Episodios

  • Leading Medicare Innovation and Supporting Dual Eligibles with Michael Carson
    Oct 1 2025

    In this episode, Michael Carson, President and CEO of WellCare, a Centene company, shares how his diverse career and mission-driven approach shape WellCare’s Medicare strategy. He highlights the unique needs of dual eligible members, the importance of integrated care, and the push to improve consumer experience across healthcare.

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    22 m
  • Innovating Consumer Choice and Cost Management at UnitedHealthcare with Dan Kueter
    Sep 25 2025

    In this episode, Dan Kueter, CEO of UnitedHealthcare's Employer & Individual business, talks about new tools like the UHC Store, the impact of AI on healthcare navigation, and how employers and members are adapting to rising costs and evolving therapies.

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    25 m
  • Charting the Path for Electronic Prior Authorization
    Sep 17 2025

    In this episode, Steven Berkow, Senior Advisor for Value-based Care at InterSystems, and Robert Tennant, Executive Director of the Workgroup for Electronic Data Interchange, discuss the evolving landscape of ePrior authorization. They share insights on regulatory changes, industry collaboration, and what healthcare leaders should know as the 2027 compliance date approaches.

    This episode is sponsored by InterSystems.

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    23 m
  • Zack Myers, National General Manager at SCAN Health Plan
    Sep 15 2025

    In this episode, Zack Myers, National General Manager at SCAN Health Plan, discusses the organization’s expansion into new markets, its nonprofit approach to provider partnerships, and how innovative models like iSNPs are improving care and independence for seniors.

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    13 m
  • Driving Community Impact Through Medicaid Innovation at UPMC
    Sep 11 2025

    In this episode, Brendan Harris, president of UPMC for You and state programs, shares how initiatives like the Pathways to Work program and Neighborhood Centers are addressing social determinants of health, supporting Medicaid members, and strengthening local communities.

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    19 m
  • Mack McGee, Chief Marketing Officer at CareFirst BlueCross BlueShield
    Sep 10 2025

    In this episode, Mack McGee, Chief Marketing Officer at CareFirst BlueCross BlueShield, shares how the organization earned top marks for customer experience in Forrester’s 2025 rankings and discusses the importance of trust, personalization, and simplifying healthcare interactions for members.

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    14 m
  • Navigating Rising Health Costs and Alternative Coverage Models
    Sep 1 2025

    In this episode, Scott Burton, Market President at Providence Health Plan, shares insights on the growing interest in ICRAs, strategies to manage rising employer health costs, and how Providence is balancing innovation with long-term sustainability in a shifting insurance landscape.

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    14 m
  • Breaking Down Silos in Health Plan Pricing Operations
    Aug 29 2025

    In this episode, Jay Deady, President of Price Optimization at Zelis, discusses why fragmented pricing operations create inefficiencies for health plans and how integrated solutions, advanced technology, and personalization are paving the way for a more connected financial experience across healthcare.

    This episode is sponsored by Zelis.

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    18 m