Becker’s Payer Issues Podcast

This episode recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable features Dawn Maroney, Chief Executive Officer of Alignment Health Plan and President of Alignment Health. She shares how Alignment uses AI-assisted care, culturally aware outreach, and a deep commitment to equity to deliver affordable, personalized care for seniors while preserving the human touch at every step.

Nirnay Patel, EVP and GM of Benefits1 at Simplify Healthcare, dives into the transformative power of AI and integrated benefits data in healthcare. He introduces 'Benny', an AI assistant aimed at simplifying benefits access for members. Nirnay emphasizes the importance of bridging care design and delivery to reduce operational silos. He discusses the growing demand for benefit-navigation tools and the need for payers to focus on personalized member experiences and strategic partnerships for better outcomes.

This episode recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable features Dawn Maroney, Chief Executive Officer of Alignment Health Plan and President of Alignment Health. She shares how Alignment uses AI-assisted care, culturally aware outreach, and a deep commitment to equity to deliver affordable, personalized care for seniors while preserving the human touch at every step.

In this episode of the Becker’s Healthcare Podcast, Lukas Voss is joined by Chad Kersting, Business Development Director, and Dr. Eric Gratias, National Physician Executive of Medical Benefit Services, both from EviCore by Evernorth. Together, they explore the evolving landscape of utilization management (UM) beyond prior authorization—highlighting common misconceptions, the challenge of underutilization, and the growing push toward preventive, personalized care. Tune in for real-world examples, emerging strategies, and a future-focused look at how UM can better serve both clinicians and patients.This episode is sponsored by Evernorth.

This episode recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable features Samuel Wollner, Vice President, Strategy and Partnerships, EmblemHealth. He shares how EmblemHealth is advancing health equity, leveraging Net Promoter Score for improvement, and focusing on deep community engagement to transform care delivery across New York.

This episode recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable features Dr. Rebekah Hughey, Medical Director at Highmark Wholecare. She shares how Highmark’s Living Health model streamlines care delivery, tackles health equity through maternal health and food access programs, and enhances member satisfaction through a patient-centered, tech-enabled approach.

This episode recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable features Crissy Turino, Chief Plan Officer & Chief Operating Officer, CountyCare. Crissy shares how CountyCare is advancing health equity through housing and food access programs, while boosting member satisfaction and outcomes through value-based care and community engagement.

This episode, recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable, features Catherine Tabaka, Chief Executive Officer, and Dr. Michael Cantor, Chief Medical Officer. They discuss how Matrix Medical Network’s in-home care model addresses gaps in the healthcare system by enabling whole-person care, improving coordination, and supporting better health outcomes at lower costs.This episode is sponsored by Matrix Medical Network.

In this episode of the Becker’s Payer Issues Podcast, Jakob Emerson speaks with Dr. Tracy Gayeski, Chief Health Officer at Catalight, a nonprofit organization dedicated to transforming care for individuals with autism and intellectual and developmental disabilities (I/DD). Dr. Gayeski discusses how Catalight is addressing affordability, individualized care at scale, and social determinants of health—all while preparing for the transformative role AI will play in the next two years. Tune in for a thoughtful exploration of what meaningful, sustainable, and person-centered care really looks like.This episode is sponsored by Catalight.

Raj Ronanki, CEO of Lyric, dives into the transformative power of AI in healthcare payment integrity. He discusses the strategic acquisition of ClaimShark, which enhances real-time analytics and streamlines workflows. The conversation highlights the shift towards autonomous operations designed to improve efficiency and transparency in the healthcare system. Ronanki also emphasizes the importance of customer feedback in driving innovation and creating valuable solutions that align with client needs. Tune in for insights on modernizing healthcare payment processes!