Podcasts about Aetna

Join us at the Seven Figure Medicare Agent Summit: https://sevenfiguremedicareagentsummit.com/On this episode of the Seven Figures or Bust podcast, we address the growing trend of non-commissionable Medicare plans and what it means for agents. With major carriers like Aetna, Cigna, and Elevance Health shifting certain Medicare Advantage and Part D plans to non-commissionable status for 2025, agents face new challenges in maintaining their income streams . We delve into strategies for navigating these changes, including diversifying your product offerings and ensuring compliance with CMS guidelines when discussing non-commissionable plansGets Leads from Lead heroes here: https://leadheroes.com/Learn more about getting your own VA with Hire Heroes here: https://app.hireheroes.com/signup?fpr=christian43Join our free private Facebook group for insurance agents: https://www.facebook.com/groups/551409828919739/Welcome to the Christian Brindle channel brought to you by Christian Brindle & Christian Brindle Insurance Services. This channel is here for the sole purpose of bringing training, tips, success stories, and personal development from Christian Brindle. Christian is a published author, hosts the ever popular Everything Medicare Podcast, and made six figures in the Medicare business by the time he was 25 years old.

 Welcome to another empowering episode of **We Go Boldly**, the podcast dedicated to celebrating women stepping into their power and living their most authentic lives! We're proud members of the Power Moms Network, where we uplift and empower mothers, fostering a community of support and mentorship for moms everywhere. This season, we're diving deep into what it means to take control of your life, break free from limiting beliefs, and intentionally craft your own narrative. We're featuring inspiring guests who share their wisdom, helping you rewrite your story with purpose and authenticity. --- Today's Guest: Russ Terry We're thrilled to welcome **Russ Terry** to the show! Russ is a renowned Coach, Motivational Speaker, and HR/Diversity Consultant who has coached over 1,000 professionals from leading companies like Microsoft, Google, and PwC. He's also delivered impactful talks at organizations including NASA, United Airlines, the FBI, Aetna, and L'Oréal. Russ specializes in:- Executive Coaching- Career Coaching- Confidence Building- Time Management- Self-Care He presents on 35+ topics, ranging from Coaching, Human Resources, Diversity, Leadership, Management Skills, Communication, Career Development, and the transformative power of Gratitude. Before coaching, Russ's diverse career included roles as a CPA, TV Anchor & Reporter, and Human Resources professional. He's also the author of a 4-part book series on Gratitude. --- In This Episode: - How to break free from limiting beliefs and become the author of your own story- Practical strategies for building confidence and managing your time- The importance of self-care and gratitude in personal and professional growth- Russ's unique journey and insights on leadership, diversity, and career transformation --- Don't Miss Out! If you're ready to step boldly into your power, this episode is packed with actionable advice and inspiration to help you take control of your narrative.  Subscribe, rate, and review We Go Boldly on your favorite podcast platform! Connect with us on social media and join the conversation using #WeGoBoldlyPodcast and #PowerMomsNetwork. **Resources Mentioned:**- www.goboldlyinitiative.com/weeklycircle- Keywords: Did you enjoy this episode? We would love to hear your thoughts and more about your personal development journey. Head to Apple Podcasts and then rate, review, and subscribe. This way you will get notified once a new episode goes live. Don't forget to find us and subscribe on YouTube too. CONNECT WITH RIELLY AND TOVAHInstagram: https://www.instagram.com/goboldlytogether/Website: goboldlyinitiative.com or https://we-go-boldly-podcast.simplecast.com/YouTube:https://www.youtube.com/channel/UCsPh8gu_ugJqvvnYiuRSyPQLinkedIn: https://linkedin.com/company/go-boldly-initiativePatreon: https://www.patreon.com/wegoboldlyFacebook: https://www.facebook.com/GoBoldlyTogetherPinterest: https://www.pinterest.com/GoBoldlyTogether/

The future of senior care is here—and it's powered by technology, personalized support, and the strength of strategic partnerships. In this special episode, we're joined by three visionary leaders transforming the way seniors receive care: Dr. Ali Khan, Chief Medical Officer for Medicare at Aetna; Dr. Marc Watkins, Chief Medical Officer at Kroger Health; and Brian Urban, Head of Commercial Strategy and Population Health at Best Buy Health. Together, they explore how technology, access to nutrition, human-centered design, and collaboration can solve some of the most pressing challenges in senior care. Dr. Khan emphasizes building ecosystems that blend tech with human touch, from broadband infrastructure to virtual PT with language support. Dr. Watkins highlights the role of pharmacists and retailers in delivering smarter, more accessible care through food scoring systems and telehealth integration. Brian Urban explains how smart home devices, personal tech support, and AI are helping seniors live safely and independently—while reducing social isolation and hospital visits. From personalized nutrition to AI-powered care delivery, tune in to discover how these cross-industry leaders are taking bold action to build a more connected, compassionate future for aging adults! Resources:  Connect and follow Dr. Ali Khan on LinkedIn. Learn more about Aetna, a CVS Health Company, on their LinkedIn and website. Connect and follow Dr. Marc Watkins on LinkedIn. Learn more about Kroger on their LinkedIn and website. Connect and follow Brian Urban on LinkedIn. Learn more about Best Buy Health on their LinkedIn and website.

The Friday Five for May 9, 2025: Rite Aid Files for Chapter 11 Bankruptcy Again Apple WWDC 2025 Dates & Rumors Discount Medicare Insurance Scam Alert Rueppel Recommends Books & Streaming Picks May 2025 Aetna Health Plans to Exit ACA Marketplace for CY 2026   Rite Aid Files for 2nd Chapter 11 Bankruptcy: Download the “Rite Aid Letter to Customers - May 5, 2025.” Restructuring.Ra.Kroll.Com, Kroll Restructuring Administration, restructuring.ra.kroll.com/RiteAid/Home-DownloadPDF?id1=MzM0MTA2Mg%3D%3D&id2=0. Accessed 6 May 2025. Grothaus, Michael. “Rite Aid Bankruptcy: What to Know about Store Closings, Prescription Transfers, Layoffs, Gift Cards, and More.” Fastcompany.Com, Fast Company, 6 May 2025, www.fastcompany.com/91329223/rite-aid-bankruptcy-2025-stores-closing-prescription-transfers-gift-cards. Arias, Pilar. “Rite Aid Files for Bankruptcy for Second Time in Less than 2 Years.” Foxbusiness.Com, Fox Business, 6 May 2025, www.foxbusiness.com/economy/rite-aid-files-bankruptcy-second-time-less-than-2-years. Powel, James. “Rite Aid Files for Chapter 11 Bankruptcy, Promises ‘smooth Transfer' of Prescriptions.” Usatoday.Com, Gannett Satellite Information Network, 6 May 2025, www.usatoday.com/story/money/retail/2025/05/05/rite-aid-chapter-11-bankruptcy/83467189007/. “Rite Aid Store Locater.” Riteaid.Com, Rite Aid, www.riteaid.com/locations/. Accessed 6 May 2025. Urie, Daniel. “Rite Aid Tells Vendors It ‘Has Generally Stopped Purchasing Goods and Services.'” Pennlive.Com, PennLive, 5 May 2025, www.pennlive.com/business/2025/05/rite-aid-tells-vendors-it-has-generally-stopped-purchasing-goods-and-services.html. Mills, Sean I. “What to Do with Your Prescriptions Now That Rite Aid Is Closing All Stores.” Romesentinel.Com, Daily Sentinel, 6 May 2025, www.romesentinel.com/news/rome-new-hartford-rite-aid-store-closings/article_98f2300b-600c-4937-b8d0-686ece8d36e9.html.   Apple WWDC 2025 Dates & Rumors: Lovejoy, Ben. “90% of People Shouldn't Buy the iPhone 17 Air, per Apple.” 9to5mac.Com, 9to5Mac, 6 May 2025, 9to5mac.com/2025/05/06/90-of-people-shouldnt-buy-the-iphone-17-air-per-apple/. Schroeder, Stan. “Apple Is Planning a New iPhone Launch Schedule, Report Claims.” Mashable, Mashable, 5 May 2025, mashable.com/article/apple-iphone-launch-schedule. “iOS 7 vs iOS 6 Side-by-Side Visual Comparisons.” Osxdaily.Com, OS X Daily, osxdaily.com/2013/06/11/ios-7-vs-ios-6-visual-comparison/. Accessed 6 May 2025. Christoffel, Ryan. “iOS 19: Three New Features Are Being Announced next Month.” 9to5mac.Com, 9to5Mac, 5 May 2025, 9to5mac.com/2025/05/05/ios-19-three-new-features-are-being-announced-next-month/. Clover, Juli. “iOS 19: Everything We Know.” Macrumors.Com, MacRumors, 5 May 2025, www.macrumors.com/roundup/ios-19/.   Discount Medicare Insurance Scam Alert: “Emerging Discount Medical Insurance Scams.” Ic3.Gov, Internet Crime Complaint Center (IC3), 30 Apr. 2025, www.ic3.gov/PSA/2025/PSA250430. Dimuro, Claudia. “FBI Alerts Public in Pa., beyond to Emerging Scam: Here's What to Know.” Pennlive.Com, PennLive, 5 May 2025, www.pennlive.com/life/2025/05/fbi-alerts-public-in-pa-beyond-to-emerging-scam-heres-what-to-know.html. Burman, Theo. “FBI Issues New Warning Over Health Insurance Scams.” Newsweek.Com, Newsweek, 6 May 2025, www.newsweek.com/fbi-issues-new-warning-over-health-insurance-scams-2068626.   Rueppel Recommends: Wynn-Williams, Sarah. “Careless People: A Cautionary Tale of Power, Greed, and Lost Idealism.” Spotify, Flatiron Books, open.spotify.com/show/279JRLPYDjvmsS81C7SOzg?si=215e5504c3ea4510. Accessed 6 May 2025. Ridgely, Charlie. “Everything Coming to Netflix, Max, Disney+ & Other Streaming Services in May 2025.” ComicBook.Com, ComicBook, 30 Apr. 2025, comicbook.com/tv-shows/news/new-streaming-movies-tv-shows-may-2025-netflix-disney-max/. Bet-David, Patrick. “Your Next Five Moves: Master the Art of Business Strategy.” Spotify, Gallery Books, https://open.spotify.com/show/1mCTkhoZxUOH6iA9b8Dx2y?si=b11263c88e3a43ff. Accessed 6 May 2025. Bet-David, Patrick. Your Next Five Moves, Gallery Books, www.yournextfivemoves.com/. Accessed 6 May 2025.   Aetna Health Plans to Exit ACA Marketplace for CY 2026: Minemyer, Paige. “Aetna to Exit the ACA Exchanges in 2026.” Fiercehealthcare.Com, Fierce Healthcare, 1 May 2025, www.fiercehealthcare.com/payers/aetna-exit-aca-exchanges-2026. Pifer, Rebecca. “CVS Plans to Exit ACA Individual Exchanges, Strikes Wegovy Deal with Novo Nordisk.” Healthcaredive.Com, Healthcare Dive, 1 May 2025, www.healthcaredive.com/news/cvs-aetna-exit-aca-novo-nordisk-wegovy-deal/746833/. Japsen, Bruce. “CVS Plans To Exit Obamacare In 2026, Affecting 1 Million Aetna Members.” Forbes.Com, Forbes Magazine, 1 May 2025, www.forbes.com/sites/brucejapsen/2025/05/01/cvs-plans-to-exit-obamacare-in-2026-impacting-1-million-aetna-members/. How Plan Crosswalks Work in the ACA Marketplace: https://lnk.to/ASG664   Resources: 5 Myths About Selling ACA Health Insurance Plans: https://lnk.to/asg660  5 Things from the CMS 2026 MA and Part D Final Rule: https://lnk.to/asgf20250502  Agent Requirements for ACA Sales: https://lnk.to/ASG662 Learn How to Sell ACA Products During the Off-Season ft. Danica Stover: https://lnk.to/asg661  Leveling Up: From Chill Mode to Growth Mode ft. Christian Brindle: https://lnk.to/brindle2025   Follow Us on Social!  Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Not affiliated with or endorsed by Medicare or any government agency. Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.

In this episode, Jakob Emerson, Associate News Director at Becker's Healthcare, joins Scott Becker to discuss surprising Q1 trends in the insurance market, including the rise of niche health plans and challenges facing major players like UnitedHealth and Aetna. They also dive into a DOJ lawsuit against major insurers over alleged Medicare Advantage kickback schemes.

The United States Supreme Court rules against hospitals in an ongoing case about disproportionate share hospital payments. Aetna announces it will leave the healthcare exchanges. And, Novo Nordisk is partnering with telehealth companies to expand access to its GLP-1 drugs. Those stories and more coming up on today's episode of the Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.

Get access now to 7 Figure Medicare University:Lifetime access:https://sevenfigureu.com/​In this episode of Seven Figures or Bust, we delve into CVS Health's significant decision to exit the Affordable Care Act (ACA) individual insurance exchanges by 2026.This move will impact approximately 1 million Aetna members across 17 states, as the company shifts its focus toward more profitable sectors like Medicare and Medicaid. We discuss the implications for agents and clients, exploring how this strategic pivot could reshape the health insurance landscape.Gets Leads from Lead heroes here: https://leadheroes.com/Learn more about getting your own VA with Hire Heroes here:  https://app.hireheroes.com/signup?fpr=christian43Join our free private Facebook group for insurance agents: https://www.facebook.com/groups/551409828919739/          Welcome to the Christian Brindle channel brought to you by Christian Brindle & Christian Brindle Insurance Services. This channel is here for the sole purpose of bringing training, tips, success stories, and personal development from Christian Brindle. Christian is a published author, hosts the ever popular Everything Medicare Podcast, and made six figures in the Medicare business by the time he was 25 years old.

In this episode I introduce a new energy story to the show: Jericho Energy Ventures (TSX.V:JEV - OTC:JROOF - FRA:JLM).   I'm joined by Brian Williamson, CEO of JEV, for a comprehensive look at the company's evolution from conventional energy operations to next-generation infrastructure.   Key Themes Discussed: Oil & Gas Foundations: Jericho's portfolio includes low-decline, cash-flowing assets in central Oklahoma, developed with a long-term focus on existing infrastructure and equity partnerships. New Growth Path – Modular Data Centers: Leveraging stranded natural gas and fiber-optic proximity to power modular data centers—offering lower-cost, scalable alternatives to hyperscale builds. This initiative is positioned to address AI-driven demand and grid constraints. Digital Real Estate Model: Jericho aims to own and operate modular units, while tenants customize the compute side. Future plans include partnerships with nearby gas producers to expand this model across underutilized fields. Hydrogen Technologies: A secondary business line focused on industrial decarbonization, with near-term deployments including a boiler retrofit at a major university and a high-temperature alkaline electrolyzer solution through its Aetna subsidiary. Investment Outlook: With a current ~$55M market cap (CAD), Jericho is aiming to re-rate from a traditional microcap energy play to a tech-enabled infrastructure story, potentially attracting new investors and valuation multiples.   More questions for Brian. Please email me (Fleck@kereport.com) or comment below.    Click here to visit the Jericho Energy Ventures website to learn more about the company.

David Edelman, Executive Advisor and Senior Fellow at Harvard Business School, joined Jamie Flinchbaugh on the People Solve Problems podcast to discuss personalization and customer strategy in the age of AI. As the founder of Edelman Advisory Services, David brings over 30 years of experience as a thought leader in marketing, personalization, and technology. David emphasized that AI in personalization goes beyond marketing to transform the entire customer experience. He explained the distinction between mass customization of the 1990s and today's AI-powered personalization. While mass customization focused on modularity and customer selection, modern personalization uses proactive data analysis to anticipate customer needs and create new value. To illustrate this, David shared the example of Sysco, the food delivery company. Their app uses customer data to identify a restaurant's menu style, price points, geographic considerations, and purchasing patterns. Within 300 milliseconds of opening the app, Sysco can provide personalized recommendations, even suggesting new menu items that incorporate discounted ingredients from nearby warehouses. This approach has helped Sysco grow 50% faster than industry averages since launching the app. When discussing how the C-suite should approach AI and customer engagement, David noted that while organizational structures vary, many companies now designate someone to lead customer experience initiatives. This might be a Chief Marketing Officer, Chief Experience Officer, or Chief Digital Officer. He stressed that whoever takes this role must prioritize empowering customers rather than merely manipulating them or cutting costs. Companies growing fastest through personalization consistently start with the goal of addressing customer challenges. For executives who didn't grow up in the AI age, David recommends getting "hands dirty" with the technology. While having a strong sense of strategy remains essential, leaders need to pair this with understanding the art of the possible in AI. He shared his experience as CMO at Aetna, where he identified that customers struggled to understand their health insurance. By partnering with a digitally savvy team member, they implemented personalized videos explaining each member's specific plan. This resulted in 70% of people watching the videos and a 20% reduction in call center volume. David addressed the challenges of integrating AI with legacy systems and data quality issues. He explained that generative AI is increasingly able to integrate disparate databases, but organizations must still prioritize data as an asset. At Sysco, for example, salespeople must input detailed account information, including menus and prices, before receiving credit for signing a new customer. On the topic of data privacy, David noted that perceptions vary widely – "one customer's creepiness is another customer's 'wow'." He recommends small-scale, rapid-cycle testing to determine appropriate boundaries for different customer segments. David concluded with advice for leaders looking to explore AI: spend 15 minutes daily using Large Language Models as assistants, experiment with image generation capabilities, and challenge functional teams to improve throughput by 30% using AI – not to eliminate jobs but to scale operations and create new customer value. For more insights from David Edelman, visit his website at https://www.edelmanadvisoryservices.com, learn about his book "Personalized: Customer Strategy in the Age of AI", or connect with him on LinkedIn at https://www.linkedin.com/in/daveedelman/.

Dr. Ali Khan has spent his career at the intersection of medicine, public policy, and value-based care. He's also been at the forefront of some of the country's most innovative care delivery models—from Iora Health and CareMore to Oak Street Health and now Aetna, where he serves as Chief Medical Officer of Medicare at Aetna, a CVS Health company. In this episode, Keith Figlioli sits down with Dr. Khan for a conversation about Medicare's future—and what it will take to make the promise of better, more affordable healthcare a reality. A general internist by training, Dr. Khan's path into healthcare began with a deep curiosity about the broader systems shaping people's health. That curiosity took him from Harvard Kennedy School to the exam room to health plans and startups focused on reimagining the primary care experience for complex, underserved populations. Throughout his career, he's gravitated toward organizations trying to solve public-sector problems with private-sector solutions—building care models that prioritize trust, access, and long-term outcomes. Now at the helm of a Medicare Advantage program serving 4.2 million members, Dr. Khan brings a unique vantage point. In this conversation, he shares hard-earned lessons on care model design, what payers and providers need from each other, and why Medicare is at an inflection point. He makes a compelling case for a renewed focus on the fundamentals—not just risk adjustment or benefit design, but operational follow-through, last-mile care coordination, and culturally grounded team-based models that scale. Dr. Khan and Keith discuss: Building care models that hold up under pressure. From Iora to Oak Street, Dr. Khan has seen firsthand that delivering better outcomes at scale requires more than mission—it takes structural rigor. He unpacks four key dimensions—cultural, clinical, operational, and technological—and explains why lasting impact depends on aligning all of them. Whether it's equipping care teams to deliver in complex communities or building systems that can flex and scale, success hinges on getting the foundation right. Why affordability isn't enough—and where Medicare Advantage must go next. With over half of Medicare beneficiaries now enrolled in MA plans, Dr. Khan argues it's time to move beyond the value prop of supplemental benefits and zero-dollar premiums. The next chapter is about proving clinical excellence at scale. That means prioritizing follow-through over features—removing last-mile barriers, improving care coordination, and designing experiences people actually trust.  From transactional to transformative: the evolving role of health plans. Plans have long relied on contractual structures to drive change, but Dr. Khan believes that era is fading. To deliver on the promise of value-based care, plans must shift from passive administrators to proactive partners—investing in infrastructure, surfacing actionable insights, and enabling providers to succeed across Medicare, Medicaid, and commercial populations alike. Where AI meets care delivery. Dr. Khan reflects on the potential of AI to reduce clinical variation, improve medication management, and drive better follow-up for patients—especially those with chronic conditions. But he cautions that technology alone won't move the needle. To truly unlock AI's value in Medicare, plans and providers must embed it within human-centered systems, coordinate care in real time, and ensure new tools support—not replace—the relationships that matter most. As Dr. Khan notes, we're entering a “put up or shut up” era for Medicare Advantage, where scrutiny is high and proof points matter. Yet within that pressure lies opportunity—particularly for those willing to do the unglamorous work of identifying barriers, building connective tissue, and supporting clinical teams in the trenches.

Ken Gosselin calls in to discuss the big AETNA building in Hartford and how CVS has been struggling.

Medicare Advantage Minute: MA in the headlines...10 recent updates! Your Medicare Benefits 2024: Are routine eye exams covered? How about with diabetes? How about with macular degeneration? How about some correspondence from clients?  Brian wanted some details about the Medicare supplement application process. One important fact is that the insurance company will draw the initial premium right away on the date of approval. Also, after discussing the Medicare situation with friends, he confirmed a fact featured in Medicare for the Lazy Man: Many people are not told about the High Deductible Medicare supplement plan option. Their loss! Finally, an explanation of the fact that Aetna or any other supplement is almost immaterial. Medicare itself does the approvals, the Medicare supplement is just along for the ride. It makes very little difference what company sold you the plan. Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+)                   Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com.

Sean Callahan sits down with Gene Canter from Aetna to discuss the unique relationship Aetna and Savoy bring broker partners in the Florida market and beyond. ✔ How Aetna is improving primary care access with strong networks, virtual care & CVS MinuteClinic ✔ Ways to make quoting & onboarding easier for brokers and employers ✔ How Aetna meets the unique needs of small businesses Want to partner with Aetna and Savoy? Contact our team today: https://www.savoyassociates.com/Group-Health-Plans

What do marine biology, massage therapy, and managing a Chamber of Commerce have in common? Moe's career journey.In this episode of Embrace the Squiggle, Colleen sits down with Moe Belliveau, the Executive Director of the East Hampton Chamber, for a conversation that's anything but linear. With Kristine away, Colleen dives into Moe's fascinating path, from dreaming of becoming a marine biologist, to drawing blueprints in architectural drafting, navigating the structure of corporate life at Aetna, building a massage therapy business from scratch, and ultimately leading her local Chamber of Commerce.Moe's story is a masterclass in reinvention. She shares how she leaned into uncertainty, took strategic risks, and embraced career pivots that may have seemed disconnected on paper- but made perfect sense in practice. Whether you're feeling stuck, curious about starting over, or simply love a good reinvention story, this episode will leave you inspired to follow your own squiggly path.

It's hard to overstate how consequential President Trump's “Liberation Day” tariffs have been for American economic policy. While the administration has paused the steep reciprocal tariffs it announced on trading partners other than China, a flat across-the-board 10% tariff remains. And China has raised tariffs on all U.S. goods to over 100% in retaliation.  Some economists fear this trade war could have a seismic impact across the American economy, including on clean energy. The exceptionally high tariffs on China in particular could have a significant bearing on clean tech products — things like batteries, solar panels, and wind turbines. So what are the possible outcomes? Do our trade deficits or national security imperatives necessitate this trade war? What would a turn away from globalization mean for efforts to confront climate change? And what does all of this mean for the future of industrial policy in the U.S.? This week, Jason Bordoff talks with Jason Furman about the flurry of Trump administration tariffs and how they could play out for the energy industry. Jason Furman is Aetna professor of the practice of economic policy at Harvard University. Prior to his appointment at Harvard, he served as a key economic advisor to President Obama, including as the chair of the Council of Economic Advisors. Jason played a key role in implementing the major economic policy initiatives of the Obama administration, including the American Recovery and Reinvestment Act and the Affordable Care Act.  Credits: Hosted by Jason Bordoff and Bill Loveless. Produced by Mary Catherine O'Connor, Caroline Pitman, and Kyu Lee. Additional support from Trevor Sutton. Engineering by Sean Marquand. Stephen Lacey is executive producer.

Lawrence Ward will mark his first year as University of Hartford president in July. Ward sat down with the CBIA BizCast to discuss his journey to lead UHart, his first year, and his goals for the university. UHart is something of a homecoming for Ward, who grew up in Vernon and graduated from the University of Connecticut. Ward's career actually started in sales and marketing at Aetna. But said the “seeds for being an educator were first planted as a young child.” Ward said growing up, he looked up to his mother—a high school social studies teacher. With the help of several mentors, Ward shifted to consulting for an organizational training company, and ultimately becoming an associate dean at American University and a dean and vice president at Babson College. Ward said he was drawn to UHart's ethos of being a private university that works to serve the public good. He also said coming back to Hartford was a full-circle moment for his family. Ward's grandmother, who didn't have more than an eighth grade education, worked as a chambermaid to help put three children through school. “The only thing that makes my story possible, and that of my family, is the promise of higher education,” he said. “So it's really important, it's very personal, and it is a tremendous honor to come back as president.” Ward became president during a period of transition for the university. That includes post-COVID financial realities and the controversial decision to shift from Division I to Division III athletics. “I have a challenge of rebuilding confidence in this institution and rebuilding confidence in ourself organizationally,” he said. “That's a cultural challenge.” Ward said its been important to him to be present, engaged, and accessible to really understand the community. "I really prided myself on these first nine months, on doing exactly that," he said. "I have been really heartened by the university community's response to me and my leadership." Ward said his immediate goal is to make UHart a preferred destination for students and families. A big part of that is developing programs that prepare students for in-demand careers like nursing, robotics, and business. “We've got some really strong market-facing in-demand programs, and we need to match that with really high-quality student focused experience on campus,” he said. To do that, Ward said they are stepping up their efforts to engage with companies to create unique partnerships that will create career pipelines for students, benefitting the businesses and the university. Ward said as the university evolves, it's important they live up to their name and help lift up the Hartford community. “We feel as though we have a responsibility as a University of Hartford to be supportive,” he said. “Success for the region will mean success for the University of Hartford.” The CBIA BizCast is made possible through the generous support of Google. Please rate, review, and subscribe to the BizCast wherever you get your podcasts—we appreciate your support! If you have a story to tell, contact Amanda Marlow. Related Links: University of Hartford Website: https://www.hartford.edu/ LinkedIn: https://www.linkedin.com/school/university-of-hartford/ Lawrence Ward on LinkedIn: https://www.linkedin.com/in/lawrencepward/ CBIA Website: https://www.cbia.com/ LinkedIn: https://www.linkedin.com/company/cbia/

In this episode, Jane Brown, Vice President of Medicaid Strategic Support and Oversight at Aetna, discusses the evolving Medicaid landscape. She shares insights on improving connectivity, driving value-based care, and empowering both providers and beneficiaries through data and technology.

In this episode, Jane Brown, Vice President of Medicaid Strategic Support and Oversight at Aetna, discusses the evolving Medicaid landscape. She shares insights on improving connectivity, driving value-based care, and empowering both providers and beneficiaries through data and technology.

Jeff was joined by Anchorage resident Brandon Kennedy. They discuss a medical event his son Marcus had at the Mountain View Boys and Girls Club during a basketball game last August, his son's time at Alaska Regional Hospital, the start of the problems he had with Aetna when his son needed to go to a brain injury facility outside of Alaska, how his son eventually ended up at Shirley Ryan in Chicago, the insurance nightmare he has had to deal with since his son went to Chicago, and some of the help he and his family have gotten along the way. You can view the GoFundMe and more information here. 

Welcome to the Health Marketing Collective, where strong leadership meets marketing excellence.In today's episode, we're talking about the transformative power of personalization in health care marketing with David Edelman, author of "Personalized: Customer Strategy in the Age of AI," and former Chief Marketing Officer at Aetna. As health care continues to evolve, understanding and implementing personalized customer experiences becomes critical, especially as AI begins to shape patient engagement and expectations.David brings his vast experience and insights into why personalization is not just a marketing tool but a necessary strategy in the healthcare sector. He shares his journey and the lessons learned during his tenure at Aetna, providing a blueprint for how healthcare organizations can adopt AI-driven personalization to revolutionize patient interactions and increase satisfaction.We're diving deep into the principles of personalization, the role of AI in customer experience, and how healthcare brands can balance between personalization and privacy. David also discusses how personalization is taking shape in both B2B and B2C spaces and how essential it is for companies to align their entire organization around customer experience.Thank you for being part of the Health Marketing Collective, where strong leadership meets marketing excellence. The future of health care depends on it.Key Takeaways:Personalization as a Necessity in Health Care: David Edelman emphasizes that health care's inherently personal nature makes personalization more crucial than ever. Patients' experiences are deeply personal, involving complex health and social factors, and brands must tailor interactions to their unique needs to be effective.AI's Role in Personalization: AI offers unprecedented opportunities for personalizing healthcare experiences. By using AI to manage, analyze, and learn from vast quantities of data, healthcare brands can deliver more relevant and timely engagements, enhancing patient satisfaction and loyalty.Balancing Personalization and Privacy: David discusses the importance of respecting privacy while implementing personalization strategies. Through secure data handling, clear consent processes, and thoughtful communication strategies, health care organizations can effectively balance personalization with privacy concerns.Company-Wide Customer Experience Initiatives: Personalization and customer experience strategies must be company-wide. David illustrates that a comprehensive approach involving all departments—from marketing to compliance—is necessary to ensure success in delivering personalized customer experiences.Education through Personalization: One practical application of personalization is educational—David shares how Aetna utilized personalized video experiences to educate consumers about their health plans, significantly reducing misunderstandings, improving customer satisfaction, and cutting down on support calls.Join us for these valuable insights and be inspired to drive change and innovation in healthcare marketing.

Ben Kaplan sits down with Mark Bertolini, CEO of Oscar Health and former head of Aetna, to break down one of the biggest healthcare turnarounds in recent history.Oscar Health was bleeding cash, fully dependent on the Affordable Care Act, and struggling to turn a profit. Within just 10 weeks, Mark uncovered $1.4 billion in hidden opportunities, restructured the business, and set it on a path to profitability for the first time ever.In this episode, Mark reveals:Why Oscar's original founders avoided hiring healthcare experts—and how that nearly doomed the company.How AI and large language models cut costs by 1400 basis points.The high-stakes reality of running a company that depends entirely on the U.S. government.His no-nonsense approach to leadership, from fixing broken businesses to out-negotiating industry giants like CVS.What most CEOs get wrong about running a business—and why courage and curiosity matter more than anything else.This is a must-listen for anyone in business, tech, or leadership, as Mark and Ben break down what it really takes to transform an industry built to resist change.

Megan Lowry, Marine Corps Veteran, Veteran Wellness Specialist, and citizen of the Muscogee Nation is our guest today on the Hoffman Podcast. Megan's story is one of hope. She held 'a kernel of hope' when she came to the Hoffman Process in 2015. As a Native American, Megan wasn't sure how she would navigate the week of the Process. She shares, "Being Native, there's things that we do to grieve and things that we never show and never talk about just, culturally, and so just bringing all of that to the Hoffman process, it was intimidating." Megan served our country in the Marine Corps and then in the Secret Service for President, George W. Bush and First Lady, Barbara Bush. The military was where Megan gained so much, yet it was a place that also caused her great harm. She grew and learned to "adapt and overcome," but she suffered both sexual and emotional abuse during those years. After leaving the service, she found herself having a difficult time. Then she was fortunate to meet Lee Lesser, founder of Veteran's PATH. Lee became a mentor to Megan, helping Megan find a path of healing path that included the Hoffman Process. Now a PhD student, Megan continues to heal her significant PTSD while bringing her many skills and wisdom to serve as the commander of the Muscogee Creek Nation women's honor guard and support Veterans in finding healing and well-being. For her dissertation, Megan intends to highlight the need for a blend of healing modalities, such as talk and recreational therapies, and ties to the community to give you purpose. Megan says, "It's not just one thing or another, it's a blend of so many things, of so many pieces to create the human experience." Content warning: This episode references sexual assault, emotional trauma, and suicide. If you or someone you know is considering suicide, you can call the US National Suicide Prevention Program at 800-273-8255 or message the crisis text hotline at 741741. If you are a veteran, you can also reach out to the Veterans Crisis Line. More about Megan Lowry: Megan is a Marine Corps Veteran who served as a military police officer and presidential security. She resides in Oklahoma on the Muscogee Creek Nation Reservation with her family, caring for her aging mother and two special needs stepdaughters. Her partner builds hot rods! Megan is also serving as the commander for the Muscogee Creek Nation women's honor guard, where they are asked to travel the country providing tribal veteran representation for ceremonies. Megan received her sociology degree and her Master's in Social Work. She is working on her PhD in Psychology while also working full-time as a Veteran Wellness Specialist. She covers the state of Oklahoma for Aetna and is also on the national leadership team for veterans and native resource groups. Megan has 10 dogs, 7 chickens, 2 ducks, a pig named Pumba, and a bunny named Iggy Hop. In her free time, Megan likes to garden, be outside, cycle, and meditate.  As mentioned in this episode: Mvto - "Thank you." in Muscogee Creek •   More on the Muscogee Creek language Read and watch more about Megan and her life at the University of Tulsa website. Lee Lesser •   Sensory Awareness Retreat •   Veteran's Path Secret Service, Serving President George W. Bush and First Lady, Barbara Bush •   Interview with Megan about the process of applying to the Secret Service •   Megan received the Marcy Lawless Service Award Marine Corps Military Police •   Military Sexual Trauma PTSD - Posttraumatic Stress Disorder Conex Box Muscogee Creek Nation Reservation Muscogee Creek Nation women's honor guard Suicide in the Military Veteran's Mental Health Congresswoman, Jackie Speier Invisible Wounds Documentary Vanessa Guillen Service dog, Therapy dog,  vs. Emotional Support dog PTSD Dysregulation "It's literally...your ordinary brain trying to cope with an extraordinary situation, and that is human.

Today's episode features David Edelman, Harvard Business School fellow and author of Personalized: Customer Strategy in the Age of AI. David shares his career journey from consulting at BCG to leading digital transformation at Digitas, McKinsey, and Aetna. He explains why personalization is more than just a marketing tactic—it's a strategic tool to enhance customer experience and drive business growth. The discussion explores real-world examples from Starbucks, Spotify and Aetna, highlighting both the opportunities and challenges of AI-driven personalization. David also introduces the Personalization Index, detailing five key dimensions that separate industry leaders from laggards. Finally, he offers insights on how companies can use AI and data to improve customer engagement and financial performance. [01:14] David's Career Journey [04:33] The Importance of Personalization [08:36] Personalization in Customer Experience [14:46] Motivation Behind Writing the Book[16:39] The Personalization Index and Its Dimensions[23:13] Unlocking New Opportunities with PersonalizationConnect with DavidLinkedIn: www.linkedin.com/in/daveedelmanWebsite: www.edelmanadvisoryservices.com

Sandra Cho and Brian Tanquilut break down CVS Health's (CVS) earnings. Sandra calls the report a “huge sigh of relief” after a big drop last year. She says boosting Aetna's profitability will be key to CVS's business. Brian discusses the guidance, saying “there's a lot of excitement about the turnaround” CVS is going through.======== Schwab Network ========Empowering every investor and trader, every market day.Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-...Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-...Watch on Sling - https://watch.sling.com/1/asset/19192...Watch on Vizio - https://www.vizio.com/en/watchfreeplu...Watch on DistroTV - https://www.distro.tv/live/schwab-net...Follow us on X – / schwabnetworkFollow us on Facebook – / schwabnetworkFollow us on LinkedIn - / schwab-networkAbout Schwab Network - https://schwabnetwork.com/about

Richard Feifer, MD, Chief Medical Officer of InnovAge, joins Eric to explore the transformative potential of the PACE (Program of All-Inclusive Care for the Elderly) model. Richard shares compelling stories and strategies showcasing how PACE integrates medical, physical, social, and emotional care to improve outcomes for seniors and individuals with complex needs. Listeners will gain insights into: The unique interdisciplinary care team (IDT) approach and how it delivers personalized, efficient care. Innovations in reducing hospitalizations and shifting care to home-based settings. Lessons on advanced care planning and end-of-life support that prioritize patient goals. Operational strategies for managing costs while maintaining exceptional patient experiences. Richard explores the economic and practical sustainability of the PACE model, providing actionable insights for healthcare leaders aiming to replicate its success.   About Richard As a physician executive with broad healthcare industry experience, Dr. Richard Feifer helps organizations achieve their fullest potential in an ever-changing environment. Rich is a board-certified internist with clinical experience in primary care, geriatrics, and urgent care medicine.  As a health system leader, he has also developed expertise in population health management, value-based payment models, clinical analytics, and technology-driven healthcare transformation.   Rich has dedicated his career to improving the quality and efficiency of healthcare and the health of populations he has served. Most recently, as executive vice president and chief medical officer of Genesis HealthCare, he led one of the nation's largest skilled nursing and long-term care providers, operating over 400 facilities in 25 states in 2019. As president of Genesis Physician Services, a Genesis subsidiary with over 450 physicians, nurse practitioners, and physician assistants in 2019, he navigated the successful transition to value-based care delivery. In that capacity, he also launched and served as chief medical officer of the only national accountable care organization focused on nursing home residents, LTC ACO.   Prior to joining Genesis, Rich was Aetna's chief medical officer of National Accounts, leading the department of Clinical Consulting, Strategy, and Analysis, which helped large employers improve the health and productivity of their employees and dependents. Before Aetna, Rich served as vice president of Clinical Program Innovation and Evaluation at Medco, where he was responsible for the organization's portfolio of care enhancement programs.   A graduate of Brown University and the University of Pennsylvania School of Medicine, Rich received his master's in health services management from Columbia University. He is an assistant clinical professor at the University of Connecticut and a board member of the Accreditation Commission on Health Care.    About InnovAge Our passion and mission is to help frail seniors age in their own homes with dignity. InnovAge has done this through PACE for more than 30 years.    As the largest provider of the Program of All-inclusive Care for the Elderly (PACE) based on participants served, InnovAge is dedicated to expanding this successful program to serve as many seniors as possible nationwide. In some communities, like Philadelphia, PACE is known as Living Independence for the Elderly.    With InnovAge's Program of All-inclusive Care for the Elderly (PACE), older individuals have a team of healthcare professionals focused on providing all the connected care they need. This helps seniors live at home for as long as possible, instead of going to a nursing home or other care facility. 

Terry Brooks is joined by Kelly Pullen, Executive Director of the Aetna Better Health® of Kentucky's Supporting Kentucky Youth (SKY) program. We hear more about the long term impacts of Adverse Childhood Experiences (ACEs) and the role Positive Childhood Experiences (PCEs) has in mitigating adversity. Terry and Kelly also reflect on the SKY program's ACEs prevention and intervention efforts and how all Kentuckians can play a role in preventing adversity and promoting resilience building among children. Aetna Better Health of Kentucky is the signature sponsor of the 2024 Kentucky KIDS COUNT Data Book and the Making Kids Count podcast. Visit AetnaMedicaidKY.com/choose to learn more about their health care benefits and programs designed with your family's wellbeing in mind.

In The MA Minute: Medicare Advantage Plans Need More Oversight; Less Overpayment! Do you dream of bariatric surgery? Wonder whether Medicare will pay for it? Apparently it depends on the extent of your obesity. We pay a visit to "Your Medicare Benefits 2024" to find out. ACCENDO, an Aetna subsidiary providing Medicare advantage plans, appears to be drastically reducing the number of states in which it will do business in 2025. What might the consequences be? One client needs Evenity injections for a year. Her thought is that she will be writing big cost-sharing checks due to her Plan HDG. My thought is that her savings over the past few years, if stashed away, will help to defray this extra expense. Finally, another client discovers that he under-reported income which might have resulted in a modestly larger IRMAA penalty. He wonders if it would be best to turn himself in to the IRS or should he wait for them to hunt him down like the cur that he is.? Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+)                   Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2024; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com.

Howie and Harlan discuss health and healthcare headlines, including misaligned incentives keeping medicine from its mission, burdensome out-of-pockets costs, ultraprocessed foods, and serving the growing population of cancer survivors effectively. Links: Vivek Murthy's parting letter to America “Surgeon General Urges Americans to 'Rethink How We're Living Our Lives' in Closing Letter to the Country (Exclusive)” Discontent with the Health System in the United States “View of U.S. Healthcare Quality Declines to 24-Year Low” “What We Know About the UnitedHealthcare C.E.O.'s Killing and the Suspect” “Killing of UnitedHealthcare CEO brings resentment of the health care system to the fore” “Out‐of‐Pocket Annual Health Expenditures and Financial Toxicity From Healthcare Costs in Patients With Heart Failure in the United States” Bird Flu “First Bird Flu Death in U.S. Reported in Louisiana” “First H5 Bird Flu Death Reported in United States” “H5N1 Bird Flu” “Eyeing Potential Bird Flu Outbreak, Biden Administration Ramps Up Preparedness” “What is the HMPV virus in China? The human metapneumovirus and its symptoms, explained.” “Respiratory Virus Activity Levels” Alcohol and Cancer “Alcohol and Cancer Risk” “The cardioprotective association of average alcohol consumption and ischaemic heart disease: a systematic review and meta-analysis” “Alcohol Exposure and Disease Associations: A Mendelian Randomization and Meta-Analysis on Weekly Consumption and Problematic Drinking” “No level of alcohol consumption is safe for our health” Cancer Survivorship “Prevalence of cancer survivors in the United States” Cancer Survivorship: Cancer.Gov Ultra-Processed Foods “Trans fat” “Low-Grade Inflammation and Ultra-Processed Foods Consumption: A Review” “The Power RFK Jr. Would Have Over Food” Lawsuits: "Bad Behavior" on the Physician side “Sixteen Cardiology Practices to Pay a Total of $17.7M to Resolve False Claims Act Allegations Concerning Inflated Medicare Reimbursements” “CVS-owned insurer Aetna sues Radiology Partners alleging multiphase ‘fraud scheme'” Jimmy Carter  “Jimmy Carter, Peacemaking President Amid Crises, Is Dead at 100” Learn more about the MBA for Executives program at Yale SOM. Email Howie and Harlan comments or questions.

Reversing Type 2 Diabetes: Banner|Aetna's Groundbreaking Approach Host: Megan Antonelli Guest: Dr. Robert Groves Join them for an enlightening conversation with Dr. Robert Groves, Executive Vice President and Chief Medical Officer at Banner|Aetna. They will explore the innovative partnership with Virta Health, which has led to remarkable outcomes in Type 2 diabetes reversal and sustainable weight loss. Dr. Groves will share insights on how this personalized, nutrition-first approach is transforming lives, reducing medication dependence, and setting new standards in diabetes care. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Today's thought of the day enters on the power of selfless service, emphasizing that everyone possesses the capacity to contribute positively to others' lives. It defines a "heart full of grace" as virtuous and compassionate, suggesting that serving others cultivates both personal growth and spiritual connection. The author encourages readers to embrace service with love and compassion, prompting reflection on motivations and expectations surrounding acts of kindness. Finally, the text connects serving others with finding meaning and purpose in life. When you do something for someone else, what kind of expectations do you have of how that other person should react to your help?What are some of the hidden gems in a life of servitude towards our fellow man?Do you ask yourself some of the important questions about life? If not, how long will you wait? --- Recorded by: Felipe Khristopher Blue, LCAS, LCMHCA, CCS, CCTP, CMNCS, C-DBT Executive Director of More Than Therapy 201 W Main Street Suite 316 Durham, NC 27701 Office: 1-919-729-6300 Business Mobile: 1-919-679-2263 Do you want/need therapy and live in NC or SC? Do you have Aetna insurance? Quest Behavioral Health? Carelon Behavioral Health? Anthem EAP - Bank of America? Let's schedule a consultation to assist you with your personal goals. (Licensed Clinical Addictions Specialist, Licensed Clinical Mental Health Counselor Associate, Certified Clinical Supervisor, Certified Clinical Trauma Professional, Certified Mental Health & Nutrition Clinical Specialist, Certification in Dialectic Behavioral Therapy)

The thought of the day presents a reflective meditation on perspective, contrasting optimistic and pessimistic viewpoints with a more analytical, engineering-like approach. It explores the author's personal experiences of shifting between these perspectives, emphasizing the power of choosing gratitude and appreciating life's blessings. The meditation encourages self-reflection on how one interprets challenges, suggesting that difficulties often offer valuable lessons and opportunities for growth. Finally, it proposes that our happiness hinges less on avoiding hardship and more on constructively interpreting life's lessons. Do you see the glass as half empty or half full? Are you afraid that a half-empty glass will soon be gone, or are you glad that you have half a glass of something to enjoy? How do the "half-empty" people affect you when you're around them? Are their views generally positive? Is it realistic to expect that all of our glasses should be full all the time? --- Recorded by: Felipe Khristopher Blue, LCAS, LCMHCA, CCS, CCTP, CMNCS, C-DBT Executive Director of More Than Therapy (A 5013C Program of the FAEJ Foundation) 201 W Main Street Suite 316 Durham, NC 27701 Office: 1-919-729-6300 Business Mobile: 1-919-679-2263 Do you want/need therapy and live in NC or SC? Do you have Aetna insurance? Quest Behavioral Health? Carelon Behavioral Health? Anthem EAP - Bank of America? Let's schedule a consultation to assist you with your personal goals. (Licensed Clinical Addictions Specialist, Licensed Clinical Mental Health Counselor Associate, Certified Clinical Supervisor, Certified Clinical Trauma Professional, Certified Mental Health & Nutrition Clinical Specialist, Certification in Dialectic Behavioral Therapy)

Take time today to help one another. How often do you commit small, seemingly insignificant acts to help others? What are the effects of those acts?If courtesy is contagious, can it be also that helping acts are contagious?If we serve others, do you think that those others will be more likely to serve in their turn? Do you think that we can serve others by allowing them to serve us?How often do we reject the help of others who would be more than glad to help us? Felipe K. Blue, LCAS, LCMHCA, CCS, CCTP, CMNCS, C-DBT Executive Director of More Than Therapy 201 W Main StreetSuite 316 Durham, NC 27701 Office: 1-919-729-6300 Business Mobile: 1-919-679-2263 www.morethantherapy.org Do you need a therapist? Do you have AETNA insurance? Do you work at Duke? Are you a doctor? Nurse?

Covering the top stories of the day for the Quad Cities area. KWQC News on the Go gets you what you need to know for local news and weather while on the go.  Visit KWQC.com for the most up-to-date details and more news from the Quad Cities and beyond.  Fulton County murder charge QC's ImpactLife ships Type O red blood cells to New Orleans after terrorist attack Police arrest man after reports of gunfire in Rock Island Genesis MercyOne, Aetna reach agreement Download KWQC apps KWQC forecast

 My guest today is David Edelman. David's the former CMO of Aetna, and he's currently a senior lecturer in marketing at Harvard Business School. I've known David well over 10 years and we had an absolutely fascinating conversation focussing initially on AI and and the customer experience.One of David's recent HBR articles was "Customer Experience in the Age of AI" which are two topics that are very near and dear, at least they should be, for every marketer of the world. I hope you enjoy my conversation. 

This CEO Worked With Ray Dalio & Wants To Improve Healthcare: Mark Bertolini CEO Oscar Health $OSCR Great timeless lesson from Mark = "The Leading Cause Of Failure Is Success" Guest: Mark Bertolini CEO Oscar Health OSCR Website: https://www.hioscar.com/ Ticker: $OSCR Bio: Mark T. Bertolini is the Chief Executive Officer of Oscar Health, a leading healthcare technology company dedicated to making a healthier life accessible and affordable for all. Mark is former Co-Chief Executive Officer of Bridgewater Associates, the world's largest and most successful hedge fund. Mark is also a national health care thought leader, and the former Chairman and CEO of Aetna Inc. At Aetna, Mark assumed the role of CEO in November 2010, and of Chairman in April 2011. In November 2018, he stepped down as Chairman and CEO and served as a Director of CVS Health Corporation upon completion of CVS Health's acquisition of Aetna, valued at $69 billion. Throughout Mark's tenure at Aetna, he led the company's transition from a traditional health insurance company to a consumer-oriented health care company focused on delivering holistic, integrated care in local communities. Before joining Aetna, Mark held executive positions at Cigna, NYLCare Health Plans, and SelectCare, Inc., where he was President and Chief Executive Officer. He serves as a director of Verizon Communications Inc. (communications and technology solutions), Thrive Global (sustainable, science-based solutions to enhance well-being, performance and purpose), and the FIDELCO Guide Dog Foundation (non-profit organization that breeds, trains and places German Shepherd guide dogs with people who have visual disabilities). --- Support this podcast: https://podcasters.spotify.com/pod/show/smartmoneycircle/support

New bipartisan legislation in Washington aims to break up pharmacy benefit managers after years of scrutiny on PBMs from Congress and the FTC. Health care insurance executive Mark Bertolini is now CEO of Oscar Health, and he spent years leading Aetna and CVS Health. Today, he reflects on American health care, his vision for an improved system, and his own security detail in the wake of UnitedHealthcare CEO Brian Thompson's murder. In a wide ranging and very personal conversation, Bertolini shares his experience with 18 years of chronic pain and the treatment that changed his life. Plus, Representative Josh Gottheimer (D-NJ) is explaining his edited Spotify wrapped, and Elon Musk is inching closer to trillionaire status, thanks to a new Tesla stock milestone.   Mark Bertolini - 17:42 In this episode:Becky Quick, @BeckyQuickJoe Kernen, @JoeSquawkAndrew Ross Sorkin, @andrewrsorkinKatie Kramer, @Kramer_Katie Preroll 00:00ad 1 14:28ad 2 36:18TRT 36:44

About Mark Bertolini:Mark Bertolini is a pioneer in the healthcare industry and currently serves as the CEO of Oscar Health, a tech-driven health insurance company. With an illustrious career spanning several decades, Mark has held key executive positions at renowned organizations such as Cigna, NYLCare Health Plans, and SelectCare, Inc. Notably, he served as Chairman and CEO of Aetna from 2010 to 2018, where he led the company's transformation into a consumer-oriented healthcare entity, culminating in its $69 billion acquisition by CVS Health. His leadership at Aetna was marked by a focus on delivering integrated care and improving healthcare accessibility and affordability.Beyond his professional roles, Mark is a respected thought leader in the national healthcare landscape, advocating for the integration of mental health services within standard insurance offerings. He brings a personal touch to his work, often sharing his own experiences of overcoming chronic pain with cognitive behavioral therapy. Mark's commitment to philanthropy is evident through his involvement with organizations like the FIDELCO Guide Dog Foundation and The Hole in the Wall Gang Camp. His journey from being a paramedic to becoming a top executive underscores his dedication to advancing healthcare for all.Things You'll Learn:Mark Bertolini presents an innovative vision for disrupting the health insurance industry, using the metaphor of a pirate ship to describe Oscar Health's approach to challenging established insurers.Tailoring individual insurance markets through the creation of consumer health reimbursement accounts can enhance consumer choice and potentially cover 110 million lives.Integrating mental health services into standard insurance offerings is essential, with cognitive behavioral therapy serving as a valuable tool in overcoming chronic pain.Value-based contracts are critiqued in favor of high-performing networks that naturally deliver better care without disrupting existing provider-patient relationships.AI and data can improve administrative efficiency, reduce costs, and address biases in clinical data while utilizing mechanisms to expand consumer choice despite political challenges.Resources:Connect with and follow Mark Bertolini on LinkedIn.Follow Oscar Health on LinkedIn and visit their website. 

Welcome to the What's Next! Podcast with Tiffani Bova.    I have the pleasure of welcoming David Edelman to the show today. He is a senior lecturer at Harvard Business School, an executive advisor and board member to brands and technology providers, and an advisor to BCG. Previously, David was chief marketing officer at Aetna and has worked with dozens of companies on personalization, AI, and agile marketing at BCG and Digitas. Forbes has repeatedly named him one of the Top 20 Most Influential Voices in Marketing and Ad Age has named him a Top 20 Chief Marketing and Technology Officer. David is also the co-author of a new book called Personalized: Customer Strategy in the Age of AI, which has recently become a USA bestseller.    THIS EPISODE IS PERFECT FOR… anyone who wants to learn how to deliver true personalization at scale.    TODAY'S MAIN MESSAGE… customer experience is imperative to business success, but personalization remains elusive for many organizations. In this conversation, David offers his playbook on making personalization a core business strategy for organizations of any size. He also shares a detailed walkthrough of the Five Promises of Personalization.    Key Takeaways: If you consider personalization a strategic goal, you need to be able to measure it. Compensation is often too abstract of a metric. Instead, David recommends using measures of business performance.  If you can't make your product simpler, you need to educate your customers. The customer experience should be getting better and better over time.    WHAT I LOVE MOST… David's points about thinking about the flow of company interaction. Remember that when customers get bombarded, they tend to tune out. David says, “Less is more, but less that's smarter is even more.”   Running Time: 32:37   Subscribe on iTunes   Find Tiffani Online: LinkedIn Facebook X   Find David Online: LinkedIn    David's Book:  Personalized: Customer Strategy in the Age of AI  

Why do many of us spend so much time counting others blessings or comparing ourselves to others?What purpose do such actions serve?What are some ways we can focus more on our own blessings and less on those of others that seem better than our own? Recorded by: Felipe Khristopher Blue, LCAS, LCMHCA, CCS, CCTP, CMNCS, C-DBT Executive Director of More Than Therapy 201 W Main Street Suite 316 Durham, NC 27701 Office: 1-919-729-6300 Business Mobile: 1-919-679-2263 www.morethantherapy.org Do you want/need therapy and live in NC or SC? Do you have Aetna insurance? Quest Behavioral Health? Carelon Behavioral Health? Anthem EAP - Bank of America? Let's schedule a consultation to assist you with your personal goals. (Licensed Clinical Addictions Specialist, Licensed Clinical Mental Health Counselor Associate, Certified Clinical Supervisor, Certified Clinical Trauma Professional, Certified Mental Health & Nutrition Clinical Specialist, Certification in Dialectic Behavioral Therapy)

Is thankfulness dependent upon others or could it truly be a way to live?Do you pray before meals? If so, why?What are some things you could say grace for right now? Recorded by: Felipe Khristopher Blue, LCAS, LCMHCA, CCS, CCTP, CMNCS, C-DBT Executive Director of More Than Therapy 201 W Main Street Suite 316 Durham, NC 27701 Office: 1-919-729-6300 Business Mobile: 1-919-679-2263 www.morethantherapy.org Do you want/need therapy and live in NC or SC? Do you have Aetna insurance? Quest Behavioral Health? Carelon Behavioral Health? Anthem EAP - Bank of America? Let's schedule a consultation to assist you with your personal goals. (Licensed Clinical Addictions Specialist, Licensed Clinical Mental Health Counselor Associate, Certified Clinical Supervisor, Certified Clinical Trauma Professional, Certified Mental Health & Nutrition Clinical Specialist, Certification in Dialectic Behavioral Therapy)

How can we feel more gratitude for all that our bodies do for us?How much work has your body done today without you being aware of it?What would life be like if our bodies were not as dependable as they are? Recorded by: Felipe Khristopher Blue, LCAS, LCMHCA, CCS, CCTP, CMNCS, C-DBT Executive Director of More Than Therapy 201 W Main Street Suite 316 Durham, NC 27701 Office: 1-919-729-6300 Business Mobile: 1-919-679-2263 www.morethantherapy.org Do you want/need therapy and live in NC or SC? Do you have Aetna insurance? Quest Behavioral Health? Carelon Behavioral Health? Anthem EAP - Bank of America? Let's schedule a consultation to assist you with your personal goals. (Licensed Clinical Addictions Specialist, Licensed Clinical Mental Health Counselor Associate, Certified Clinical Supervisor, Certified Clinical Trauma Professional, Certified Mental Health & Nutrition Clinical Specialist, Certification in Dialectic Behavioral Therapy)

How can businesses personalize their customer experience at scale?This episode explores the power of personalization in the age of AI and how businesses can leverage data to create a delightful customer experience. David Edelman discusses the challenges and benefits of personalization, and provides examples of companies that are doing personalization well, such as Cisco, Marriott, and Aetna.David Edelman is a personalization guru who's been shaking things up in the business world with his innovative ideas. From Harvard Business School to McKinsey and Aetna, he's got the know-how to help companies scale up their personalization game and create those "wow" customer experiences. He's also the co-author (with Mark Abraham) of Personalized: Customer Strategy In The Age of AI. Key topics Bill and Dave explore in this episode: - Personalization is not just a marketing tactic, but a holistic customer experience that requires cross-functional collaboration. - Companies need to shift their mindset from volume to value and focus on providing a personalized experience that delights customers without being creepy. - AI can be used to enhance personalization by predicting customer needs and preferences. - Data is essential for personalization, and companies need to gather both explicit and implicit data to understand their customers' needs and preferences. - Companies have to avoid overwhelming customers with too much information. - Personalization allows companies to differentiate themselves by providing a unique and valuable customer experience. Chapters in this episode: (02:42) Personalizing Music (07:51) Delight vs. Annoyance in Personalized Experiences (12:34) The Risk of Over-Personalization and the Aetna Example (14:52) Sungevity: A Case Study in Personalization Done Right (19:43) Cisco: Two Approaches to B2B Personalization (26:40) Marriott's Quest for Personalized Hospitality (31:45) The Value of Asking QuestionsThanks to David Edelman for being on the show! Learn more about Dave at Edelman Advisory Services: https://www.edelmanadvisoryservices.com/ Get Dave's book: Personalized: Customer Strategy In The Age of AI: https://www.amazon.com/dp/1647826276 (co-authored with Mark Abraham)Bill Gallagher, Scaling Coach and host of the Scaling Up Business podcast, is an international business coach who works with C-Suite leaders to achieve breakthrough growth. Join Bill in the Growth Navigator Coaching Program: https://ScalingCoach.com/workshop Bill on LinkedIn: https://www.LinkedIn.com/in/BillGallBill on YouTube: https://www.YouTube.com/@BillGallagherScalingCoach Visit https://ScalingUp.com to learn more about Verne Harnish, our team of Scaling Up Coaches, and the Scaling Up Performance Platform, which includes coaching, learning, software, and summit. We share how the fastest-growing companies succeed where so many others fail. We help leadership teams with the biggest decisions around people,...

Welcome to the UNLEARN Podcast! Today, we're joined by a true pioneer in digital transformation and customer strategy, David C. Edelman. With over three decades at the forefront of marketing and digital transformation, David most recently served as Chief Marketing Officer at Aetna/CVS, where he led transformative shifts in customer engagement. Before that, he co-led McKinsey's Global Digital Marketing and Sales Practice and held key leadership roles at Digitas and Boston Consulting Group (BCG), advising top executives worldwide.Now, David is bringing his expertise to Harvard Business School, where he shapes the next generation of leaders and advises CXOs on driving digital agility and building resilient teams. In this episode, he shares insights from his latest book, Personalized: Customer Strategy in the Age of AI. We'll explore the different types of AI, where and how to use them, and the evolving role of AI across the C-suite. Get ready for an enlightening conversation with David Edelman on the future of customer strategy in the age of AI. Key Takeaways:Personalized Connections with AI: David's “five promises” framework—Empower, Know, Reach, Show, Delight—guides personalized customer experiences. AI Beyond Marketing: Personalization extends beyond marketing into a holistic, C-suite-level strategy. Data to Value: Examples from Aetna using data to simplify interactions and deliver targeted recommendations.Balancing Innovation and Trust: David stresses trust in AI, focusing on data privacy and ethical personalization.Additional Insights:Promise and Pitfalls of AI: Emerging AI tools make data integration accessible, helping smaller companies compete with industry giants.Managing Expectations: The importance of transparency and data use comfort in creating personalized, non-intrusive customer experiences.Unlearning Old Mindsets: David encourages that leaders must shift from traditional tactics to a customer-centric, AI-driven approach.Episode Highlights:00:00 - Episode Introduction "If you're trying to connect with customers using personalization, there are essentially five promises that you're making to them." 01:35 - Introduction to the Episode: Barry introduces David Edelman, a veteran in digital transformation and customer strategy. “David has spent over three decades at the cutting edge of marketing and digital transformation.” 03:06 - Early Influences: Creativity and Leadership in Marketing “I became the music director of my high school show from just simply being a saxophone player.” 08:33 - From Marketing to AI-driven Strategy “The thing I had to unlearn is that it's not just about marketing... it's about strategy and customer experience.” 10:03 - Using AI for Personalization: Shopify and Brinks Case Studies “So Shopify, who has a free trial and then offers to convert people to paid subscriptions... it's...

Cigna confirms it is not pursuing an acquisition of rival health insurer Humana. OptumHealth and Aetna agree to settle a class action lawsuit alleging that they billed health plan members for administrative fees coded as medical expenses. And, hospital-associated infection rates are down, according to recent data from the CDC. We'll get that story—and more—coming up on today's episode of the Gist Healthcare Hosted on Acast. See acast.com/privacy for more information.

In this episode of the Duck Tape Marketing Podcast, I had the pleasure of interviewing David Edelman, a seasoned digital transformation and marketing expert. As CMO, Edelman guided Aetna (now part of CVS Health) through becoming a digitally oriented, customer-centric brand. He built McKinsey's Digital Marketing Strategy Practice and had leadership roles at BCG and Digitas. Repeatedly recognized by Forbes as one of the “Most Influential CMOs in the World” and by AdWeek as one of the “Top 20 Marketing and Technology Executives,” his work has attracted over 1.1 million followers to his LinkedIn blog. Currently, David advises top executives on AI and personalization. In this episode, we dive into the ever-evolving world of personalization in business, uncovering the game-changing role of AI in redefining how companies connect with their audiences. Edelman emphasizes the importance of creating customer experiences at scale and the competitive advantage that effective personalization has. Edelman explores the advantages of personalization, while highlighting the ongoing challenges of overstepping boundaries—a pitfall many of us have encountered firsthand. He shares practical examples of how AI enhances customer interactions and tackles concerns about data privacy and the potential discomfort of overly personalized marketing. The conversation also touches on the challenges marketers face in content creation and the need for more thoughtful, effective communication strategies. Key Takeaways: Personalization is about creating customer experiences at scale. AI enhances personalization by analyzing customer data. The privacy factor in personalization must be managed carefully. 70% of consumers are comfortable with data use for value. Speed of learning is crucial for competitive advantage. Companies often have more data than they realize, but it's fragmented. AI can help integrate data from various sources effectively. Successful personalization can lead to increased customer satisfaction. Content should be bite-sized and easily digestible for consumers. Empowering customers with their data can enhance their experience. More About David Edelman: Check out David Eldelmen's Website Connect with David Edelman on LinkedIn Grab a copy of Personalized: Customer Strategy in the Age of AI Rate, Review, & Follow on Apple Podcasts If you liked this episode, please rate and review the show. Click HERE - scroll to the bottom, tap to rate with five stars, and select “Write a Review.” Then, let us know what you loved most about the episode. Connect with John Jantsch on LinkedIn! Are you stuck trying to figure out your marketing strategy? Get Your Free AI Prompts To Build A Marketing Strategy HERE. This episode of the Duct Tape Marketing Podcast is brought to you by Oracle Nobody does data better than Oracle. Train your AI models at twice the speed and less than half of the cost of other clouds. If you want to do more and spend less, take a free test drive at Oracle.

Plus: Democrats' chances to gain control of the House of Representatives appear to have faded. The new CEO of CVS Health promises a reorganization of the company, including new leadership at its Aetna insurance unit. J.R. Whalen reports. Sign up for the WSJ's free What's News newsletter.  Learn more about your ad choices. Visit megaphone.fm/adchoices

The Lower Aetna is a band that recently released PINE, an album that evokes Springsteen, outlaw country, Gaslight Anthem, all while telling stories of queer longing in the Pine Barrens. It rules so hard and you can find it at https://theloweraetna.bandcamp.com/album/pineWe were lucky to talk with Dylan from The Lower Aetna about how these songs came to be, how growing up in Medford Lakes affected his songwriting, why buffalo sauce is secretly a very popular Jersey foodway, and much, much more.  Get bonus content on Patreon Hosted on Acast. See acast.com/privacy for more information.

Medicare's largest accountable care program saved the federal government more than $2 billion dollars last year. CVS bucks the retail-healthcare contraction trend and announces expanded primary care services for its Aetna members at its MinuteClinic locations in certain markets. And, Cigna's CEO brushes off Humana purchase rumors in a call to investors. We'll get that story—and more—coming up on today's episode of the Gist Healthcare podcast. Hosted on Acast. See acast.com/privacy for more information.

Summary The conversation delves into the complexities of Medicare Advantage plans, highlighting concerns about their effectiveness and the implications of recent changes in coding. The panel discusses the challenges faced by patients under these plans, the deceptive marketing tactics used, and the potential shift towards remote patient monitoring as a solution for chronic condition management. The discussion emphasizes the importance of understanding the differences between Medicare Advantage and traditional Medicare, particularly in terms of patient access to care and the quality of services provided. In this conversation, the panel discusses the complexities of medical necessity in remote patient monitoring (RPM) and the challenges faced by healthcare providers in navigating federal and state regulations. They emphasize the importance of understanding medical necessity, adhering to payer policies, and the implications of compliance in healthcare. The discussion highlights the disconnect between providers and regulatory guidelines, the need for clear communication, and the consequences of non-compliance. Takeaways Medicare Advantage has a checkered history with inflated coding data. CVS's financial issues are linked to Aetna's Medicare Advantage business. Medicare Advantage plans are facing scrutiny for pre-authorization practices. The shift to Medicare Advantage may not benefit all retirees. Medicare Part B offers more direct access to care than Medicare Advantage. Deceptive marketing tactics are prevalent in Medicare Advantage advertising. Patients need to be educated about their Medicare options. Changes in coding have significant implications for Medicare Advantage payments. Concierge medicine is emerging as a trend within Medicare Advantage. Remote Patient Monitoring (RPM) is gaining traction for chronic condition management. Practices need to fully grasp medical necessity for RPM. There are still deficiencies in guidance from CMS and HHS. Medical necessity is often lost in ambiguous regulations. Providers must understand the implications of their actions. State laws can trump federal guidelines in healthcare. Telehealth consent requirements vary by state. Healthcare compliance is complex and multifaceted. Providers should seek clarity on regulations from their administrators. Ignorance of regulations can lead to serious consequences. It's essential to follow the specific guidelines of your MAC.

Dave Edelman is a sought-after advisor on digital transformation and marketing, a professor, and an author. He teaches marketing at Harvard Business School and advises top executives on AI and personalization. Dave began his career as a young consultant at the Boston Consulting Group, where he coined the term “Segment-of-One Marketing.” Dave also guided Aetna (now part of CVS Health) as CMO through its transformation into a digitally oriented, customer-centric brand. Recognized multiple times by Forbes as one of the “Most Influential CMOs in the World” and by AdWeek as one of the “Top 20 Marketing and Technology Executives,” Dave has attracted over 1.1 million followers to his LinkedIn blog. His upcoming book, Personalized: Customer Strategy in the Age of AI, will be published by Harvard Business Press in October.On today's show, Alan and Dave discuss Dave's upcoming book and the importance of personalization for companies. They delve into the '5 Promises of Personalization,' exploring how effective personalization can transform a company's brand and value proposition over time. They also examine the key conditions required for successful personalization marketing, and how the personalization index can be used to assess and enhance a company's personalization practices. Additionally, they discuss how personalization can unlock the growth potential of AI.In this episode, you'll learn: The 5 Promises of Personalization and how they can add value to your companyHow AI can enhance personalized marketingTips around building trust, a key component to personalizationKey Highlights: [01:40] Dave's passion as a jazz player & how it parallels business[03:35] How Dave got into personalization[07:13] Why this book and why now? [09:03] Conditions needed for personalization [13:33] The 5 promises of personalization [18:40] Digging deeper into “Reach Me” [23:10] How trust factors in [25:33] How do you get better at “Delight Me”[28:44] Evolving your value proposition[32:00] Experience of your past that defines you[34:05] Advice to younger self[35:12] A topic that you and other marketers need to learn more about[36:27] Trends or subcultures others should follow[38:18] Largest opportunity or threat to marketers todayLooking for more?Visit our website for the full show notes, links to resources mentioned in this episode, and ways to connect with the guest! Become a member today and listen ad-free, visit https://plus.acast.com/s/marketingtoday. Hosted on Acast. See acast.com/privacy for more information.