Becker’s Payer Issues Podcast

Catherine Tabaka, CEO of Matrix Medical Network, shares her expertise in medical technology and financial risk management. She discusses the transformative shift towards in-home healthcare, spotlighting the crucial role of in-home assessments that surged during the pandemic. Tabaka highlights how these assessments enhance care coordination and uncover critical health issues, particularly for seniors. With advancements in technology, she emphasizes the growing opportunities for personalized, integrated healthcare that improves patient experiences and outcomes.

Tune in for today's industry updates.

Join Erika Spicer Mason as she engages in a conversation with Trina Histon, PhD, VP of Clinical Product Strategy at Woebot Health, about the innovative integration of digital mental health solutions in healthcare systems like Virtua Health. Discover how Woebot is transforming mental health support and the challenges of implementing such technology in existing healthcare frameworks.This episode is sponsored by Woebot Health.

Amanda Bury, Chief Commercial Officer at Infermedica, shares her insights on the transformative role of AI in healthcare. She discusses how AI is enhancing patient experiences and improving health systems, while emphasizing the importance of responsible innovation. The conversation also explores the benefits of ambient AI and the need for regulations to ensure safety and trust. Bury highlights the challenges of ROI in digital health, stressing the necessity for patient education and proactive communication to maximize AI's impact.

In this episode, Chris Palmieri, President and CEO of Commonwealth Care Alliance, discusses key insights from the healthcare landscape, including lessons from the Steward Health System crisis, areas ripe for innovation, and the critical alignment between nonprofit missions and private capital.

In this episode, Kristen Cerf, President and CEO of Blue Shield of California Promise Health Plan, discusses the plan's recent four-star NCQA rating and the innovative approaches that led to this achievement. She shares insights on the importance of preventative care, data-driven strategies, and impactful community partnerships aimed at improving healthcare access for Medicaid members across California.

In this episode, Kimberly Funderburk, President of Government, Education & Health Systems at Cigna Health Benefits, discusses her career journey and how Cigna is addressing the unique health challenges of public sector employees. She highlights strategies such as mental health first aid training, wellness centers for transit workers, and the integration of behavioral health services to support long-term engagement and well-being.

Debra Hamer, Director of Product at CERIS, brings over 30 years of experience in tech and healthcare to discuss combating fraud, waste, and abuse in healthcare payments. She emphasizes the shift from reactive to proactive strategies, urging organizations to enhance defenses with advanced technologies like AI and data science. Debra shares insights on the critical need for healthcare leaders to prioritize fraud prevention with urgency, paralleling it to cybersecurity measures, to protect against substantial financial risks.

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In this episode, Dr. Wyatt Decker, Executive Vice president and Chief Physician for Value-Based Care and Innovation at UnitedHealth Group, shares insights on the transition to value-based care, its impact on patient outcomes, and the challenges facing healthcare providers. Tune in for a deep dive into how UnitedHealth Group is leading efforts to reshape the U.S. healthcare system.