Becker’s Payer Issues Podcast

Building the Data and AI Foundation for Health Plans

In this episode, Mike Sanky, Vice President of Healthcare & Life Sciences GTM, Databricks, discusses how health plans can modernize data and AI capabilities to manage rising costs, improve utilization insights and strengthen governance for scalable AI adoption. This episode is sponsored by Databricks.

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Jeremy Wigginton on Expanding Behavioral Health Access

In this episode, Dr. Jeremy Wigginton, Chief Medical Officer at Capital Blue Cross, discusses expanding behavioral health networks, improving access and navigation, and using integrated care strategies to reduce costs and emergency department utilization.

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Building Trustworthy AI in Healthcare Through Transparency

In this episode, Halsey Wise, CEO, Lyric, discusses the importance of trust, truth and transparency in healthcare AI, including decision lineage, governed AI and keeping humans in the loop. He also explores how AI can reduce administrative waste, improve decision-making and strengthen trust among payers, providers and patients. This episode is sponsored by Lyric.

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What Health Plans Need to Know About the Next Regulatory Pivot

In this episode, Cereasa Horner, Vice President of Payment Integrity and Governance at CERIS, discusses how health plans can adapt to accelerating regulatory changes, strengthen documentation and audit readiness, and improve alignment with providers. She also shares strategies for cross-functional collaboration, transparency and an education-first approach to payment integrity. This episode is sponsored by CERIS.

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Healthcare Costs, IDR and the No Surprises Act: David Merritt on What’s Driving Affordability Pressures

In this episode, David Merritt, Senior Vice President of External Affairs at the Blue Cross Blue Shield Association, discusses rising healthcare costs, employer affordability pressures and the growing impact of the No Surprises Act’s IDR process. He also outlines potential reforms to curb excessive awards, increase transparency and slow premium growth.

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Payer Shakeups, Rising Costs and the Future of Employer Health Insurance with Jakob Emerson

In this episode, Jakob Emerson, Associate News Director, Becker’s Healthcare, discusses Centene’s exit from the commercial group markets in California and Oregon, rising employer health insurance costs and growing pressure on coverage. He also explores specialty drug spending, AI-driven administrative costs, payer consolidation and the evolving politics of health insurance.

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The Rise of ICHRA: Flexibility, Choice and the Future of Health Benefits with Hunter Foster

In this episode, Hunter Foster, VP, Agency Operations and Strategy, benefitbay, explores the growing adoption of ICHRA and defined contribution models, including the demand for flexibility, predictability and employee choice. He also discusses successful implementation, broker adoption, AI's evolving role and what increased carrier participation could mean for the future of health benefits.

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Nathan Frank on Aetna’s AI Strategy: Reducing Friction Across Healthcare

In this episode, Nathan Frank, Senior Vice President and Chief Digital and Technology Officer at Aetna, discusses how AI and digital tools are simplifying prior authorization, improving interoperability and enhancing member and provider experiences. He also shares Aetna’s approach to responsible AI, emphasizing human connection, trust and practical technology solutions that reduce administrative burden.

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How Value-Based Care Delivers Better Outcomes for Medicare Members with Dr. Ali Khan

In this episode, Dr. Ali Khan, Chief Medical Officer, Aetna Medicare, discusses new findings showing how value-based care improves clinical outcomes, preventive care and hospital utilization for Medicare members. He also shares how Aetna is supporting providers with risk-based arrangements, interoperability and care coordination.

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Jakob Emerson on Medicare Advantage Pullbacks and SCAN’s Costco Partnership

In this episode, Jakob Emerson, Associate News Director, Becker’s Healthcare, discusses the latest Medicare Advantage trends, including SCAN’s new partnership with Costco, insurer market exits, tighter margins, and fewer plan options for seniors. He also explores how changes to Part D subsidies could influence Medicare Advantage enrollment.

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Amanda Free on Affordability and Access in Georgia’s Commercial Market

In this episode, Amanda Free, Anthem Blue Cross and Blue Shield of Georgia Commercial President, discusses improving healthcare affordability, expanding access in rural communities, strengthening value-based care partnerships and helping members make smarter choices about where and how they receive care.

Agentic orchestration: A new approach to enterprise AI

In this episode, Munjal Shah, Co-founder & CEO of Hippocratic AI, discusses how agentic orchestration can coordinate teams of AI agents to achieve healthcare outcomes such as reducing readmissions, closing care gaps and improving patient follow-up. This episode is sponsored by Hippocratic AI.

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Simplifying Healthcare and Tackling Rising Costs with Jessica Lopez-Liggett

In this episode, Jessica Lopez-Liggett, Commercial State Plan President for Anthem Blue Cross and Blue Shield in Indiana, discusses rising healthcare costs, simplifying the member and provider experience through technology, and expanding high-quality, lower-cost care through provider partnerships. She also shares why addressing social determinants of health and bringing employers, providers and community organizations together is critical to improving healthcare.

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Advancing Personalized Care Through AI, Clinical Insights and Early Intervention with Dr. Stanley Crittenden

In this episode, Dr. Stanley Crittenden, Chief Medical Officer at Cigna Healthcare, discusses how AI-powered analytics and personalized care management are helping identify health risks earlier, improve outcomes and simplify healthcare navigation. He shares how Cigna is using technology to support clinicians, expand access to care and drive affordability while keeping human connection at the center.

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Simplifying Healthcare Through Digital Transformation, Affordability and AI with Katie Catlender

In this episode, Katie Catlender, Chief Operating Officer at Point32Health, discusses the organization’s push to consolidate legacy digital platforms, reduce administrative costs and create a simpler experience for members and providers. She also shares how Point32Health is using AI responsibly to personalize care, reduce friction and build trust while keeping members at the center.

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Closing the Rural Telehealth Gap in Chronic Care with Sarah Adkins

In this episode, Sarah Adkins, director of public policy with the Elevance Health Public Policy Institute, discusses research showing lower telehealth utilization among rural populations and the barriers driving the gap. She shares strategies for payers and healthcare leaders to expand digital infrastructure, tailor telehealth programs and improve access for underserved members.

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Advancing Smarter, More Personalized Cancer Care with Dr. David Debono

In this episode, David Debono, MD, Oncology Medical Director at Carelon Health, shares how technology, clinical pathways, and data-driven insights are helping improve cancer care while supporting physicians, expanding access, and delivering more personalized treatment for patients.

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Building Stronger Healthcare Workforce Pathways Through Community Partnerships with Dan LaVallee & Dr. Brandy Hershberger

In this episode, Dan LaVallee, Associate Vice President of Community Engagement at UPMC Health Plan, and Dr. Brandy Hershberger, Chief Nursing Officer and Vice President of Academic Affairs at UPMC, discuss how innovative apprenticeship programs, workforce partnerships, and community engagement are creating sustainable healthcare career pathways and strengthening the future workforce.

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How Blue Shield of California Is Rethinking Care Delivery with Susan Mullaney

In this episode, Susan Mullaney, Chief Operating Officer at Blue Shield of California, discusses how stronger payer-provider partnerships, AI, value-based care, and pharmacy innovation can improve health outcomes, lower costs, and reshape care delivery for the future.

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Dr. Ben Kornitzer on AI, Prior Authorization Reform, and the Future of Payer Provider Collaboration

In this episode, Dr. Ben Kornitzer, Senior Vice President, Chief Medical Officer at Aetna, discusses how AI, real-time data exchange, and prior authorization reform can strengthen payer-provider partnerships and improve patient outcomes.

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