Becker’s Payer Issues Podcast

Becker's Healthcare
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Aug 19, 2024 • 7min

Humana settles Medicare fraud case for $90M + more

Tune in for today's industry updates.
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Aug 14, 2024 • 10min

Harris, Trump tread in ACA ambiguity + more

Tune in for today's industry updates.
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Aug 14, 2024 • 16min

Transforming Rural Healthcare: A Vision for Growth and Innovation with Dr. Tommy Ibrahim

In this episode, Dr. Tommy Ibrahim, President and CEO of Sanford Health Plan, discusses his journey from clinical practice to leading a health plan, the challenges and opportunities in rural healthcare, and his strategies for driving growth and innovation in a rapidly evolving industry.
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Aug 7, 2024 • 9min

Aetna president out + more

Tune in for today's industry updates.
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Aug 6, 2024 • 14min

Combating Vaccine Hesitancy with Dr. Johanna Vidal-Phelan and Rebecca Nagle from UPMC Health Plan

In this episode, Dr. Johanna Vidal-Phelan, Chief Medical Officer of Quality and Pediatrics, and Rebecca Nagle, Director of Medicaid and CHIP Quality Programs at UPMC Health Plan, discuss strategies to address vaccine hesitancy. They share insights on effective communication, community partnerships, and initiatives to increase vaccination rates and improve public health.
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Aug 1, 2024 • 6min

Change Healthcare begins breach notifications + more

Tune in for today's industry updates.
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Jul 31, 2024 • 18min

Unlocking the Power of Real-Time Data in Healthcare: Insights from Industry Leaders

Join Erika Spicer Mason on Becker's Healthcare podcast as she discusses the evolution of healthcare data with Dr. Karl Serrao from Driscoll Health Plan and Dr. Katherine Schneider from Medecision. They explore the significance of real-time data, the integration of technological advancements, and the impact on community health outcomes.This episode is sponsored by Medecision.
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Jul 29, 2024 • 5min

Optum layoffs top 500 + more

Tune in for today's industry updates.
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Jul 29, 2024 • 14min

AI Revolutionizes Healthcare Payment Integrity

Steve Sutherland, Senior Vice President at CERIS, delves into the transformative power of AI and machine learning in healthcare payment integrity. He discusses how these technologies enhance claims processing by automating workflows and improving accuracy. Sutherland also highlights the challenges of AI integration, such as data inconsistencies and compliance issues. He emphasizes strategies for effective change management, including stakeholder engagement and training, to ensure successful technology adoption in the healthcare landscape.
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Jul 26, 2024 • 26min

Tackling Healthcare Inequities: A Deep Dive into St. Anthony Hospital's Battle for Medicaid Reform

In this episode, Jakob Emerson speaks with Guy A. Medaglia, President & CEO of Saint Anthony Hospital in Chicago, and Michael Shakman, Partner at Miller Shakman Levine and Feldman, about St. Anthony's transformative role in community healthcare and their ongoing lawsuit against the state of Illinois over Medicaid payment issues. Guy shares his unconventional journey into healthcare and personal motivation rooted in his upbringing, while Mike explains the complexities and current status of their legal fight for fair and transparent Medicaid reimbursements.

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