How Payers Can Align with Members on Consumer Engagement

March 02, 2022

Based on several reports in the last couple of years, it’s been a standout that healthcare consumers’ engagement in their own healthcare will drive better outcomes and reduce care costs. With that being said, consumer experience has come under major focus across the industry as a key business driver.

Luis Mosquera of Health Network One Addresses Alternative Payment Models Are the Key to Transitioning to Value-based Care

February 11, 2022

Briana Contreras, editor of Managed Healthcare Executive spoke with Luis Mosquera, CEO of Health Network One, a provider of specialty benefit management services for health insurers, in this week's episode. In this discussion, Luis and Briana talked about how value-driven decisions in a more value-based market can not only better manage costs for health plans, but create a plan of care to best meet patient’s needs. In order to do this, Luis strongly encouraged healthcare executives to experience alternative payment models and shared what payers should check off their list with a new model.

Improve Outcomes: Key Post-Acute Trends in 2022­

January 28, 2022

Sponsored Content: Succeed in 2022 by knowing these 4 key healthcare trends and how post-acute care partnership can help improve outcomes. As healthcare demands shift, due to demographic changes and the COVID-19 pandemic, post-acute care providers can support payers and providers in responding to needs in the New Year and beyond.

Rodrigo Cerda, M.D.., M.P.H., of Independence Blue Cross in Philadelphia Discusses New Role and the Latest on Value-based Care, SDOH and Covid-19

January 26, 2022

In this episode, Peter Wehrwein, managing editor of Managed Healthcare Executive, speaks with Dr. Rodrigo Cerda. Dr. Cerda has been recently promoted to the position of senior vice president of health services and chief medical officer of Independence Blue Cross in Philadelphia. He is also a member of Managed Healthcare Executive’s editorial advisory board. Peter and Dr. Cerda discuss his new role at the Independence Blue Cross, what it means to be a chief medical officer at an insurer these days, valued-based care, social determinants of health, and, of course, the pandemic.

Value-Based Care in Oncology Gets off to Shaky Start

December 08, 2021

The Oncology Care Model (OCM) was CMS’ main attempt to usher value-based care into oncology. What will come after OCM is unclear as the future of successor, Oncology Care First, is now very much in doubt.