In this episode, Rob Hitchcock, President and Chief Executive Officer of Select Health, discusses how payer provider collaboration, cultural change, and proactive care models are reshaping health plan strategy amid rising cost pressures. He shares perspectives on regulatory headwinds, Medicaid…
Becker’s Payer Issues Podcast
In this episode, Dr. Sachin Jain, President and CEO of SCAN Group, discusses his Forbes op-ed outlining 10 leadership resolutions and argues that healthcare’s biggest challenge is a lack of resolve, not innovation. He shares why speaking plainly, rejecting performative…
In this episode, Erin Henderson Moore, President and CEO of Fidelis Care of New Jersey, shares how the plan is navigating Medicaid uncertainty through integration, member engagement, and upstream investment in behavioral health, housing, and LTSS. She discusses why data…
In this episode, Linda Hines, Virginia’s Medicaid Market President at Humana, shares how school based partnerships are improving access to youth behavioral health services, especially in rural communities. She discusses workforce development, measurable outcomes, and why listening to families, providers,…
In this episode, Jack Hooper, CEO and Co-founder of Take Command, explains how individual coverage HRAs are reshaping employer sponsored benefits and why adoption is accelerating. He discusses cost control, employee choice, and what early success stories signal for the…
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In this episode, Bethanie Stein, PharmD, Segment President of Pharmacy at Humana, discusses how employers are approaching GLP-1 coverage and why partnerships with manufacturers like Eli Lilly and Novo Nordisk matter now. She shares how CenterWell Pharmacy is using transparency,…
In this episode, Dr. Alice Hm Chen, Executive Vice President and Chief Health Officer at Centene, discusses how the organization is improving maternal and child health outcomes across Medicaid, Medicare, and Marketplace populations. She shares insights on rural care challenges,…
In this episode, Nick Gates, president of Priority Health, shares his leadership journey, the values shaping his approach, and how trust and community guide decision making. He also discusses digital transformation, multi state expansion, and priorities around affordability, access, and…
In this episode, Heather Tamborino, Chief Financial Officer at EmblemHealth, discusses how payer provider collaboration, thoughtful use of AI, and data integration can improve outcomes while easing administrative burden. She also shares how rising pharmacy costs, PBM strategy, and transparency…
In this episode, Jay Nakashima, President of eHealth Exchange, discusses how modern data standards and trusted networks are transforming payer provider information sharing, reducing reliance on fax and manual processes. He also shares where inefficiencies persist, how interoperability can lower…