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Thomas Grote, CEO at Banner|Aetna
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! -
Jack Shoemaker, Business Operations Delivery Lead at Medical Home Network
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! -
Cigna posts $1.4B profit in Q3 + more
Tune in for today's industry updates. -
Dr. Anil Singh, Senior Vice President, Executive Medical Director - Population and Curated Health for Highmark Health
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! -
Dr. Krystal Revai Sodaitis, Associate Chief Medical Officer at Health Alliance
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! -
CVS, Humana post Q3 earnings + more
Tune in for today's industry updates. -
Seeing the Unseen: Supporting Member Populations with Complex Diabetes
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. -
The Roles of Technology and Transparency in Payment Integrity Practices
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. -
A discussion on transforming healthcare delivery with technology
In this episode, we are joined by Geeta Wilson, Chief Technology Officer of Whole Health, Advocacy and Provider Platforms at Elevance Health, and Christopher Patterson, VP of Product Strategy Customer Service & Sales at Pegasystems, to discuss Elevance Health's mission and strategy, how they center care around the individual, how they use technology for a competitive advantage and more. This episode is sponsored by Pegasystems. -
More Aetna layoffs + more
Tune in for today's industry updates. -
Strategies for Advancing Health Equity
In this episode we are joined by Bryan O. Buckley, DrPH, MPH, MBA, NCQA’s Director of Health Equity Initiatives to discuss how health equity influences both internal and external stakeholders of an organization. Tune in to hear about programs that have started people on the journey toward health equity!This episode is sponsored by NCQA. -
Douglas Nemecek, Chief Medical Officer - Behavioral Health, Evernorth Health Services
Douglas Nemecek, Chief Medical Officer - Behavioral Health, Evernorth Health Services joins the podcast to discuss his background, his focus on mental & behavioral health, programs and initiatives that have been needle-moving, and more! -
Jim Bostian, President of Aetna's Midsouth and Capitol markets
Jim Bostian, President of Aetna's Midsouth and Capitol markets joins the podcast to discuss why North Carolina was looking to replace its state health plan administrator, how he's been communicating the benefits of this major change to all involved stakeholders, why Aetna is a leader in price transparency, and more! -
Exploring Pharmacy in the Payer Space
This 15 minute conversation features the Vice President of Growth at MDI Health, Ariel Efergan. Tune in for tips on managing the rising costs of care, best practices for measuring progress and the clinical impact, and more.This episode is sponsored by MDI Health. -
Chanin Wendling, Senior Director at Contigo Health
Chanin Wendling, Senior Director at Contigo Health, 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! -
Cigna cuts jobs + more
Tune in for today's industry updates. -
Why Digital Health is Leaving the Most Vulnerable Patients Behind and How to Fix It
In this episode we are joined by Scott Taylor, CEO and Co-Founder of Perx Health to discuss how digital healthcare is failing at risk patients. Tune in to hear what digital health strategies can be utilized to effectively engage users.This episode is sponsored by Perx Health. -
Optum Health pivots amid MA changes + more
Tune in for today's industry updates. -
Elevance posts $1.3B profit in Q3 + more
Tune in for today's industry updates. -
The Future of Provider Data
In this 20 minute conversation you'll hear from Dr. Manish Oza, Physician Lead for Clinical Strategy & BD at AWS; Dan Rosenthal, Advisory Partner at a16z, Former CEO UnitedHealthcare West and President, UnitedHealth Networks; and Nate Maslak, co-founder and CEO at Ribbon Health. Tune in as these leaders dig into how provider data affects stakeholders across the industry, where health plans should invest in innovation, and their vision for the future of provider data.This episode is sponsored by Ribbon Health.
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