Becker’s Payer Issues Podcast
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
Lawmakers blast UnitedHealth over Change attack + more
Tune in for today's industry updates.
Dr. Joel Nelson, President of UPMC International
Join us as we sit down with Dr. Joel Nelson, President of UPMC International, for a captivating discussion on the current landscape of healthcare. Dr. Nelson shares his insights on the biggest issues shaping healthcare in 2024, his excitement for upcoming developments, and the essential qualities for effective healthcare leadership in the years ahead. Tune in for valuable perspectives from a prominent leader in the healthcare industry.
Unlocking GLP-1 Success: Insights from Noom's Chief Medical Officer
Join Dr. Linda Anegawa, Chief Medical Officer at Noom, as she delves into why the success of GLP-1 therapy hinges on lifestyle changes. Discover insights into Noom's clinical support for payers in treating obesity, including managing GLP-1 medications, and learn about the integration of medication management with lifestyle modification techniques for optimal health outcomes.
This episode is sponsored by Noom.
NYT investigates MultiPlan + more
Tune in for today's industry updates.
Dr. Adam Myers, former Chief Clinical Transformation Officer at Blue Cross Blue Shield Association
Join us as Dr. Adam Myers, former Chief Clinical Transformation Officer at Blue Cross Blue Shield Association, shares his expertise and insights. Discover the pressing healthcare issues of 2024, Dr. Myers' excitement and concerns, and the key attributes essential for healthcare leaders to thrive in the coming years.
Beyond Maternity Closures: Personalized Care for a Changing Women's Health Landscape
In this episode Dr. Senan Ebrahim, Founder and CEO of Delfina, dives into the critical landscape of women's health, particularly maternal care. We explore the challenges of maternity service closures and evolving regulations, alongside the opportunities presented by personalized healthcare.
This episode is sponsored by Delfina.
Prepay Claims Review: A Strategy for Reducing Healthcare Costs
Payer executives are increasingly focusing on claims management to cut costs. Prepayment review offers a proactive approach compared to traditional post-payment methods, allowing payers to identify and address potential issues before claims are processed.
This episode is sponsored by CERIS.
Navigating the Future of Medicare Advantage: HEI and Social Risk Factors
This podcast discusses the upcoming Health Equity Index (HEI) replacing the Reward Factor in Medicare Advantage Star Ratings with Dr. Ashwin Patel, the Chief Medical Officer at Pyx Health. Learn how this impacts plans in 2024-2025 and what steps they can take to prepare for the HEI shift. We'll also explore how Pyx Health helps identify and address member needs related to social risk factors and the HEI.
This episode is sponsored by Pyx Health.
CMS finalizes 2025 MA rates + more
Tune in for today's industry updates.
Unlocking Growth: How Insourcing Credentialing Drove Surprising Benefits for Humana
Tune into this episode featuring Rehan Mirza , Chief Growth Officer at Verifiable, and Dara McDaniel, Associate Director of Credentialing at Humana. Dara and Rehan share insights on credentialing outside of patient safety and compliance, new approaches to leverage technology and much more.
This episode is sponsored by Verifiable.
