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Becker’s Payer Issues Podcast

Business & Economics Podcasts

The Becker's Payer Issues Podcast is the must-listen podcast exclusively created for health insurance executives. Two new 15-minute episodes are released weekly with the leaders who shape health insurance in America and the cost of care, policy and regula

Location:

United States

Description:

The Becker's Payer Issues Podcast is the must-listen podcast exclusively created for health insurance executives. Two new 15-minute episodes are released weekly with the leaders who shape health insurance in America and the cost of care, policy and regula

Language:

English


Episodes

Cigna, Humana 'in talks' to merge + more

11/29/2023
Tune in for today's industry updates.

Duration:00:08:29

Ally Thomas, AVP of Quality Improvement, UPMC Health Plan

11/29/2023
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.

Duration:00:05:54

Dr. Catherine Brisland, Senior Medical Director, Utilization Management, UPMC Health Plan

11/28/2023
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.

Duration:00:05:35

Optum faces antitrust suit from Calif. system + more

11/27/2023
Tune in for today's industry updates.

Duration:00:07:44

Allison Hofmann, Vice President, Hospital and Health System Industry Vertical at Cigna Healthcare

11/23/2023
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!

Duration:00:10:26

UnitedHealth faces lawsuit over AI, MA denials + more

11/20/2023
Tune in for today's industry updates.

Duration:00:07:18

Megan Reid, Senior Vice President of Medicare Growth and Strategy at Humana

11/17/2023
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!

Duration:00:09:09

CMS pitches new Medicare Advantage broker, auditing & equity rules + more

11/13/2023
Tune in for today's industry updates.

Duration:00:08:20

Ceci Connolly, President and CEO at Alliance of Community Health Plans

11/12/2023
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!

Duration:00:12:36

Interoperability: A Key to Improving Healthcare Operations, Efficiency, and Innovation

11/10/2023
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.

Duration:00:24:32

No Surprises Act Challenges, Positive Developments and More

11/10/2023
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.

Duration:00:22:39

Dr. Bruce Rogen, Chief Medical Officer at Cleveland Clinic Employee Health Plan

11/9/2023
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!

Duration:00:10:04

Jack Shoemaker, Business Operations Delivery Lead at Medical Home Network

11/8/2023
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!

Duration:00:09:53

Thomas Grote, CEO at Banner|Aetna

11/7/2023
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!

Duration:00:08:11

Cigna posts $1.4B profit in Q3 + more

11/6/2023
Tune in for today's industry updates.

Duration:00:05:28

Dr. Anil Singh, Senior Vice President, Executive Medical Director - Population and Curated Health for Highmark Health

11/6/2023
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!

Duration:00:06:46

Dr. Krystal Revai Sodaitis, Associate Chief Medical Officer at Health Alliance

11/6/2023
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!

Duration:00:17:27

CVS, Humana post Q3 earnings + more

11/3/2023
Tune in for today's industry updates.

Duration:00:05:43

Seeing the Unseen: Supporting Member Populations with Complex Diabetes

11/3/2023
In this episode we are joined by Jon Bloom, M.D., Co-Founder and CEO at Podimetrics to discuss how health plans and at-risk providers drive improved outcomes of member populations with complex diabetes. Tune in to learn cost effective ways to support at-risk populations. This episode is sponsored by Podimetrics.

Duration:00:16:38

The Roles of Technology and Transparency in Payment Integrity Practices

11/1/2023
In this episode, we are joined by two guests from HealthEdge, Steve Krupa, CEO, and Ryan Mooney, Executive Vice President and General Manager of Payment Integrity, to discuss the gaps in payment integrity, the difference between prospective payment integrity and traditional payment integrity, and a lot more. This episode is sponsored by HealthEdge.

Duration:00:28:34