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Current Trends For Payers

Sponsored by HealthEdge

Insider insights and perspectives on trending topics for healthcare professionals. We’re talking to the experts about the unique operating infrastructure necessary for business success and to improve the quality of care for members. Topics include BPaaS, technology, data security, operations, core administration, care management, member engagement, risk adjustment, HEDIS and Star quality measures,... more

PublishesMonthlyEpisodes44Founded4 years ago
Number of ListenersCategory
Government

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Artwork for Current Trends For Payers

Latest Episodes

Administrative costs are climbing across the payer industry, but many plans still rely on high-level expense views that mask the true drivers of operational spend. Beneath the surface, fragmented systems, manual processes, and vendor complexity may b... more

Medicare Advantage organizations are facing a significant policy year as CMS releases updates that signal a recalibration of the Stars program and broader regulatory framework. Recent rule-making and guidance point to changes in measurement prioritie... more

Enrollment for 2026 brought major shifts for health plans, driven by new CMS rules, rising consumer expectations, and the growing pressure to modernize operations. This episode explores how plans are rethinking enrollment integrity, broker oversight,... more

Is managing multiple vendors slowing your health plan down? Disconnected systems, rising costs, and scattered data often stand in the way of efficiency and better member experiences. 

This episode explores the challenge of managing multiple vendors ... more

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Reviews

5.0 out of 5 stars from 14 ratings
  • Good source of information

    Highly recommend for anyone working in the healthcare ecosystem, especially the payer sector.

    Apple Podcasts
    5
    K. S. Wilson
    United States3 years ago

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Current Trends For Payers launched 4 years ago and published 44 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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