Prayers

Prayers (Clean)

Host Matt Fisher is joined by Brad Gingerich, VP of Payor Strategy at Ensemble Health Partners. They discuss the history of relationships between providers and payors; understanding the need for negotiating agreements and relative strengths and weaknesses; tension that can result from lawsuits between providers and payors; potential impact of risk sharing.

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Healthcare de Jure

Healthcare de Jure: Brad Gingerich, VP of Payor Strategy at Ensemble Health Partners

The Way Forward for Medicare Advantage

David W. Johnson and Julie Murchinson discuss the turmoil in the Medicare Advantage market and the way forward for payers, providers and patients on this special episode of the 4sight Health Roundup podcast, moderated by David Burda.

Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

4sight Roundup

4sight Roundup: News on 03-22-2024 - The Way Forward for Medicare Advantage

The money of medicine is a difficult subject, but still integral to the successful access and application of healthcare. In this episode, I talk with Dr. Tony Cirillo about the economics of medicine and how pressures move the needle.

Biting into a Big Mac: The Macroeconomics of Medicine with Dr. Tony Cirillo

PayerTalkCE Presents: Interpreting A Complex Puzzle: US Commercial Payer Coverage of Atopic Dermatitis (AD) Treatments Varies Widely

On this episode Dr. Steve Kheloussi (Highmark) engages in a fascinating discussion with Dr. James Chambers (Tufts Medical Center). They explore the intricate world of commercial health plans' coverage decisions for atopic dermatitis treatments in the US. Dr. Chambers provides insights from his extensive research into how various payers are navigating the rapidly evolving treatment landscape for AD, particularly with the advent of specialty therapies like biologics. This conversation sheds light on the significant variability in coverage policies, the evolution of these policies over time, and the impact on patient access to critical treatments. Health plan professionals will gain a deeper understanding of the challenges and considerations in formulating coverage policies for AD treatments, emphasizing the need for evidence-based decision-making and the potential implications for patient care and outcomes. 

This activity is certified for CME/CNE/CPE credit. To participate and earn credit, visit us at https://www.impactedu.net/atopicdermtreatments/.

Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

PayerTalkCE

PayerTalkCE: US Commercial Payer Coverage of Atopic Dermatitis Treatments Varies Widely

Collaboration is key to overcoming administrative burdens and driving better outcomes in healthcare. 

On this episode, Anna Taylor, AVP of Population Health and Value-Based Care at MultiCare Connected Care, and Heidi Kriz, Director of Medical Policy and Medical Management at Regence Health Plans, discuss their innovative approach to using FHIR for prior authorization and other administrative processes. Anna and Heidi highlight the importance of sharing operational workflows between payers and providers, much like other industries, to improve efficiency and patient care. Their pilot program for quality measure exchange demonstrated significant financial returns and operational efficiencies, earning enterprise buy-in for broader implementation. 

Hosts:
Stuart Hanson
Rachel Schreiber
Guests:
Anna Taylor and Heidi Kritz

Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

The Spark

The Spark: The Future Is Now: Revolutionizing Healthcare Through Collaboration

The Hidden Crisis in Women's Health: How Tech Innovation is Closing Care Gaps and Reducing Healthcare Costs

Join us as Joanna Strober, CEO of Midi Health, reveals how virtual care platforms are addressing the significant gap in women's midlife healthcare. Discover how treating menopause symptoms properly reduces long-term health complications, lowers healthcare utilization costs, and improves workplace productivity. Hear firsthand how this digital health pioneer is partnering with major health systems and employers to deliver measurable clinical outcomes that benefit patients, providers, and payers alike.

Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Digital Health Talks: The Hidden Crisis in Women's Health

As healthcare payers, tech platforms, and pricing vendors increasingly collaborate through sophisticated analytics, this case is a clear reminder: if you're coordinating decisions that competitors used to make...

An Algorithmic Conspiracy? DOJ Weighs In on MultiPlan Case

Building America's Premier Health Innovation Platform: eMerge Americas' Cross-Sector 

Join host Megan Antonelli as she sits down with Melissa Medina, Co-Founder & CEO of eMerge Americas, to discuss the landmark partnership that's reshaping healthcare innovation. From transforming Miami into a global tech hub to launching the most dynamic health platform in the Americas, Melissa shares insights on cross-sector collaboration, venture capital trends, and why Florida is becoming the epicenter for breakthrough healthcare solutions. Discover how eMerge HEALTH 2026 will unite payers, providers, policymakers, and innovators to drive real-world impact across AI, precision health, and health equity initiatives.

Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Digital Health Talks: Building America's Premier Health Innovation Platform

Michael Knuckles

E-mail: michaelknuckles1@gmail.com

ACEP Frontline, hosted by Dr. Ryan Stanton, features in-depth conversations on the hottest topics in emergency medicine and critical care.

RADIO FOR THE HEALTHCARE INDUSTRY
Healthcare NOW Radio and Podcast Network offers discussions on the latest developments and trends impacting the industry including: health tech, health IT, healthcare innovation, healthcare policy, healthcare data security, telehealth, interoperability, biotech, med tech, value-based care, pharma, healthcare compliance, and much more. Shows are hosted by industry thought leaders. Guests are a "who's who" across the healthcare spectrum.  The listening audience is predominantly physician and hospital-based, and the healthcare industry at large.

New tracks tagged #Payers