Mastering Claims Denials with AI: Real Outcomes + Insights on Workflow Integration

In this episode, Chronis Manolis, Senior Vice President, Pharmacy and Chief Pharmacy Officer at UPMC Health Plan, shares his perspective on the evolving pharmacy and drug access landscape. He discusses the challenges surrounding rising drug costs, GLP-1 medications, and the future of pharmacy benefit management in a complex healthcare environment.

In this episode, Scott Becker sits down with Ashwin Ramaswami, a candidate for Georgia State Senate District 48, and Dr. Trishul Kapoor, Pain Medicine Physician - Orthopedic Institute, Lehigh Valley Health Network. They discuss the intersection of healthcare policy, digital health innovations, and the critical role of state and federal initiatives in addressing rural healthcare challenges. Ashwin shares insights from his campaign and vision for modernizing healthcare, while Dr. Kapoor explores the future of telehealth and the ongoing physician shortage.

In this episode, Dr. Harry Severance, Adjunct Assistant Professor in the Department of Medicine, Duke University School of Medicine, joins the Becker's Healthcare Podcast to discuss the increasingly toxic work environments in healthcare. He shares insights on how disruptive workplaces, management practices, and physician shortages threaten the future of healthcare, urging a collaborative approach to solving these systemic issues.

In this episode, Dr. J. Polizzi, Chief Technology Officer at MI Partner Health, shares insights on the evolving role of technology in healthcare, addressing clinician burnout, AI integration, and the future of patient-centered care. He also discusses his work on digital innovations that enhance care delivery and streamline workflows for clinicians and patients alike.

In this episode, Joe Dant, System Chief Growth Officer, and Sean O'Grady, President of Acute and Ambulatory Operations at Endeavor Health, discuss the organization’s journey of growth and rebranding. They share how Endeavor is addressing workforce challenges and creating a patient-centered care model that combines empathy and expertise for a superior healthcare experience.

In this episode, Jakob Emerson, Associate News Director at Becker’s Healthcare, joins Scott Becker to discuss the challenges surrounding GLP-1 drugs in the insurance space and the varied responses to Medicare Advantage headwinds. They explore Elevance Health’s strategies and share insights into how large and small insurers are navigating these issues.

In this episode, Scott Becker speaks with Paul Kempinski, President and CEO of Children's Mercy Kansas City. Paul reflects on his leadership journey, shares his proudest achievements at Children's Mercy, and offers invaluable advice for emerging leaders, emphasizing the importance of culture, mission, and lifelong learning.

In this panel discussion, healthcare technology and strategy leaders will discuss one organizations approach to leveraging AI for claims denials management. They'll share tips on selecting the right use cases for AI in denials workflows, tangible results they're seeing and best practices for navigating challenges in data quality, integration and adoption.This episode is sponsored by Aspirion.

In this episode, Dr. Mario Gössl, Director of Transcatheter Valve Therapies at Allina Health Minneapolis Heart Institute and a registered yoga teacher, discusses the evolving landscape of cardiology, the challenges of talent retention, and the importance of addressing physician burnout.

In this episode, Laura Dyrda speaks with Joanne McFall, Market President of Keystone First and AmeriHealth Caritas Pennsylvania. Joanne shares her insights on post-pandemic Medicaid unwinding, rising healthcare costs, and the role of managed care in addressing social factors like housing and food insecurity to improve health outcomes.