Becker’s Payer Issues Podcast

In this episode, Dr. Lisa Shah, Executive Vice President and Chief Medical Officer of Twin Health, discusses how AI-powered digital twin technology is transforming care for chronic conditions and enabling personalized, real-time interventions. She also shares insights on payer trends, outcomes-based models, and new approaches to reducing reliance on medications while improving long-term health out...

This episode recorded live at the Becker’s Spring 2026 Payer Issues Roundtable features Dirk Soenksen, Chief Executive Officer of Ceresti Health, discussing why dementia is a major yet underrecognized cost driver and how it reshapes population health strategy. He highlights the critical role of family caregivers, the limitations of traditional care management, and how payer-focused models can impr...

This episode recorded live at the Becker’s Spring 2026 Payer Issues Roundtable features Megan Zakrewsky, VP of Product Strategy, Veradigm, Director of Clinical Solutions. Here, she explores how prospective gap closure, interoperable data exchange, and EHR integrated workflows are helping independent providers act on payer insights in real time, reduce administrative burden, and improve outcomes ac...

In this episode, Rob Andrews, Chief Executive Officer of the Health Transformation Alliance, joins the podcast to discuss the ongoing pressures and competition within Medicare Advantage. He shares insights on chronic care initiatives and the importance of collaboration and compromise between carriers and providers to improve outcomes and control costs.

In this episode, Brandy Thompson, Chief Executive Officer, Benefitbay, discusses the rapid growth of ICHRA models and why large employers are increasingly embracing choice driven benefits. She also shares how education, broker alignment, and evolving payer strategies are shaping the future of employer sponsored healthcare.

In this episode, Harlon Pickett, President of Eagle Care Health Solutions, joins the podcast to discuss the impact of direct primary care models on patient outcomes and cost. He shares how designing more effective networks and leveraging data can help create a more personalized and efficient healthcare experience.

This episode recorded live at the Becker’s Spring 2026 Payer Issues Roundtable features Joseph Leach, Market President, Oscar Health. He discusses the growing trust gap in healthcare, how empowering consumers through tools like ICHRA and AI can improve outcomes, and why meeting members where they are is key to balancing cost and experience. In collaboration with Hippocratic AI .

This episode recorded live at the Becker’s Spring 2026 Payer Issues Roundtable features Dr. Benjamin Kornitzer, Chief Medical Officer, Aetna, discussing efforts to reduce administrative friction, streamline prior authorization, and improve care navigation for members and providers. He also shares how Aetna is leveraging AI, interoperability, and digital tools to enhance real time decision making,...

This episode recorded live at the Becker’s Spring 2026 Payer Issues Roundtable features Christina Ott, Chief Strategy Officer, Quartz, discussing how her organization is tackling rising costs by rethinking the payer role, improving care navigation, and reducing friction for members. She also shares insights on aligning digital investments and using AI to streamline workflows, enhance communication...

This episode recorded live at the Becker’s Spring 2026 Payer Issues Roundtable features Robert Holzer, Strategy and Innovation Leader, Next Horizon Innovations, Martin Luethi, Chief Technology Officer, Quest Analytics, & Bob Tavernier, Solution Executive, Quest Analytics. The conversation explores how provider data has evolved from a compliance requirement into a strategic driver of AI readine...

This episode recorded live at the Becker’s 16th Annual Meeting features Jennifer Jones, Director of Clinical Solutions, Noom. Here, she explores how GLP-1s should be viewed as part of chronic disease management rather than a pharmacy-only cost issue, and how payer strategies that combine medication access with behavior change programs can improve long-term clinical outcomes and deliver more sustai...

In this episode, Sundar Srinivasan, President – Health Plan & Life Sciences, NTT DATA, discusses how payer organizations are moving from AI pilots to scaled deployments, focusing on high impact use cases, operational transformation, and the importance of trust, governance, and measurable ROI. This episode is sponsored by NTT DATA .

In this episode, Mike Stuart, President and CEO of Blue Shield of California, shares how his finance and provider background shapes a systems approach to improving health outcomes, strengthening provider partnerships, and addressing rising healthcare costs. He also discusses the growing impact of chronic disease and why collaboration across the healthcare ecosystem is critical to making care more...

In this episode, Steve Yurjevich, Chief Executive Officer of Optum Insight’s Payer Market and a member of the American Heart Association Executive Leadership Team, joins the podcast to discuss rising healthcare costs and the growing adoption of AI across the payer landscape. He shares how the industry is shifting from pre-pay models to true avoidance strategies, focusing on preventing unnecessary...

In this episode, Jeff Bak, President and Chief Executive Officer of Imagine360, joins the podcast to discuss improving health literacy for seniors and the role it plays in driving better outcomes. He shares how proactive care strategies and smarter use of utilization data can help create a more effective, patient-centered healthcare system.

In this episode, Rob Duffy, Chief Technology Officer at HealthEdge, explores how modern cloud infrastructure and deeply integrated AI can help health plans manage rising complexity, reduce administrative costs, and scale operations. He shares why platform consolidation and embedded AI are critical to staying competitive and sustaining performance in a rapidly evolving healthcare landscape. This ep...

In this episode, Alexandra Anderson, Head of Health Plan Sales & Partnerships at Color, explores how proactive, personalized screening and integrated care pathways can improve early cancer detection and reduce total cost of care for cancer. She shares insights on Color's approach to identifying risk & closing screening gaps, increasing member engagement, and the importance of timely, proac...

In this episode, Pankhuri Sharma, Strategy and Operations Leader at Humana, joins the podcast to discuss gaps between population health strategy and real-world outcomes. She shares key priorities for effective population health programs and offers practical advice for emerging leaders navigating the evolving healthcare landscape.

In this episode, Charles Fan, President of Headspace, and Charlie Andres, Lead Actuary at Headspace, explore the drivers behind rising behavioral health costs and the growing impact of outpatient therapy. They discuss how integrated, prevention-focused care models and improved care pathways can help health plans manage costs while delivering better outcomes. This episode is sponsored by Headspace...

In this episode, Marc Jeffreys, General Manager of Health at Gradient AI, discusses how insurers are moving from experimental AI to practical tools that support underwriting, pricing, and population health decisions. He also explains why connected intelligence across the risk lifecycle can improve pricing stability, strengthen employer relationships, and unlock clearer insights from complex data....

In this episode, Kevin Knight, Chief Marketing Officer at Sidecar Health, joins the podcast to discuss making healthcare more intuitive and consumer-friendly. He shares how giving money back to consumers through tools like HSAs can improve engagement, and explains why competition and technology are key drivers of meaningful system-wide improvement.

In this episode, Jhana Spence, Senior Vice President of Strategy at CERIS, discusses the shift toward proactive payment integrity and what it means to “move left” in the claims lifecycle. She explores how health plans are leveraging data, analytics, and automation to reduce financial leakage, improve provider relationships, and build accuracy before payment goes out the door.  This episode is spon...

In this podcast, Steve Province, former CEO of a major MCO, joins Kendall Lockhart, Founder & CEO of Me+U Care, to unpack why “meeting people where they are” remains so hard in practice for many health plans, and what it will take to rebuild trust under growing HR1 pressures. A grounded, real world conversation about the human side of member retention. This episode is sponsored by Me+U Care .

In this episode, Dr. Faisal Tai, board-certified psychiatrist and founder of PsychPlus, discusses how fragmented systems, limited connectivity, and misaligned incentives are driving gaps in behavioral health access and rising costs. He shares how vertically integrated care models, unified platforms, and better care coordination can improve outcomes, reduce ED utilization, and lower total cost of c...

In this episode, Gene German, Chief Technology Officer at Lyric, explores how small, domain-specific language models (SLMs) are driving measurable improvements in claims and payment integrity. He outlines how combining AI with human judgment can increase efficiency, reduce variability, and enhance accuracy across complex healthcare workflows. Gene also shares a practical roadmap for scaling AI, fr...