Becker’s Payer Issues Podcast

In this episode, Dr. Yolanda Lawson, Executive Medical Director for Maternal and Infant Health at Health Care Service Corporation, discusses innovative strategies to improve maternal and infant outcomes across diverse communities. From predictive data models to community-driven initiatives like Special Beginnings, Dr. Lawson highlights how HCSE is addressing disparities, leveraging technology, and fostering partnerships to create impactful change.

In this episode of the Becker's Healthcare Podcast, host Jakob Emerson is joined by Gianni Aiello, VP of Product at Verifiable, to explore the evolving landscape of network compliance in healthcare. They discuss the core components of successful compliance programs, barriers to effective implementation, and the role of digital transformation in addressing regulatory challenges. This episode is sponsored by Verifiable.

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Abdou Bah, SVP of Medical Management and Chief Health Equity Officer at Emblem Health. Here, he discusses strategies for controlling and managing ongoing healthcare costs while addressing the invisible barriers that prevent patients from accessing the care they need. Bah highlights the importance of equity-focused solutions to improve patient outcomes and reduce disparities in healthcare.

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Mitchell Gorodokin, VP of Business Development at Certify. Here, he shares strategies for enhancing workflow efficiency and offers advice for leaders on growing their businesses by improving existing systems and processes. Gorodokin also addresses the challenges of navigating changing compliance regulations across jurisdictions and explains how Certify effectively manages these complexities.

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Dr. Daniel Beckles, Surgeon at Ochsner Health. Here, he discusses the importance of understanding patients' lifestyle choices and explores innovative ways to incentivize healthier behaviors, aiming to improve overall health outcomes and reduce long-term healthcare costs.

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Wayne Pan, Medical Doctor at San Francisco Health Plan. Here, he discusses the transformative impact of improving patient experience and how it streamlines both internal and external processes. Pan emphasizes the value of maintaining a patient-centric focus to drive meaningful change and enhance healthcare delivery.

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Join us on the Becker’s Healthcare Podcast as we delve into the future of consumer-centric healthcare with Russell Van Gorp from Publicis Sapient. Discover how digital solutions, AI, and data interoperability are reshaping the payer space and learn valuable insights from other industries that can enhance healthcare delivery. This episode is sponsored by Publicis Sapient.

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Edward Juhn, Chief Quality Officer at Inland Empire Health Plan. Edward shares strategies for improving member outcomes, addressing provider shortages, and leveraging technologies like AI and machine learning, all while emphasizing the importance of ethical data stewardship and member-centered care.

Tune in for today's industry updates.

In this episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, Aric Sharp, CEO of Value-Based Care at Clover Health, discusses how technology is revolutionizing value-based care, improving clinical outcomes, and streamlining workflows for physicians, particularly through the use of AI and data integration. He also shares insights on how Clover’s tech stack is setting new industry standards for care delivery.

Explore how Evernorth Health Services leverages technology and innovative models to meet 2024 healthcare goals with insights from Brendan Kerrigan. This episode is sponsored by Evernorth Health Services.

In this episode, Mike Jasperson, Senior Vice President of Provider Network and Health Plan Operations at Priority Health, shares insights into the organization's long-standing success in value-based care. He discusses Priority Health's innovative strategies, provider collaborations, and use of advanced technologies to improve patient outcomes, lower costs, and address social determinants of health across their growing markets.

In this episode recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, Harlon Pickett, President of Eagle Care Health Solutions, discusses his innovative approach to health plans that focus on zero-cost healthcare and improving member access. He shares insights on overcoming barriers to member engagement, the future of healthcare consumerism, and the importance of behavioral health in a digital age.

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Erin Henderson Moore, President and CEO of Fidelis Care. Here, she discusses her five key priorities for Fidelis Care, focusing on a growth-centric approach to leadership. Erin also shares how she is driving innovation within the organization by leveraging AI to enhance services and streamline care.

In this episode, Jennifer Shermo, Chief Growth Officer at Security Health Plan, shares her insights on tackling healthcare challenges in rural communities, navigating Medicare Advantage trends, and leveraging innovation and collaboration to enhance care. Jennifer also discusses the future of healthcare leadership and the importance of adaptability in an evolving landscape.

Discover Evernorth Home-Based Care's mission and strategies to overcome industry challenges with John Young, Chief Strategy and Development Officer. This episode is sponsored by Evernorth.

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Angela Perri, Chief Medicare Officer, UPMC Health Plan. Here, she discusses the significant barriers created by lack of access to care and emphasizes the center's commitment to people-first values. Angela also shares how their benefit design supports not only healthcare needs but also the behavioral, social, and community aspects that impact overall well-being.

Join us on Becker’s Healthcare Podcast as we speak with Yvette LeFebvre, Chief Medical Officer at Evernorth Health Services – Home-Based Care. Discover the biggest challenges and opportunities in engaging healthcare members, the strategies for improving quality while maintaining compliance. Tune in for an insightful conversation on transforming home-based healthcare. This episode is sponsored by Evernorth Health Services.

In this episode, Chris Wasel, President, Marketing & Strategic Partnerships at Vantage Healthcare shares insights into his background & scope of his current role, Vantage Healthcare’s growth strategy, what traits the most effective healthcare leaders will need to be successful in the coming years, and more.