In this episode, Jennifer St. Thomas, SVP Commercial and Medicare Markets at Mass General Brigham Health Plan, discusses the plan’s new Value HMO offering for large employers, designed to lower healthcare costs while preserving access to leading regional health systems.
Becker’s Payer Issues Podcast
In this episode, Marc Jeffreys, General Manager, Health, Gradient AI, discusses how AI can streamline group health underwriting while keeping human judgment at the center of decision-making. He explores risk assessment, model transparency, and what health plans should look for…
In this episode, Dr. Patricia Henwood, EVP, Chief Clinical Officer at Jefferson Health, discusses the health system’s approach to AI integration, including its intent, integration, and impact framework, ambient AI results, and patient facing AI voice agents designed to improve…
In this episode, Dr. Sanjiv Shah, Chief Medical Officer, MetroPlusHealth, discusses how care management, provider partnerships, and timely information exchange have helped MetroPlusHealth earn consecutive four star Medicare Advantage ratings. He also shares strategies for closing care gaps, improving transitions…
In this episode, Dr. Alice Chen, Chief Health Officer at Centene, discusses how health plans can use evidence based prevention frameworks to improve outcomes, guide investments, and reduce waste. She shares lessons from food as medicine initiatives and explains why…
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In this episode, Ganesh Padmanabhan, CEO and Founder, Autonomize AI, discusses the risks of token maxing, reducing AI variability, and building scalable AI infrastructure for more consistent and accountable payer operations. This episode is sponsored by Autonomize AI.
In this episode, Munjal Shah, Co-Founder & CEO of Hippocratic AI, discusses how healthcare AI can improve patient access and outcomes through rigorous safety testing, clinical safeguards and responsible deployment. This episode is sponsored by Hippocratic AI.
In this episode, Dan LaVallee, Associate Vice President of Community Engagement at UPMC Health Plan, discusses how an AI powered virtual reality simulator is helping EMT students build clinical readiness, confidence and communication skills. He shares how UPMC’s Freedom House…
In this episode, Fiona Fang, CEO of Aetna Better Health of Florida, discusses Medicaid challenges, maternal and infant health, whole person care and efforts to help members maintain coverage. She also shares how data, community partnerships and targeted outreach can…
In this episode, Meredith Duncan, president and CEO of Texicare, discusses expanding access to affordable health coverage for small businesses, virtual care, provider network growth and the importance of building strong local relationships with providers and brokers.