Becker’s Payer Issues Podcast

Edward Juhn, Chief Quality Officer of Administration at Inland Empire Health Plan, shares his strategies for ensuring top-tier care in clinical services, data innovation, and public health in this fascinating episode. Emphasizing the importance of partnerships, Edward discusses the continuous efforts to enhance all aspects of healthcare delivery. He also sheds light on the groundbreaking “pay for performance program,” which has led to remarkable improvements and outcomes.

In this episode of the Becker's Healthcare Podcast, host Laura Dyrda sits down with Hilary Marden-Resnik, President & CEO of UCare. Over the course of their conversation, they delve into the current trends and challenges in the healthcare industry. Hilary shares insights on UCare's innovative strategies for enhancing patient care and managing the complexities of the healthcare system.

In this episode of the Becker's Healthcare Podcast, host Laura Dyrda interviews Pankhuri Sharma, Strategy & Operations Leader at Humana. Pankhuri discusses her role at Humana, the strategic initiatives she's leading, and the operational challenges in the healthcare industry. Tune in for an insightful conversation on driving innovation and efficiency in healthcare. ​

In this episode, we explore the latest trends in AI-powered automation with Paul Torrey, Senior Industry Practice Director, UiPath. We discuss how businesses are leveraging automation to improve scalability, efficiency, and integrate cutting-edge technologies like ML and NLP. We'll also get insights on how to navigate the ever-evolving landscape of automation and implement successful AI-driven solutions within your organization.This episode is sponsored by UiPath.

In this episode of the Becker's Healthcare Podcast, host Laura Dyrda talks with Dr. Darren Wethers, the Chief Medical Officer of ATRIO Health Plans. Dr. Wethers shares his experiences and insights on the current healthcare landscape, the challenges faced, and the opportunities available. Tune in to hear an engaging discussion on healthcare management and delivering quality patient care.

Join us for an insightful conversation with Alessa Quane, Executive Vice President and Chief Insurance Officer at Oscar Health. Alessa discusses key healthcare trends, including consumer expectations, ACA growth, and disruptive technology, while highlighting Oscar Health's innovative HolaOscar program for the Hispanic and Latin communities.

Health plans rely on complex networks of providers to deliver care to their members. But how do they measure success? This episode dives into health plan network performance benchmarking with Subhash Seelam, SVP of Applied Network Analytics at Quest Analytics®, and Bob Tavernier, Solutions Executive at Quest Analytics. They discuss key metrics, the challenges of benchmarking, and how it can be used to better differentiate and optimize networks thereby improving member satisfaction and retention.This episode is sponsored by Quest Analytics.

Tune in for today's industry updates.

In this episode of Becker's Healthcare Podcast, host Laura Dyrda sits down with Rebecca D'Amico, Chief of Staff to the CEO and Vice President of Strategy at Blue Cross Blue Shield Association. Rebecca provides an in-depth look at the strategic initiatives shaping the future of healthcare insurance. She discusses her role in steering the organization through industry challenges, the importance of innovation in healthcare, and the strategies Blue Cross Blue Shield is implementing to enhance member experiences and outcomes. Tune in for a compelling conversation on the evolving landscape of healthcare insurance and leadership.

In this episode of the Becker's Healthcare Podcast, host Laura Dyrda interviews Angela Jenkins, Vice President of Accountable Communities and Community Health at Prisma Health. Angela discusses her work in expanding access to care, addressing social determinants of health, and partnering with local organizations to improve community health. Tune in for insights on creating sustainable improvements in community health.