All Episodes
Becker’s Payer Issues Podcast — 362 episodes
Building the Data and AI Foundation for Health Plans
Jeremy Wigginton on Expanding Behavioral Health Access
Building Trustworthy AI in Healthcare Through Transparency
What Health Plans Need to Know About the Next Regulatory Pivot
Healthcare Costs, IDR and the No Surprises Act: David Merritt on What’s Driving Affordability Pressures
Payer Shakeups, Rising Costs and the Future of Employer Health Insurance with Jakob Emerson
The Rise of ICHRA: Flexibility, Choice and the Future of Health Benefits with Hunter Foster
Nathan Frank on Aetna’s AI Strategy: Reducing Friction Across Healthcare
How Value-Based Care Delivers Better Outcomes for Medicare Members with Dr. Ali Khan
Jakob Emerson on Medicare Advantage Pullbacks and SCAN’s Costco Partnership
Amanda Free on Affordability and Access in Georgia’s Commercial Market
Agentic orchestration: A new approach to enterprise AI
Simplifying Healthcare and Tackling Rising Costs with Jessica Lopez-Liggett
Advancing Personalized Care Through AI, Clinical Insights and Early Intervention with Dr. Stanley Crittenden
Simplifying Healthcare Through Digital Transformation, Affordability and AI with Katie Catlender
Closing the Rural Telehealth Gap in Chronic Care with Sarah Adkins
Advancing Smarter, More Personalized Cancer Care with Dr. David Debono
Building Stronger Healthcare Workforce Pathways Through Community Partnerships with Dan LaVallee & Dr. Brandy Hershberger
How Blue Shield of California Is Rethinking Care Delivery with Susan Mullaney
Dr. Ben Kornitzer on AI, Prior Authorization Reform, and the Future of Payer Provider Collaboration
AI, Climate Risks, and the Future of Member Care with Dr. Daniel Knecht
GLP-1 Coverage, Affordability, and Member Access with Angel Ballew
Medicare Advantage, Value-Based Care and Improving Outcomes for Vulnerable Populations with Dr. Ken Cohen
Margaret Anderson on Growth, Integration and Affordability at Health Alliance Plan
Earlier Signals, Better Outcomes: Rethinking Risk Stratification for New Members
Medicaid, Food as Medicine, and the Future of Coverage with Kelly Munson
Using Data and AI to Improve Care Coordination with Liz Signorella
Tackling Healthcare Affordability Through Innovative Funding Models with Morgan Kendrick
America’s Health Rankings Senior Report: Key Trends in Healthy Aging with Rhonda Randall, DO
Sharon Williams on Member Experience, Healthcare Access, and Smarter Payer Technology
Rethinking Risk Adjustment and Payer Provider Alignment in Value-Based Care
Rethinking Health Plan Design Through Access, AI, and Preventive Care with Adam Park
AI, Interoperability, and Member Experience in Modern Payer Operations with Cara Wahmann
Using Data and AI to Drive Proactive Member Care
Building Trust and Member Engagement in Medicare Advantage with Garfield Collins
Navigating Risk Adjustment Data Validation (RADV) Audits with Confidence, and the Costs of Unsupported Diagnoses
Using Data and AI to Drive Proactive Member Care
Navigating Medicare Advantage, AI & Member Experience with Rob Hitchcock
Building Trust Through Culture, Community & AI-Enabled Member Engagement with Andy Higgins
Rakesh Mathew, MS, MBA, CPHIMS, Interoperability Leader at Jefferson Health Plans
Ilan Shapiro, MD, MBA, FAAP, FACHE, Chief Health Correspondent and Medical Affairs Officer and Senior Vice President at AltaMed Health Services
Reimagining Proactive and Personalized Health Coverage with Michael Roan
How AI and Proactive Care Models Are Transforming Medicare Advantage with Damanjeet Chaubey
Redefining Member Engagement and AI in Health Insurance with Chris Gay
Scaling Population Health with AI While Preserving the Human Touch
Healthcare Upside / Down: How BCBS Massachusetts Predicts Churn, Empowers Brokers, and Wins More Business
AI, Consumer Choice, and the Future of Benefits Administration with Brandy Thompson
Payer pressures, community-based care, and responsible AI adoption with Ceci Connolly
AI, Affordability, and Consumer Experience in Healthcare with Siva Balu
Lisa Baird, Chief Executive Officer of Aetna Better Health of Missouri
Kelli Tice, MD, Vice President of Medical Affairs and Chief Health Improvement Officer at GuideWell and Florida Blue
Advancing Affordability & Member Experience Through Digital Innovation with Jennifer St Thomas
Leveraging Data and Human Centered Care in Medicare Advantage with Dr. Krystal Revai
Balancing Medicaid Costs, Access, and Member Experience with Nora Leibowitz
Affordability, Innovation, and Transforming Healthcare in North Carolina with Dr. Tunde Sotunde
Driving Affordability and Access Through Digital Innovation with Ellen Sexton
AI, Simplicity, and Collaboration: Redesigning Medicare Advantage Care Delivery with Dr. Saria Saccocio
Hasan Shanawani, Associate Chief Medical Officer at Horizon Blue Cross Blue Shield of New Jersey
Advancing Rural Health Access and Innovation with Brendan Harris & Patti Jackson-Gehris
Three Years of Virtual Blue and the Future of Virtual First Care at Blue Shield of California
Expanding Consumer Choice and Innovation in ICHRA Models with Alan Silver
Building Trust and AI Driven Member Engagement in Health Plans with Howard Weiss
HR1 Effects and How Organizations Can Prepare for Them
AI-Driven, Personalized Care for Chronic Conditions and How Payers Are Adapting Through Digital Health Innovation
How Dementia Care is Reshaping Population Health Strategy
Driving Affordability and Simplicity in Payer Strategy with Christina Ott
The Evolving Role of Provider Data in Healthcare
Reframing GLP-1 Strategy Through Clinical Outcomes, Behavior Change, & True ROI
Harnessing AI to Deliver Breakthrough Healthcare Value, Faster
Tackling Healthcare Affordability and Chronic Disease at Blue Shield of California with Mike Stuart
Steve Yurjevich, Chief Executive Officer of Optum Insight’s Payer Market and a member of the American Heart Association Executive Leadership Team
Jeff Bak, President and Chief Executive Officer of Imagine360
How Health Plans Can Build Scalable High Performance Infrastructure to Support Growing Complexity & Enable AI
Closing the Cancer Care Gap: How Integrated Screening and Treatment Support Improve Outcomes
Pankhuri Sharma, Strategy and Operations Leader at Humana
How to Optimize Behavioral Health Benefit Expense Management with a Great Tag Team of Guests
Connected Intelligence: How AI Is Reshaping Group Health Insurance
Kevin Knight, Chief Marketing Officer at Sidecar Health
Moving Payment Integrity Upstream with Jhana Spence of CERIS
Medicaid Readiness and Building Trust Through Engagement
Inside PsychPlus: Scaling Behavioral Health Nationwide
Why Domain-Specific AI Models Are Transforming Payment Integrity in Healthcare
Driving Value and Innovation in Health Plan Operations with Gretchen Wagner
Dr. Sameer Amin on Sustaining Medicaid and Social Determinants of Health Investments
Simplifying the Digital Health Landscape for Employers with Brian Cheney
UnitedHealthcare Expands Doula Coverage to Improve Maternal Health Outcomes
Strengthening Payer Provider Collaboration to Improve Care and Efficiency with Dr. Daniel Elliott
Advancing Value Based Care and the Future of Optum Health with Krista Nelson
Tackling Hypertension in Medicaid Through Community Partnerships with Dr. Kara Odom Walker
Dawn Maroney, President of Alignment Health and CEO of Alignment Health Plan
Data Driven Leadership in Medicare Advantage with Jennifer L. Kowalski of Elevance Health
Advancing Culturally Competent Medicare Advantage with Karen Walker Johnson of Clever Care Health Plan
Rethinking Employer Health Plans for Affordability with Jeff Bak
Payer Innovation, Venture Investment, and Managing Rising Care Costs with Emily Durfee
Strengthening Payer Provider Collaboration and Advancing Site Neutral Care with Saria Saccocio, MD, MHA,
Navigating Medicaid Redeterminations and Market Shifts with CalOptima Health Leadership with Michael Hunn & Yunkyung Kim
Navigating HR1 and Protecting Medi-Cal Coverage with Jennifer Schirmer
Smarter, Faster, Fairer? The Next Evolution of Prior Authorization
Payer Operations, Provider Partnerships and the Future of Health Plans with Sheri Johnson
Building an AI Native Health Plan for Small Employers with Ty Wang, CEO of Angle Health
Eric C. Hunter, President and CEO of CareOregon
Where Payer Strategy Meets Execution With Benefitbay CEO Brandy Thompson
Rob Andrews on Employer Led Health Care Reform and the Future of Health Plans
Melanie Fernando on Expanding Women’s Health Access at Aetna Better Health of Illinois
Advancing Value-Based Care at Humana with Alex Ding, MD
From Detection to Prevention: AI’s Role in Payment Integrity
Affordability and the Role of Regional Nonprofit Health Plans at Point32Health with Patrick Gilligan
Transforming Healthcare Affordability at Ascendiun with Paul Markovich
Improving Cancer Care Quality and Costs at Florida Blue, part of GuideWell with Thomas Graf, MD
Affordability, Access, and Operational Excellence at MetroPlusHealth with Lila Benayoun
Reimagining Consumer Experience and Technology at CVS Health with Tilak Mandadi
Dr. Damanjeet Chaubey on Bridging Strategy and Execution in Medicare Advantage
Inside UnitedHealthcare’s Latest Employer Health Insights
Brett Bingham, Chief Network Development Officer at Banner Plans
Building Strong Provider Partnerships for Value-Based Care
Value Based Care, Data Gaps, and Cost Pressures in Health Plans with Howard Brill
Rob Hitchcock, President and Chief Executive Officer of Select Health
Dr. Sachin Jain, President and CEO of SCAN Group
Integrating Care and Accountability in Medicaid’s Next Chapter with Erin Henderson Moore
Linda Hines, Virginia’s Medicaid Market President at Humana
Why ICHRA Is Gaining Momentum With Employers and Public Entities
Rethinking GLP 1 Coverage Through Transparent, Consumer First Pharmacy Models
Advancing Maternal and Child Health Through Data, Partnerships, and Policy
Leading Priority Health Through Growth, Trust, and Transformation
Navigating Cost Pressures and Data Driven Partnerships at EmblemHealth
Jay Nakashima, President of eHealth Exchange
Howard Weiss, Vice President of Government Affairs at EmblemHealth
Rethinking Prior Authorization Through Technology and Alignment with Chris Gay of Evry Health
Ellen Sexton, Executive Vice President and Chief Growth Officer at Blue Shield of California
Expanding Access to Doula Care to Improve Maternal Health with Dr. Cynthia Brown
Health Plan Readiness for 2026: Network Trends, Data & AI
Dr. Saria Saccocio, Chief Medical Officer at Essence Healthcare
Steve Tringale, President of Mass General Brigham Health Plan
Breaking Free from Legacy: Modernizing Health Plans with AI and BPaaS
How Payers are Preparing for 2026 and Beyond
How AI is Transforming the Payer Strategy
From Data to Dollars: Strategies to Curb Rising Healthcare Costs
The Future of Integrated Care, and What Leaders Need to Do Now to Achieve This at Scale
Leveraging AI and Digital Transformation to Improve Medicare Advantage with Vinay Kulkarni
Reimagining Access: Aligning Technology, Strategy and the Member Experience
Expanding Access to Affordable Dental Care with Cigna Healthcare and Paytient
Mark Grippi, AmeriHealth Caritas Ohio Market President
Dr. Richard Celko, Chief Dental Officer at UPMC Health Plan
How EmblemHealth is Fighting Food Insecurity and Advancing Community Health
Inside Clever Care Health Plan’s Growth: Blending Cultures, Community, and Value-Based Care
How Blue Cross NC Is Scaling Food as Medicine to Improve Health and Lower Costs
Leading Medicare Innovation and Supporting Dual Eligibles with Michael Carson
Innovating Consumer Choice and Cost Management at UnitedHealthcare with Dan Kueter
Charting the Path for Electronic Prior Authorization
Zack Myers, National General Manager at SCAN Health Plan
Driving Community Impact Through Medicaid Innovation at UPMC
Mack McGee, Chief Marketing Officer at CareFirst BlueCross BlueShield
Navigating Rising Health Costs and Alternative Coverage Models
Breaking Down Silos in Health Plan Pricing Operations
Navigating Payer Compliance and Regulatory Oversight with Cereasa Horner of CERIS
Expanding Behavioral Health Access with Bill Harlan of Point32Health
Dan LaVallee and Dr. Brandy Hershberger of UPMC
Alan Cohen, Co-founder and Chief Product Officer at Centivo
Premera Blue Cross’ In-House AI Chatbot Boosts Customer Service Efficiency
John Byrnes, Chief Operating Officer at Banner|Aetna
Leading the Nation’s First Lifestyle Medicine Program for Alzheimer’s at EmblemHealth
Jeff Yuan, Co-founder of Mending
Advocating for Medicare Advantage with Dawn Maroney of Alignment Health Plan
Navigating Medicaid Reform and Community Care with CalOptima CEO Michael Hunn
Virtual Care Innovation and What’s Next with MD Live by Evernorth
The Future of Non-Emergency Medical Transportation with Alan Murray, CEO of MediDrive
Driving Innovation in Medicare Advantage with Dr. Joe Kimura of SCAN Health Plan
Amy Jordan, Vice President of Consumer Digital Engagement at UnitedHealthcare
Dr. Tom Allen, Executive Medical Director, Behavioral Health, Blue Cross and Blue Shield
Chris Wasel, President, Strategic Partnerships, Vantage Healthcare
From Reactive to Proactive: How AI Is Transforming Care Management
Saria Saccocio, Chief Medical Officer, Essence Health
Shawn Shuman, Director, Medical Management, Peak Health
Harlon Pickett, President, Eagle Care Health Solutions
How University Health Is Tackling Payer Pressure and Driving Mission-Driven Revenue Cycle Innovation with Kevin Barron
Capitalizing on Momentum: Payer Perspectives on Value-Based Care in 2025
Chris Gay, CEO of Evry Health
Doug Henry, Enterprise Medical Director of Behavioral Health, Highmark Health
Illan Shapiro Strygler, Chief Health Correspondent and Medical Affairs Officer and Senior Vice President, AltaMed Health Services
Kourtney Witten, Area Vice President Network Managing Partner Wisconsin, Advocate Health
Integrating Specialty Pharmacy into Electronic Health Record Workflows: Unlocking Enhanced Value
How Accurate Provider Data Drives Better Care Access and AI Innovation
Dr. Brian Smolich, Vice President, Health Alliance Quality and Managed Care Operations, Carle Health
Brad Riley, Vice President, Analytics and Reporting, Longevity Health
Paul Christopher Hiltz, President and CEO, NCH Healthcare System
Louis DeStefano, Senior Vice President of Growth at Oscar Health
Dr. Alex Ding, Deputy Chief Medical Officer, Humana
Rebuilding NEMT: Creating a Modern, Scalable Transportation Model for Health Plans with Kinetik
Lila Benayoun, Chief Operating Officer, MetroPlusHealth
Mark Rich, Former President and current Board Member of Steward Health Care System LLC
Lawrence Hamilton, Executive Vice President, The Permanente Medical Group
Dr. Aisha Rahim, Medical Director and Co-Lead, AI Governance Council, Johns Hopkins Health Plans (JHHP)
Improving Access to Preventive Care and Whole Person Health with Dr. Jennifer Nuovo
Stacy Edgar, Co-Founder and CEO at Venteur
Redefining Payer Strategy: From Benefit Design to Intelligent Care Delivery
Dawn Maroney, Chief Executive Officer of Alignment Health Plan and President of Alignment Health
Utilization Management That Works: Strategies, Stories & What’s Next
Samuel Wollner, Vice President, Strategy and Partnerships, EmblemHealth
Dr. Rebekah Hughey, Medical Director at Highmark Wholecare
Crissy Turino, Chief Plan Officer & Chief Operating Officer, CountyCare
How In-Home Assessments Drive Better Outcomes with Catherine Tabaka & Dr. Michael Cantor of Matrix Medical Network
Redesigning Autism and I/DD Care: Insights from Catalight’s Chief Health Officer
Transforming Payment Integrity with AI: A Conversation with Raj Ronanki, CEO of Lyric
Dr. Sachin Jain, President and Chief Executive Officer, SCAN Group
Protecting Access and Advancing Care: Erfan Karim on Medicaid, Innovation, and Health Equity
Redefining Employer Coverage: Centene’s Alan Silver on the Future of ICHRA
Sheri Johnson, Vice President, Member Enrollment and Billing, UCare
Jarrod McNaughton, CEO of Inland Empire Health Plan
Inside MD Live: Improving Healthcare Access, Affordability & Outcomes
Peter Kuipers, CFO of Clover Health
Leveraging AI and Predictive Models to Improve Member Experience: Insights from Humana and Everise
Angie Kalousek, Senior Director, Clinical Strategy and Programs at Blue Shield of California
Transforming Reimbursement Strategy: How AI and Insights Are Powering Value-Based Care Readiness
Supporting Families Beyond the NICU: How Harvard Pilgrim Is Extending Postnatal Care with Jake Biscoglio
Dr. Damanjeet Chaubey, Vice President of Clinical Affairs at Clover Health
Driving Behavior Change at Scale: A Conversation with Noom at the 2025 Becker’s Annual Meeting
Ty Wang, Co-Founder and Chief Executive Officer of Angle Health
Building California’s Physician Pipeline: A Conversation with Dorothy Seleski of Health Net
Unlocking the Value of Network Performance Data
Eric Cannon, Chief Pharmacy Benefits Officer at SelectHealth
Karina Lupercio, VP of Market Integration & Data, and Ann Marie Gomez, Sr. Director of Marketing at Healthcare Highways
Innovating Payer-Provider Collaboration with Veradigm’s Courtney Yeakel & Michael Moore
Fixing a Broken System: How Health Plans Can Deliver the Right Mental Healthcare at the Right Time
Jeff Bak, President and CEO of Imagine360
Supporting Mental Health from the Inside Out: Dr. Matthew Hurford on UPMC’s Approach
Boosting Star Ratings: The Key to Health Plan Success
Dr. Romilla Batra, SVP and Chief Medical Officer at Premera Blue Cross
Improving kidney health with Joe Vattamattam, President of Healthmap Solutions
The Path to Payment Accuracy: Tackling Billing Errors with Payment Integrity
Driving Impact Through Data and Heart: Inside The Cigna Group Foundation's Community Strategy with Melissa Skottegaard
Legacy Systems vs. Patient Access: Transforming Payer-Provider Alliances
Dr. Ruchi Talwar, Medical Director of Episodes of Care Population Health at Vanderbilt Health
Steve Tringale, President of Mass General Brigham Health Plan
Balancing Innovation and Ethics: The Role of Agentic AI in the Payer Landscape
Senthu Arumugam, Chief Commercial Officer at SCAN Health Plan
Dr. Ravi Kavasery, Chief Medical Officer at Blue Shield of California
Dr. Steve Friedhoff, Senior VP of Healthcare Services at Blue Cross Blue Shield of North Carolina
Jane Brown, Head of Medicaid Operations at Aetna
Dr. Dirk Slaker, Chief Medical Officer at Sonder Health Plans
Dr. Pooja Mittal, Vice President and Chief Health Equity Officer at Health Net
From Siloed Systems to Seamless Platforms: Transforming Health Plans with Technology
Dr. Shantanu Agrawal, Chief Health Officer at Elevance Health
Sam Melamed, CEO & Bret Voith, Chief Strategy Officer of NCD
Dr. Ken Cohen, Executive Director of Translational Research at Optum Health
The New Era of Healthcare Transformation: How Payers Can Leverage Data for Continuous Improvement
Unlocking Growth: Why Compliance is Key in Digital Marketing for Payers
Katherine Barresi, Chief Health Services Officer at Partnership HealthPlan of California
Brian Janssen, Chief Information Officer for Medicare at WPS Health Insurance
Troy Shaffer, VP of Contact Center Operations at SCAN Health Plan
The Future of Price Transparency: Insights from Sidecar Health’s Emily Porter
Chris Wasel, President of Marketing & Strategic Partnerships at Vantage Healthcare
Rona Li & Rob Scruggs of SCAN Group
Breaking Barriers: Enhancing Communication in Behavioral Health
Rick Abbott, Senior Vice President of Employer Solutions and Innovation at Priority Health
Paul Penzone, Vice President and Chief Community Relations Officer at Blue Cross Blue Shield of Arizona
Matt Gibbs, Senior Vice President and Chief Pharmacy Officer at Blue Shield of California
Dr. Todd May, Vice President and Medical Director at Health Net
Dr. Kate Goodrich, Chief Medical Officer at Humana
Michael Hunn, CEO of CalOptima
The prior auth reform push continues + more
UnitedHealthcare names new CEO + more
Paige Brogan, Principal CalAIM at Blue Shield of California
Dr. Adrienne Moore, SVP of Finance at Banner Health
Eric Witte, Chief Operating Officer of Genesis Orthopedics & Sports Medicine
Pleasant Radford Jr., MBA, CHIE, Health Equity Officer at UCare
Dennis Hillen, Senior Vice President at Oscar Health
Innovating Health Insurance: A Conversation with Patrick Quigley, CEO of Sidecar Health
Insourcing vs. Outsourcing Payment Integrity: Striking the Right Balance for Your Health Plan
Anne Groves, Market President at Arkos Health
Jordan Taggart, SVP of Payer & PBM Growth at Vida Health
The Future of Payer-Provider Collaboration with Dr. Katherine Hobbs
Pankhuri Sharma, Strategy & Operations Leader at Humana
Brad Riley, VP of Clinical Delivery at Longevity Health Plan
40 payer execs on 2025 outlook + more
Krischa Winright, President of Medicare Advantage at Blue Cross Blue Shield of Michigan
Mihir Kamdar, Chief Medical Officer at Tuesday Health
Dr. Edward Juhn, Chief Quality Officer at Inland Empire Health Plan
Scott D. Schweiger, VP of The Clinic by Cleveland Clinic
Transforming Maternal and Infant Health: Insights from Dr. Yolanda Lawson
Navigating Network Compliance in Healthcare: Trends, Challenges, and Digital Transformation Insights
Abdou Bah, SVP of Medical Management and Chief Health Equity Officer at Emblem Health
Mitchell Gorodokin, VP of Business Development at Certify
Dr. Daniel Beckles, Surgeon at Ochsner Health
Wayne Pan, Medical Doctor at San Francisco Health Plan
UnitedHealth CEO addresses shooting + more
Transforming Healthcare with Russell Van Gorp
Edward Juhn, Chief Quality Officer at Inland Empire Health Plan
CMS pitches major MA changes + more
Aric Sharp, CEO of Value-Based Care at Clover Health
Strategic Growth in Home-Based Care with Brendan Kerrigan
Mike Jasperson, Senior Vice President of Provider Network and Health Plan Operations at Priority Health
Harlon Pickett, President of Eagle Care Health Solutions
Erin Henderson Moore, President and CEO of Fidelis Care
Driving Growth and Innovation in Rural Healthcare: Insights from Jennifer Shermo
Innovating Home-Based Care: Insights from John Young
Angela Perri, President, Medicare Products
Breaking Barriers in Home-Based Healthcare
Chris Wasel, President, Marketing & Strategic Partnerships at Vantage Healthcare
Gary Rosenfield, Director, Medicaid Product & Strategy, United Concordia Dental
DOJ sues UnitedHealth over Amedisys deal + more
Addressing Food Insecurity through Innovative Programs: Dr. Crystal Clark, the CMO for the Community Health Choices Program at UPMC Health Plan
Talent transformation, leveraging AI for HR, and more
Eric Cannon, Chief Pharmacy Officer and General Manager of Select Health/Scripius.
Ty Wang, Co-Founder and CEO of Angle Health
Advancing Health Equity: Insights from Valerie Martinez, chief health equity officer, Blue Shield of California's Promise Health Plan
Dr. Jeremy Wigginton, Chief Medical Officer at Capital Blue Cross
Navigating Change: How Payers Can Stay Agile in a Shifting Landscape
A Personal Journey and Cigna's Innovations in Breast Cancer Support with Margaux Currie
Dr. Manu Chaudhry, President of Capitol Dental Care
Healthcare Trends: In-Home Assessments
Payer - UnitedHealth, DOJ to discuss Amedisys deal + more
Scaling Mental Health Support with Woebot
AI's Impact on Healthcare: Transforming Member Experience & Responsible Innovation
Chris Palmieri, CEO of Commonwealth Care Alliance, on Aligning Mission and Capital in Healthcare
Kristen Cerf on Blue Shield's Four-Star Rating and Expanding Community Health Initiatives
Leveraging Tailored Health Solutions for Public Sector Workers with Kimberly Funderburk
Proactive Defense: Battling Fraud, Waste, and Abuse in Healthcare Payments
Medicare Advantage star ratings decline + more
Driving Healthcare Innovation: A Conversation with Dr. Wyatt Decker of UnitedHealth Group
The Role of Timely Data in Driving Quality Care at CareFirst BlueCross BlueShield with Piyush Khanna
Investors sour on CVS + more
Advancing Medicaid Care and Health Equity: A Conversation with Rushil Desai, President and CEO of Aetna Better Health of Illinois
George Halvorson on Medicare Advantage's Impact and the Future of Healthcare
Maryland to drop Kaiser Medicaid + more
Chronis Manolis, Senior Vice President, Pharmacy and Chief Pharmacy Officer at UPMC Health Plan
Cigna sues FTC over PBM report + more
Joanne McFall, Market President of Keystone First and AmeriHealth Caritas Pennsylvania
Best health plans in 2024, per NCQA + more
Joe Glinka, Director of PA HealthChoices at Highmark Whole Care
'Great disruption' looms for MA + more
Addressing Maternal and Infant Health Disparities: Insights from Dr. Lisa Saul of UnitedHealthcare
Biden expands mental health parity law + more
Karen Walker Johnson on Leading Clever Care's Unique Approach to Healthcare
Fred Turner, CEO of Curative
Dr. John Kim, Chief Medical Officer for Alignment Health's West Coast Markets
Ananya Banerjee, Chief Commercial Officer at Aledade, Inc.
Centene to cut Part D broker payments + more
UnitedHealth eyes Surgery Partners purchase + more
Dr. Robert Groves, Executive Vice President & Chief Medical Officer of Banner/Aetna
Boyd Faust, Chief Strategy Officer at GoHealth Urgent Care
Prioritizing Patient Access and Experience: In-Home Care with Matrix Medical Network
Humana settles Medicare fraud case for $90M + more
Harris, Trump tread in ACA ambiguity + more
Transforming Rural Healthcare: A Vision for Growth and Innovation with Dr. Tommy Ibrahim
Aetna president out + more
Combating Vaccine Hesitancy with Dr. Johanna Vidal-Phelan and Rebecca Nagle from UPMC Health Plan
Change Healthcare begins breach notifications + more
Unlocking the Power of Real-Time Data in Healthcare: Insights from Industry Leaders
Optum layoffs top 500 + more
AI Revolutionizes Healthcare Payment Integrity
Tackling Healthcare Inequities: A Deep Dive into St. Anthony Hospital's Battle for Medicaid Reform
Krischa Winright, President of Medicare Advantage at Blue Cross Blue Shield of Michigan
More Optum layoffs + more
UnitedHealth sued over DOJ antitrust probe + more
Stephen Anderson, VP, Provider Contracting & Network Administration, Blue Cross Blue Shield of Michigan
Drew Thompson, Head of Sales and Growth at Northwell Direct
HHS to probe Medicare Advantage post-acute care decisions + more
Joanne Mizell, COO of Banner | Aetna
Chris Carmody, CTO and Senior Vice President at UPMC
Optum scraps Steward deal + more
Dr. Tenbit Emiru, Chief Medical Officer at UCare
Troy W. Williams, MBA, Vice President of Health Systems Partnerships at First Choice Health