45: Meet the Board: Independence Blue Cross' Rodrigo Cerda Discusses What's Coming in Clinical Care, the Future of Virtual Care and More
In this latest episode of the Meet the Board series on Tuning In to the C-Suite podcast, Managed Healthcare Executive's Peter Wehrwein and Briana Contreras speak with Rodrigo Cerda, vice president of clinical care transformation at Independence Blue Cross in Philadelphia. Rodrigo is a newer member of MHE's Editorial Advisory Board and in the discussion he shared a bit about himself such as what...
30m Feb 17, 2021
30m
44: MHE Talks: Efficient Use of Infusion Centers, Other Facilities Improves Access to Service for Patients
Peter Wehrwein, senior editor of Managed Healthcare Executive, speaks with Mohan Giridharadas, the founder and CEO at LeanTaas, a software and machine learning company. The Santa Clara, California, company’s software enables healthcare systems to maximize efficient use of their infusion centers, operating rooms and other facilities. More efficient use translates into improved access to services...
39m Feb 12, 2021
39m
43: Crisis Management in the C-Suite and Beyond per Bill Coletti of Kith
MHE's Briana Contreras spoke with Bill Coletti, CEO, and Founder of Kith (https://protect-us.mimecast.com/s/rkb2CDkA2AS5k3EotW5PnU?domain=kith.co/) , a firm serving organizations in communication crisis and reputation management, in this week's episode of Tuning In to the C-Suite. Bill and Briana discussed how working with healthcare leaders during a crisis has changed since the COVID-19 pandem...
17m Feb 10, 2021
17m
42: Racial Equity in Healthcare and What is Being Done to Educate, Improve Differences
In this episode of Tuning In to the C-Suite, MHE Associate Editor Briana Contreras spoke with Associate Dean for Equity Inclusion and Research Professor in the College of Nursing at Penn State University, Dr. Sheldon Fields. He is also the first Vice President for the National Black Nurses Association.   In celebration of Black History Month, the two discussed racial equity in healthcare and ...
26m Feb 03, 2021
26m
41: Meet the Board: Perry Cohen of The Pharmacy Group Discusses PBMs, COVID Responses in U.S. and Other Countries
In this episode of Tuning In to the C-Suite's Meet the Board series, MHE Senior Editor Peter Wehrwein and Associate Editor Briana Contreras speak with Perry Cohen, CEO of The Pharmacy Group. Perry has been on MHE's Editorial Advisory Board for over 25 years and has contributed a number of interviews and guest articles toward the publication. In this discussion, Briana, Peter and Perry talked ab...
24m Jan 27, 2021
24m
40: MHE Talks: Looking Deeper Into Healthcare Disparities Through Quest Diagnostics Health Trends Report
In this latest episode of the "MHE Talks: Improving Patient Access" series, Senior Editor of MHE, Peter Wehrwein, speaks with Harvey Kaufman, M.D., FCAP, MBA, senior medical director of medical informatics at Quest Diagnostics. The two discussed a recent Quest Diagnostics Health Trends report examining healthcare disparities. 
31m Jan 26, 2021
31m
39: Navitus: a 'full pass-through' PBM Working to Improve Medication Adherence
MHE Associate Editor Briana Contreras and Senior Editor Peter Wehrwein speak with Julie Olson, senior director of Population Health and Product Development at Navitus, a full pass-through pharmacy benefits management (PBM) company. In this discussion they talked about how Navitus has created a Clinical Engagement Center designed to improve medication adherence and reduce both member and plan pr...
24m Jan 25, 2021
24m
38: 2021 Healthcare Financial Trends per Kermit Randa of Syntellis Performance Solutions
In this week’s episode of Tuning In to the C-Suite podcast, MHE's Senior Editor Peter Wehrwein and Associate Editor Briana Contreras spoke with CEO of Syntellis Performance Solutions, Kermit Randa. In the discussion they talked about a recently released survey by Syntellis called the 2021 Healthcare Financial Trends Survey report, which highlights how finance leaders pivoted in 2020 and the way...
28m Jan 13, 2021
28m
37: MHE Talks: Morehouse School of Medicine, CommonSpirit Tackle Healthcare Disparities in new Scholar Program
MHE's Peter Wehrwein talks with Lloyd Dean, CEO of Dignity Health and CommonSpirit, and Valerie Montgomery Rice, M.D., FACOG, president of Morehouse School of Medicine, in this new episode of MHE Talks: Improving Patient Access podcast series. The three discuss the lack of black physicians in the United States and how there are roughly 22,000 med school applicants in the U.S. every year with on...
30m Jan 12, 2021
30m
36: The Need for Permanent RPM Reimbursement, Benefits of RPM Beyond COVID-19
Briana Contreras of MHE spoke with Josh Claman, CEO of Rimidi about the strong need for a permanent remote patient monitoring, or RPM, reimbursement reform, and how our health industry can come together to influence this change. The two also discussed the benefits of RPM technology for underserved, uninsured or Medicaid populations, and the benefits of RPM during and beyond the COVID-19 pandemic. 
26m Jan 06, 2021
26m
35: Sumit Dutta of OptumRx on how PBM Responded to Pandemic
In this week's episode, MHE's Senior Editor Peter Wehrwein spoke with Sumit Dutta, Optum Rx chief medical officer. The two spoke about COVID-19 vaccines and how the pharmacy benefit market responded to the pandemic.
30m Dec 23, 2020
30m
34: MHE Talks: Health Plans, PBMs Must Disclose Their Accumulators, Maximizer Programs for New Transparency Rules
MHE Senior Editor talks with John “Jack” S. Linehan, a lawyer at Epstein Becker Green, for this week's episode of MHE Talks: Improving Patient Access series. The two discuss copay accumulators and maximizers, as well as how states have moved to prohibit accumulators and maximizers as the federal government takes a hands-off approach.
35m Dec 22, 2020
35m
33: Closing a Gap in Treating Chronic Condition Patients
In this episode, Briana Contreras of MHE spoke with Dr. David Moen, president of Prospero Health Partners. The two discussed how Prospero is closing a gap in the healthcare system by taking care of patients with chronic, serious health issues, who are not yet in hospice care, but are prone to frequent, costly hospital admissions. They also talked about the skyrocketing demand for in-home care a...
24m Dec 16, 2020
24m
32: Addressing SDoH During, After COVID-19 per Manik Bhat of Healthify
Briana Contreras of MHE spoke with Manik Bhat, founder and CEO of Healthify – a company that works with managed care organizations to integrate social determinants of health (SDoH) into the healthcare ecosystem. Manik and Briana spoke about how the need to address SDoH has changed since the COVID-19 pandemic began and what the importance of addressing these social and economic issues are during...
17m Dec 09, 2020
17m
31: MHE Talks: Improving Patient Access with Kevin Lewis of Community Health Options
MHE's Peter Wehrwein speaks with Kevin Lewis, president and CEO of Community Health Options in Maine. The two discussed how Community Health Options is improving patient access through telehealth and more services on Tuning Into The C-Suite's newest series MHE Talks: Improving Patient Access.
28m Dec 08, 2020
28m
30: Automation in Health Systems and how it can be a Solution per Amy Dirks Stevens of AVIA
MHE's Briana Contreras spoke with Amy Dirks Stevens, EVP of Digital Strategy Performance and Practice Lead at AVIA health, for this week's episode of Tuning Into the C-Suite. The two talked about automation in health systems and how it can be a solution to challenges such as budget issues and creating more efficiency in the workplace. Also discussed were areas where health system leaders can be...
32m Dec 04, 2020
32m
29: Why Physicians Should be in C-Suite Level Positions of Health Orgs with Radiology Partners' Anthony Gabriel
In this week’s episode, MHE's Briana Contreras spoke with Dr. Anthony Gabriel, chief operating officer at Radiology Partners. Anthony shared the importance of health entities having physicians in the C-Suite, or executive levels in their health organizations, as Radiology Partners does. He and Briana also discussed what type of training a health professional needs to get to this level and some ...
24m Nov 25, 2020
24m
28: Meet the Board: HealthPartners' Kevin Ronneberg Talks Shift From In-Person to Remote Care in new Normal, HealthPartners and What he's Currently Reading
This week on Tuning into the C-Suite, listeners are tuning into the next feature of the Meet the Board Series where Managed Healthcare Executive Senior Editor Peter Wehrwein and Associate Editor Briana Contreras speak with MHE’s Board Member Kevin Ronneberg, M.D. Kevin is vice president and associate medical director for health initiatives at HealthPartners, an integrated, nonprofit provider an...
25m Nov 21, 2020
25m
27: Addressing Steps, Challenges Health Orgs Must Meet Toward CMS, ONC Interoperability Rules
MHE's Briana Contreras spoke with Matthew Michela, President and CEO of Life Image, the world’s largest medical evidence and image exchange network. The two delved through the specific steps each type of healthcare organization - from health systems, payers and IT companies - must follow to comply to meet the Office of the National Coordinator for Health Information Technology (ONC) and Centers...
25m Nov 11, 2020
25m
26: How Health Plans can Manage Enrollment Systems During This Particular Enrollment Period with Aaron Fulner of Edifecs
In this episode, Briana Contreras of MHE spoke with Aaron Fulner, Senior Director of Edifecs, a global health IT company. The two had a conversation about open enrollment and how private and public insurance markets have been preparing or are now experiencing an influx of new enrollees due to approximately 12 million people losing access to employer coverage from job losses since February. 
13m Nov 04, 2020
13m
25: Meet the Board: Don Hall of DeltaSigma Talks Effects COVID has on Fee-for-Service, Value-Based Care, Health Disparities and More
In this episode of Tuning Into the C-Suite, listeners are tuning into our next feature of the Meet the Board series where MHE's Senior Editor, Peter Wehrwein, and Associate Editor, Briana Contreras, speak with Managed Healthcare Executive Editorial Advisory Board Member, Don Hall, who is principal of DeltaSigma LLC. DeltaSigma is a consulting practice specializing in strategic problem solving f...
33m Oct 28, 2020
33m
24: VisualDx's Art Papier, Nada Elbuluk Discuss How Health IT Can Reduce Cognitive Bias, Racial Disparities in Healthcare
This week, Briana Contreras of Managed Healthcare Executive spoke with Doctors Art Papier and Nada Elbuluk of Visual Dx. Art is a practicing dermatologist and associate professor of dermatology and medical informatics at University of Rochester, as well as the CEO of VisualDx. Nada is also a dermatologist in Los Angeles and she is Director of Clinical Impact for VisualDx. The three discussed ho...
15m Oct 21, 2020
15m
23: Kate Ryder, CEO of Maven, Talks Role of Telemedicine in Pregnancy Care, How it Will Influence Patient Journey Post-COVID
In this week's episode of Tuning Into The C-Suite, MHE's Briana Contreras spoke with Kate Ryder, CEO of Maven, which is the world’s largest virtual clinic for women’s and family health. In this discussion, they talked about the role of telemedicine in pregnancy care, how it impacts the prenatal model and how it will influence the patient journey post-coronavirus pandemic.
13m Oct 14, 2020
13m
22: Wolters Kluwer's Denise Basow Shares the Importance of Uniting Prescribers, Pharmacists at the Point of Care
In this week’s episode of Tuning Into the C-Suite, Managed Healthcare Executive Associate Editor Briana Contreras spoke with Denise Basow, president and CEO of Clinical Effectiveness at Wolters Kluwer. Briana and Basow discussed the importance of uniting prescribers and pharmacists at the point of care and how this form of care can create more efficient and effective operations within health sy...
14m Oct 07, 2020
14m
21: Meet the Board: Otis Brawley Talks Health, Racial Disparities, Cancer Screenings and More
This episode of Tuning Into The C-Suite welcomes our first of many episodes part of the new “Meet the Board” podcast series. Listeners will not only hear from C-Suite executives each week, but will hear from a member of Managed Healthcare Executive's Editorial Advisory Board. A new episode featuring our board members will be aired once a month at the end of each month. The first guest featured ...
36m Sep 30, 2020
36m
20: Patient, Physician use of Telemedicine According to Dr. Peter Alperin of Doximity and the 2020 State of Telemedicine Report
In this week's episode of Tuning, MHE's Briana Contreras spoke with Dr. Peter Alperin, Vice President of Doximity and a physician in private practice in San Francisco. They discussed the recently released 2020 State of Telemedicine Report conducted by Doximity and how it reflects into the adoption of telemedicine among physicians and patients alike, how the report analyzed telemedicine’s usage ...
16m Sep 23, 2020
16m
19: The Transformation of Value-Based Care, its Future After COVID and the Election per CEO of VirtualHealth, Adam Sabloff
In this week's episode of Tuning Into the C-Suite, MHE's Briana Contreras speaks with Adam Sabloff, CEO of Virtual Health, about the current transformation of value-based care and what he thinks the future may look like for value-based care after COVID-19 and the presidential election. 
17m Sep 16, 2020
17m
18: Sebastian Seiguer, CEO of emocha Mobile Health, Discusses How Telehealth Services are Successfully Opening Schools and Managing Operations for Students, Staff
In this week’s episode of Tuning Into the C-Suite podcast, MHE's Briana Contreras spoke with Sebastian Seiguer, CEO of emocha Mobile Health. The two talked about the key health challenges schools are facing as some are reopening across the country, how telehealth services like emocha are successfully using telehealth to open schools in a Return to Learn program, and paths forward for our nation...
16m Sep 09, 2020
16m
17: Georgetown’s Sabrina Corlette Says Reasons for Health Insurer Premium Relief Include Good PR, Lower MLR Rebates Later
This week on Tuning Into the C-Suite, Managed Healthcare Executive's Senior Editor, Peter Wehrwein, spoke with Georgetown's Sabrina Corlette, JD. The two discussed the possible motivations behind health insurers announcing premium credits and discounts in recent weeks and months after their profits (net income, for not-for-profits) swelled due to the drop-off in routine healthcare utilization.  
16m Aug 28, 2020
16m
16: Jennifer Sheets, CEO of Interim HealthCare, Talks Future in Home Care, its Potential to Partner with Hospitals and More
In this week’s episode of Tuning Into the C-Suite, Briana Contreras of MHE chatted with CEO of Interim HealthCare, Jennifer Sheets. She and Jennifer discussed how COVID-19 has impacted the demand for home care, how hospitals can partner with the operation and how new pursuits in healthcare will affect home care in the future. 
26m Aug 26, 2020
26m
15: CareMount Medical President and CEO Scott Hayworth Talks Patient, Doctor Communication to Reduce Health Risks and Prevent Missed, Delayed Screenings
This week on Tuning Into The C-Suite Briana Contreras spoke with Dr. Scott Hayworth, president and CEO of New York-based CareMount Medical. In this interview, the two discussed the importance of patients staying in contact with their doctors for the sake of reducing public health risks and to discuss ongoing care options with them. This action supports Dr. Hayworth’s concern that over the next ...
14m Aug 19, 2020
14m
14: CEO of Illinois Medical District Suzet McKinney Talks Racism and SDoH in Public Health
In this week's episode Briana Contreras spoke with Suzet McKinney, CEO of the Illinois Medical District and an Adjunct Instructor at Harvard University's T.H. Chan School of Public Health. The two discussed the role of social determinants when promoting health and health equity and most importantly why and how racism is a public health issue.
32m Aug 12, 2020
32m
13: Adam Block of New York Medical College Speaks on Profits of Health Plans
This week on Tuning Into The C-Suite, Managed Healthcare Executive Senior Editor Peter Wehrwein speaks with Assistant Professor of Public Health at New York Medical College, Adam Block. The two discuss Block's recent article published in MHE, "Profits of Publicly Traded Health Plans Surge Amid Requests for Higher Rates" and more. 
23m Aug 06, 2020
23m
12: CVS Health's Dan Knecht Talks 'Path to Better Health' Survey, Telehealth & More
Briana Contreras, associate editor of Managed Healthcare Executive speaks with Dan Knecht, Vice President of Clinical Health at CVS Health in this week's episode. During the discussion, they spoke about telehealth, patient access to it, CVS minute clinics and most importantly, CVS Health’s recent study, Path to Better Health. This annual study includes responses from consumers and providers who...
20m Jul 29, 2020
20m
11: Eric Levin talks PBMs and how Scripta is Tackling the Market's Challenges for Patients
MHE's Briana Contreras spoke with CEO of Scripta, Eric Levin. The two discussed the current state of the pharmacy benefit market and how the Scripta organization has been assisting its clients and their prescriptions prior to the COVID-19 pandemic and during.
36m Jul 22, 2020
36m
10: Ben Kanter of Vocera Communications Talks PPE Shortage Solutions
In this week's episode of Tuning Into the C-Suite, Briana Contreras of MHE speaks with Ben Kanter, MD, board-certified pulmonologist and chief medical information officer for Vocera Communications, not only about how critical it is for hospitals to have sufficient supplies of non-contaminated PPE for the safety of patients and healthcare workers, but also to discuss solutions of technology, col...
23m Jul 15, 2020
23m
9: Jack Linehan of Epstein Becker Green Discusses Drug Coupons, Accumulators
Senior Editor Peter Wehrwein has a conversation with Jack Linehan, a lawyer for Epstein Becker Green, about coupons and accumulators. Jack is an expert on drug pricing and few people know as much about coupons and accumulators as he does. Peter and Jack go over some of the basics, who is advantaged and disadvantaged, and then dive into some the details on CMS’s zigzag on regulating accumulators...
29m Jul 09, 2020
29m
8: David Calabrese of OptumRx Talks Top Three Drugs in Pipeline, Industry Trends in Q2
In this episode, MHE's Briana Contreras chatted with David Calabrese, R.Ph, MHP, who is senior vice president and chief pharmacy officer of pharmacy care services company, OptumRx. David is also a member of Managed Healthcare Executives’ Editorial Advisory Board. During the discussion, he shared the OptumRx Quarter 2 Drug Pipeline Insights Report of 2020. Some of the information shared includes...
19m Jul 01, 2020
19m
7: John D'Amore of Diameter Health Talks FHIR and How it Applies to Insurers
John D'Amore, president and co-founder for Diameter Health, speaks with Managed Healthcare Executive Senior Editor, Peter Wehrwein, about fast healthcare interoperability resources standards , or FHIR, as they apply to insurers. There are new CMS FHIR regulations for Medicare Advantage and Medicaid managed care plans that go into effect in July 2021. Private insurers are expected to follow suit.
30m Jun 25, 2020
30m
6: DataGen's John Kalamaras Discusses Changes in BPCI Advanced
John Kalamara, business intelligence analytics manager of DataGen, chats with Managed Healthcare Executive's Briana Contreras, about the Centers for Medicare and Medicaid Services, or CMS’, recent announcement of the changes they’ve made for participants in their value-based programs, specifically those in bundled-care programs like BPCI Advanced, whose episodes were affected by COVID-19. For ...
21m Jun 17, 2020
21m
5: Diabetes Management & Telehealth with Leslie Kolb
Association of Diabetes Care and Education Specialists, chief science and practice officer, Leslie Kolb chats with MHE Associate Editor Briana Contreras in MHE's newest podcast, Tuning into the C-Suite, about diabetes management and how it's affected by the use of telehealth, especially during the current and trying times of the COVID-19 pandemic.
16m Jun 12, 2020
16m
4: Kathi Mooney of Huntsman Cancer Institute Speaks on Hospital-at-Home Programs
Kathi Mooney, Ph.D., RN, FAAN, interim senior director of population sciences at the Huntsman Cancer Institute in Salt Lake City, discusses hospital-at-home programs and how they are common in countries with single-payer systems and include patients with conditions ranging from cellulitis to heart failure. The benefits include the familiarity of home surroundings, avoidance of hospital-acquired...
19m Jun 03, 2020
19m
3: Francois de Brantes on COVID-19, Healthcare Supply and Demand, and Episodes of Care (VIDEO)
Managed Healthcare Executive recently had a wide-ranging conversation with de Brantes about COVID-19, the healthcare sector and how the precipitous drops in utilization and provider revenue may affect the future of bundled payment and other alternative payment models.
40m May 30, 2020
40m
2: Craig Samitt On COVID-19, 2021 Rates Increases, Telehealth, Medicare For All, And WFH
Minnesota health insurance executive shares his belief that healthcare utilization peaks and valleys because of COVID-19, with MHE Senior Editor Peter Wehrwein.
36m May 27, 2020
36m
1: Vivek Garg Discusses Palliative Home-Based Care And The Effects Of COVID-19
Dr. Vivek Garg, CareMore and Aspire chief medical officer, discusses palliative home-based care and its effects of COVID-19 with Managed Healthcare Executive Assistant Editor, Briana Contreras.
22m May 08, 2020
22m