أفضل بودكاسات Payer (2025)

1
Matt Gibbs, Senior Vice President and Chief Pharmacy Officer at Blue Shield of California 16:33

23h ago16:33

16:33

In this episode, Matt Gibbs, Senior Vice President and Chief Pharmacy Officer at Blue Shield of California, joins Becker’s to discuss how the company is dismantling the traditional PBM model to bring cost transparency and flexibility to pharmacy care. He shares insights on specialty drug pricing, the role of biosimilars, and why health plans must t…

1
Dr. Todd May, Vice President and Medical Director at Health Net 17:21

6d ago17:21

17:21

In this episode, Jakob Emerson sits down with Dr. Todd May, Vice President and Medical Director at Health Net, to discuss an innovative multi-payer value-based payment model in California. Dr. May shares insights on how major insurers are working together to improve primary care quality, advance health equity, and reshape provider reimbursement.…

1
Dr. Kate Goodrich, Chief Medical Officer at Humana 23:32

7d ago23:32

23:32

In this episode of the Becker's Payer Issues Podcast, Dr. Kate Goodrich, Chief Medical Officer at Humana, joins Jakob Emerson to discuss the challenges of the primary care shortage, the impact of value-based care, and Humana’s commitment to improving health outcomes through innovative care models.بقلم Becker's Healthcare

1
Michael Hunn, CEO of CalOptima 12:18

8d ago12:18

12:18

In this episode, Jakob Emerson sits down with Michael Hunn, CEO of CalOptima, to discuss the organization's plans to offer coverage on California’s ACA exchange by 2027. They explore how this move aims to improve continuity of care for individuals transitioning in and out of Medi-Cal, the challenges faced by low-income residents in Orange County, a…

1
Roman Prokes - Episode 109 1:05:55

13d ago1:05:55

1:05:55

Roman Prokes, the premier racket technician in the world (not an exaggeration!), shares his wisdom on racket specifications for junior players. We talk with Roman about the optimal racket and string set up for a variety of junior players. Roman also shares stories of stringing for the US Davis Cup team, working with Andre Agassi to find the right r…

1
The prior auth reform push continues + more 8:31

20d ago8:31

8:31

Tune in for today's industry updates.بقلم Becker's Healthcare

1
UnitedHealthcare names new CEO + more 3:23

1M ago3:23

3:23

Tune in for today's industry updates.بقلم Becker's Healthcare

1
Paige Brogan, Principal CalAIM at Blue Shield of California 6:41

1M ago6:41

6:41

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Paige Brogan, Principal CalAIM at Blue Shield of California. Paige discusses Medi-Cal transformation through the CalAIM initiative, emphasizing value-based care, health equity, and innovative member engagement strategies to address whole-person needs.…

1
Dr. Adrienne Moore, SVP of Finance at Banner Health 5:30

1M ago5:30

5:30

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Dr. Adrienne Moore, SVP of Finance at Banner Health. Dr. Moore discusses her top priorities, including the shift toward value-based care, addressing industry-wide cost pressures, and leveraging innovation to create a sustainable healthcare future.…

1
Eric Witte, Chief Operating Officer of Genesis Orthopedics & Sports Medicine 9:13

1M ago9:13

9:13

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Eric Witte, Chief Operating Officer of Genesis Orthopedics & Sports Medicine. Here, he shares insights on advancing value-based care strategies and the organization's commitment to improving access to care for patients from all backgrounds. Witte al…

1
Pleasant Radford Jr., MBA, CHIE, Health Equity Officer at UCare 9:34

1M ago9:34

9:34

In this episode, Pleasant Radford Jr., MBA, CHIE, Health Equity Officer at UCare, discusses initiatives to improve inclusivity in healthcare, including staff training on data usage and addressing members with correct pronouns. Learn about innovative steps toward building a more equitable healthcare environment.…

1
Dennis Hillen, Senior Vice President at Oscar Health 8:06

1M ago8:06

8:06

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Dennis Hillen, Senior Vice President at Oscar Health. Here, he discusses Oscar Health's low-cost, tech-first strategy and how the organization is tailoring its services to accommodate Spanish-speaking and Latino members. Hillen also highlights strateg…

1
Innovating Health Insurance: A Conversation with Patrick Quigley, CEO of Sidecar Health 16:20

1M ago16:20

16:20

In this episode, Jakob Emerson speaks with Patrick Quigley, CEO of Sidecar Health. Patrick shares insights about his unconventional journey into healthcare and how Sidecar Health is revolutionizing the health insurance industry with a consumer-first approach.بقلم Becker's Healthcare

1
Insourcing vs. Outsourcing Payment Integrity: Striking the Right Balance for Your Health Plan 11:51

1M ago11:51

11:51

Health plans face crucial decisions when it comes to managing payment accuracy. This episode dives into the pros and cons of insourcing Payment Integrity solutions. We explore how control over operations translates to flexibility and cost management in a constantly evolving healthcare landscape. Industry expert Jhana Spence, Vice President of Strat…

1
Anne Groves, Market President at Arkos Health 6:21

1M ago6:21

6:21

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Anne Groves, Market President at Arkos Health. Here, she emphasizes the importance of member engagement, ensuring individuals follow through with creating and adhering to their necessary health plans. Groves also encourages healthcare workers to stay …

1
Jordan Taggart, SVP of Payer & PBM Growth at Vida Health

1M ago

—

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Jordan Taggart, SVP of Payer & PBM Growth at Vida Health. Here, he discusses the importance of partnering with organizations that share Vida’s clinical philosophy to drive meaningful growth. Taggart also explores how Vida Health supports individuals f…

1
The Future of Payer-Provider Collaboration with Dr. Katherine Hobbs 17:12

2M ago17:12

17:12

In this episode of the Becker's Healthcare Podcast, Lukas Voss welcomes Dr. Katherine Hobbs, CEO of Author Health, to explore the evolving dynamics of payer-provider collaboration in healthcare. Dr. Hobbs shares insights on the impact of value-based care models, strategies for integrating mental health services, and overcoming barriers to data coll…

1
Pankhuri Sharma, Strategy & Operations Leader at Humana

2M ago

—

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Pankhuri Sharma, Strategy & Operations Leader at Humana. Here, she discusses efforts to deliver more holistic population health services, with a focus on supporting vulnerable populations. Sharma also highlights the ongoing need to build patient trust…

1
Brad Riley, VP of Clinical Delivery at Longevity Health Plan 8:08

2M ago8:08

8:08

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Brad Riley, VP of Clinical Delivery at Longevity Health Plan. Here, he discusses how leveraging robust data sets can drive operational efficiency and improve decision-making. Riley also explores the challenges and limitations of generative AI technolo…

1
40 payer execs on 2025 outlook + more 7:45

2M ago7:45

7:45

Tune in for today's industry updates.بقلم Becker's Healthcare

1
Krischa Winright, President of Medicare Advantage at Blue Cross Blue Shield of Michigan 11:25

2M ago11:25

11:25

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Krischa Winright, President of Medicare Advantage at Blue Cross Blue Shield of Michigan. Here, she discusses sustainable solutions for seniors on Medicare, focusing on providing seamless access to healthcare. Winright also examines market shifts in th…

1
Mihir Kamdar, Chief Medical Officer at Tuesday Health 9:16

2M ago9:16

9:16

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Mihir Kamdar, Chief Medical Officer at Tuesday Health. Here, he addresses the challenges of member experience that contribute to high healthcare costs and shares how his team is working to intervene earlier, reducing the need for costly end-of-life ca…

1
Dr. Edward Juhn, Chief Quality Officer at Inland Empire Health Plan 9:48

2M ago9:48

9:48

In this episode, Dr. Edward Juhn, Chief Quality Officer at Inland Empire Health Plan, shares how IEHP is tackling challenges within the Medicaid system through innovative technology, AI-driven solutions, and community-focused initiatives. Discover how IEHP is addressing provider shortages, advancing care quality, and fostering future healthcare lea…

1
Scott D. Schweiger, VP of The Clinic by Cleveland Clinic 8:21

2M ago8:21

8:21

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Scott D. Schweiger, VP of The Clinic by Cleveland Clinic. Here, he explores strategies for enhancing member engagement, encouraging patients to seek necessary care, and connecting them with programs tailored to their needs. Schweiger also discusses co…

1
Transforming Maternal and Infant Health: Insights from Dr. Yolanda Lawson 12:30

2M ago12:30

12:30

In this episode, Dr. Yolanda Lawson, Executive Medical Director for Maternal and Infant Health at Health Care Service Corporation, discusses innovative strategies to improve maternal and infant outcomes across diverse communities. From predictive data models to community-driven initiatives like Special Beginnings, Dr. Lawson highlights how HCSE is …

1
Navigating Network Compliance in Healthcare: Trends, Challenges, and Digital Transformation Insights 19:00

2M ago19:00

19:00

In this episode of the Becker's Healthcare Podcast, host Jakob Emerson is joined by Gianni Aiello, VP of Product at Verifiable, to explore the evolving landscape of network compliance in healthcare. They discuss the core components of successful compliance programs, barriers to effective implementation, and the role of digital transformation in add…

1
Abdou Bah, SVP of Medical Management and Chief Health Equity Officer at Emblem Health 4:01

2M ago4:01

4:01

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Abdou Bah, SVP of Medical Management and Chief Health Equity Officer at Emblem Health. Here, he discusses strategies for controlling and managing ongoing healthcare costs while addressing the invisible barriers that prevent patients from accessing the…

1
Mitchell Gorodokin, VP of Business Development at Certify 10:26

2M ago10:26

10:26

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Mitchell Gorodokin, VP of Business Development at Certify. Here, he shares strategies for enhancing workflow efficiency and offers advice for leaders on growing their businesses by improving existing systems and processes. Gorodokin also addresses the…

1
Dr. Daniel Beckles, Surgeon at Ochsner Health

2M ago

—

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Dr. Daniel Beckles, Surgeon at Ochsner Health. Here, he discusses the importance of understanding patients' lifestyle choices and explores innovative ways to incentivize healthier behaviors, aiming to improve overall health outcomes and reduce long-te…

1
Wayne Pan, Medical Doctor at San Francisco Health Plan 4:36

3M ago4:36

4:36

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…

1
UnitedHealth CEO addresses shooting + more 7:43

3M ago7:43

7:43

Tune in for today's industry updates.بقلم Becker's Healthcare

1
Transforming Healthcare with Russell Van Gorp 7:40

3M ago7:40

7:40

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 sponsor…

1
Edward Juhn, Chief Quality Officer at Inland Empire Health Plan 7:23

3M ago7:23

7:23

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 e…

1
CMS pitches major MA changes + more 8:51

3M ago8:51

8:51

Tune in for today's industry updates.بقلم Becker's Healthcare

1
Aric Sharp, CEO of Value-Based Care at Clover Health 8:32

3M ago8:32

8:32

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 shar…

1
Strategic Growth in Home-Based Care with Brendan Kerrigan 6:26

3M ago6:26

6:26

Explore how Evernorth Health Services leverages technology and innovative models to meet 2024 healthcare goals with insights from Brendan Kerrigan. This episode is sponsored by Evernorth Health Services.بقلم Becker's Healthcare

1
Mike Jasperson, Senior Vice President of Provider Network and Health Plan Operations at Priority Health 10:39

3M ago10:39

10:39

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, lowe…

1
Harlon Pickett, President of Eagle Care Health Solutions 9:28

3M ago9:28

9:28

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 healthca…

1
Lindsay Davenport - Episode 108 1:02:34

3M ago1:02:34

1:02:34

Lindsay shares stories about her junior tennis career, being a tennis parent to the #1 ranked US junior player, and what advice she has for tennis parents and players.

1
Erin Henderson Moore, President and CEO of Fidelis Care 7:53

3M ago7:53

7:53

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 lever…

1
Driving Growth and Innovation in Rural Healthcare: Insights from Jennifer Shermo 7:36

3M ago7:36

7:36

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 …

1
Innovating Home-Based Care: Insights from John Young 9:09

3M ago9:09

9:09

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.بقلم Becker's Healthcare

1
Angela Perri, President, Medicare Products 10:05

3M ago10:05

10:05

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 hea…

1
Breaking Barriers in Home-Based Healthcare 10:05

3M ago10:05

10:05

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 hom…

1
Chris Wasel, President, Marketing & Strategic Partnerships at Vantage Healthcare 17:20

3M ago17:20

17:20

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.…

1
Gary Rosenfield, Director, Medicaid Product & Strategy, United Concordia Dental 13:18

3M ago13:18

13:18

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 enhan…

1
ITF off-court coaching rule, etc. 59:27

3M ago59:27

59:27

Robert & Scott discuss the new ITF rule to allow off-court coaching. In addition, they discuss their experiences of playing ITFs in the US vs Foreign, debate whether WCs should be used for USTA tournaments, and share their experiences of hosting players during professional tournaments.

1
DOJ sues UnitedHealth over Amedisys deal + more 6:35

3M ago6:35

6:35

Tune in for today's industry updates.بقلم Becker's Healthcare

1
Addressing Food Insecurity through Innovative Programs: Dr. Crystal Clark, the CMO for the Community Health Choices Program at UPMC Health Plan 17:11

3M ago17:11

17:11

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 hea…

1
Talent transformation, leveraging AI for HR, and more 20:06

3M ago20:06

20:06

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 th…

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