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CMS proposes prior authorization overhaul + more
Jakob Emerson shares the latest news on the Payer industry. -
18 million people stand to lose coverage after PHE ends + new payer execs
Tune in for the latest industry updates. -
United Healthcare projects 2023 revenues of $276B + more
Jakob Emerson shares the latest news on the Payer industry. -
Hospital margins tighten + more from UnitedHealthcare and Highmark
Tune in for the latest Payer Issues updates. -
Increased healthcare utilization rates may spell trouble for payers + more
Jakob Emerson shares the latest news on the Payer industry. -
New ACA enrollments up 40%, gold carding programs get mixed payer reviews + more
Tune in for the latest Payer Issues updates. -
New ACA enrollments up 40%, gold carding programs get mixed payer reviews + more
Jakob Emerson shares the latest news on the Payer industry. -
How prior authorization policies affect insurers + more
Tune in for the latest Payer Issues updates. -
Jennifer Houlihan, Vice President of Value Based Care and Population Health at Atrium Health Wake Forest Baptist
This episode features Jennifer Houlihan, Vice President of Value Based Care and Population Health at Atrium Health Wake Forest Baptist. Here, she discusses her background, her focus on strengthening Wake Forest Baptist’s value proposition, how she is looking at growth & investments in the next 2 years, and more. -
Shannon Fernandez, Vice President of Billing, Yakima Valley Farm Workers Clinic
This episode features Shannon Fernandez, Vice President of Billing, Yakima Valley Farm Workers Clinic. Here, she discusses her focus on challenges surrounding workforce shortages & access to staff education, the importance of having a culture that encourages creativity, and more. -
DOJ to appeal UnitedHealth-Change ruling + more
Jakob Emerson shares the latest news on the Payer industry. -
Kathryn Carpenter, VP of Sourcing, Contracting, Clinical Strategy, Implementation, and Supply Chain at CommonSpirit Health
This episode features Kathryn Carpenter, VP of Sourcing, Contracting, Clinical Strategy, Implementation, and Supply Chain at CommonSpirit Health. Here, she discusses her background, the steps CommonSpirit is taking in order to recover from pandemic disruptions, the importance of transparency between suppliers & providers, plus more. -
Matthew Rish, Senior Director of Finance, Planning & Analytics at NC State Health Plan
This episode features Matthew Rish, Senior Director of Finance, Planning & Analytics at NC State Health Plan. Here, he discuss his background and current role with the NC State Health Plan, top issues he’s focused on, how he is looking at growth & investments in the next 2 years, and more. -
Centene selling Magellan Specialty Health for $750M + more
Tune in for the latest Payer Issues updates. -
UnitedHealthcare, WakeMed strike deal, OptumRx will add 3 Humira competitors to formulary next year + more
Tune in for the latest Payer Issues updates. -
Most Medicaid members don't know about the end of the PHE + more
Jakob Emerson shares the latest news on the Payer industry. -
Anthem Blue Cross axes $40K bill after patient appeals on TikTok + more
Tune in for the latest Payer Issues updates. -
HHS to extend COVID-19 PHE past January + more
Jakob Emerson shares the latest news on the Payer industry. -
Kate Finke, Senior Director of Managed Care at Trinity Health of the Mid-Atlantic
This episode features Kate Finke, Senior Director of Managed Care at Trinity Health of the Mid-Atlantic. Here, she discusses her background & what led her to her current role, her focus on revenue recovery, how policies have evolved since the beginning of the pandemic, and more. -
CMS gets serious about ACOs, Humana prices $1.25B public offering + more
Laura Dyrda shares the latest news on the Payer industry.
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