Becker’s Payer Issues Podcast

In this episode, Dr. Lisa Saul, UnitedHealthcare’s National Medical Director of Maternal Child Health, discusses the key findings from the 2024 Maternal and Infant Health Disparities Data Brief. Dr. Saul highlights persistent disparities in health outcomes and shares how UnitedHealthcare is working to improve maternal and infant care through community engagement and collaborative efforts.

In this episode, Karen Walker Johnson, interim CEO at Clever Care, discusses her career journey in healthcare, Clever Care's mission to serve vulnerable populations, and the company’s culturally tailored approach to Medicare Advantage.

In this episode, Fred Turner, CEO of Curative, shares the journey of scaling the company from a COVID-19 testing powerhouse to a disruptive force in the commercial health plan space. He discusses Curative's unique no-deductible model, the importance of early patient engagement, and the challenges of entering a highly regulated industry dominated by a few major players.

In this episode, Dr. John Kim, Chief Medical Officer for Alignment Health's West Coast Markets, discusses the significant social barriers affecting senior healthcare, including transportation, economic insecurity, and loneliness. He shares how Alignment Health is tailoring benefits and programs to meet the evolving needs of seniors, emphasizing the importance of holistic care and support.

In this episode, Ananya Banerjee, Chief Commercial Officer at Aledade, Inc., discusses the challenges of healthcare access, cost management, and physician independence, while highlighting Aledade's impact on rural communities and the future of value-based care.

Tune in for today's industry updates.

Tune in for today's industry updates.

In this episode, Dr. Robert Groves, Executive Vice President & Chief Medical Officer of Banner/Aetna, discusses the evolving healthcare landscape, the impact of cost pressures, and the innovative approaches Banner/Aetna is taking to improve care delivery. Discover how community-driven programs and advancements in AI are shaping the future of patient care.

In this episode, Boyd Faust, Chief Strategy Officer at GoHealth Urgent Care and newly elected member of the Urgent Care Association Board of Directors, discusses the critical role of value-based care, strategic payer partnerships, and patient engagement in the evolving urgent care landscape.

This episode of the Becker's Healthcare Podcast dives into the future of in-home care with Joseph Buchanan, SVP of Clinical Network at Matrix Medical Network, about how they prioritize high-quality care delivery in patients' homes. They discuss the importance of a clinician-led approach to in-home assessments and how it improves access, patient experience, and health equity for payers. This episode is sponsored by Matrix Medical Network.

Tune in for today's industry updates.

Tune in for today's industry updates.

In this episode, Dr. Tommy Ibrahim, President and CEO of Sanford Health Plan, discusses his journey from clinical practice to leading a health plan, the challenges and opportunities in rural healthcare, and his strategies for driving growth and innovation in a rapidly evolving industry.

Tune in for today's industry updates.

In this episode, Dr. Johanna Vidal-Phelan, Chief Medical Officer of Quality and Pediatrics, and Rebecca Nagle, Director of Medicaid and CHIP Quality Programs at UPMC Health Plan, discuss strategies to address vaccine hesitancy. They share insights on effective communication, community partnerships, and initiatives to increase vaccination rates and improve public health.

Tune in for today's industry updates.

Join Erika Spicer Mason on Becker's Healthcare podcast as she discusses the evolution of healthcare data with Dr. Karl Serrao from Driscoll Health Plan and Dr. Katherine Schneider from Medecision. They explore the significance of real-time data, the integration of technological advancements, and the impact on community health outcomes. This episode is sponsored by Medecision.

Tune in for today's industry updates.

Steve Sutherland, Senior Vice President at CERIS, dives into how AI and machine learning are transforming payment integrity in healthcare. He explores the benefits payers can experience, challenges to widespread adoption, and best practices for leaders implementing these powerful tools. This episode is sponsored by CERIS.

In this episode, Jakob Emerson speaks with Guy A. Medaglia, President & CEO of Saint Anthony Hospital in Chicago, and Michael Shakman, Partner at Miller Shakman Levine and Feldman, about St. Anthony's transformative role in community healthcare and their ongoing lawsuit against the state of Illinois over Medicaid payment issues. Guy shares his unconventional journey into healthcare and personal motivation rooted in his upbringing, while Mike explains the complexities and current status of their legal fight for fair and transparent Medicaid reimbursements.