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.

This episode of the Becker's Healthcare Podcast dives into the critical issue of payment integrity with Debra Hamer, Director of Product at CERIS. We discuss why proactive strategies are essential in the fight against fraud, explore new innovations, and look towards the future of this evolving landscape.

This episode is sponsored by CERIS.

Tune in for today's industry updates.

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.

In this episode, Piyush Khanna, Vice President of Clinical Services at CareFirst BlueCross BlueShield, joins the podcast to discuss the importance of timely data from provider networks. He shares insights on quality reporting requirements, operational challenges, and how advancements in data exchange are shaping the future of healthcare delivery.

Tune in for today's industry updates.

In this episode, Rushil Desai, President and CEO of Aetna Better Health of Illinois, discusses key trends in Medicaid managed care, including the integration of behavioral health and social needs, the impact of digital health solutions, and the future of value-based care. He also shares insights into the innovative programs improving access and equity for Illinois' most vulnerable populations.

In this episode, George Halvorson, Chair and CEO of the Institute for InterGroup Understanding and former CEO of Kaiser Permanente, shares insights on the evolution of Medicare Advantage, its success in delivering quality care, and its role in shaping the future of healthcare. Halvorson delves into key topics like capitation, healthcare cost management, and the ongoing challenges facing the Medicare system.

Tune in for today's industry updates.