Tuning In to The C-Suite

Tuning In to The C-Suite

A monthly podcast where editors of Managed Healthcare Executive (https://www.managedhealthcareexecutive.com/) chat with healthcare professionals and executives in the C-suite. Each episode you will find a conversation about the most important issues facing American healthcare today: its cost, effectiveness, delivery and organization, and its fairness. Listen in. Learn a lot. For more information, visit us on Facebook (https://www.facebook.com/ManagedHealthcareExecutive/) , Twitter (https://twitter.com/MHExecutive) and LinkedIn (https://www.linkedin.com/company/managed-healthcare-executive/) .

Episodes

139: Breaking Down Health Plans, HSAs, AI With Paul Fronstin of EBRI

November 20, 2024 • 21 mins
Featured in this latest episode of Tuning In to the C-Suite podcast is Paul Fronstin, director of health benefits research at EBRI, who shed light on the evolving landscape of health benefits with editors of Managed Healthcare Executive. Fronstin discussed the challenges employers face in designing health plans that steer employees toward high-value care. He also shared insights on high-deductible health plans (HDHPs), noting ...
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138: Loren McCaghy of Accenture Suggests Digital Engagement, Ease of Use as Key Drivers in Healthcare Provider and Payer Turnover

June 19, 2024 • 27 mins
In this latest episode of Tuning In to the C-Suite podcast, Briana Contreras, an editor with MHE had the pleasure of meeting Loren McCaghy, director of consulting, health and consumer engagement and product insight at Accenture, to discuss the organization's latest report on U.S. consumers switching healthcare providers and insurance payers. One of those surveys were on payer experiences and the other on patient experiences. M...
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137: Meet the Board: Care Oregon's Eric Hunter Discusses Merger Setback, Medicaid Success and New Residency Program

June 17, 2024 • 33 mins
In our latest "Meet the Board" podcast episode, Managed Healthcare Executive Editors caught up with board member, Eric Hunter, CEO of Care Oregon, to discuss a number of topics, with one including the merger that never closed with SCAN Health Plan due to local opposition from Oregonians, emphasizing the need for partnerships to meet scaling and capital requirements. 

On the other hand, Hunter also praised Oregon's car...
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136: Meet the Board: Optum Rx's David Calabrese Discusses New Role, Pharmacy Deserts, Medication Shortages and More

June 4, 2024 • 35 mins
In the latest episode of the Meet the Board podcast series, Managing Editor, Peter Wehrwein, catches up with Chief Clinical Officer at Optum Rx and EAB member, David Calabrese, about his new role alongside his team's progress in improving quality, patient safety and health equity in healthcare. David highlights efforts to address pharmacy deserts and medication shortages; and the two discuss the challenges and future of retail...
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135: A Conversation With Veteran Healthcare Lobbyist Paul Kelly | DC Roundtable

May 23, 2024 • 33 mins
A limited pharmacy benefit manager (PBM) reform bill may be used as a "pay for" to offset the costs of extending Medicare telehealth flexibilities, shares Kelly, of Capitol Advocacy & Government Affairs.
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134: Meet the Board: Navigating the Evolving Landscape of Healthcare Coverage and Pharmacy Benefits with Marci Chodroff of Magellan, Prime Therapeutics

May 8, 2024 • 28 mins
In this month’s episode of Meet the Board, MHE’s Managing Editor Peter Wehrwein and spoke with a new member of our editorial advisory board, Marci J. Chodroff, MD, FACP, VP of Medical Affairs at Magellan Rx Management, a Prime Therapeutics company. The two discussed Chodroff's career transition from clinical practice to pharmacy benefits management, then crossed over to highlight challenges like Medicare regulations and the gr...
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133: DC Roundtable: Patrick Cooney of The Federal Group Drops the Latest on PBMs in Washington

April 11, 2024 • 17 mins
In this episode, MHE's Peter Wehrwein spoke with Patrick Cooney, president of The Federal Group, discussing Washington's focus on Pharmacy Benefit Managers (PBMs). Cooney highlighted increased federal attention on PBMs, with legislative activity indicating bipartisan interest in reform. Despite recent setbacks in negotiations over PBM-related provisions, both Democrats and Republicans aim for transparency and change. Cooney al...
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132: Meet the Board: AffirmedRx CEO Greg Baker Unveils Game-Changing Strategy for PBM Industry

April 2, 2024 • 34 mins
As we bring back our "Meet the Board" Series podcast series, Managed Healthcare Executive welcomes our newest Editorial Advisory Board member Greg Baker, CEO of AffirmedRx. In this conversation, Baker and Peter Wehrwein, MHE managing editor, discussed insights from Baker's career journey. Drawing from his experiences at Walgreens and Premise Health, Baker highlighted the importance of patient-centered care and process orientat...
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131: DC Roundtable: Ceci Connolly and Margaret "Meg" Murray Talk Medicare Advantage, Drug Pricing and Political Priorities in 2024 Elections

March 25, 2024 • 18 mins
In this second part of a two-part podcast episode, Managed Healthcare Executive's Managing Editor Peter Wehrwein spoke with Ceci Connolly and Margaret "Meg" Murray about Medicare Advantage utilization and challenges, highlighting proposed CMS payment cuts and prior authorization issues. Murray emphasized MA's growth and benefits, while Connolly introduced MA for Tomorrow proposals. They also tackled drug pricing transparency c...
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130: DC Roundtable: Margaret "Meg" Murray and CeCi Connolly Discuss Medicaid Challenges, ACA Success and Partisan Divides

March 19, 2024 • 22 mins
In this first part of a two-part podcast episode, Managed Healthcare Executive's Managing Editor Peter Wehrwein kicks off our new podcast series "DC Roundtable," with guests Margaret "Meg" Murray, CEO of the Association of Community Affiliated Plans, and member of MHE's Editorial Advisory Board, and CeCi Connolly, president and CEO of the Alliance of Community Health Plans, for a discussion on healthcare policy issues. The tri...
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129: Sanjula Jain Urges a Comprehensive Approach to Address Alarming Rise in Cancer Cases Among Younger Populations

February 23, 2024 • 20 mins

In this month’s episode of Tuning In to the C-Suite, Briana Contreras, an editor of Managed Healthcare Executive, got to chatting with Sanjula Jain, Ph.D., chief research officer at Trilliant Health. 

In the conversation, Sanjula shared the concerning rise in cancer cases among those in their 30s and 40s, despite declining mortality rates. In this age range, neoplasm-related deaths are notably increasing, which ...
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128: A Deep Dive into Predictive and Generative AI with Lynn Carroll of HSBlox

January 3, 2024 • 19 mins
In this month’s episode, Briana Contreras, an editor of MHE, chatted with Lynn Carroll, executive of HSBlox, about the difference between predictive and generative AI, yet how each works together in preventive healthcare. In the discussion, Carroll expressed the challenges and opportunities with generative AI in clinical documentation, pharmaceutical research, and medical device manufacturing. Also shared were strategies for a...
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127: Tackling Medical Debt Challenges for Middle-Class Americans and Inclusive Healthcare Solutions, per Curative CEO Fred Turner

December 6, 2023 • 18 mins
Briana Contreras, an editor of Managed Healthcare Executive, spoke with Fred Turner, CEO of Curative, in this month’s episode. The two talked about the challenges middle-class Americans face in dealing with medical debt, exploring the causes behind it and the impact on overall health. Fred also touched on potential solutions, both from the perspective of organizations like Curative and through collaborative efforts between var...
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126: Bridging the Diversity Gap in Rare Disease Clinical Trials with Harsha Rajasimha of IndoUSrare

November 8, 2023 • 21 mins
Briana Contreras, an editor with Managed Healthcare Executive, spoke with Harsha Rajasimha, MD, founder and executive chairman of IndoUSrare, in this month's episode of Tuning in to the C-Suite podcast. The conversation was about how the disparity in diversity and ethnicity in rare disease clinical trials in the U.S. has led to gaps in understanding diseases and conditions, jeopardizing universal health, and increasing the eco...
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125: AI Improving Healthcare Efficiency, the Evolution of VBC, Reducing Healthcare Waste and More With William Shrank of Andreessen Horowitz

October 25, 2023 • 27 mins
Managing Editor of Managed Healthcare Executive, Peter Wehrwein, had a discussion with William Shrank, M.D., a venture partner with Andreessen Horowitz, a venture capital firm in Menlo Park, California, about how artificial intelligence's role is improving healthcare, where we are today with value-based care and the ongoing efforts of reducing waste in the healthcare space for this episode of the "What's on Your Mind" podcast ...
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124: Mostafa Kamal Talks Prime Therapeutics, Magellan Rx Integration, the Organizations Trajectory, More

September 13, 2023 • 35 mins
Managed Healthcare Executive's Managing Editor Peter Wehrwein, and Editor Briana Contreras, had a discussion in July with Mostafa Kamal, president and CEO of Prime Therapeutics, an organization in which Kamal acquired this position in July 2023. Kamal addressed his newer role, plans for Prime, the company’s more recent acquisitions and previous partnerships and some of his thoughts on the multimillion gene therapies and price ...
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123: In the Scope of Virtual Health and the Future of “Website” Manner, Per Ateev Mehrotra

August 10, 2023 • 20 mins
In this month’s episode, Briana Contreras, an editor of Managed Healthcare Executive, had the pleasure of catching up with MHE Editorial Advisory Board Member, Ateev Mehrotra, who is a professor of healthcare policy at Harvard Medical School and an Associate Professor of Medicine and Hospitalist at Beth Israel Deaconess Medical Center. What’s been on Ateev’s mind or has been a focus, lately, are most things in the digital heal...
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122: Extending the Capabilities of the EHR Through Automation

August 2, 2023 • 20 mins
Welcome back to another episode of "Tuning In to the C-Suite," where Briana Contreras, an editor of Managed Healthcare Executive, had the pleasure of chatting with Cindy Gaines, chief clinical transformation officer at Lumeon. In the conversation the two mainly addressed how automation is filling in the gaps electronic health records are not able to meet and how these gaps are affecting staff, increased costs, workflows and mo...
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121: Personalizing, Simplifying Value-Based Care Models Can Reduce Costs, Improve Health Outcomes for Patients

July 10, 2023 • 17 mins
Briana Contreras, an editor of Managed Healthcare Executive, spoke with Brian Adams, President and CEO of Tabula Rasa HealthCare, in this month's episode of Tuning In to the C-Suite podcast. In the episode, Brian and Briana got to chatting about value-based care and why the transition to this type of model has been slower than expected for some practices to adopt. Most of the discussion focused on Brian’s suggestion of simplif...
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120: What to Look For in the Pipeline, Misconceptions of Drug Approvals and More of ‘What’s on the Mind’ of Jeffrey Casberg

June 15, 2023 • 31 mins
In this episode, Briana Contreras, an editor with Managed Healthcare Executive, and Peter Wehrwein, managing editor of MHE, got to chatting with the newest editorial advisory board member, Jeffrey Casberg, who is vice president of Clinical Pharmacy at IPD Analytics. 

In the discussion, Casberg shared the most pressing or prominent issues on his mind, he explained what the drug life-cycle is at IPD, and what the latest...
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