Becker’s Payer Issues Podcast

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Gary Rosenfield, Chief Strategy and Development Officer of Evernorth Health Services – Home-Based Care. Here, he discusses strategies for overcoming community access barriers to connect people with essential services and providers. Gary also emphasizes initiatives for enhancing quality and clinical outcomes in home-based care.

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In this episode, Dr. Crystal Clark, Chief Medical Officer at UPMC Health Plan's Community HealthChoices, discusses the vital role of addressing food insecurity and other social determinants of health. Dr. Clark shares insights on UPMC’s programs, including meal delivery, healthy food allowances, and community partnerships that are transforming healthcare access and promoting holistic well-being.

In this episode, Karen Downes, Senior Director or HR Technology and HR Operations at Prime Therapeutics, discusses the company's transformation, including the pivotal Magellan acquisition and how Workday technology has supported Prime’s talent and organizational changes.They explore commitment to transparency, avoiding conflicts of interest, and the role of modern technology and AI in driving strategic objectives and business growth. This episode is sponsored by Workday

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Eric Cannon, Chief Pharmacy Officer and General Manager of Select Health/Scripius. Here, he discusses how transparency can help drive down costs and improve the member experience. Eric also explores innovative approaches to helping members choose the best care through an e-commerce experience tailored to their needs.

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Ty Wang, Co-Founder and CEO of Angle Health. Here, he discusses strategies for improving the member experience and shares insights on growing the business while keeping patient experience as the top priority. Ty also explores how Angle Health is leveraging AI and new technology to enhance service and care.

In this episode, Valerie Martinez, Blue Shield of California’s first Chief Health Equity Officer, shares her journey in healthcare and her role in bridging clinical and managed care to promote health equity. Valerie discusses the critical initiatives she leads, including the integration of health equity across services, community resource centers, and mobile mammography clinics, to improve access and outcomes for California’s Medi-Cal population.

This episode, recorded live at the Becker’s Healthcare 2024 Fall Payer Issues Roundtable, features Dr. Jeremy Wigginton, Chief Medical Officer at Capital Blue Cross. Here, he shares his approach to improving member experience by addressing overutilization, enhancing health literacy, and integrating whole-person care. He highlights the role of technology in growth strategies and discusses Capital Blue Cross's move towards a fully integrated care model to foster better health outcomes.

This episode explores how payers can navigate the challenges and opportunities of alternative payment models in healthcare. Jakob Emerson speaks with Angie Adams, VP of Product Management at i3 Healthcare Solutions, about agility and technology for contract management, as well as key objectives for payers and the future of healthcare payer operations. This episode is sponsored by i3Healthcare Solutions.

In this episode, Margaux Currie, Senior Director of Commercial Medical Clinical Solutions and Strategy at Cigna Healthcare, shares her personal breast cancer journey and discusses Cigna's proactive approaches to early detection and personalized support for breast cancer patients. From awareness campaigns to individualized oncology nurse advocacy, Margaux outlines how Cigna is advancing care for those impacted by breast cancer.

In this episode, Dr. Manu Chaudhry, President of Capitol Dental Care, shares his unique perspectives on transforming dental care through integrated systems and a community-focused model. Dr. Chaudhry delves into the importance of AI in bridging humanistic care, the shift toward value-based care, and the role of collaborative teams in addressing the rising complexity of oral health.

Join Jakob Emerson from the Becker's Healthcare Podcast as he sits down with Catherine Tabaka, CEO of Matrix Medical Network, to explore the rising trend of in-home health assessments. Discover how technology and in-home care are reshaping patient services and what opportunities lie ahead for payer organizations. This episode is sponsored by Matrix Medical Network.

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Join Erika Spicer Mason as she engages in a conversation with Trina Histon, PhD, VP of Clinical Product Strategy at Woebot Health, about the innovative integration of digital mental health solutions in healthcare systems like Virtua Health. Discover how Woebot is transforming mental health support and the challenges of implementing such technology in existing healthcare frameworks. This episode is sponsored by Woebot Health.

Infermedica's Chief Commercial Officer, Amanda Bury, joins Becker's Healthcare to discuss how AI is revolutionizing healthcare. We explore how AI is influencing member experience, its impact on health systems, and the importance of responsible innovation in an era of rapid technological advancement. We also delve into maximizing ROI in digital health and ensuring patients benefit from this transformative technology. This episode is sponsored by Infermedica.

In this episode, Chris Palmieri, President and CEO of Commonwealth Care Alliance, discusses key insights from the healthcare landscape, including lessons from the Steward Health System crisis, areas ripe for innovation, and the critical alignment between nonprofit missions and private capital.

In this episode, Kristin Cerf, President and CEO of Blue Shield of California Promise Health Plan, discusses the plan's recent four-star NCQA rating and the innovative approaches that led to this achievement. She shares insights on the importance of preventative care, data-driven strategies, and impactful community partnerships aimed at improving healthcare access for Medicaid members across California.

In this episode, Kimberly Funderburk, President of Government, Education & Health Systems at Cigna Health Benefits, discusses her career journey and how Cigna is addressing the unique health challenges of public sector employees. She highlights strategies such as mental health first aid training, wellness centers for transit workers, and the integration of behavioral health services to support long-term engagement and well-being.

This episode of the Becker's Healthcare Podcast dives into the critical issue of payment integrity with Debra Hamer, Director of Product at CERIS. We discuss why proactive strategies are essential in the fight against fraud, explore new innovations, and look towards the future of this evolving landscape. This episode is sponsored by CERIS.

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