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Stephen Anderson, VP, Provider Contracting & Network Administration, Blue Cross Blue Shield of Michigan
In this thrilling episode, Stephen Anderson, VP of Provider Contracting & Network Administration at Blue Cross Blue Shield of Michigan, discusses the significance of GLP-1 medications and the importance of making them affordable and accessible for those in need. He also explores the future growth prospects for Blue Cross, highlighting factors driving up costs in the healthcare system and the strategies being implemented to manage these challenges. -
Drew Thompson, Head of Sales and Growth at Northwell Direct
In this episode of the Becker's Healthcare Podcast, Mariah Muhammad interviews Drew Thompson, Head of Sales and Growth at Northwell Direct. Drew discusses the challenges employers face with rising healthcare costs, the benefits of direct-to-employer healthcare models, and the importance of exploring alternative solutions like self-insurance and captive models to manage expenses and improve coverage. -
Joanne Mizell, COO of Banner | Aetna
In this episode of the Becker's Healthcare Podcast, Laura Dyrda interviews Joanne Mizell, COO of Banner | Aetna, to discuss the joint venture's innovative efforts to transform healthcare and enhance patient experiences. They explore current trends and challenges in the industry, Banner | Aetna's focus on transparency and technology, and successful initiatives to improve member engagement and satisfaction. -
Chris Carmody, CTO and Senior Vice President at UPMC
Chris Carmody, CTO and Senior Vice President at UPMC, joins Laura in a discussion on the need for caution when implementing new technologies into our healthcare system. He discusses the increasing cybersecurity threats facing healthcare institutions and the importance of safeguarding patient data. Chris also highlights strategies for optimizing care for both patients and hospital workers, ensuring that technological advancements contribute positively to healthcare delivery and safety. -
Dr. Tenbit Emiru, Chief Medical Officer at UCare
In this episode of the Becker's Healthcare Podcast, Laura Dyrda speaks with Dr. Tenbit Emiru, Chief Medical Officer at UCare. Dr. Emiru discusses her role and insights into current healthcare trends, including the challenges of increased medical utilization, advancements in therapeutics, and the critical need for mental health services, while also sharing UCare's strategies for growth and innovative partnerships. -
Troy W. Williams, MBA, Vice President of Health Systems Partnerships at First Choice Health
Join Laura Dyrda on the Becker's Healthcare Podcast as she interviews Troy W. Williams, MBA, Vice President of Health Systems Partnerships at First Choice Health. Troy shares his extensive experience in healthcare, the importance of transparency, and how First Choice Health is expanding its geographic footprint and enhancing health plan incubation to improve efficiencies and patient care. -
Sonny Goyal, Senior Vice President and Head of Diversified Businesses at Blue Cross North Carolina
In this episode of the Becker's Healthcare Podcast, Laura Dyrda is joined by Sonny Goyal, Senior Vice President and Head of Diversified Businesses at Blue Cross North Carolina. Sonny discusses innovative strategies to improve access to quality, affordable care, focusing on trends such as telehealth, AI advancements, and value-based care models, while also addressing significant headwinds like rising healthcare costs and provider shortages. -
Unlocking Efficiency: How Provider Data Management Drives Success for Health Plans
In today's podcast, we explore how optimizing provider data management (PDM) is key to boosting operational efficiency for health plans. Parvathy Sashidhar, Senior Director of Product Management for HealthEdge, dives into the common challenges plans face with outdated provider information and how these issues can be mitigated. Learn how advanced PDM solutions can streamline data integration and ensure accurate provider details, ultimately improving care delivery and strategic growth. This episode is sponsored by HealthEdge. -
The Power of In-Home Care: A Key to Whole-Person Health
This Becker's Healthcare podcast episode dives into whole-person care with Catherine Tabaka, CEO of Matrix Medical Network. Matrix delivers whole-person care by assessing patients’ health in all its dimensions, including physical, emotional, spiritual and social, which can improve outcomes and health equity. Matrix home-based services uncover factors such as social determinants of health and empower patients to manage their health. Leaders can prepare for the future of healthcare by focusing on care coordination and ensuring patients don't fall through the cracks.This episode is sponsored by Matrix Medical Network -
SCOTUS denies challenge to $2.7B BCBS settlement + more
Tune in for today's industry updates. -
Erin Drinkwater, Chief of Government Relations and Strategic Partnerships at MetroPlusHealth
In this episode, Erin Drinkwater, Chief of Government Relations and Strategic Partnerships at MetroPlusHealth discusses her background, the initiatives at MetroPlusHealth focused on enhancing healthcare access and equity for New Yorkers, and the organization’s strategic priorities, including their integrated behavioral health services and the Food as Medicine program. -
Court upholds ACA preventive care mandate + more
Tune in for today's industry updates. -
Driving Excellence in Healthcare: Edward Juhn’s Approach at Inland Empire Health Plan
Edward Juhn, Chief Quality Officer of Administration at Inland Empire Health Plan, shares his strategies for ensuring top-tier care in clinical services, data innovation, and public health in this fascinating episode. Emphasizing the importance of partnerships, Edward discusses the continuous efforts to enhance all aspects of healthcare delivery. He also sheds light on the groundbreaking “pay for performance program,” which has led to remarkable improvements and outcomes. -
Hilary Marden-Resnik, President & CEO of UCare
In this episode of the Becker's Healthcare Podcast, host Laura Dyrda sits down with Hilary Marden-Resnik, President & CEO of UCare. Over the course of their conversation, they delve into the current trends and challenges in the healthcare industry. Hilary shares insights on UCare's innovative strategies for enhancing patient care and managing the complexities of the healthcare system. -
Automating Your Way to Success: AI-Powered Solutions for Business Transformation
In this episode, we explore the latest trends in AI-powered automation with Paul Torrey, Senior Industry Practice Director, UiPath. We discuss how businesses are leveraging automation to improve scalability, efficiency, and integrate cutting-edge technologies like ML and NLP. We'll also get insights on how to navigate the ever-evolving landscape of automation and implement successful AI-driven solutions within your organization.This episode is sponsored by UiPath. -
Pankhuri Sharma, Strategy & Operations Leader at Humana
In this episode of the Becker's Healthcare Podcast, host Laura Dyrda interviews Pankhuri Sharma, Strategy & Operations Leader at Humana. Pankhuri discusses her role at Humana, the strategic initiatives she's leading, and the operational challenges in the healthcare industry. Tune in for an insightful conversation on driving innovation and efficiency in healthcare. -
Dr. Darren Wethers, the Chief Medical Officer of ATRIO Health Plans
In this episode of the Becker's Healthcare Podcast, host Laura Dyrda talks with Dr. Darren Wethers, the Chief Medical Officer of ATRIO Health Plans. Dr. Wethers shares his experiences and insights on the current healthcare landscape, the challenges faced, and the opportunities available. Tune in to hear an engaging discussion on healthcare management and delivering quality patient care. -
Alessa Quane, Executive Vice President and Chief Insurance Officer at Oscar Health
Join us for an insightful conversation with Alessa Quane, Executive Vice President and Chief Insurance Officer at Oscar Health. Alessa discusses key healthcare trends, including consumer expectations, ACA growth, and disruptive technology, while highlighting Oscar Health's innovative HolaOscar program for the Hispanic and Latin communities. -
Benchmarking for Better Networks: Optimizing Health Plan Performance
Health plans rely on complex networks of providers to deliver care to their members. But how do they measure success? This episode dives into health plan network performance benchmarking with Subhash Seelam, SVP of Applied Network Analytics at Quest Analytics®, and Bob Tavernier, Solutions Executive at Quest Analytics. They discuss key metrics, the challenges of benchmarking, and how it can be used to better differentiate and optimize networks thereby improving member satisfaction and retention.This episode is sponsored by Quest Analytics. -
CMS recalculates MA star ratings + more
Tune in for today's industry updates.
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