Becker’s Payer Issues PodcastThe leading hospital magazine for hospital business news and analysis for hospital and healthcare system executives.https://www.beckershospitalreview.com/podcasts/becker-s-payer-issues-podcast.feed2024-11-07T15:32:37+00:00Becker's Hospital Reviewdevelopment@itoctopus.comJoomla! - Open Source Content ManagementNavigating Change: How Payers Can Stay Agile in a Shifting Landscape2024-11-07T15:31:52+00:002024-11-07T15:31:52+00:00https://www.beckershospitalreview.com/podcasts/becker-s-payer-issues-podcast/navigating-change-how-payers-can-stay-agile-in-a-shifting-landscape-138250141.htmli3Healthcare Solutions (<a href="https://www.i3verticals.com/healthcare/" target="_blank">https://www.i3verticals.com/healthcare/</a>).<p><p>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.</p><p></p><p>This episode is sponsored by <a href="https://www.i3verticals.com/healthcare/" style="color:rgb(0,0,0);">i3Healthcare Solutions</a>.</p></p><p><p>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.</p><p></p><p>This episode is sponsored by <a href="https://www.i3verticals.com/healthcare/" style="color:rgb(0,0,0);">i3Healthcare Solutions</a>.</p></p>A Personal Journey and Cigna's Innovations in Breast Cancer Support with Margaux Currie2024-11-05T13:51:47+00:002024-11-05T13:51:47+00:00https://www.beckershospitalreview.com/podcasts/becker-s-payer-issues-podcast/a-personal-journey-and-cigna-s-innovations-in-breast-cancer-support-with-margaux-currie-138205051.html<p><p>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.</p></p><p><p>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.</p></p>Dr. Manu Chaudhry, President of Capitol Dental Care2024-11-03T22:15:53+00:002024-11-03T22:15:53+00:00https://www.beckershospitalreview.com/podcasts/becker-s-payer-issues-podcast/dr-manu-chaudhry-president-of-capitol-dental-care-138146736.html<p><p>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.</p></p><p><p>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.</p></p>Healthcare Trends: In-Home Assessments2024-11-07T15:31:42+00:002024-11-07T15:31:42+00:00https://www.beckershospitalreview.com/podcasts/becker-s-payer-issues-podcast/healthcare-trends-in-home-assessments-137955415.htmlMatrix Medical Network (<a href="https://www.matrixmedicalnetwork.com/" target="_blank">https://www.matrixmedicalnetwork.com/</a>).<p><p>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.</p><p></p><p>This episode is sponsored by <a href="https://www.matrixmedicalnetwork.com/" style="color:rgb(0,0,0);">Matrix Medical Network</a>.</p></p><p><p>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.</p><p></p><p>This episode is sponsored by <a href="https://www.matrixmedicalnetwork.com/" style="color:rgb(0,0,0);">Matrix Medical Network</a>.</p></p>Payer - UnitedHealth, DOJ to discuss Amedisys deal + more2024-10-28T22:05:24+00:002024-10-28T22:05:24+00:00https://www.beckershospitalreview.com/podcasts/becker-s-payer-issues-podcast/payer---unitedhealth-doj-to-discuss-amedisys-deal-more-137957275.html<p><p>Tune in for today's industry updates.</p></p><p><p>Tune in for today's industry updates.</p></p>Scaling Mental Health Support with Woebot2024-11-07T15:31:32+00:002024-11-07T15:31:32+00:00https://www.beckershospitalreview.com/podcasts/becker-s-payer-issues-podcast/scaling-mental-health-support-with-woebot-137871219.htmlWoebot Health.<p><p>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.</p><p></p><p>This episode is sponsored by Woebot Health.</p></p><p><p>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.</p><p></p><p>This episode is sponsored by Woebot Health.</p></p>AI's Impact on Healthcare: Transforming Member Experience & Responsible Innovation2024-11-07T15:31:22+00:002024-11-07T15:31:22+00:00https://www.beckershospitalreview.com/podcasts/becker-s-payer-issues-podcast/ai-s-impact-on-healthcare-transforming-member-experience-amp-responsible-innovation-137830779.htmlInfermedica (<a href="https://infermedica.com/" target="_blank">https://infermedica.com/</a>).<p><p>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.</p><p></p><p>This episode is sponsored by <a href="https://infermedica.com/" style="color:rgb(0,0,0);">Infermedica</a>.</p></p><p><p>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.</p><p></p><p>This episode is sponsored by <a href="https://infermedica.com/" style="color:rgb(0,0,0);">Infermedica</a>.</p></p>Chris Palmieri, CEO of Commonwealth Care Alliance, on Aligning Mission and Capital in Healthcare2024-10-19T17:00:00+00:002024-10-19T17:00:00+00:00https://www.beckershospitalreview.com/podcasts/becker-s-payer-issues-podcast/chris-palmieri-ceo-of-commonwealth-care-alliance-on-aligning-mission-and-capital-in-healthcare-137652594.html<p><p>In this episode, Chris Palmieri, President and CEO of Commonwealth Care Alliance, discusses key insights from the healthcare landscape, including lessons from the Steward Health System crisis, areas ripe for innovation, and the critical alignment between nonprofit missions and private capital.</p></p><p><p>In this episode, Chris Palmieri, President and CEO of Commonwealth Care Alliance, discusses key insights from the healthcare landscape, including lessons from the Steward Health System crisis, areas ripe for innovation, and the critical alignment between nonprofit missions and private capital.</p></p>Kristen Cerf on Blue Shield's Four-Star Rating and Expanding Community Health Initiatives2024-10-18T01:00:00+00:002024-10-18T01:00:00+00:00https://www.beckershospitalreview.com/podcasts/becker-s-payer-issues-podcast/kristin-cerf-on-blue-shield-s-four-star-rating-and-expanding-community-health-initiatives-137616206.html<p> </p>
<p>In this episode, Kristen Cerf, President and CEO of Blue Shield of California Promise Health Plan, discusses the plan's recent four-star NCQA rating and the innovative approaches that led to this achievement. She shares insights on the importance of preventative care, data-driven strategies, and impactful community partnerships aimed at improving healthcare access for Medicaid members across California.</p>
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<p>In this episode, Kristen Cerf, President and CEO of Blue Shield of California Promise Health Plan, discusses the plan's recent four-star NCQA rating and the innovative approaches that led to this achievement. She shares insights on the importance of preventative care, data-driven strategies, and impactful community partnerships aimed at improving healthcare access for Medicaid members across California.</p>
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Leveraging Tailored Health Solutions for Public Sector Workers with Kimberly Funderburk 2024-10-17T10:00:00+00:002024-10-17T10:00:00+00:00https://www.beckershospitalreview.com/podcasts/becker-s-payer-issues-podcast/leveraging-tailored-health-solutions-for-public-sector-workers-with-kimberly-funderburk-137571272.html<p><p>In this episode, Kimberly Funderburk, President of Government, Education & Health Systems at Cigna Health Benefits, discusses her career journey and how Cigna is addressing the unique health challenges of public sector employees. She highlights strategies such as mental health first aid training, wellness centers for transit workers, and the integration of behavioral health services to support long-term engagement and well-being.</p></p><p><p>In this episode, Kimberly Funderburk, President of Government, Education & Health Systems at Cigna Health Benefits, discusses her career journey and how Cigna is addressing the unique health challenges of public sector employees. She highlights strategies such as mental health first aid training, wellness centers for transit workers, and the integration of behavioral health services to support long-term engagement and well-being.</p></p>Proactive Defense: Battling Fraud, Waste, and Abuse in Healthcare Payments2024-10-15T19:29:29+00:002024-10-15T19:29:29+00:00https://www.beckershospitalreview.com/podcasts/becker-s-payer-issues-podcast/proactive-defense-battling-fraud-waste-and-abuse-in-healthcare-payments-137535243.htmlCERIS (<a href="https://www.ceris.com/" target="_blank">https://www.ceris.com/</a>).<p><p>This episode of the Becker's Healthcare Podcast dives into the critical issue of payment integrity with Debra Hamer, Director of Product at CERIS. We discuss why proactive strategies are essential in the fight against fraud, explore new innovations, and look towards the future of this evolving landscape.</p><p></p><p>This episode is sponsored by <a href="https://www.ceris.com/" style="color:rgb(0,0,0);">CERIS</a>.</p></p><p><p>This episode of the Becker's Healthcare Podcast dives into the critical issue of payment integrity with Debra Hamer, Director of Product at CERIS. We discuss why proactive strategies are essential in the fight against fraud, explore new innovations, and look towards the future of this evolving landscape.</p><p></p><p>This episode is sponsored by <a href="https://www.ceris.com/" style="color:rgb(0,0,0);">CERIS</a>.</p></p>Medicare Advantage star ratings decline + more2024-10-14T22:00:00+00:002024-10-14T22:00:00+00:00https://www.beckershospitalreview.com/podcasts/becker-s-payer-issues-podcast/medicare-advantage-star-ratings-decline-more-137493200.html<p><p>Tune in for today's industry updates.</p></p><p><p>Tune in for today's industry updates.</p></p>Driving Healthcare Innovation: A Conversation with Dr. Wyatt Decker of UnitedHealth Group2024-10-02T10:00:00+00:002024-10-02T10:00:00+00:00https://www.beckershospitalreview.com/podcasts/becker-s-payer-issues-podcast/driving-healthcare-innovation-a-conversation-with-dr-wyatt-decker-of-unitedhealth-group-136898136.html<p> </p>
<p>In this episode, Dr. Wyatt Decker, Executive Vice President and Chief Physician for Value-Based Care and Innovation at UnitedHealth Group, shares insights on the transition to value-based care, its impact on patient outcomes, and the challenges facing healthcare providers. Tune in for a deep dive into how UnitedHealth Group is leading efforts to reshape the U.S. healthcare system.</p>
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<p>In this episode, Dr. Wyatt Decker, Executive Vice President and Chief Physician for Value-Based Care and Innovation at UnitedHealth Group, shares insights on the transition to value-based care, its impact on patient outcomes, and the challenges facing healthcare providers. Tune in for a deep dive into how UnitedHealth Group is leading efforts to reshape the U.S. healthcare system.</p>
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The Role of Timely Data in Driving Quality Care at CareFirst BlueCross BlueShield with Piyush Khanna2024-10-01T21:00:00+00:002024-10-01T21:00:00+00:00https://www.beckershospitalreview.com/podcasts/becker-s-payer-issues-podcast/the-role-of-timely-data-in-driving-quality-care-at-carefirst-bluecross-blueshield-with-piyush-khanna-136897693.html<p><p>In this episode, Piyush Khanna, Vice President of Clinical Services at CareFirst BlueCross BlueShield, joins the podcast to discuss the importance of timely data from provider networks. He shares insights on quality reporting requirements, operational challenges, and how advancements in data exchange are shaping the future of healthcare delivery.</p></p><p><p>In this episode, Piyush Khanna, Vice President of Clinical Services at CareFirst BlueCross BlueShield, joins the podcast to discuss the importance of timely data from provider networks. He shares insights on quality reporting requirements, operational challenges, and how advancements in data exchange are shaping the future of healthcare delivery.</p></p>Investors sour on CVS + more2024-09-30T22:00:00+00:002024-09-30T22:00:00+00:00https://www.beckershospitalreview.com/podcasts/becker-s-payer-issues-podcast/investors-sour-on-cvs-more-136898803.html<p><p>Tune in for today's industry updates.</p></p><p><p>Tune in for today's industry updates.</p></p>Advancing Medicaid Care and Health Equity: A Conversation with Rushil Desai, President and CEO of Aetna Better Health of Illinois2024-09-30T10:00:00+00:002024-09-30T10:00:00+00:00https://www.beckershospitalreview.com/podcasts/becker-s-payer-issues-podcast/advancing-medicaid-care-and-health-equity-a-conversation-with-rushil-desai-president-and-ceo-of-aetna-better-health-of-illinois-136737432.html<p><p>In this episode, Rushil Desai, President and CEO of Aetna Better Health of Illinois, discusses key trends in Medicaid managed care, including the integration of behavioral health and social needs, the impact of digital health solutions, and the future of value-based care. He also shares insights into the innovative programs improving access and equity for Illinois' most vulnerable populations.</p><p></p><p></p></p><p><p>In this episode, Rushil Desai, President and CEO of Aetna Better Health of Illinois, discusses key trends in Medicaid managed care, including the integration of behavioral health and social needs, the impact of digital health solutions, and the future of value-based care. He also shares insights into the innovative programs improving access and equity for Illinois' most vulnerable populations.</p><p></p><p></p></p>George Halvorson on Medicare Advantage's Impact and the Future of Healthcare2024-09-30T03:00:00+00:002024-09-30T03:00:00+00:00https://www.beckershospitalreview.com/podcasts/becker-s-payer-issues-podcast/george-halvorson-on-medicare-advantage-s-impact-and-the-future-of-healthcare-136737428.html<p><p>In this episode, George Halvorson, Chair and CEO of the Institute for InterGroup Understanding and former CEO of Kaiser Permanente, shares insights on the evolution of Medicare Advantage, its success in delivering quality care, and its role in shaping the future of healthcare. Halvorson delves into key topics like capitation, healthcare cost management, and the ongoing challenges facing the Medicare system.</p></p><p><p>In this episode, George Halvorson, Chair and CEO of the Institute for InterGroup Understanding and former CEO of Kaiser Permanente, shares insights on the evolution of Medicare Advantage, its success in delivering quality care, and its role in shaping the future of healthcare. Halvorson delves into key topics like capitation, healthcare cost management, and the ongoing challenges facing the Medicare system.</p></p>Maryland to drop Kaiser Medicaid + more2024-09-23T22:00:00+00:002024-09-23T22:00:00+00:00https://www.beckershospitalreview.com/podcasts/becker-s-payer-issues-podcast/maryland-to-drop-kaiser-medicaid-more-136588373.html<p><p>Tune in for today's industry updates.</p></p><p><p>Tune in for today's industry updates.</p></p>Cigna sues FTC over PBM report + more2024-09-19T16:00:00+00:002024-09-19T16:00:00+00:00https://www.beckershospitalreview.com/podcasts/becker-s-payer-issues-podcast/cigna-sues-ftc-over-pbm-report-more-136433345.html<p><p>Tune in for today's industry updates.</p></p><p><p>Tune in for today's industry updates.</p></p>Chronis Manolis, Senior Vice President, Pharmacy and Chief Pharmacy Officer at UPMC Health Plan2024-09-20T19:15:06+00:002024-09-20T19:15:06+00:00https://www.beckershospitalreview.com/podcasts/becker-s-payer-issues-podcast/chronis-manolis-senior-vice-president-pharmacy-and-chief-pharmacy-officer-at-upmc-health-plan-136430546.html<p><p>In this episode, Chronis Manolis, Senior Vice President, Pharmacy and Chief Pharmacy Officer at UPMC Health Plan, shares his perspective on the evolving pharmacy and drug access landscape. He discusses the challenges surrounding rising drug costs, GLP-1 medications, and the future of pharmacy benefit management in a complex healthcare environment.</p></p><p><p>In this episode, Chronis Manolis, Senior Vice President, Pharmacy and Chief Pharmacy Officer at UPMC Health Plan, shares his perspective on the evolving pharmacy and drug access landscape. He discusses the challenges surrounding rising drug costs, GLP-1 medications, and the future of pharmacy benefit management in a complex healthcare environment.</p></p>
