Episodes
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145: Conversations with Perry and Friends: Daniel Mullins, Ph.D.
In this latest episode of his “Conversations With Perry and Friends” podcast, Perry Cohen, Pharm.D., a member of the Managed Healthcare Executive editorial advisory board, spoke with C. Daniels Mullins, Ph.D., a professor of practice, sciences, and health outcomes research at the University of...
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144: Conversations with Perry and Friends: Rita Shane, Pharm.D.
In this episode of his “Conversations With Perry and Friends” podcast, Perry Cohen, Pharm.D., a member of the Managed Healthcare Executive editorial advisory board, spoke with Rita Shane, vice president and chief pharmacy officer at Cedars-Sinai Medical Center in Los Angeles.
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143: Conversations with Perry and Friends: Jon Bloom, M.D.
Perry Cohen, Pharm.D., a longtime member of the Managed Healthcare Executive (MHE) editorial advisory board, is host of the "Conversations with Perry and Friends" podcast. In this episode, Cohen speaks with Jon Bloom, M.D., co-founder and CEO of Podimetrics, about the evolving role of physicians…
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142: Conversations with Perry and Friends: Saar Mahna, J.D., MBA
Perry Cohen, Pharm.D., a longtime member of the Managed Healthcare Executive editorial advisory board, is host of the "Conversations with Perry and Friends" podcast. In this episode, Cohen speaks with Saar Mahna, J.D., MBA, CEO and founder of Banjo Health, an artificial intelligence company…
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141: Conversations With Perry and Friends: Paul Fronstin, Ph.D.
Perry Cohen, Pharm.D., a longtime member of the Managed Healthcare Executive editorial advisory board, is host of the Conversations with Perry and Friends podcast. In this episode, his guest is Paul Fronstin, Ph.D., director of health benefits research at the Employee Benefit Research Institute.
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140: Conversations With Perry and Friends: John Baackes
Perry Cohen, Pharm.D., a longtime member of the Managed Healthcare Executive editorial advisory board, is host of the Conversations with Perry and Friends podcast. His guest this episode is John Baackes, the former CEO of L.A. Care Health Plan.
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139: Breaking Down Health Plans, HSAs, AI With Paul Fronstin of EBRI
Featured in this latest episode of Tuning In to the C-Suite podcast is Paul Fronstin, director of health benefits research at EBRI, who shed light on the evolving landscape of health benefits with editors of Managed Healthcare Executive. Fronstin discussed the challenges employers face in…
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138: Loren McCaghy of Accenture Suggests Digital Engagement, Ease of Use as Key Drivers in Healthcare Provider and Payer Turnover
In this latest episode of Tuning In to the C-Suite podcast, Briana Contreras, an editor with MHE had the pleasure of meeting Loren McCaghy, director of consulting, health and consumer engagement and product insight at Accenture, to discuss the organization's latest report on U.S. consumers...
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137: Meet the Board: Care Oregon's Eric Hunter Discusses Merger Setback, Medicaid Success and New Residency Program
In our latest "Meet the Board" podcast episode, Managed Healthcare Executive Editors caught up with board member, Eric Hunter, CEO of Care Oregon, to discuss a number of topics, with one including the merger that never closed with SCAN Health Plan due to local opposition from Oregonians,...
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136: Meet the Board: Optum Rx's David Calabrese Discusses New Role, Pharmacy Deserts, Medication Shortages and More
In the latest episode of the Meet the Board podcast series, Managing Editor, Peter Wehrwein, catches up with Chief Clinical Officer at Optum Rx and EAB member, David Calabrese, about his new role alongside his team's progress in improving quality, patient safety and health equity in healthcare....
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135: A Conversation With Veteran Healthcare Lobbyist Paul Kelly | DC Roundtable
A limited pharmacy benefit manager (PBM) reform bill may be used as a "pay for" to offset the costs of extending Medicare telehealth flexibilities, shares Kelly, of Capitol Advocacy & Government Affairs.
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134: Meet the Board: Navigating the Evolving Landscape of Healthcare Coverage and Pharmacy Benefits with Marci Chodroff of Magellan, Prime Therapeutics
In this month’s episode of Meet the Board, MHE’s Managing Editor Peter Wehrwein and spoke with a new member of our editorial advisory board, Marci J. Chodroff, MD, FACP, VP of Medical Affairs at Magellan Rx Management, a Prime Therapeutics company. The two discussed Chodroff's career transition...
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133: DC Roundtable: Patrick Cooney of The Federal Group Drops the Latest on PBMs in Washington
In this episode, MHE's Peter Wehrwein spoke with Patrick Cooney, president of The Federal Group, discussing Washington's focus on Pharmacy Benefit Managers (PBMs). Cooney highlighted increased federal attention on PBMs, with legislative activity indicating bipartisan interest in reform. Despite...
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132: Meet the Board: AffirmedRx CEO Greg Baker Unveils Game-Changing Strategy for PBM Industry
As we bring back our "Meet the Board" Series podcast series, Managed Healthcare Executive welcomes our newest Editorial Advisory Board member Greg Baker, CEO of AffirmedRx. In this conversation, Baker and Peter Wehrwein, MHE managing editor, discussed insights from Baker's career journey. Drawing...
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131: DC Roundtable: Ceci Connolly and Margaret "Meg" Murray Talk Medicare Advantage, Drug Pricing and Political Priorities in 2024 Elections
In this second part of a two-part podcast episode, Managed Healthcare Executive's Managing Editor Peter Wehrwein spoke with Ceci Connolly and Margaret "Meg" Murray about Medicare Advantage utilization and challenges, highlighting proposed CMS payment cuts and prior authorization issues. Murray...
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130: DC Roundtable: Margaret "Meg" Murray and CeCi Connolly Discuss Medicaid Challenges, ACA Success and Partisan Divides
In this first part of a two-part podcast episode, Managed Healthcare Executive's Managing Editor Peter Wehrwein kicks off our new podcast series "DC Roundtable," with guests Margaret "Meg" Murray, CEO of the Association of Community Affiliated Plans, and member of MHE's Editorial Advisory Board,...
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129: Sanjula Jain Urges a Comprehensive Approach to Address Alarming Rise in Cancer Cases Among Younger Populations
In this month’s episode of Tuning In to the C-Suite, Briana Contreras, an editor of Managed Healthcare Executive, got to chatting with Sanjula Jain, Ph.D., chief research officer at Trilliant Health. In the conversation, Sanjula shared the concerning rise in cancer cases among those in their 30s...
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128: A Deep Dive into Predictive and Generative AI with Lynn Carroll of HSBlox
In this month’s episode, Briana Contreras, an editor of MHE, chatted with Lynn Carroll, executive of HSBlox, about the difference between predictive and generative AI, yet how each works together in preventive healthcare. In the discussion, Carroll expressed the challenges and opportunities with...
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127: Tackling Medical Debt Challenges for Middle-Class Americans and Inclusive Healthcare Solutions, per Curative CEO Fred Turner
Briana Contreras, an editor of Managed Healthcare Executive, spoke with Fred Turner, CEO of Curative, in this month’s episode. The two talked about the challenges middle-class Americans face in dealing with medical debt, exploring the causes behind it and the impact on overall health. Fred also...
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126: Bridging the Diversity Gap in Rare Disease Clinical Trials with Harsha Rajasimha of IndoUSrare
Briana Contreras, an editor with Managed Healthcare Executive, spoke with Harsha Rajasimha, MD, founder and executive chairman of IndoUSrare, in this month's episode of Tuning in to the C-Suite podcast. The conversation was about how the disparity in diversity and ethnicity in rare disease…
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125: AI Improving Healthcare Efficiency, the Evolution of VBC, Reducing Healthcare Waste and More With William Shrank of Andreessen Horowitz
Managing Editor of Managed Healthcare Executive, Peter Wehrwein, had a discussion with William Shrank, M.D., a venture partner with Andreessen Horowitz, a venture capital firm in Menlo Park, California, about how artificial intelligence's role is improving healthcare, where we are today with...
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124: Mostafa Kamal Talks Prime Therapeutics, Magellan Rx Integration, the Organizations Trajectory, More
Managed Healthcare Executive's Managing Editor Peter Wehrwein, and Editor Briana Contreras, had a discussion in July with Mostafa Kamal, president and CEO of Prime Therapeutics, an organization in which Kamal acquired this position in July 2023. Kamal addressed his newer role, plans for Prime…
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123: In the Scope of Virtual Health and the Future of “Website” Manner, Per Ateev Mehrotra
In this month’s episode, Briana Contreras, an editor of Managed Healthcare Executive, had the pleasure of catching up with MHE Editorial Advisory Board Member, Ateev Mehrotra, who is a professor of healthcare policy at Harvard Medical School and an Associate Professor of Medicine and Hospitalist…
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122: Extending the Capabilities of the EHR Through Automation
Welcome back to another episode of "Tuning In to the C-Suite," where Briana Contreras, an editor of Managed Healthcare Executive, had the pleasure of chatting with Cindy Gaines, chief clinical transformation officer at Lumeon. In the conversation the two mainly addressed how automation is filling...
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121: Personalizing, Simplifying Value-Based Care Models Can Reduce Costs, Improve Health Outcomes for Patients
Briana Contreras, an editor of Managed Healthcare Executive, spoke with Brian Adams, President and CEO of Tabula Rasa HealthCare, in this month's episode of Tuning In to the C-Suite podcast. In the episode, Brian and Briana got to chatting about value-based care and why the transition to this…
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120: What to Look For in the Pipeline, Misconceptions of Drug Approvals and More of ‘What’s on the Mind’ of Jeffrey Casberg
In this episode, Briana Contreras, an editor with Managed Healthcare Executive, and Peter Wehrwein, managing editor of MHE, got to chatting with the newest editorial advisory board member, Jeffrey Casberg, who is vice president of Clinical Pharmacy at IPD Analytics. In the discussion, Casberg...
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119: Best Practices Plans Can Take in the Medicaid Redetermination Process to Prevent Members Losing Coverage
Briana Contreras, an editor of Managed Healthcare Executive, spoke with Leah Dewey, vice president of clinical and consumer engagement operations at Cotiviti, in this month’s podcast episode. In our discussion, Leah talked about what she’s seeing as the process of Medicaid Redetermination is well...
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118: What's On the Mind of Eric Hunter? The Network of CareOregon and the Members They Serve
This month’s episode of the "What's On Your Mind" podcast series features President and CEO of CareOregon, Eric Hunter. MHE Managing Editor, Peter Wehrwein, and Editor, Briana Contreras, picked Hunter's brain to see what’s in fact on his mind when it comes to healthcare. Throughout the…
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117: The Don'ts of Kicking Off Your Digital Health Startup
This month's episode of Tuning In to the C-Suite features Erica Jain, CEO & co-founder of digital health company, Healthie. In this discussion, Jain shared some of the challenges or things to avoid when creating a digital health startup, based on her journey with starting Healthie in 2016. She…
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116: David Calabrese of OptumRx Talks New Role, Market Insulin Prices and Other Topics 'On His Mind'
In this month’s episode of the "What's On Your Mind podcast," Peter Wehrwein, managing editor of MHE connects with the now Chief Clinical Officer of OptumRx Integrated Pharmacies, David Calabrese. In this conversation, David touches on his transition in January as OptumRx’s former chief pharmacy...
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115: How Adopting AI Combats Fraud, Waste and Abuse Caused by Overpayment
Briana Contreras, an editor with Managed Healthcare Executive, had a chat with Clay Wilemon, CEO of 4L Data Intelligence, in this month’s episode of Tuning In to the C-Suite. The discussion was on the subject of fraud, waste, and abuse within the healthcare industry and how much of it stems from...
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114: The Silver Linings of the Pandemic Playbook: Telehealth, 'Whole-Person Health,' per Rodrigo Cerdá, M.D., M.P.H., of Independence Blue Cross
A pandemic is not on anybody’s wish list. But the one that COVID-19 has wrought has ushered in some constructive changes to U.S. healthcare that previously has been more talked about than done, according to Rodrigo Cerdá, senior vice president of health services and chief medical officer at...
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113: What Reimbursable Remote Care Through New CMS CPT Codes Means For Patients
Briana Contreras, an editor of Managed Healthcare Executive, chats with Bronwyn Spira, CEO and founder of Force Therapeutics, in this week's episode about CMS' new CPT codes introduced in 2022. These codes focus on musculoskeletal and respiratory conditions and the data collected from patients...
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112: What’s on the Mind of Margaret “Meg” Murray of the Association for Community Affiliated Plans?
Our guest in this month’s episode of the “What's on Your Mind” podcast is Margaret Murray, M.P.A., founding CEO of the Association for Community Affiliated Plans (ACAP) and a longtime member of Managed Healthcare Executive® editorial advisory board. Murray is an expert on Medicaid and healthcare...
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111: Rick Bates of RxSense Talks Collab With Mark Cuban's Cost Plus Drugs, Consumer-Centric Care and More
In this month’s episode of Tuning In to the C-Suite, Managing Editor Peter Wehrwein talks with Rick Bates, MBA, president and CEO of RxSense. In his conversation with Wehrwein, Bates described RxSense as a “technology platform company that has expertise in the direct-to-consumer business.” He...
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110: What's on the Mind of Perry Cohen of The Pharmacy Group?
In this debut podcast series of What's on Your Mind podcast, Perry Cohen, Pharm.D., CEO of The Pharmacy Group, recently shared his thoughts on the current state of healthcare and especially the management of pharmacy costs. This new monthly series brings listeners into the minds of Managed...
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109: Other Means of Care to Address Disparities Outside of Telehealth, per Julien Pham of Third Culture Capital
In this week’s episode of Tuning In to the C-Suite podcast, Briana Contreras, an editor of Managed Healthcare Executive spoke with Julien Pham, MD, founder and managing partner of Third Culture Capital (3CC). In the discussion they talked about the concern of having to find other means of access…
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108: The Merging Market Today in Healthcare, According to Chuck Salvo of ToneyKorf Partners
In this week's episode, Briana Contreras, editor of Managed Healthcare Executive, spoke with Chuck Salvo managing director of ToneyKorf Partners about some of the common challenges and trends he sees in healthcare organizations today. The pair also touched on topics involving mergers between...
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107: Where Addressing SDoH Stands Today, How Steps Like Analyzing Data Can Help
In this week's episode of "Tuning In to the C-Suite" podcast Briana Contreras, editor of Managed Healthcare Executive, spoke with Ted Quinn CEO and founder of Activate Care. During the conversation, Quinn touched on where the need to address social determinants of health is today as we are still…
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106: The Ongoing Battle to Improve Access to Care Through Digital Health, per Ramin Bastani of Healthvana
In this week’s episode of "Tuning In to the C-Suite," Briana Contreras, editor of Managed Healthcare Executive, spoke with Ramin Bastani, CEO of Healthvana. Ramin addressed the ongoing issue of underserved communities lacking access to care and shared the efforts made specifically through digital...
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105: How to Save Home Healthcare Per Tim Ashe of WellSky
In this week's episode, Editor of Managed Healthcare Executive, Briana Contreras, had the pleasure of speaking with Chief Clinical Officer of WellSky, Tim Ashe, about the issue of Centers for Medicare and Medicaid Services cutting rates for Medicare home health. Tim addressed the solutions that…
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104: Using the 'Pathway' Approach to Shorten the Time Between Cancer Diagnosis and Treatment
In this episode of Tuning In to the C-Suite, Briana Contreras, editor with Managed Healthcare Executive spoke with Dr. Yuri Fesko, oncologist and vice president of Medical Affairs at Quest Diagnostics. In the conversation, Dr. Fesko addressed the ongoing issue of long gaps of times between...
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103: Doug Chaet of Value Evolutions Discusses Value-based Payment Models, Where They Stand and More
In this episode of Tuning In to the C-Suite, Managing Editor of Managed Healthcare Executive, Peter Wehrwein, speaks with President of Value Evolutions and MHE Editorial Advisory Board Member, Doug Chaet, FACHE, about value-based care's current standing, the status of various payment models and...
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102: Jim Graham of Prime Therapeutics Discusses a Digital Transformation Management System in Healthcare
In this week's episode, MHE Editor Briana Contreras and Managing Editor Peter Wehrwein met with CIO of Prime Therapeutics, Jim Graham to discuss the process of an organization’s digital transformation from a traditional Pharmacy Benefit Manager to a complete data-driven drug management system....
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101: Lissy Hu of Connected Care Networks at WellSky Talks Home-based Care as New Norm
Hi everyone, I’m Briana Contreras and I’m an editor for Managed Healthcare Executive. Back from a brief hiatus, MHE brings you a brand new episode of Tuning In to the C-Suite podcast where I had the pleasure of speaking with Lissy Hu, President of Connected Care Networks at WellSky. Lissy and I...
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100: MHE Talks: Joe Gagnon and Don Rucker of 1upHealth Address How FHIR is Personalizing Healthcare
This week welcomes Managed Healthcare Executive's 100th podcast episode featured on "Tuning In to the C-Suite" podcast! Guests on this episode are members of 1upHealth, CEO Joe Gagnon and Chief Strategy Officer, Don Rucker. The two were featured on the latest episode of "Tuning In to the…
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99: Nancy Lurker of EyePoint Pharmaceuticals Addresses Innovations in Eye Care, How to Grow in the C-Suite and What it Takes to Run a Biopharma Company
Briana Contreras, editor of Managed Healthcare Executive, spoke with Nancy Lurker, CEO and president of EyePoint Pharmaceuticals. Nancy shared a bit about EyePoint and how the organization’s innovative therapies are addressing patient needs through eye care, and most importantly, she addressed...
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98: Paige Kilian of Inovalon Addresses the Challenges of Risk Adjustment and how Solutions Can Be Found Through Data and Analytics
In this week's episode, Briana Contreras, editor of Managed Healthcare Executive, spoke with Dr. Paige Kilian, chief medical officer at Inovalon. In the discussion, Dr. Kilian broke down the current issues health plans are facing when it comes to risk adjustment and how it’s affecting members of...
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97: Emad Rizk of Cotiviti Addresses How Expanding Access to Data Around SDoH Improves Care, Risk Assessment
Briana Contreras, editor of Managed Healthcare Executive spoke with Emad Rizk, M.D., chairman, president, and CEO of Cotiviti in this week's episode of Tuning In to the C-Suite. In the discussion, they talked about the issues of risk in healthcare and how they have led to inequalities in care.…
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96: Meet the Board: Ateev Mehrotra of Harvard Medical School Talks About Telehealth Issues, Price Transparency, His Latest Hobby and More
In this latest episode of the "Meet the Board" podcast series, Briana Contreras, editor of Managed Healthcare Executive, spoke with Managed Healthcare Executive Editorial Advisory Board Member Ateev Mehrotra, who is professor of Healthcare Policy and Medicine at Harvard Medical School; and a...
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Tuning Into The C-Suite
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