Tuning In to The C-Suite

In this episode, Briana Contreras, an editor with Managed Healthcare Executive , and Peter Wehrwein, managing editor of MHE , got to chatting with the newest editorial advisory board member, Jeffrey Casberg, who is vice president of Clinical Pharmacy at IPD Analytics.  In the discussion, Casberg shared the most pressing or prominent issues on his mind, he explained what the drug life-cycle is at I...

Briana Contreras, an editor of Managed Healthcare Executive, spoke with Leah Dewey, vice president of clinical and consumer engagement operations at Cotiviti, in this month’s podcast episode. In our discussion, Leah talked about what she’s seeing as the process of Medicaid Redetermination is well underway and some of the issues affecting consumers, as many are at risk of losing coverage. Leah also...

This month’s episode of the "What's On Your Mind" podcast series features President and CEO of CareOregon, Eric Hunter. MHE Managing Editor, Peter Wehrwein, and Editor, Briana Contreras, picked Hunter's brain to see what’s in fact on his mind when it comes to healthcare. Throughout the discussion, the MHE editors got an idea of enrollment or how Medicaid redetermination is going for CareOregon, an...

This month's episode of Tuning In to the C-Suite features Erica Jain, CEO & co-founder of digital health company, Healthie. In this discussion, Jain shared some of the challenges or things to avoid when creating a digital health startup, based on her journey with starting Healthie in 2016. She also addressed some best practices and tools that can help those working toward a digital health star...

In this month’s episode of the "What's On Your Mind podcast," Peter Wehrwein, managing editor of MHE connects with the now Chief Clinical Officer of OptumRx Integrated Pharmacies, David Calabrese. In this conversation, David touches on his transition in January as OptumRx’s former chief pharmacy officer and market president of health plans and PBMs to his new role as Chief Clinical Officer where h...

Briana Contreras, an editor with Managed Healthcare Executive, had a chat with Clay Wilemon, CEO of 4L Data Intelligence, in this month’s episode of Tuning In to the C-Suite. The discussion was on the subject of fraud, waste, and abuse within the healthcare industry and how much of it stems from issues like overpayment. Clay addressed how the adoption of artificial intelligence can help combat fra...

A pandemic is not on anybody’s wish list. But the one that COVID-19 has wrought has ushered in some constructive changes to U.S. healthcare that previously has been more talked about than done, according to Rodrigo Cerdá, senior vice president of health services and chief medical officer at Independence Blue Cross in Philadelphia. Cerda is this month’s guest on the “ What's on Your Mind?” podcast,...

Briana Contreras, an editor of Managed Healthcare Executive, chats with Bronwyn Spira, CEO and founder of Force Therapeutics, in this week's episode about CMS' new CPT codes introduced in 2022. These codes focus on musculoskeletal and respiratory conditions and the data collected from patients affected. According to Spira, these codes help more patients in underserved populations receive better ac...

Our guest in this month’s episode of the “What's on Your Mind” podcast is Margaret Murray, M.P.A., founding CEO of the Association for Community Affiliated Plans (ACAP) and a longtime member of Managed Healthcare Executive ® editorial advisory board. Murray is an expert on Medicaid and healthcare policies that affect people with low incomes. In the interview with Managing Editor of MHE , Peter Weh...

In this month’s episode of Tuning In to the C-Suite, Managing Editor Peter Wehrwein talks with Rick Bates, MBA, president and CEO of RxSense . In his conversation with Wehrwein, Bates described RxSense as a “technology platform company that has expertise in the direct-to-consumer business.” He emphasized that RxSense is not a pharmacy benefit manager (PBM) — but, rather, a company that supplies PB...

In this debut podcast series of What's on Your Mind podcast, Perry Cohen, Pharm. D., CEO of The Pharmacy Group, recently shared his thoughts on the current state of healthcare and especially the management of pharmacy costs. This new monthly series brings listeners into the minds of Managed Healthcare Executive's Editorial Advisory Board members. Cohen has decades of experience in managed care and...

In this week’s episode of Tuning In to the C-Suite podcast, Briana Contreras, an editor of Managed Healthcare Executive spoke with Julien Pham, MD, founder and managing partner of Third Culture Capital (3CC). In the discussion they talked about the concern of having to find other means of access to care to address disparities now that funding for innovations like telehealth are expected to decline...

In this week's episode, Briana Contreras, editor of Managed Healthcare Executive , spoke with Chuck Salvo managing director of ToneyKorf Partners about some of the common challenges and trends he sees in healthcare organizations today. The pair also touched on topics involving mergers between healthcare organizations, the question whether CEO's are being replaced and the importance of a board in a...

In this week's episode of "Tuning In to the C-Suite" podcast Briana Contreras, editor of Managed Healthcare Executive , spoke with Ted Quinn CEO and founder of Activate Care. During the conversation, Quinn touched on where the need to address social determinants of health is today as we are still in the COVID-19 public health emergency. Also discussed was how analyzing data and tools like artifici...

In this week’s episode of "Tuning In to the C-Suite," Briana Contreras, editor of Managed Healthcare Executive , spoke with Ramin Bastani, CEO of Healthvana. Ramin addressed the ongoing issue of underserved communities lacking access to care and shared the efforts made specifically through digital health to help. He also discussed the steps that remain to be taken to improve access to care.

In this week's episode, Editor of Managed Healthcare Executive, Briana Contreras, had the pleasure of speaking with Chief Clinical Officer of WellSky, Tim Ashe, about the issue of Centers for Medicare and Medicaid Services cutting rates for Medicare home health. Tim addressed the solutions that are either underway or those that can potentially preserve access to these services. 

In this episode of Tuning In to the C-Suite, Briana Contreras, editor with Managed Healthcare Executive spoke with Dr. Yuri Fesko, oncologist and vice president of Medical Affairs at Quest Diagnostics. In the conversation, Dr. Fesko addressed the ongoing issue of long gaps of times between receiving a diagnosis for a type of cancer and finally getting the treatment for it. Dr. Fesko shared the ben...

In this episode of Tuning In to the C-Suite, Managing Editor of Managed Healthcare Executive, Peter Wehrwein, speaks with President of Value Evolutions and MHE Editorial Advisory Board Member, Doug Chaet, FACHE, about value-based care's current standing, the status of various payment models and more. 

In this week's episode, MHE Editor Briana Contreras and Managing Editor Peter Wehrwein met with CIO of Prime Therapeutics, Jim Graham to discuss the process of an organization’s digital transformation from a traditional Pharmacy Benefit Manager to a complete data-driven drug management system. Graham addressed the risks an organization may come across to successfully transition to this system, but...

Hi everyone, I’m Briana Contreras and I’m an editor for Managed Healthcare Executive . Back from a brief hiatus, MHE brings you a brand new episode of Tuning In to the C-Suite podcast where I had the pleasure of speaking with Lissy Hu, President of Connected Care Networks at WellSky. Lissy and I discussed the shift to home-based care and where it stands after becoming much more of a norm three yea...

This week welcomes Managed Healthcare Executive 's 100th podcast episode featured on "Tuning In to the C-Suite" podcast! Guests on this episode are members of 1upHealth, CEO Joe Gagnon and Chief Strategy Officer, Don Rucker. The two were featured on the latest episode of "Tuning In to the C-Suite's" podcast series "MHE Talks: Improving Patient Access" to discuss the adoption of FHIR, or Fast Healt...

Briana Contreras, editor of Managed Healthcare Executive, spoke with Nancy Lurker, CEO and president of EyePoint Pharmaceuticals. Nancy shared a bit about EyePoint and how the organization’s innovative therapies are addressing patient needs through eye care, and most importantly, she addressed C-Suite positions like the CEO role. Nancy shared advice for those seeking to reach the CEO level, especi...

In this week's episode, Briana Contreras, editor of Managed Healthcare Executive, spoke with Dr. Paige Kilian, chief medical officer at Inovalon. In the discussion, Dr. Kilian broke down the current issues health plans are facing when it comes to risk adjustment and how it’s affecting members of these plans. She also shared some solutions that can help plans improve risk adjustment and quality pro...

Briana Contreras, editor of Managed Healthcare Executive spoke with Emad Rizk, M.D. , chairman, president, and CEO of Cotiviti in this week's episode of Tuning In to the C-Suite. In the discussion, they talked about the issues of risk in healthcare and how they have led to inequalities in care. They also addressed how adopting risk assessment tools that expand access to data around social determin...

In this latest episode of the "Meet the Board" podcast series, Briana Contreras, editor of Managed Healthcare Executive, spoke with Managed Healthcare Executive Editorial Advisory Board Member Ateev Mehrotra, who is professor of Healthcare Policy and Medicine at Harvard Medical School; and a hospitalist at Beth Israel Deaconess Medical Center in Boston. In the discussion, Briana gets to know Ateev...