Becker’s Payer Issues Podcast

In this episode, Jake Biscoglio, President of Commercial Business at Harvard Pilgrim Health Care, discusses the organization's expanded partnership with Progeny Health to support families for a full year after NICU discharge. He shares personal insights and industry strategies to improve outcomes through comprehensive, family-centered care.

This episode, recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable, features Dr. Damanjeet Chaubey, Vice President of Clinical Affairs at Clover Health. Dr. Chaubey shares how Clover is leveraging AI-powered technology, proactive care models, and home-based strategies to improve outcomes, reduce costs, and redefine Medicare Advantage.

In this special episode recorded at Becker’s Annual Meeting 2025, leaders from Noom Health share how their platform is advancing whole-person care through behavior change and digital innovation. The conversation highlights how Noom leverages data, coaching, and psychology to support better health outcomes—particularly in chronic disease management and preventative care. Tune in to hear how scalabl...

This episode recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable features Ty Wang, Co-Founder and Chief Executive Officer of Angle Health. Ty shares how Angle Health is using AI and human-centered advocacy to improve member experience, lower costs, and drive innovation in health plan delivery.

In this episode, Dorothy Seleski, President of Medi-Cal at Health Net, discusses the organization's $9 million investment in strengthening California’s physician workforce, with a focus on underserved communities, cultural representation, and long-term collaboration across sectors.

Bob Tavernier of Quest Analytics® and Karen Tachian of Health Care Service Corporation discuss network performance in health plans including key survey insights, challenges with data quality, and how payers can use network data to drive strategic goals. The conversation highlights the importance of competitive intelligence, compliance, and member access in building high-performing networks. This e...

This episode recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable features Eric Cannon, Chief Pharmacy Benefits Officer at SelectHealth. Eric shares how transparency, evidence-based care, and a personalized approach to member experience are key to driving better outcomes and reducing healthcare costs.

This episode, recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable, features Karina Lupercio, VP of Market Integration & Data, and Ann Marie Gomez, Sr. Director of Marketing at Healthcare Highways. They discuss how curated networks, culturally competent communication, and emerging technologies like AI are helping redefine healthcare access, affordability, and trust for membe...

In this episode, we’re joined by Courtney Yeakel, Chief Product Officer, and Michael Moore, Chief Revenue Officer at Veradigm, to explore how technology is driving deeper collaboration between payers and providers. They share strategies for reducing administrative complexity, integrating risk adjustment and quality initiatives, and harnessing AI to improve patient outcomes. Tune in to hear how tru...

In this episode of the Becker’s Payer Issues Podcast, Erika Spicer Mason speaks with Dr. Jenna Glover, Chief Clinical Officer at Headspace, about how health plans can better address mental health challenges by moving away from one-size-fits-all models. Jenna shares how smart triage, proactive care, and precision-based strategies can lead to better outcomes, reduced costs, and more equitable access...

In this episode, Jeff Bak, President and CEO of Imagine360, discusses how his organization is innovating to make healthcare more affordable, equitable, and member-friendly. He shares insights on direct contracting, price protection, health equity efforts, and how better member engagement is driving improved outcomes.

In honor of Mental Health Awareness Month, Dr. Matthew Hurford, President and CEO of Community Care Behavioral Health at UPMC, discusses how UPMC is advancing mental health support across staff, providers, and communities. He highlights practical steps to move from awareness to action and addresses pressing challenges like youth mental health and social isolation.

In this episode of the Becker’s Payer Issues Podcast, Lukas Voss speaks with Whitney Eubanks, VP of Product Management at PointClickCare, about the sharp decline in Star Ratings across major health plans and what it means for the future of value-based care. Whitney unpacks the financial, operational, and patient care implications of slipping scores—and shares how real-time data and smarter care co...

In this episode, Dr. Romilla Batra, SVP and Chief Medical Officer at Premera Blue Cross, discusses how she’s rethinking clinical strategy to align with the quintuple aim, reduce healthcare costs, and enhance equity. She also shares insights on empowering providers, removing barriers to care, and partnering with communities for better health outcomes.

In this episode, we explore how data analytics and clinical expertise can transform kidney health management for health plans. Joining the conversation is Joe Vattamattam, Founder and President of Healthmap Solutions, who shares insights on why tackling chronic kidney disease (CKD) and end-stage renal disease (ESRD) is crucial. Tune in to learn how Healthmap leverages technology, clinical support,...

In this episode of the Becker’s Healthcare Podcast, Lukas Voss sits down with Mark Johnson, Senior Vice President at CERIS, to explore how payment integrity can significantly reduce billing errors and financial waste in healthcare. With up to 80% of medical bills estimated to contain mistakes, Mark shares how technology, process modernization, and strategic payer initiatives are making a meaningfu...

In this episode, Melissa Skottegaard, Chief Communications Officer and Chair of The Cigna Group Foundation, shares how the organization is tackling youth mental health, veteran housing insecurity, and health equity through a data-driven, employee-powered community engagement strategy designed for deeper, more focused impact.

In this episode of the Becker’s Healthcare Podcast, Brook and Jocelyne from Verifiable dive into the critical connection between provider network growth, payer collaboration, and the modernization of credentialing systems. They explore how outdated legacy systems hinder patient access and provider onboarding, and share actionable strategies for healthcare leaders to improve compliance, reduce dela...

In this episode, Dr. Ruchi Talwar, Medical Director of Episodes of Care Population Health at Vanderbilt Health, joins Jakob Emerson to discuss how provider-led bundled payment programs are improving outcomes, reducing costs, and delivering value for both employers and patients. She shares insights into Vanderbilt’s innovative “My Health Bundles” and their real-world success in reshaping specialty...

In this episode, Steve Tringale, President of Mass General Brigham Health Plan, discusses the evolving landscape of healthcare, the challenges and opportunities brought by change, and how the organization is leveraging AI and integrated care to improve member outcomes and experiences. He also shares insights into leadership in a time of rapid industry transformation.

In this episode of the Becker's Healthcare Podcast, Erika Spicer Mason speaks with Neetu Rajpal, CEO of Lilac Software, about the evolving role of AI—specifically agentic AI—in the healthcare payer space. Neetu shares how this emerging technology is being applied to streamline claims grievances, close care gaps, and support Medicare Advantage programs, all while emphasizing the importance of ethic...

In this episode, Senthu Arumugam, Chief Commercial Officer at SCAN Health Plan, discusses the evolving Medicare Advantage landscape, the impact of market disruptions, and how technology and stability-driven strategies can improve member experiences.

In this episode, Dr. Ravi Kavasery, Chief Medical Officer at Blue Shield of California, joins Jakob Emerson to discuss the company’s ambitious goal of shifting 90% of eligible healthcare spending to pay-for-value models. Dr. Kavasery shares insights on the challenges of transitioning from fee-for-service, the importance of aligning incentives, and the innovative models shaping the future of health...

In this episode, Dr. Steve Friedhoff, Senior VP of Healthcare Services at Blue Cross Blue Shield of North Carolina, discusses innovative initiatives addressing healthcare workforce shortages and expanding access to care. From supporting veterans transitioning into medical careers to investing in youth mental health programs, Dr. Friedhoff highlights how Blue Cross NC is shaping the future of healt...

In this episode, Jane Brown, Vice President of Medicaid Strategic Support and Oversight at Aetna, discusses the evolving Medicaid landscape. She shares insights on improving connectivity, driving value-based care, and empowering both providers and beneficiaries through data and technology.