• Dr. Don Berwick, Former CMS Administrator & Health Policy Lecturer at Harvard Medical School

    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.
  • Health systems ditch their health plans + more

    Tune in for today's industry updates.
  • James Holland, President & CEO of Johns Hopkins Health Plans

      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.  
  • Brian Pieninck, President and CEO of CareFirst BlueCross BlueShield

    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.
  • No Surprises? Unpacking Challenges and Solutions in the Era of Surprise Billing Protection

      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.  
  • Insurers decry proposed MA rates + more

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  • Susan Beaton, Vice President of Health Plan Strategy at Wellframe

    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.
  • CMS pitches Medicare Advantage rate cut + more

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  • 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

    Tune in for today's industry updates.
  • 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!

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