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.

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 Healthcare.

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.

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 experiences and healthcare outcomes. This episode is sponsored by Ribbon Health.    This episode is sponsored by Ribbon Health.  

Tune in for today's industry updates.

Tune in for today's industry updates.

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 facilitating better care matching.This episode is sponsored by CertifyOS.

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 Optimization Company.

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  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.  

Join us for an insightful conversation with Caroline Carney, President of Behavioral Health and Chief Medical Officer at Magellan Health, as she shares her background and perspectives on current healthcare challenges. Caroline delves into the major issues of 2024, revealing her excitement and concerns, while also discussing the evolving traits necessary for effective healthcare leadership in the near future.

Paula Blomquist, Chief Experience Officer at GoHealth joins the podcast to share insights into her background in retail & journey into healthcare, trends in urgent care she is keeping an eye on, what healthcare leaders need to be successful in the next 2-3 years, and more.

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Join Dr. Don Berwick, former CMS Administrator and esteemed health policy lecturer at Harvard Medical School, as he engages in a dynamic conversation with moderator Jakob Emerson of Becker's Healthcare. Together, they delve into the intricacies of Medicare Advantage in 2024, exploring the ongoing challenges within the industry. Gain valuable insights and expert analysis from this insightful discussion on the current state and future trajectory of Medicare Advantage plans, offering a comprehensive understanding of its implications for patients and providers alike. Tune in to this enlightening podcast for a nuanced perspective on vital healthcare policy issues.

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  Join Laura Dyrda from Becker's Healthcare as she interviews James Holland, President & CEO of Johns Hopkins Health Plans, discussing key healthcare issues, growth strategies, and exciting projects for the future. Gain insights into Holland's background, his perspective on industry trends in 2024, and the factors driving growth at Johns Hopkins Health Plans, along with current challenges and future initiatives.  

Join Jakob Emerson from Becker's Healthcare as he speaks with Brian Pieninck, President and CEO of CareFirst BlueCross BlueShield, exploring strategies for addressing social determinants of health and promoting health equity. Gain insights into regional initiatives and the broader national landscape, as Pieninck shares perspectives on healthcare trends and strategies for ensuring affordability, accessibility, and equity for all Americans.

  Dive into the post-No Surprises Act landscape with Martin Cody, Senior Vice President of Sales for Madaket Health! This podcast tackles key challenges for payers, providers, and patients: inaccurate directories, compliance complexities, and optimizing operations. Discover Madaket Health's platform and how they're helping navigate the new normal. Learn what healthcare leaders should prioritize for smooth sailing in the age of surprise billing protection. Don't miss out on insider insights and valuable resources!   This episode is sponsored by Madaket Health. To learn more visit, madakethealth.com/roi.  

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Susan Beaton, Vice President of Health Plan Strategy at Wellframe joins the podcast to share insights into her organization, how she sees the role of digital health management evolving this year, the importance for health leaders to keep cyber security top of mind, and more.