In this week’s episode of Tuning In to the C-Suite podcast, Briana Contreras, an editor of Managed Healthcare Executive spoke with Julien Pham, MD, founder and managing partner of Third Culture Capital (3CC). In the discussion they talked about the concern of having to find other means of access to care to address disparities now that funding for innovations like telehealth are expected to decline. Pham added why he believes funding for telehealth is declining and ways organizations can still ad...
Jan 04, 2023•22 min•Ep. 109
In this week's episode, Briana Contreras, editor of Managed Healthcare Executive , spoke with Chuck Salvo managing director of ToneyKorf Partners about some of the common challenges and trends he sees in healthcare organizations today. The pair also touched on topics involving mergers between healthcare organizations, the question whether CEO's are being replaced and the importance of a board in a healthcare organization.
Dec 15, 2022•26 min•Ep. 108
In this week's episode of "Tuning In to the C-Suite" podcast Briana Contreras, editor of Managed Healthcare Executive , spoke with Ted Quinn CEO and founder of Activate Care. During the conversation, Quinn touched on where the need to address social determinants of health is today as we are still in the COVID-19 public health emergency. Also discussed was how analyzing data and tools like artificial intelligence can address these the issues inside health inequities.
Dec 07, 2022•22 min•Ep. 107
In this week’s episode of "Tuning In to the C-Suite," Briana Contreras, editor of Managed Healthcare Executive , spoke with Ramin Bastani, CEO of Healthvana. Ramin addressed the ongoing issue of underserved communities lacking access to care and shared the efforts made specifically through digital health to help. He also discussed the steps that remain to be taken to improve access to care.
Nov 30, 2022•18 min•Ep. 106
In this week's episode, Editor of Managed Healthcare Executive, Briana Contreras, had the pleasure of speaking with Chief Clinical Officer of WellSky, Tim Ashe, about the issue of Centers for Medicare and Medicaid Services cutting rates for Medicare home health. Tim addressed the solutions that are either underway or those that can potentially preserve access to these services.
Nov 24, 2022•15 min•Ep. 105
In this episode of Tuning In to the C-Suite, Briana Contreras, editor with Managed Healthcare Executive spoke with Dr. Yuri Fesko, oncologist and vice president of Medical Affairs at Quest Diagnostics. In the conversation, Dr. Fesko addressed the ongoing issue of long gaps of times between receiving a diagnosis for a type of cancer and finally getting the treatment for it. Dr. Fesko shared the benefits a number of sectors receive when treating patients sooner and the steps to get there.
Nov 16, 2022•19 min•Ep. 104
In this episode of Tuning In to the C-Suite, Managing Editor of Managed Healthcare Executive, Peter Wehrwein, speaks with President of Value Evolutions and MHE Editorial Advisory Board Member, Doug Chaet, FACHE, about value-based care's current standing, the status of various payment models and more.
Sep 29, 2022•31 min•Ep. 103
In this week's episode, MHE Editor Briana Contreras and Managing Editor Peter Wehrwein met with CIO of Prime Therapeutics, Jim Graham to discuss the process of an organization’s digital transformation from a traditional Pharmacy Benefit Manager to a complete data-driven drug management system. Graham addressed the risks an organization may come across to successfully transition to this system, but also mentioned the benefits to come.
Aug 31, 2022•25 min•Ep. 102
Hi everyone, I’m Briana Contreras and I’m an editor for Managed Healthcare Executive . Back from a brief hiatus, MHE brings you a brand new episode of Tuning In to the C-Suite podcast where I had the pleasure of speaking with Lissy Hu, President of Connected Care Networks at WellSky. Lissy and I discussed the shift to home-based care and where it stands after becoming much more of a norm three years into COVID-19. We also addressed the benefits and challenges of home-based care from a payer and ...
Aug 25, 2022•18 min•Ep. 101
This week welcomes Managed Healthcare Executive 's 100th podcast episode featured on "Tuning In to the C-Suite" podcast! Guests on this episode are members of 1upHealth, CEO Joe Gagnon and Chief Strategy Officer, Don Rucker. The two were featured on the latest episode of "Tuning In to the C-Suite's" podcast series "MHE Talks: Improving Patient Access" to discuss the adoption of FHIR, or Fast Healthcare Interoperability Resource, in healthcare and how it’s not only simplifying healthcare through ...
May 11, 2022•29 min•Ep. 100
Briana Contreras, editor of Managed Healthcare Executive, spoke with Nancy Lurker, CEO and president of EyePoint Pharmaceuticals. Nancy shared a bit about EyePoint and how the organization’s innovative therapies are addressing patient needs through eye care, and most importantly, she addressed C-Suite positions like the CEO role. Nancy shared advice for those seeking to reach the CEO level, especially toward women in healthcare and other roles, and what it takes to run a biopharma company....
Apr 27, 2022•26 min•Ep. 99
In this week's episode, Briana Contreras, editor of Managed Healthcare Executive, spoke with Dr. Paige Kilian, chief medical officer at Inovalon. In the discussion, Dr. Kilian broke down the current issues health plans are facing when it comes to risk adjustment and how it’s affecting members of these plans. She also shared some solutions that can help plans improve risk adjustment and quality programs with one in particular being health plans identifying care gaps through data and analytics.
Apr 15, 2022•14 min•Ep. 98
Briana Contreras, editor of Managed Healthcare Executive spoke with Emad Rizk, M.D. , chairman, president, and CEO of Cotiviti in this week's episode of Tuning In to the C-Suite. In the discussion, they talked about the issues of risk in healthcare and how they have led to inequalities in care. They also addressed how adopting risk assessment tools that expand access to data around social determinants of health can help reduce bias and improve care....
Apr 06, 2022•12 min•Ep. 97
In this latest episode of the "Meet the Board" podcast series, Briana Contreras, editor of Managed Healthcare Executive, spoke with Managed Healthcare Executive Editorial Advisory Board Member Ateev Mehrotra, who is professor of Healthcare Policy and Medicine at Harvard Medical School; and a hospitalist at Beth Israel Deaconess Medical Center in Boston. In the discussion, Briana gets to know Ateev more on a personal level and picks his brain on some of his research interests like telehealth, alt...
Mar 25, 2022•18 min•Ep. 96
In this week's episode, Briana Contreras, editor of Managed Healthcare Executive, spoke with Peter Durlach, chief strategy officer of Nuance. The two discussed how artificial intelligence drives value for patients and providers and how AI tools and solutions are helping health systems reach the quadruple aim of care.
Mar 16, 2022•29 min•Ep. 95
Chief Operating Officer of Hint Health, Mark Nolan, discussed direct contracting in healthcare among his organization with Managing Editor of Managed Healthcare Executive , Peter Wehrwein, in this week's episode of Tuning In to the C-Suite podcast.
Mar 09, 2022•29 min•Ep. 94
Briana Contreras, editor of Managed Healthcare Executive spoke with Jason Warrelmann, global director of Healthcare and Life Sciences at UiPath, in this week's episode of Tuning In to the C-Suite podcast. In the discussion Jason addressed the incline of automation in healthcare, why it's necessary for patients and providers and how other healthcare organizations can better overcome the challenges of adopting automation within their health system.
Mar 02, 2022•22 min•Ep. 93
Welcome back to another episode of the returned MHE Talks: Improving Patient Access podcast. In this episode Briana Contreras, editor of Managed Healthcare Executive, spoke with Wes Gilson, senior director MR of Business Development at Siemens Healthineers. In the conversation, the two discussed why improving access to magnetic resonance imaging (MRI) is crucial to advancing health equity. Gilson addressed the barriers many face when accessing MRI services and its solutions from tackling the bar...
Feb 23, 2022•24 min•Ep. 92
Briana Contreras, editor of Managed Healthcare Executive spoke with Luis Mosquera, CEO of Health Network One, a provider of specialty benefit management services for health insurers, in this week's episode. In this discussion, Luis and Briana talked about how value-driven decisions in a more value-based market can not only better manage costs for health plans, but create a plan of care to best meet patient’s needs. In order to do this, Luis strongly encouraged healthcare executives to experience...
Feb 11, 2022•15 min•Ep. 91
Feb 04, 2022•37 min•Ep. 90
In this episode, Peter Wehrwein, managing editor of Managed Healthcare Executive , speaks with Dr. Rodrigo Cerda. Dr. Cerda has been recently promoted to the position of senior vice president of health services and chief medical officer of Independence Blue Cross in Philadelphia. He is also a member of Managed Healthcare Executive ’s editorial advisory board. Peter and Dr. Cerda discuss his new role at the Independence Blue Cross, what it means to be a chief medical officer at an insurer these d...
Jan 26, 2022•28 min•Ep. 89
Briana Contreras, editor of Managed healthcare Executive, spoke with Dr. Ian Tong, chief medical officer of Included Health in today’s episode. The two discussed telehealth use vs. in person care, and more specifically, the racial and ethnic differences in this use of care. They concluded the conversation with how telehealth use has continued to expose more benefits for all patients and for the industry through examples like improvements in reimbursement policies and in addressing health equity ...
Jan 12, 2022•23 min•Ep. 88
Briana Contreras, associate editor of Managed Healthcare Executive, spoke with Shara Cohen, CEO of Carallel, an organization built to support caregivers, in this week's podcast. Shara shared not only who caregivers are and the vital role they play in healthcare, but the challenges they face. She also discussed ways health plans can do better to meet the needs of today’s caregivers.
Dec 08, 2021•22 min•Ep. 87
In this week's episode, Senior Editor of Managed Healthcare Executive, Peter Wehrwein, speaks with Chief Medical Officer of Caravan Health, Ashok Roy. The two dug into the approach of delivering quality care at Caravan, discussed ACOs in care and population health.
Dec 01, 2021•36 min•Ep. 86
Briana Contreras, associate editor of Managed Healthcare Executive spoke with WellRight CEO, Neepa Patel, on the topic of wellness programs in healthcare and the need for employers and health plans to roll out new, effective, holistic and innovative programs for patients. Patel did discuss the challenges that some organization can face when rolling out these programs, but she explained how accessible, affordable and beneficial these programs are for patients mental health and wellbeing.
Nov 24, 2021•15 min•Ep. 85
In this week’s episode Briana Contreras, associate editor of Managed Healthcare Executive, met with Greg Miller, vice president of Industry Strategy, Healthcare and Life Sciences at Talkdesk. The two discussed that while virtual care has become a convenient tool in healthcare during the pandemic and has helped treat more patients, this form of care isn’t completely solving patient’s underlying issues. However, Miller shared how AI is helping ease the patient experience and improving care in this...
Nov 17, 2021•19 min•Ep. 84
Briana Contreras, associate editor of Managed Healthcare Executive , spoke with Josh Benner, founder and CEO of RxAnte, in this latest episode of Tuning In to the C-Suite podcast. In the conversation, Benner addressed the issue of medication misuse among patients based on access, demographics and more, as well as its solutions. The two also talked about the role technology has on the future of pharmacy and how solutions provided through RxAnte can assist plans to improve their CMS Start rating m...
Nov 10, 2021•18 min•Ep. 83
In this episode of Tuning In to the C-Suite podcast, Senior Editor of MHE, Peter Wehrwein, and Associate Editor, Briana Contreras, spoke with President and CEO of CareOregon, Eric Hunter, for another episode of the Meet the Board podcast series. Hunter, who has been on MHE’s Editorial Advisory Board for over a year now, shared how his career in healthcare kick-started, what managed care has become over time, how Medicaid is organized in Oregon and more.
Nov 03, 2021•27 min•Ep. 82
In this week’s episode, Managed Healthcare Executive Associate Editor Briana Contreras had the pleasure of meeting CEO of Quanterix and founder of Powering Precision Health , Kevin Hrusovsky. Quanterix is a blood-based biomarker analysis company. In this discussion, the two discussed Powering Precision Health and some tools like the Disruptive Innovation 5-step model that brings his vision closer of detecting and improving the health of patients sooner....
Oct 13, 2021•27 min•Ep. 81
This week, MHE editors Briana Contreras and Peter Wehrwein chat with MHE Editorial Advisory Board Member Cindy Hundorfean for the latest episode of the Meet the Board podcast series. Hundorfean, who is CEO of Allegheny Health Network, told MHE a few things about her career, where Allegheny Health Network stands in the competitive Pittsburgh healthcare market and what the organization is doing to improve the health of the population.
Sep 30, 2021•22 min•Ep. 80