Episode S02 E40: Ensuring Payer Readiness for Immediate, Upcoming Interoperability Goals

The industrywide movement toward interoperability involves multiple steps and factors. As payers prepare to conform to CMS deadlines, how can they juggle all of these pieces without losing sight of the big picture? In the first of our two-part conversation on the subject, Danielle Lloyd, senior vice president of private market innovations and quality initiatives for clinical affairs at AHIP, covers how payers can prepare for the immediate July 1 deadline and touches on next steps toward interoperability.

Episode S02 E39: Assessing How the Coronavirus Pandemic Has Influenced Senior Care

Seniors have been a particularly vulnerable population during the coronavirus pandemic, estimated to account for approximately eight in ten coronavirus-related deaths in the US. Providers experienced many challenges as they tried to serve this population during this uncertain time. Emily Sokol, director of research at Xtelligent Healthcare Media, shares the results of an Insights report on providers engaged in senior care, exploring how the pandemic impacted senior care--including access to care and technology use--and how it will shape senior care strategies in the future.

Episode S02 E38: Integrating Pharmaceutical, Medical Benefits to Lower Drug Spending

Pharmacy benefits managers (PBMs) offer one method of delivering pharmaceutical benefits to members, but Highmark Inc. and payers like it have developed an alternative that they argue may boost member engagement and improve drug spending. Sarah Marche, senior vice president of Pharmacy Services at Highmark Inc, discusses how Highmark has implemented integrated benefits and the outcomes that the payer saw as a result of greater drug price transparency.

Episode S02 E37: Emphasizing Patient Experience in Value-Based Care to Improve Collaboration

While views on the definition of "value" in value-based care may vary, healthcare professionals can rally around prioritizing patient experience in value-based care. LeChauncy Woodard, MD, director of Humana Integrated Health System Sciences Institute and professor at the University of Houston, and Tray Cockerell, a strategic relationship executive at Humana, explain how value is perceived today and how the industry can unify around patient-centered, value-based care.