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CMS pitches Medicare Advantage rate cut + more
Tune in for today's industry updates. -
Damanjeet Chaubey, Senior Medical Director and Vice President of Clinical Affairs at Clover Health
In this episode, join Damanjeet Chaubey, Senior Medical Director and Vice President of Clinical Affairs at Clover Health, as she provides insights into her background and expertise in healthcare leadership. Damanjeet discusses the prominent issues shaping healthcare in 2024, expressing her excitement and concerns, and offers valuable perspectives on the essential qualities for effective healthcare leadership in the next 2-3 years. -
Cigna, HCSC ink $3.3B Medicare deal + more
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Navigating Healthcare M&A and Payment Integrity Challenges with Greg Dorn, President of CERIS
Tune in to the Becker's Payer Issues Podcast as Erica Carbajal engages in an insightful conversation with Greg Dorn, President of CERIS. Explore the complexities of healthcare M&A, payment integrity challenges, and CERIS' unique strategies for sustaining business success in an ever-evolving industry. Gain valuable insights on key drivers for payment integrity success in 2024 and the imperative role of transparency, innovation, and collaboration. Sponsored by CERIS, this episode offers a deep dive into the future of healthcare financial strategies. -
Musculoskeletal-care navigation with Rachel Winokur, TailorCare Co-Founder and CEO
Half of the US population lives with a musculoskeletal (MSK) condition, which includes joint, back and muscle pain or immobility; tune into this episode on transforming the patient and provider experience around MSK care. Becker's talks with Rachel Winokur, Co-Founder and CEO of TailorCare about her personal experiences and much more.This episode is sponsored by TailorCare -
Waystar fights lawsuit after buying Olive AI, Epic accused of patent infringement + more
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UnitedHealth post $5.5B in Q4 + more
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Tom Grote, CEO of Banner | Aetna
Join us in this episode of the podcast featuring Tom Grote, CEO of Banner | Aetna, as he provides insights into his background and the organization's growth strategy for the upcoming year. Gain valuable perspectives on the significant challenges and opportunities facing health plans from his vantage point. Additionally, explore the technologies Banner | Aetna employs to enhance the member experience in this engaging conversation. -
CVS braces for MA pressure + more
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UnitedHealth accuses former execs of trade theft + more
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The Rapidly Evolving Specialty Pharmacy Landscape with Mark Conklin, Chief Technology Officer at Free Market Health
In this 9-minute conversation, the CTO at Free Market Health, Mark Conklin, dives into the evolving specialty pharmacy landscape and its impact on payers. The discussion focuses on the complexities of the ecosystem, why the status quo is no longer working, and what payers can expect in the new year. Tune in to gain valuable insights on the changing world of specialty pharmacy, how technology is driving innovation, and more.This episode is sponsored by Free Market Health. -
Layoffs at Blue Shield of California + more
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Dr. Adam Wolk, Regional Chief Medical Officer at Alignment Health
This episode recorded live at the 2023 Becker’s Payer Issues Roundtable in Chicago features Dr. Adam Wolk, Regional Chief Medical Officer, Alignment Health. Here, he discusses his background, headwinds health plans are facing, specific technologies his organization is utilizing to enhance the senior care experience, and more! -
Henriette Coetzer, MD, Chief Medical Officer at Blue Health Intelligence
Henriette Coetzer, MD, Chief Medical Officer at Blue Health Intelligence joins the podcast to discuss her healthcare career, her role as BHI's CMO, and data trends in the payer landscape. Looking ahead to 2024, Dr. Coetzer outlines strategic priorities, initiatives, and advice to payer leaders seeking to harness the power of data analytics. -
Dr. Arta Bakshandeh, Chief Medical Informatics Officer at Alignment Health
This episode recorded live at the 2023 Becker’s Payer Issues Roundtable in Chicago features Dr. Arta Bakshandeh, Chief Medical Informatics Officer at Alignment Health. Here, he discusses his background, Alignment’s focus on serving seniors, the challenges and opportunities regarding AI, and more. -
Elevance, HCSC reportedly eye Cigna's MA business + more
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Shifting Horizons: Understanding the Rise of Virtual-First Health Plans with Matt Cook, CCO at Firefly Health
In this episode of the Becker’s Healthcare Podcast series, Brian Zimmerman, AVP of Client Content + Strategy, engages in a thought-provoking conversation with Matt Cook, Chief Commercial Officer at Firefly Health, exploring the dynamic landscape of healthcare through the lens of virtual-first health plans. Together, they delve into the fundamentals of virtual-first plans, the motivations behind their increasing adoption, and the multifaceted benefits they offer to both employers and members. Matt Cook shares insights on the growing traction of virtual-first plans in the marketplace and speculates on whether they might become the norm rather than the exception. The discussion also delves into the crucial aspects of affordability, benefit design, and reorienting healthcare consumers around primary care. As they wrap up, Matt offers valuable considerations for employers evaluating the integration of virtual-first health plans. Tune in for a comprehensive exploration of the future of healthcare in this rapidly evolving landscape.This episode is sponsored by Firefly Health. -
Elevance, HCSC reportedly eye Cigna's MA business + more
Tune in for today's industry updates. -
Kimberly Reich, Interim Executive Director & Compliance & Privacy Officer, Lake County Physicians' Association (LCPA)
This episode recorded live at the 2023 Becker’s Payer Issues Roundtable in Chicago features Kimberly Reich, Interim Executive Director & Compliance & Privacy Officer, Lake County Physicians' Association (LCPA). Here, she discusses her role, Lake County Physicians expanding more into the Medicare & Medicaid space, the importance of health equity in order to achieve quality, and more. -
Ashish Shah, CEO of Dina
This episode recorded live at the 2023 Becker’s Payer Issues Roundtable in Chicago features Ashish Shah, CEO of Dina. Here, he discusses key insights into Dina, how he plans to grow Dina’s reach in the next year, the importance of transparency, and more.
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