エピソード

  • Margaret Anderson on Growth, Integration and Affordability at Health Alliance Plan
    2026/07/07

    In this episode, Margaret Anderson, President of Health Alliance Plan by Henry Ford Health, discusses the organization's rebrand, its strategy for deeper integration with Henry Ford Health, and how it's driving growth while improving affordability. She also shares insights on provider sponsored health plans, administrative efficiency, and the growing impact of gene therapies on the healthcare system.

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    12 分
  • Medicare Advantage, Value-Based Care and Improving Outcomes for Vulnerable Populations with Dr. Ken Cohen
    2026/07/08

    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, and strategies needed to advance value-based care.

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    23 分
  • GLP-1 Coverage, Affordability, and Member Access with Angel Ballew
    2026/07/10

    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 utilization management, adherence strategies, and preparing for the next wave of indications for these rapidly evolving therapies.

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    21 分
  • AI, Climate Risks, and the Future of Member Care with Dr. Daniel Knecht
    2026/07/14

    In this episode, Dr. Daniel Knecht, Chief Medical Officer, EmblemHealth, discusses how the organization's AI-powered Environmental Resilience Program helps identify and support members at risk during extreme heat events. He also shares how predictive outreach, clinical oversight, and addressing social determinants of health are shaping the future of population health management.

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    15 分
  • Earlier Signals, Better Outcomes: Rethinking Risk Stratification for New Members
    2026/06/24

    In this episode, Karla Mills, Vice President of Product Innovation, Surescripts, discusses how health plans can use medication data as an early signal to identify risk, prioritize new members, and improve care management. She shares practical strategies for preparing ahead of enrollment surges and leveraging existing programs to drive better outcomes and operational performance. For more information, please check out our website: https://surescripts.com/who-we-serve/health-plans

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    13 分
  • Medicaid, Food as Medicine, and the Future of Coverage with Kelly Munson
    2026/06/19

    In this episode, Kelly Munson, President and CEO of Independence Health Group, discusses the evolving Medicaid and ACA landscape, the impact of policy changes on coverage and affordability, and the role of managed care in improving health outcomes. She also shares insights on food as medicine, healthcare innovation, and leadership lessons from becoming the organization's first female CEO.

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    23 分
  • Using Data and AI to Improve Care Coordination with Liz Signorella
    2026/06/16

    This episode recorded live at the Becker’s Spring 2026 Payer Issues Roundtable features Liz Signorella, Senior Director of Payor Contracting, Clover Health. She discusses reducing administrative burdens for providers, leveraging AI and real-time data to support proactive care, and improving patient outcomes through stronger care coordination and earlier intervention.

    In collaboration with Hippocratic AI.

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    6 分
  • Tackling Healthcare Affordability Through Innovative Funding Models with Morgan Kendrick
    2026/06/11

    In this episode, Morgan Kendrick, EVP and President, Commercial Health Benefits, Elevance Health, discusses the rising cost pressures facing employers and explores how balanced funding, self-funding, and multiple employer welfare arrangements can help improve affordability while simplifying healthcare benefits for businesses and their employees.

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    12 分