Episodios

  • Health Plan Readiness for 2026: Network Trends, Data & AI
    Dec 4 2025

    In this episode, Steve Levin, CEO of Quest Analytics®, shares how health plans can prepare for 2026 as regulations evolve and market expectations shift. He unpacks what current network trends are signaling for plan strategy, why provider data accuracy and operational efficiency are becoming key competitive differentiators, and how leaders can adopt technology and AI in practical ways that drive real, measurable value.

    This episodeis sponsored by Quest Analytics®.

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    20 m
  • Dr. Saria Saccocio, Chief Medical Officer at Essence Healthcare
    Nov 19 2025

    In this episode, Dr. Saria Saccocio, Chief Medical Officer at Essence Healthcare, explains how strong provider partnerships, real time data, and a member centered approach drive the plan’s four and a half star performance. She also shares how addressing social needs and listening closely to members shapes future benefit design and care delivery.

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    17 m
  • Steve Tringale, President of Mass General Brigham Health Plan
    Nov 18 2025

    In this episode, Steve Tringale, President of Mass General Brigham Health Plan, shares how the organization is expanding its product portfolio, entering the dual eligible market, and investing in integrated digital care management to better support members across all stages of life.

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    20 m
  • Breaking Free from Legacy: Modernizing Health Plans with AI and BPaaS
    Nov 14 2025

    In this episode, Kevin Adams, CEO of HealthEdge, discusses how health plans can overcome legacy technology challenges through modernization, business process as a service (BPaaS), and AI-driven efficiency. He shares insights on building stronger operational foundations and how next-generation automation is reshaping payer operations.

    This episide is sponsored by HealthEdge.

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    25 m
  • How Payers are Preparing for 2026 and Beyond
    Nov 13 2025

    In this episode, Rick Harbit of Blue Cross Blue Shield of North Carolina and Bob Tavernier of Quest Analytics discuss how payers are navigating financial pressures, advancing network adequacy 2.0, and using data and network intelligence to drive long-term success.

    This episode is sponsored by Quest Analytics.

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    15 m
  • How AI is Transforming the Payer Strategy
    Nov 10 2025

    Dr. Meera Atkins, Chief Medical Officer at Lyric.ai, shares how clinically informed AI can transform payment accuracy from a reactive process to a proactive, transparent partnership. She discusses the importance of trust, clinical validation, and equity in advancing value-based care and reducing administrative friction across the healthcare ecosystem.

    This episode is sponsored by Lyric.ai.

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    10 m
  • From Data to Dollars: Strategies to Curb Rising Healthcare Costs
    Nov 7 2025

    In this episode, Marcy Tatsch, Executive Vice President and General Manager of Truven by Merative, shares insights into how employers and health plans can use data analytics to lower costs, improve outcomes, and design smarter benefit strategies in a challenging healthcare landscape.

    This episode is sponsored by Merative.

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    18 m
  • The Future of Integrated Care, and What Leaders Need to Do Now to Achieve This at Scale
    Nov 4 2025

    In this episode, Shana Hoffman, President and CEO of Lucet, shares why behavioral health is the key to transforming patient outcomes and reducing costs. She discusses how Lucet is breaking down fragmentation, scaling integrated care, and achieving measurable results for patients and health plans.

    This episode is sponsored by Lucet.

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    16 m