government
Hosted by Sponsored by HealthEdge · government · EN-US · 46 episodes
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 operating models, technology infrastructure, data security, operations, core administration, care management, member engagement, risk adjustment, HEDIS and Star quality measures, start-up and growth tactics, and regulatory and compliance.
Required Pod Score for this show. PitchCentric checks your profile against host openness, topical fit, and audience signals before you generate a pitch.
Contact path
Verified email
Booking probability
32%
Guest openness
Selective
Sign up to generate a grounded pitch for Current Trends For Payers.
Signup to Generate a PitchInsider 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.
Recent episodes include "The Cost of Inaction" (24 April 2026, 23 minutes), "The Cost of Inaction" (24 April 2026, 22 minutes), and "The Hidden Economics of Payer Operations" (18 March 2026, 15 minutes).
Current Trends For Payers publishes roughly monthly, with episodes averaging 13 minutes across 46 episodes.
Booking probability for Current Trends For Payers is 32%, and the host is rated Selective on guests. Current Trends For Payers requires a Pod Score of 80 or higher. Current Trends For Payers's contact route on record: verified email.
The strongest fits for Current Trends For Payers are Insurance Companies. Current Trends For Payers has a government audience.
Current Trends For Payers is a government show with 46 episodes published.
Our AI reads these to draft pitches. Use them as grounding for a pitch that cites a real guest and a specific topic.
Episode #9
Rising margin pressure, regulatory demands, and fragmented operations are forcing health plans to confront a difficult question: when does maintaining the current model become more expensive than changing it? This...
Episode #9
<p>Rising margin pressure, regulatory demands, and fragmented operations are forcing health plans to confront a difficult question: when does maintaining the current model become more expensive than changing it? This...
Episode #8
<p>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...
Episode #7
<p>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...
Episode #6
<p>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...
Episode #5
<p>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. </p><p>This episode explores the...
Episode #4
<p>Whistleblower lawsuits are pulling back the curtain on risky coding practices and costly compliance gaps in risk adjustment. From inflated RAF scores to vendor oversight failures, the consequences are real and...
Episode #3
<p>The 2026 Medicare Advantage and Part D Star Ratings are out—and they reveal more than just who earned 5 stars. Beneath the numbers lies a clear message: CMS is reshaping what quality means, shifting the balance from...
Episode #2
<p>Navigating risk adjustment across multiple lines of business isn’t just complex, it’s a balancing act of shifting regulations, diverse populations, and evolving models. In this episode, we break down the key...
Episode #1
<p>What if your contact center could do more than answer questions? What if it could predict needs, detect fraud, translate languages in real time, and coach agents as they speak to members? </p><p>In this episode...
Current Trends For Payers
<p>This season on Current Trends for Payers, we’re highlighting guest experts in emerging technologies and operational strategies that health plans need to stay agile and competitive.</p><p>We’ll dig into what’s working...
Episode #10
<p>Health plans continue to face operational delays due to fragmented systems and an over-reliance on manual reporting cycles. While data analysts work across multiple platforms to produce static reports, the insights...
Current Trends For Payers
<p>CMS has issued a major announcement that’s reshaping how Medicare Advantage plans approach risk adjustment audits. A new era of oversight is here. Defined by tighter timelines, expanded audit scope, and heightened...
Episode #9
<p>In this episode, we explore how data consolidation is reshaping health plan operations and why it is becoming essential for the future of the industry. From breaking down data silos to enabling real-time, data-driven...
Episode #8
<p>Payers are seeking new ways to enhance member engagement and drive long-term retention. </p><p>This podcast explores a powerful new-to-market strategy for transforming how health plans design member journeys to...
Episode #7
<p>Claims and enrollment management can feel like a juggling act, especially with rising volumes and the pressure to meet strict accuracy and timeliness standards. What if there were tools to simplify it all? In this...
Episode #6
<p>Health plans often underestimate the full financial burden of their core administration systems. This episode shines a light on the hidden costs buried and spread throughout the lifecycle of a typical core admin...
Episode #5
<p>Clinical documentation improvement (CDI) is essential for accurate patient care, compliance, and effective risk adjustment. Health plans and providers must work together to address common challenges like incomplete...
Episode #4
<p>In this episode, we discuss the history of tech ecosystems for health plans, the most common operating model today, the multiple-vendor model, and an innovative new operating model that relies on an end-to-end...
Episode #3
<p>Accurate coding in healthcare is critical, especially with the recent changes brought about by the RADV extrapolation rule. This regulation allows the Office of the Inspector General (OIG) to apply audit findings...
Recent guests on Current Trends For Payers. Study who booked and why before you pitch.
PitchCentric classifies Current Trends For Payers under these industries. Guests from them are the closest fit, and each links to the best podcasts in that industry.
Is this podcast yours and you'd like to remove or correct details? Request removal or email privacy@pitchcentric.com.
Questions about the free trial? See the pricing FAQ