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Beejadi Mukunda, VP & CMO at CareSource
This episode recorded live at the 2023 Becker’s Payer Issues Roundtable in Chicago features Beejadi Mukunda, VP & CMO at CareSource. Here, he discusses key insights into his organization, the biggest challenges & opportunities facing health plans, technology he is utilizing in his role to enhance the member experience, and more. -
Lisa Davis, EVP & CIO at Blue Shield of California
This episode recorded live at the 2023 Becker’s Payer Issues Roundtable in Chicago features Lisa Davis, EVP & CIO at Blue Shield of California. Here, she discusses her background, where she sees her organization growing its reach, challenges & opportunities health plans are facing today, and more. -
Matt Fox, Senior Director at UPMC Health Plan
This episode recorded live at the 2023 Becker’s Payer Issues Roundtable in Chicago features Matt Fox, Senior Director at UPMC Health Plan. Here, he discusses key insights into his background, challenges & opportunities facing health plans today, UPMC’s Anywhere Care program, and more! -
Cigna, Humana 'in talks' to merge + more
Tune in for today's industry updates. -
Ally Thomas, AVP of Quality Improvement, UPMC Health Plan
This episode recorded live at the 2023 Becker’s Payer Issues Roundtable in Chicago features Ally Thomas, AVP of Quality Improvement, UPMC Health Plan. Here, she discusses her background & journey into the healthcare space, how UPMC Health Plan is growing its reach, what technologies she is utilizing in order to improve member experience, and more. -
Dr. Catherine Brisland, Senior Medical Director, Utilization Management, UPMC Health Plan
This episode recorded live at the 2023 Becker’s Payer Issues Roundtable in Chicago features Dr. Catherine Brisland, Senior Medical Director, Utilization Management, UPMC Health Plan. Here, she discusses her background & insights into her current role, the growth strategy of UPMC Health Plan, the biggest challenges facing health plans today, and more. -
Optum faces antitrust suit from Calif. system + more
Tune in for today's industry updates. -
Allison Hofmann, Vice President, Hospital and Health System Industry Vertical at Cigna Healthcare
Allison Hofmann, Vice President, Hospital and Health System Industry Vertical at Cigna Healthcare joins the podcast to discuss her background, top priorities for the rest of the year, programs and initiatives that have been needle-moving, and more! -
UnitedHealth faces lawsuit over AI, MA denials + more
Tune in for today's industry updates. -
Megan Reid, Senior Vice President of Medicare Growth and Strategy at Humana
Megan Reid, Senior Vice President of Medicare Growth and Strategy at Humana joins the podcast to discuss her background, top priorities for the rest of the year, programs and initiatives that have been needle-moving, and more! -
CMS pitches new Medicare Advantage broker, auditing & equity rules + more
Tune in for today's industry updates. -
Ceci Connolly, President and CEO at Alliance of Community Health Plans
Ceci Connolly, President and CEO at Alliance of Community Health Plans joins the podcast to discuss her background, top priorities for the rest of the year, programs and initiatives that have been needle-moving, and more! -
Interoperability: A Key to Improving Healthcare Operations, Efficiency, and Innovation
In this episode we are joined by Stephanie Ngo, Managing Director, Payer + Provider Integrated Solutions at Tegria to discuss how current interoperability climate influencing payers and the impact on their technology-related decisions. Tune in to hear examples of an effective payer-provider collaboration where both parties worked together to more effectively help patients and reduce costs.This episode is sponsored by Tegria. -
No Surprises Act Challenges, Positive Developments and More
In this 22 minute conversation Carrie Douglas, Partner at Bracewell, gives us insights on the developments under the NSA (No Surprises Act). Tune in to hear concerns with the NSA arbitration process from a provider perspective and initial thoughts on the Feds proposed changes to the NSA process.This episode is sponsored by Bracewell. -
Dr. Bruce Rogen, Chief Medical Officer at Cleveland Clinic Employee Health Plan
Dr. Bruce Rogen, Chief Medical Officer at Cleveland Clinic Employee Health Plan joins the podcast to discuss key insights into his background & organization, top priorities for the rest of the year, programs and initiatives that have been needle-moving, and more! -
Thomas Grote, CEO at Banner|Aetna
This episode features Thomas Grote, CEO at Banner|Aetna. Here, he discusses key insights into his background & organization, his focus on pre-authorizations & member engagement, programs and initiatives that have been needle-moving, and more! -
Jack Shoemaker, Business Operations Delivery Lead at Medical Home Network
Jack Shoemaker, Business Operations Delivery Lead at Medical Home Network joins the podcast to discuss his background, top priorities for the rest of the year, programs and initiatives that have been needle-moving, and more! -
Cigna posts $1.4B profit in Q3 + more
Tune in for today's industry updates. -
Dr. Anil Singh, Senior Vice President, Executive Medical Director - Population and Curated Health for Highmark Health
Dr. Anil Singh, Senior Vice President, Executive Medical Director - Population and Curated Health for Highmark Health joins the podcast to discuss his background, top priorities for the rest of the year, programs and initiatives that have been needle-moving, and more! -
Dr. Krystal Revai Sodaitis, Associate Chief Medical Officer at Health Alliance
Dr. Krystal Revai Sodaitis, Associate Chief Medical Officer at Health Alliance joins the podcast to discuss key insights into her background & Health Alliance, top priorities for the rest of the year, programs and initiatives that have been needle-moving, and more!
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