In this episode, Angel Ballew, Head of Pharmacy Clinical Programs and Services at Centene, discusses how the organization approaches GLP-1 coverage across Medicaid, Medicare, and marketplace plans while balancing clinical evidence, affordability, and member access. She also shares insights on…
Becker's Healthcare Podcast Episodes
In this episode, Alan Condon, Editor-in-Chief at Becker’s Healthcare, breaks down the latest healthcare industry developments, including health systems exiting the insurance business, hospital consolidation, and growing financial pressures facing independent providers.
In this episode, Scott Becker examines how health systems are responding to financial pressures through service line closures, exiting the insurance business, addressing ongoing nursing workforce challenges, and scaling back employee GLP-1 coverage for weight loss.
In this episode, Meredith Warf, CPA DPT, Former Chief Executive Officer, discusses how healthcare leaders can evaluate new technologies by balancing clinical value, financial sustainability, and patient outcomes. She also shares insights on AI, robotics, revenue cycle innovation, and the…
In this episode, Richard Barakat, MD, Physician-in-chief & Executive Director at Northwell Health Cancer Institute, discusses expanding access to advanced cancer therapies, integrating AI into oncology care, and driving the future of precision medicine. He also shares insights on improving…
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In this episode, Bob Berbeco, CIO, Mahaska Health, shares how his team is taking a disciplined approach to AI by focusing on workflow improvement, governance, and measurable outcomes rather than chasing trends. He also discusses building internal AI capabilities, reducing…
In this episode, Jeff Francis, CFO, Nebraska Methodist Health System, discusses how his team is addressing rising payer denials through stronger documentation, coding, and AI-powered revenue cycle tools. He also shares how the CFO role has evolved into a more…
In this episode, Dr. Ken Cohen, Chief Medical Officer at Optum Health, discusses new research on Medicare Advantage, social vulnerability, and how full-risk care models can improve quality, efficiency, and patient outcomes. He also shares insights on the infrastructure, technology,…
In this episode,Jakob Emerson, Associate News Director, Becker’s Healthcare, examines the growing litigation over Medicare Advantage star ratings and the billions of dollars tied to quality bonuses. He also explores how AI is intensifying the coding and claims battle between…
In this episode, Laura Dyrda, Vice President, Editor-in-Chief, Becker’s Healthcare, discusses proposed CMS changes to the 340B program, site-neutral payment policies, and what they could mean for hospital and ASC finances. She also shares insights on shifting hospital expense trends,…