Senitria Goodman is about to do something rare in managed care. She's moving from the general counsel's chair into the CEO seat at Trillium Health Resources, one of...
Katie Martin, Vice President of Quality at Wellth, runs quality with no clinical background and treats it as a data problem first. In her words, information without data...
Gary Jessee, Senior Vice President at Sellers Dorsey, leads the national consulting practice working across state Medicaid agencies, managed care organizations, vendors, and solution providers on readiness, policy...
At Centene, the Pennsylvania plan transitioned over 450 people out of nursing homes last year with a 3 percent recidivism rate. Anna Keith, Vice President, LTSS Product &...
Healthcare isn't broken in one spot. Hillary Galyean, Chief Growth Officer at St. Luke's Health Plan, believes it's broken in all the spots, and the root cause is...
A study Bradley Riley referenced gave clinicians across 56 practices access to a clinical GPT that was accurate 96% of the time. Adoption of the good recommendations was...
One member at Neighborhood Health Plan of Rhode Island carries an $11 million annual maintenance drug. For that same cost, Peter Marino says he could vaccinate the entire...
Chorus Community Health Plans started with 30 members inside a children's hospital system that already held 90% inpatient market share. This wasn't a bed-filling play. Mark Rakowski, President...
We're excited to launch Mission & Margin, a podcast for the executives running today's most complex health plans. In each episode, Trey Sutten sits down with the operators...