Jakob Emerson on Payer Policy Uncertainty and the Shifting Medicare Advantage Market

In this episode, Gina Cronin, FACHE, Executive Vice President and Chief People Officer at Children's National Hospital, discusses aligning leaders around a new five year strategy, redesigning roles amid major ERP and EHR transformations, and building resilient workforce capabilities and well being initiatives to support growth in world class pediatric care.

In this episode, Dr. Rob Bessler, CEO of Honest Health, and Amy Perry, President and CEO of Banner Health, discuss how tighter alignment between clinical care and financial accountability can transform primary care. They explore risk stratification, culture driven change, and practical steps health systems can take to accelerate the shift from volume to value while improving access and outcomes.

In this episode, Dennis L. Disch, Vice President of Hospital Based Specialties for the Illinois and Wisconsin Divisions at Advocate Health, shares how integrating virtual critical care, expanding AI supported documentation, and redesigning anesthesia and hospital based staffing models are helping the system navigate reimbursement pressure, workforce shortages, and the shift toward ambulatory care.

In this episode, Imran Qadeer, MD, President and CEO of Allegheny General Hospital, discusses scaling AI driven virtual nursing and ambient listening, advancing population health and specialty service lines, and navigating workforce shortages and financial pressures as part of Allegheny Health Network and Highmark Health.

In this episode, Jamie Wiggins, Executive Vice President and Chief Operating Officer of Arkansas Children's, discusses record patient growth driven by streamlined access, a multi year expansion including the National Center for Opioid Research and Clinical Effectiveness, and a five year strategy to strengthen rural pediatric care and chronic disease management across the state.

In this episode, Melinda Hancock, CFO of Sentara Health, shares how the system is uniting care delivery and health plan operations to improve patient experiences. She discusses redesigning processes, enhancing financial leadership, and leveraging technology to make care more seamless, affordable, and accessible.

In this episode, Jakob Emerson, Associate News Director at Becker's Healthcare, breaks down limited federal direction following the State of the Union, a potential drop in ACA exchange enrollment, Medicare Advantage surpassing 55 percent penetration, and how insurers and health systems are navigating a rapidly changing and increasingly strained payer landscape.

In this episode, Shawn Griffin, MD, President and CEO of URAC, discusses how voluntary accreditation is creating national guardrails for healthcare AI, helping organizations evaluate risk, strengthen oversight of developers and users, and build trust as innovation outpaces regulation.This episode is sponsored by URAC.

In this episode, Anjalee Galion, MD, President of the Medical Staff and Chief Physician Wellness Officer at Rady Children’s Health of Orange County, shares how clinician led wellness initiatives, leadership development, and culture building are reducing burnout, strengthening alignment, and positioning the organization for growth amid industry uncertainty.

In this episode, Stacey-Ann Okoth, Chief Nursing Executive Officer at CommonSpirit Health Mountain Division, discusses strengthening workplace safety, enhancing patient experience, and addressing economic and workforce challenges. She shares strategies for nurse retention, rural care access, and innovative programs that prepare the system for future growth.