248 min

Advancing Health Equity: Insights from Valerie Martinez, chief health equity officer, Blue Shield of California's Promise Health Plan

In this episode, Valerie Martinez, chief health equity officer, Blue Shield of California's Promise Health Plan, shares her journey in healthcare and her role in bridging clinical and managed care to promote health equity. Valerie discusses the critical initiatives she leads, including the integration of health equity across services, community resource centers, and mobile mammography clinics, to improve access and outcomes for California’s Medi-Cal population.

Nov 14, 202414 min

Dr. Jeremy Wigginton, Chief Medical Officer at Capital Blue Cross

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Dr. Jeremy Wigginton, Chief Medical Officer at Capital Blue Cross. Here, he shares his approach to improving member experience by addressing overutilization, enhancing health literacy, and integrating whole-person care. He highlights the role of technology in growth strategies and discusses Capital Blue Cross's move towards a fully integrated care model to foster better health outcomes.

Nov 12, 20246 min

Navigating Change: How Payers Can Stay Agile in a Shifting Landscape

This episode explores how payers can navigate the challenges and opportunities of alternative payment models in healthcare. Jakob Emerson speaks with Angie Adams, VP of Product Management at i3 Healthcare Solutions, about agility and technology for contract management, as well as key objectives for payers and the future of healthcare payer operations. This episode is sponsored by i3Healthcare Solutions .

Nov 06, 202414 min

A Personal Journey and Cigna's Innovations in Breast Cancer Support with Margaux Currie

In this episode, Margaux Currie, Senior Director of Commercial Medical Clinical Solutions and Strategy at Cigna Healthcare, shares her personal breast cancer journey and discusses Cigna's proactive approaches to early detection and personalized support for breast cancer patients. From awareness campaigns to individualized oncology nurse advocacy, Margaux outlines how Cigna is advancing care for those impacted by breast cancer.

Nov 05, 202419 min

Dr. Manu Chaudhry, President of Capitol Dental Care

In this episode, Dr. Manu Chaudhry, President of Capitol Dental Care, shares his unique perspectives on transforming dental care through integrated systems and a community-focused model. Dr. Chaudhry delves into the importance of AI in bridging humanistic care, the shift toward value-based care, and the role of collaborative teams in addressing the rising complexity of oral health.

Nov 03, 202413 min

Healthcare Trends: In-Home Assessments

Join Jakob Emerson from the Becker's Healthcare Podcast as he sits down with Catherine Tabaka, CEO of Matrix Medical Network, to explore the rising trend of in-home health assessments. Discover how technology and in-home care are reshaping patient services and what opportunities lie ahead for payer organizations. This episode is sponsored by Matrix Medical Network .

Oct 29, 202422 min

Scaling Mental Health Support with Woebot

Join Erika Spicer Mason as she engages in a conversation with Trina Histon, PhD, VP of Clinical Product Strategy at Woebot Health, about the innovative integration of digital mental health solutions in healthcare systems like Virtua Health. Discover how Woebot is transforming mental health support and the challenges of implementing such technology in existing healthcare frameworks. This episode is sponsored by Woebot Health.

Oct 25, 202415 min

AI's Impact on Healthcare: Transforming Member Experience & Responsible Innovation

Infermedica's Chief Commercial Officer, Amanda Bury, joins Becker's Healthcare to discuss how AI is revolutionizing healthcare. We explore how AI is influencing member experience, its impact on health systems, and the importance of responsible innovation in an era of rapid technological advancement. We also delve into maximizing ROI in digital health and ensuring patients benefit from this transformative technology. This episode is sponsored by Infermedica ....

Oct 24, 202415 min
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