Tune in for today's industry updates.

Steve Sutherland, Senior Vice President at CERIS, dives into how AI and machine learning are transforming payment integrity in healthcare. He explores the benefits payers can experience, challenges to widespread adoption, and best practices for leaders implementing these powerful tools.

This episode is sponsored by CERIS.

In this episode, Jakob Emerson speaks with Guy A. Medaglia, President & CEO of Saint Anthony Hospital in Chicago, and Michael Shakman, Partner at Miller Shakman Levine and Feldman, about St. Anthony's transformative role in community healthcare and their ongoing lawsuit against the state of Illinois over Medicaid payment issues. Guy shares his unconventional journey into healthcare and personal motivation rooted in his upbringing, while Mike explains the complexities and current status of their legal fight for fair and transparent Medicaid reimbursements.

In this episode, Jakob Emerson interviews Krischa Winright, President of Medicare Advantage at Blue Cross Blue Shield of Michigan. They discuss Krischa's extensive background in healthcare, the unique needs of seniors in the Medicare Advantage market, and how BCBS Michigan is addressing these needs through innovative partnerships and strategies. Krischa also shares insights on the recent changes in Medicare Advantage star ratings and how her team is navigating industry headwinds to continue providing high-quality, affordable care to their members.

Tune in for today's industry updates.

Tune in for today's industry updates.

Tune in for today's industry updates.

In this thrilling episode, Stephen Anderson, VP of Provider Contracting & Network Administration at Blue Cross Blue Shield of Michigan, discusses the significance of GLP-1 medications and the importance of making them affordable and accessible for those in need. He also explores the future growth prospects for Blue Cross, highlighting factors driving up costs in the healthcare system and the strategies being implemented to manage these challenges.