Podcasts about Blue Shield

Faye Sahai is the Managing Director at Vinaj Ventures - advisor and investor  to companies and startups. Previously, she was a 3x startup founder and held leadership positions in healthcare, financial, and technology innovation at AIG, Blue Shield, Deloitte, Kaiser Permanente, and Schwab.

This week, we close out our three-part series on pharmaceuticals with a must-listen encore episode. After detailing the scope of the drug price crisis with Mark Cuban and how we can re-use drugs to treat rare illnesses with David Fajgenbaum, we now turn to a leader who is actively changing the dynamic: Paul Markovich. Now the CEO of Ascendiun (the parent company of Blue Shield of California), Paul argues that healthcare affordability isn't just a patient pocketbook issue - it's a massive economic crisis for the nation. In this episode, Paul and Claudia discuss:His conviction that reducing healthcare costs is essential to averting a national fiscal crisis.The argument for a new national mandate on health data sharing to improve efficiency and care.Paul's candid advice on what it takes to be a brave leader in a dysfunctional system.The path is long and challenging, but as Paul Markovich shows, solutions are possible - if the right players are willing to take accountability for their role in the market:“Almost everybody in the entire value chain, whether it's health plans or hospitals or all the way through, they want to explain why healthcare is so expensive and why there's this inflation rate as if that absolves them of any responsibility to make it different. And so, what I really want is accountability, and a level of accountability that just doesn't exist yet in our industry, to say, “Hey, we own this”. Relevant LinksPart 1: Listen to our episode “New Life for Old Drug with David Fajgenbaum”Part 2: Listen to our episode “Lessons in Disruption with Mark Cuban”Rethinking how Americans get affordable medicationsCalifornia's new data sharing law Blue Shield of California (BSC) announcement of new Humira biosimilar BSC investment in nonprofit Civica for lower cost genericsBSC's new prior authorization platform with SalesforceAbout Our GuestPaul Markovich is president and chief executive office of Ascendiun, a nonprofit corporate entity as part of the new parent to the family of organizations that includes Blue Shield of California.Paul Markovich was president and chief executive officer at Blue Shield of California, a nonprofit health plan with $25 billion in annual revenue, serving 6 million members in the state's commercial, individual, and government markets. Paul launched and led numerous initiatives to drive innovation and help reimagine health care, including funding support for a statewide provider directory to make it easier for Californians to find physicians and facilities in their

In this episode, Ellen Sexton, Executive Vice President and Chief Growth Officer at Blue Shield of California, discusses the impact of major policy changes on Medicaid and commercial markets, how her team is preparing for uncertainty, and the strategies needed to support members, stabilize employer coverage, and advance innovation across California's health care landscape.

On November 7, Commonwealth Club World Affairs of California, the nation's oldest and largest public affairs forum, will host The Asian American Foundation's (TAAF) first-ever AAPI Youth Mental Health Summit. Under the theme “Sparking Solutions Together,” the summit will convene hundreds of experts, advocates, funders, and business executives to address the urgent and often overlooked mental health challenges facing Asian American and Pacific Islander (AAPI) youth. From 2018 through 2022, suicide was the leading cause of death among Asian Americans aged 15–24, and the second leading cause of death among Native Hawaiians and Pacific Islanders. Yet despite being deeply impacted by the nation's mental health crisis, AAPI youth remain largely invisible in the national mental health conversation, and the data needed to understand their mental health is scarce at best. To fill the gap, TAAF released "Beyond the Surface" in December 2024, the most comprehensive study to date on AAPI youth mental health, which revealed: Nearly 1 in 2 AAPI youth screen positive for moderate depression; 1 in 3 have planned or attempted suicide; Stigma, family pressure, and silence keep many from seeking help; Only 53 percent feel comfortable talking with their parents; Just 1 in 4 have accessed formal care; and 46 percent have never seen a mental health provider. Building on these findings, the November 7 summit will bring together leading experts to spark dialogue on breaking stigma, closing gaps in care, and exploring how community partners and technology are reshaping the ways young people seek and receive support.  Join us online to hear from: Midori Francis, Actor, "Grey's Anatomy" Ryan Alexander Holmes Owin Pierson, Creator and Mental Health Advocate Lisa Ling, Journalist Noopur Agarwal, VP of Social Impact, MTV Norman Chen, CEO, The Asian American Foundation (TAAF) Philip Yun, Co-President and Co-CEO, Commonwealth Club World Affairs Rushika Fernandopulle, MD, Practicing Physician; Co-Founder and Former CEO, Iora Health; TAAF Board Member Juliana Chen, MD, Chief Medical Officer, Cartwheel Perry Chen,Director of Programs and Partnerships, Behavioral Health at Blue Shield of California Rachel Miller, Founder & CEO, Closegap Meena Srinivasan, Founding Executive Director, Transformative Educational Leadership Ayesha Meer, Executive Director, Asian Mental Health Collective Henry Ha, Program Director, Community Youth Center of San Francisco Anne Saw, PhD, HOPE Program Reid Bowman, MPH, CHES, Outreach & Program Manager, UCA Waves Rupesh Shah, COO of Crisis Text Line Tone Va'i, LCSW, Clinician, Samoan Community Development Center Amy Grace Lam, PhD, Chief Program Strategist, Korean Community Center of East Bay Christine Yang, ASW, Korean Community Center of East Bay Christina Yu, LCSW, Clinical Supervisor, Korean Community Center of East Bay William Tsai, PhD, Associate Professor, New York University Cindy H. Liu, PhD, Associate Professor, Department of Pediatrics and Psychiatry, BOBA Project, Harvard Medical School Tiffany Yip, Professor of Psychology, Fordham University Quynh Nguyen, TALA (Thriving AANHPI Leadership Accelerator) Fellow   This program is presented by The Asian American Foundation and Commonwealth Club World Affairs.   For full program, please visit:  https://www.commonwealthclub.org/events/archive/video/youth-mental-health-summit-sparking-solutions-together Learn more about your ad choices. Visit megaphone.fm/adchoices

Dallas real estate CEO Robert “Bob” Lovell was ordered this week to pay $5.7 million in damages and fees after a judge determined he repeatedly forced a former employee to perform sex acts and then retaliated against her when she refused. In other news, some Texans are finding out from their doctor's offices that Blue Cross and Blue Shield of Texas insurance plan would no longer be considered in-network; the Texas Rangers are not interested in trading Corey Seager. The Red Sox, Yankees, and Braves have all expressed interest though; and for years, officials at the highest level of Dallas city government knew crime was a problem at Roseland, a public housing complex in Old East Dallas. In twenty eighteen, the city entered into a special agreement with Dallas Housing Authority to keep crime in check. That arrangement was different from what was at the time a new, aggressive plan to protect the public at high-crime private properties. Police reports show that since the agreement was signed, at least seven people have been killed at Roseland, including a nine-year-old girl. Twenty others were wounded by gunfire. A Dallas Morning News investigation shows that over the following seven years, the agreement was never fully followed, and the violent crime at Roseland persisted. The News found numerous ways in which D-H-A and the city fell short in addressing crime and protecting residents, including failures to follow their own agreement. See the full investigation dallasnews.com. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode, Ellen Sexton, Executive Vice President and Chief Growth Officer at Blue Shield of California, discusses the impact of major policy changes on Medicaid and commercial markets, how her team is preparing for uncertainty, and the strategies needed to support members, stabilize employer coverage, and advance innovation across California's health care landscape.

In this Bright Spots in Healthcare episode, host Eric Glazer brings together Medicare Advantage leaders who are rethinking how digital first and whole person strategies can meet rising Stars expectations. The conversation explores how plans are simplifying engagement, strengthening provider alignment, and integrating specialty and virtual care models to improve quality, experience, and overall performance in the new ratings era. Our guests include: Lisa Franklin, Director of Medicare Business, Product, and Marketing, Strategic Growth and Government Programs, Carefirst Christine McKinney, Vice President Customer Experience and Digital Transformation Blue Shield of California Mary O'Connor, MD, Chief Medical Officer & Co-Founder, Vori Health Together, they explore: How CareFirst reduced member friction by consolidating 175 touchpoints a year into a coordinated digital first experience built around scrolling content cards, real time click behavior, and simplified onboarding. How Vori Health is integrating whole person MSK care with payers through value based arrangements that support coaching, nutrition, behavioral health screening, and earlier risk identification. How Blue Shield of California built a continuous CAHPS simulation program to uncover pain points and used those insights to create the Care Navigation Desk for real time access help. How digital tools like online scheduling, integrated member health records, and proactive pharmacy cost transparency are reducing friction and helping seniors navigate the ecosystem more independently. How plans are using AI and preference based engagement to support new Medicare members, improve medication adherence, and scale outreach during market disruptions. Panelist Bios: https://www.brightspotsinhealthcare.com/events/falling-stars-rising-standards-how-digital-first-whole-person-care-is-fueling-success-in-the-new-ratings-era/ Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. https://www.brightspotsinhealthcare.com/wp-content/uploads/2025/12/Episode_Guide_120425_Vori-Falling-Stars-Rising-Standards.docx.pdf Key Insights Summary: Find key insights from the discussion, guest takeaways, and detailed moderator notes captured by Eric during the conversation. https://www.brightspotsinhealthcare.com/wp-content/uploads/2025/12/Key-Takeaways-Erics-Notes-Falling-Stars-Rising-Standards.docx.pdf Resources:  Report: How Physician Led MSK Care Supports Stars Improvement and Whole Person Outcomes This companion report highlights how Vori Health's physician-led, virtual first musculoskeletal care model helps Medicare Advantage plans strengthen performance in the new ratings environment. It includes data and real member stories showing how hybrid specialty access, early gap closure, and whole person support improve outcomes, reduce unnecessary MSK spend, and enhance member experience. Inside you will find insights on Improving access through forty eight hour specialty appointments Reducing opioid use and unnecessary surgeries Supporting preventive screenings and chronic condition management Elevating member satisfaction across measures tied to the 2026 Stars program To request your copy, email nroberts@brightspotsventures.com. Buyer's Guide: The Comprehensive Guide to MSK Care for Health Plans This companion report gives health plans a clear framework for improving MSK strategy, highlighting how fragmented, high cost pathways drive unnecessary imaging, procedures, and surgeries without resolving pain. It outlines four MSK care models and the key elements of a high value program such as physician led care, holistic support, non opioid management, strong engagement, and real claims based ROI. It also shows how solutions like Vori Health bring these components together through coordinated, hybrid access and measurable improvements in outcomes and cost. Inside you will find insights on Improving MSK access and coordination across care models Designing physician led, whole person programs that address root causes of pain Reducing unnecessary imaging, procedures, and surgeries Driving stronger engagement, better outcomes, and meaningful cost savings To request your copy, email nroberts@brightspotsventures.com. Thank You to Our Episode Partner, Vori Health: Vori Health is a physician-led musculoskeletal care practice that delivers fast, evidence-based hybrid care for back, neck, and joint pain. Their whole person approach improves outcomes, reduces unnecessary MSK costs, and supports stronger Medicare Advantage Star Ratings. Learn more at vorihealth.com. Schedule a Meeting with a Dr. Mary O'Connor of Vori Health: To explore how Vori Health can help your organization strengthen whole person MSK care and support better Stars performance, reach out to nroberts@brightspotsventures.com to schedule a meeting with Dr. Mary O'Connor, CMO and Co-founder, Vori Health. About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation.   We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the "bright spots" in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.  

In this episode of The Retail Perch, Shekar Raman is joined by Zoher Karu to discuss data, analytics, and what it takes to make information truly actionable. Zoher shares his journey from earning a PhD in Electrical Engineering at MIT to building a career focused on customer data and enterprise wide analytics, including his role as VP and Chief Data and Analytics Officer at Blue Shield of California. They explore how companies with growing data sets can approach leveraging them effectively, and Zoher also highlights his current work with Taelor.Style, an AI powered menswear rental platform.

This week's episode brings together three women whose stories show what support, connection, and second chances can spark.Michelle Thomas, senior manager of community relations at Blue Cross and Blue Shield of Oklahoma, shares how working in service shaped her life and how her sister's recovery deepened that commitment.Her sister, Melissa Casey, opens up about her journey through addiction, the impact of Family & Children's Services program Women in Recovery, and her work with the Tulsa County Alternative Court programs. Her story shows how courage and community can rebuild a life.Monica Hartweg, also with Blue Cross and Blue Shield of Oklahoma, talks about the moment she called Tulsa Area United Way's 211 Eastern Oklahoma 24/7 helpline and found a path toward stability, healing, and long-term recovery. Her experience shows how one call can change everything.Each story reveals a different doorway into hope. Together, they paint a clear picture of why community resources matter and why united is the way.

Blue Shield of California's Julianne Holloway joins host Gavin Ward to help explain the often conplex world of DSNP, or Duals Special Needs Plans, for individuals that qualify for both Medi-Cal (known as Medicaid Nationally) and Medicare

Sportscaster Ryan Lefebvre, the storied broadcaster of the Kansas City Royals baseball team, joins me on this special show along with Kristin Gernon. Kirstin is a Behavioral Health Training and Development Specialist at Blue Cross and Blue Shield of Kansas City (Blue KC), with over 25 years of experience in the behavioral health field, focusing on children and families. She has been involved in initiatives like the "Shut Out the Stigma" campaign and has spoken on mental health topics, including its importance in youth sports. This is episode 2133 of America's Healthcare Advocate. I'm Cary Hall The documentary "Not Good Enough" is available at: https://www.shutoutthestigma.com/documentary

Closing the Confidence Gap—at work and beyond. In this episode of Momentum Matters, CEO/cohost April Benetollo sits down with Kelli Thompson—award-winning author of Closing the Confidence Gap, TEDx speaker, and executive coach—to unpack how high achievers become influential leaders.Kelli shares:Her path from banking & HR to entrepreneurship and executive coachingWhy confidence is a side effect of action—and how to swap “but first” for “while also”The difference between achiever and strategic leader (and how to make the jump)A practical framework to speak up with authenticity (not a one-size “executive presence”)Navigating systemic barriers: non-promotable work, the “helper's high,” and delegation that sticksInsights from her TEDx “Pedestal Problem” on authority bias and trusting your own voiceAbout Kelli Thompson Kelli is an award-winning author, keynote speaker, and executive coach whose work appears in Harvard Business Review, Fast Company, MarketWatch, Quartz, and Business Insider; she's been profiled in Forbes and is a Stevie Award winner for Women in Business (Coach of the Year).Resources & Next StepsBook: Closing The Confidence Gap: Boost Your Peace, Your Potential & Your PaycheckWatch her TEDx by searching “Kelli Thompson TEDx”Learn more about Momentum Leaders: momentumleaders.orgEnjoying the show? Subscribe, rate, and share to amplify women's leadership stories.Credits & Partners Produced by Social U. Brought to you by America's Thrift Stores, Blue Cross and Blue Shield of Alabama, Protective Life, and Regions Bank. A full list of corporate partners is at momentumleaders.org. Special thanks to our Momentum members, donors, and volunteers.Visit our website: www.MomentumLeaders.org Follow us on Social Media: Facebook: https://www.facebook.com/MomentumLeadersInstagram: https://www.instagram.com/momentumleadersLinkedIn: https://www.linkedin.com/company/momentumleadersYouTube: https://www.youtube.com/@momentumleaders

In this Bright Spots in Healthcare episode, host Eric Glazer sits down with three leaders reshaping one of healthcare's most overlooked — yet mission-critical — functions: provider credentialing. Credentialing is the quiet infrastructure of trust in healthcare. When it's done right, patients get timely access to high-quality care, providers get paid faster, and health plans stay compliant. When it fails, backlogs grow, compliance risk skyrockets, provider satisfaction plummets, and member access suffers. Joining Eric for this discussion: Sandra Clarke, Former CFO & COO, Blue Shield of California Brett Dooies, Head of Product, Verifiable Janan Dave, VP of Operations, Verifiable Together, they explore how AI and automation are transforming credentialing from a slow, manual compliance task into a strategic capability that improves efficiency, trust, and network readiness. In this episode, you'll learn: Why credentialing sits at the intersection of compliance, provider experience, and member access How legacy processes, staffing limits, and messy data create hidden risk, and why backlogs can grow like quicksand Practical ways health plans are applying AI to reduce verification time, speed onboarding, and triage high-risk cases Why the most successful plans treat credentialing as infrastructure, not paperwork Key metrics to track when modernizing credentialing, including turnaround time, backlog clearance, audit readiness, and provider experience What to automate first,  and why humans still play a critical oversight role Bright Spots include: 97% automated verification in seconds across millions of records monthly New staffing and automation models that increase speed without compromising compliance Real-world examples where AI prevented risk exposure and accelerated network growth Leadership lessons in adopting AI responsibly and avoiding the "lift-and-shift" trap   This conversation offers payer leaders a real-world playbook to modernize credentialing and strengthen the foundation of your healthcare organization. Panelist Bios: Sandra Clarke is a healthcare executive and board advisor with over 25 years of experience leading finance, operations, and large-scale transformation across payer, provider, and life sciences organizations. As former CFO and COO of Blue Shield of California, she oversaw $25B in annual revenue and spearheaded initiatives delivering $700M in annualized savings while reimagining the company's pharmacy care model. Clarke has also held senior leadership roles at Daiichi Sankyo and Philips Healthcare and serves on multiple healthcare boards. She holds degrees from MIT, Bentley University, and Seton Hall University School of Law. Janan Dave is the VP of Operations at Verifiable, a start-up offering software and services solutions for healthcare organizations to ease the challenges surrounding provider network management. Janan has a background in public health and health policy, and has spent the last decade helping scale operations at various healthcare startups. She is passionate about building smart solutions to reduce waste in the healthcare system, and promote better care especially for the aging population, family caregivers, and women. Janan studied public health at the University of Pennsylvania, and lives in Brooklyn, NY. Brett Dooies is the Head of Product at Verifiable, where he leads the development of AI-powered solutions to simplify healthcare credentialing and monitoring. With a decade of experience building enterprise software, he specializes in applying advanced AI and analytics to enhance the customer experience and deliver transformative solutions. Drawing on his background in modernizing banking software, Brett is dedicated to creating products that drive operational excellence, uphold regulatory compliance, and improve data accuracy for Verifiable's partners, helping them scale with confidence in a complex ecosystem. Resources: MIT Sloan "Internet of AI Agents: State of AI in Business 2025" report finds that although over 80 % of organizations have piloted generative AI tools, only around 5 % have achieved meaningful business transformation—a gap dubbed the "GenAI Divide". It highlights that the primary barrier isn't model technology or regulation, but rather the failure of AI systems to integrate deeply into workflows, learn from feedback, and scale beyond the pilot stage. https://mlq.ai/media/quarterly_decks/v0.1_State_of_AI_in_Business_2025_Report.pdf Thank you to our Episode Partner, Verifiable: Verifiable is a credentialing and network monitoring platform built to help healthcare organizations optimize operations with error-free, fast verifications and to stay compliant with ease. Backed by their in-house NCQA certified credentialing team that bring a combined 60+ years of experience, Verifiable's innovation supports managing trusted networks at scale through 97% verification automation in seconds with millions processing each month. Verifiable works with leading healthcare organizations such as Humana Dental, Zelis, Talkspace, Headway, Empower Pharmacy, and many others.   Learn more about them at https://verifiable.com/ Want to go deeper or schedule a briefing with Verifiable? Email hkrish@brightspotsventures.com and we'll coordinate time with the Verifiable team to discuss how their approach can help your plan reduce costs, accelerate onboarding, and strengthen network integrity. About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation.   We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the "bright spots" in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.  

Legacy. Leadership. Influence. In this episode of Momentum Matters, cohost Raven Holloway sits down with Tonya Hill Mitchell—former HR executive, founder & executive director of Diane's Heart, and Inspire Action coach—to talk about transforming loss into purpose, building a living legacy, and why women leaders must “act brand new” to step fully into their power.Tonya shares:The origin story of Diane's Heart and the moment she chose purpose over a lucrative corporate pathHer three core coaching questions: Who am I? What do I want? Who am I here to serve?The difference between brand and reputation—and how to show up consistently“On the Cusp”: a new body of work about pouring out, being filled up, and moving beyond hesitationThe radical self-care practices that fuel resilience and clarityHow inspired action (not duty) moves us forwardConnect with Tonya Inspired Action Coaching and Consulting: myinspiredaction.com Email: tonya@myinspiredaction.com Diane's Heart: https://dianesheart.org Enjoying the show? Subscribe, rate, and share to amplify women's leadership stories.Credits & Partners: Produced by Social UBrought to you by America's Thrift Stores, Blue Cross and Blue Shield of Alabama, Protective Life, and Regions Bank. A full list of corporate partners is available at momentumleaders.org. Special thanks to our Momentum members, donors, and volunteers.Visit our website: www.MomentumLeaders.org Follow us on Social Media: Facebook: https://www.facebook.com/MomentumLeadersInstagram: https://www.instagram.com/momentumleadersLinkedIn: https://www.linkedin.com/company/momentumleadersYouTube: https://www.youtube.com/@momentumleaders

Audio Demo Reel.*Blue Cross & Blue Shield*.Did not put me up to this and I don't represent them. ; I'm just Showcasing my range. If any lol lmfao rotfl

I'm thrilled to share this remarkable and insightful discussion with Sonia Roldan, UnitedAg's Member Services Manager. Together, we unravel the significant role of empathy in healthcare and its impact on forging a sustainable business model. Throughout the conversation, Sonia's unwavering commitment to helping others shines through, emphasizing the significance of personalized care and empathy in the healthcare industry. Sonia shares her upbringing in the agriculture industry and how witnessing her family's struggles became the driving force behind Sonia's life mission of assisting others, rooted in the golden rule of treating people as she would want her family to be treated. We delve into Sonia's approach to cultivating a team that embodies empathy, fostering a positive work environment. She shares her goal of instilling passion within her team, highlighting the authentic member-centric approach at UnitedAg, where going the extra mile is not just a statement but a genuine commitment. Sonia concludes by sharing one poignant moment that showcases the emotional depth of her work, even in stories that may not always have a happy ending.This episode is sponsored by UnitedAg,  one of the largest association health plans to offer healthcare to the agriculture industry of California and Arizona.  Kirti Mutatkar, President and CEO of UnitedAg. Reach me at kmutatkar@unitedag.org, www.linkedin.com/in/kirtimutatkarUnitedAg website - www.unitedag.orgEpisode Contributors - Sonia Roldan, Kirti Mutatkar, Dave Visaya, Rhianna MaciasThe episode is also sponsored by Brent Eastman Insurance Services Inc. - https://brenteastman.com/BlueShield of California - https://www.blueshieldca.com/EliteMedical - https://www.elitecorpmed.com/Gallagherhttps://www.ajg.com/SAINMedical https://sainmedical.com/

Host Eric Glazer convenes senior leaders from Humana, Noom, and Blue Shield of California to explore how payers are integrating GLP-1 therapies into comprehensive cardio-metabolic care strategies. The conversation outlines how digital, behavioral, and clinical interventions can align to deliver sustainable outcomes, lower costs, and strengthen member engagement. Panelists share real-world playbooks on scaling GLP-1 programs responsibly—balancing access, affordability, and long-term adherence through consumer-centric design and data-driven clinical support.

On this episode of DGTL Voices, Ed interviews Susan Mullaney, COO of Blue Shield of California. They discuss Susan's journey in healthcare, the importance of collaboration between payers and providers, and the need for innovation in the industry. Susan shares her insights on leadership, personal growth, and the significance of empathy in healthcare. The conversation emphasizes the importance of teamwork, trust, and a shared vision for the future of healthcare.

On this episode of the Transform Work Podcast, host John Winsor sits down with Paul Hlivko, Executive Vice President and Chief Information & Digital Officer at Wellmark Blue Cross and Blue Shield. With decades of experience leading enterprise technology and digital strategy, Paul has helped organizations adapt to waves of innovation while keeping people at the center.In this conversation, Paul shares insights from his recent Harvard Business Review article, “The AI Revolution Won't Happen Overnight.”  He explains why artificial intelligence adoption is more of an evolution than a sudden disruption, highlighting both the current limits of AI and the long-term opportunities for businesses and their workforces.If you're a leader navigating the future of work, technology, and talent, this episode will give you a grounded perspective on how to approach AI with clarity and confidence.

Join Venky Anant in conversation with Paul Hlivko, CIO of Wellmark Blue Cross and Blue Shield, as they explore the realities of AI adoption beyond the hype. Discover why human bias, not technology, is the biggest barrier to progress and how enterprises can bridge the gap between invention and innovation. From leveraging tools like Copilot for workforce learning to unlocking value at the application layer, Paul shares practical strategies for driving digital transformation in healthcare. Watch now to gain actionable insights on preparing your organization for the future of AI.

Join Venky Anant in conversation with Paul Hlivko, CIO of Wellmark Blue Cross and Blue Shield, as they dive deeper into the realities of AI adoption and why it can't be treated like traditional SaaS. Discover why AI is a long game, how organizations can prioritize operational wins over moonshots, and why building adaptive systems and a culture of change is critical. Paul shares insights on creating psychological safety, empowering builders across the enterprise, and the leadership shift from control to orchestration. Watch now to learn how to prepare your teams and strategies for sustainable AI-driven transformation.

A lot of people have a dream job that they really want to do. Many people don't pursue it. There are lots of reasons for staying where you are instead of taking the leap into the unknown. Some of the reasons, like money or location, are valid. But some of the reasons, like the one given in this episode aren't really barriers. Listen to my short humor story about how to walk away from your dream job.   https://www.TheWorkLady.com Jan McInnis is a top conference keynote speaker, comedian, Master of Ceremonies, and comedy writer. She has written for Jay Leno's The Tonight Show monologues as well as many other people, places, and groups—radio, TV, syndicated cartoon strips, guests on The Jerry Springer Show (her parents are proud). For over 25 years, she's traveled the country as a keynote speaker and comedian, sharing her unique and practical tips on how to use humor in business (yes, it's a business skill!). She's been featured in The Huffington Post, The Wall Street Journal, and The Washington Post for her clean humor, and she's the author of two books: Finding the Funny Fast – How to Create Quick Humor to Connect with Clients, Coworkers, and Crowds, and Convention Comedian: Stories and Wisdom From Two Decades of Chicken Dinners and Comedy Clubs. She also has a popular podcast titled Comedian Stories: Tales From the Road in Under 5 Minutes. In her former life, she was a marketing executive in Washington, D.C. for national non-profits, and she received the Greater Washington Society of Association Executives “Excellence in Education” Award. Jan's been featured at thousands of events from the Federal Reserve Banks to the Mayo Clinic.     https://www.TheWorkLady.com https://youtu.be/BtjxzDn-QLE https://www.linkedin.com/in/janmcinnis https://twitter.com/janmcinnis https://www.pinterest.com/janmcinnis/pins/ https://www.youtube.com/c/JanMcInnisComedian https://www.facebook.com/ComedianJanMcInnis https://www.instagram.com/jan.mcinnis/     Jan has shared her humor keynotes from Fortune 500 companies to international associations. Groups such as . .. Healthcare. . . Mayo Clinic, Health Information Management Associations, Healthcare Financial Management Associations, Hospitals, Abbott Pharmaceuticals, Sanofi Aventis Pharmaceuticals, Kaiser-Permanente, Davita Dialysis Centers, Blue Cross, Blue Shield, Home Healthcare Associations, Assisted Living Associations, Healthcare Associations, National Council for Prescription Drug Companies, Organization of Nurse Leaders, Medical Group Management Associations, Healthcare Risk Associations, Healthcare Quality Associations     Financial. . . Federal Reserve Banks, BDO Accounting, Transamerica Insurance & Investment Group, Merrill Lynch, treasury management associations, bankers associations, credit unions, Money Transmitter Regulators Association, Finance Officers Associations, automated clearing house associations, American Institute of CPAs, financial planning companies, Securities, Insurance, Licensing Association     Government . . . purchasing officers associations, city clerks, International Institute of Municipal Clerks, National League of Cities, International Worker's Compensation Fund, correctional associations, LA County Management Association, Social Security Administration, Southern California Public Power Authority, public utilities, U.S. Air Force, public personnel associations, public procurement associations, risk management associations, Rehabilitation associations, rural housing associations, community action associations     Women's Events. . . American Heart Associations, Go Red For Women luncheons, Speaking of Women's Health, International Association of Administrative Professionals, administrative professionals events, Toyota Women's Conference, Women in Insurance and Financial Services, Soroptimists, Women in Film & Video, ladies night out events, Henry Ford Health Centers Women's Event, spirit of women events, breast cancer awareness,     Education . . . School Business Officials associations, school superintendent associations, school boards associations, state education associations, community college associations, school administrators associations, school plant managers associations, Head Start associations, Texas adult protective services, school nutrition associations, Association of Elementary and Middle School Principals, principal associations, library associations     Emergency, safety, and Disaster . . . International Association of Emergency Managers, Disney Emergency Managers, state emergency management associations, insurance groups, COPIC, Salt Lake County Public Works and Municipal Services Disaster Recovery Conference, Pennsylvania Governor's Occupational Safety and Health conference, Mid Atlantic Safety conference and Chesapeake Regional Safety Council, Risk associations.             

Working on cruise ships as an entertainer can get weird, and I'm not talking about hecklers. Just getting to the ship in another country is a journey in itself. Here's a quick story about a cruise ship fiasco that could have turned out very badly! https://www.TheWorkLady.com  Jan McInnis is a top change management keynote speaker and comedian. She uses short funny stories to emphasize her tips on how businesses can use humor to handle change. Jan is a top conference keynote speaker, comedian, Master of Ceremonies, and comedy writer. She has written for Jay Leno's The Tonight Show monologues as well as many other people, places, and groups—radio, TV, syndicated cartoon strips, guests on The Jerry Springer Show (her parents are proud). For over 25 years, she's traveled the country as a keynote speaker and comedian, sharing her unique and practical tips on how to use humor in business (yes, it's a business skill!). She's been featured in The Huffington Post, The Wall Street Journal, and The Washington Post for her clean humor, and she's the author of two books: Finding the Funny Fast – How to Create Quick Humor to Connect with Clients, Coworkers, and Crowds, and Convention Comedian: Stories and Wisdom From Two Decades of Chicken Dinners and Comedy Clubs. She also has a popular podcast titled Comedian Stories: Tales From the Road in Under 5 Minutes. In her former life, she was a marketing executive in Washington, D.C. for national non-profits, and she received the Greater Washington Society of Association Executives “Excellence in Education” Award. Jan's been featured at thousands of events from the Federal Reserve Banks to the Mayo Clinic.   https://www.TheWorkLady.com https://youtu.be/BtjxzDn-QLE https://www.linkedin.com/in/janmcinnis https://twitter.com/janmcinnis https://www.pinterest.com/janmcinnis/pins/ https://www.youtube.com/c/JanMcInnisComedian https://www.facebook.com/ComedianJanMcInnis https://www.instagram.com/jan.mcinnis/   Jan has shared her humor keynotes from Fortune 500 companies to international associations. Groups such as . .. Healthcare. . . Mayo Clinic, Health Information Management Associations, Healthcare Financial Management Associations, Hospitals, Abbott Pharmaceuticals, Sanofi Aventis Pharmaceuticals, Kaiser-Permanente, Davita Dialysis Centers, Blue Cross, Blue Shield, Home Healthcare Associations, Assisted Living Associations, Healthcare Associations, National Council for Prescription Drug Companies, Organization of Nurse Leaders, Medical Group Management Associations, Healthcare Risk Associations, Healthcare Quality Associations   Financial. . . Federal Reserve Banks, BDO Accounting, Transamerica Insurance & Investment Group, Merrill Lynch, treasury management associations, bankers associations, credit unions, Money Transmitter Regulators Association, Finance Officers Associations, automated clearing house associations, American Institute of CPAs, financial planning companies, Securities, Insurance, Licensing Association   Government . . . purchasing officers associations, city clerks, International Institute of Municipal Clerks, National League of Cities, International Worker's Compensation Fund, correctional associations, LA County Management Association, Social Security Administration, Southern California Public Power Authority, public utilities, U.S. Air Force, public personnel associations, public procurement associations, risk management associations, Rehabilitation associations, rural housing associations, community action associations   Women's Events. . . American Heart Associations, Go Red For Women luncheons, Speaking of Women's Health, International Association of Administrative Professionals, administrative professionals events, Toyota Women's Conference, Women in Insurance and Financial Services, Soroptimists, Women in Film & Video, ladies night out events, Henry Ford Health Centers Women's Event, spirit of women events, breast cancer awareness,   Education . . . School Business Officials associations, school superintendent associations, school boards associations, state education associations, community college associations, school administrators associations, school plant managers associations, Head Start associations, Texas adult protective services, school nutrition associations, Association of Elementary and Middle School Principals, principal associations, library associations   Emergency, safety, and Disaster . . . International Association of Emergency Managers, Disney Emergency Managers, state emergency management associations, insurance groups, COPIC, Salt Lake County Public Works and Municipal Services Disaster Recovery Conference, Pennsylvania Governor's Occupational Safety and Health conference, Mid Atlantic Safety conference and Chesapeake Regional Safety Council, Risk associations.  

In this inspiring episode, I sit down with Veronica Blanco, Director of Human Resources, from Innovative Produce to talk about growth, leadership, and the power of community in the ag industry. From being the first in her family to graduate college to stepping into leadership roles, Veronica reflects on the importance of mentorship, staying positive, and telling the real story of agriculture. She opens up about the challenges of stepping outside her comfort zone and the value of connecting with like-minded professionals through industry forums and programs. She also talks about how organizations like United Ag, programs like the Ambassador Program, and the supportive culture at Innovative Produce have allowed her to explore critical issues like access to care, mental health, and employee wellbeing — all while developing as a leader.Veronica opens up about the powerful role models in her life, beginning with her mother, whose positivity, work ethic, and belief in education laid the foundation for Veronica's success. She also speaks deeply about the impact of colleagues like Amy Wolfe, who have offered not only support but also constructive challenge — helping her shift perspectives, make hard decisions, and grow stronger in the face of transition.These relationships have built a sense of purpose and belonging, and Veronica has been intentional about passing on what she's learned. She reflects on the responsibility to share ag's story more clearly, especially the good that often goes unseen. Whether working behind the scenes or stepping up to public-facing roles, Veronica emphasizes the importance of staying positive, focusing on what's within your control, and surrounding yourself with people who believe in doing good work for good people.Whether you're in ag or any other industry, this conversation is a reminder that great people and strong values can shape your path in powerful ways.Innovative Produce: https://innovativeproduce.com/Kirti Mutatkar, President and CEO of UnitedAg. Reach me at kmutatkar@unitedag.org, www.linkedin.com/in/kirtimutatkarUnitedAg website - www.unitedag.orgUnitedAg Health and Wellness Centers - https://www.unitedag.org/health-benefits/united-agricultural-benefit-trust/health-centers/Episode Contributors - Veronica Blanco, Kirti Mutatkar, Dave Visaya, Rhianna MaciasThe episode is also sponsored by Brent Eastman Insurance Services Inc. - https://brenteastman.comBlue Shield of California - https://www.blueshieldca.comElite Medical - https://www.elitecorpmed.comGallagher - https://www.ajg.com/SAIN Medical https://sainmedical.com/MDI Network - https://www.mdinetworx.com/about-us

KSU (3-0): K-State setter Ava LaGrand and the rest of her lady Cats dominated the Nevada Wolfpack on Friday afternoon to capture the Blue Cross & Blue Shield of Kansas Classic!

KSU (2-0) After a strong start to the the 2025 season last week, the K-State women's volleyball team host NC State tonight part of the Blue Cross & Blue Shield of Kansas Classic!

Artificial intelligence is no longer just a buzzword, it's a practical tool transforming how healthcare organizations prepare for the future. From evaluating and pricing risk with greater accuracy to identifying rising-risk members and strengthening long-term financial strategies, AI is reshaping the very foundations of forecasting in healthcare. In this episode, leaders from Florida Blue, Premera Blue Cross, Blue Shield of California, and Prealize Health share how they're applying AI across actuarial, clinical, and data science domains to optimize decisions, improve outcomes, and drive organizational sustainability. In this episode, you'll learn: How health plans are evaluating and scaling AI models to improve accuracy in forecasting and underwriting Real-world examples of AI identifying rising-risk populations and transforming engagement strategies Why “next best action” models are becoming central to member engagement and population health How generative AI and workflow optimization are streamlining operations and reducing costs What it takes to embed AI into financial planning, provider contracting, and long-term ROI strategies Panelists: Romilla Batra, MD, MBA, SVP & Chief Medical Officer, Premera Blue Cross Ratnik Gandhi, Senior Director, AI, Florida Blue Emily Allred, Senior Director & Actuary, Large Group Pricing, Blue Shield of California Dean Noble-Tolla, PhD, Chief Product & Analytics Officer, Prealize Health Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. Download here.

Working around sketchy entertainers is, thankfully, not usual, but it happens. Here's a quick story about one of the times I had to work with someone who really wasn't that safe for women. https://www.TheWorkLady.com  Jan McInnis is a top change management keynote speaker and comedian. She uses short funny stories to emphasize her tips on how businesses can use humor to handle change. Jan is a top conference keynote speaker, comedian, Master of Ceremonies, and comedy writer. She has written for Jay Leno's The Tonight Show monologues as well as many other people, places, and groups—radio, TV, syndicated cartoon strips, guests on The Jerry Springer Show (her parents are proud). For over 25 years, she's traveled the country as a keynote speaker and comedian, sharing her unique and practical tips on how to use humor in business (yes, it's a business skill!). She's been featured in The Huffington Post, The Wall Street Journal, and The Washington Post for her clean humor, and she's the author of two books: Finding the Funny Fast – How to Create Quick Humor to Connect with Clients, Coworkers, and Crowds, and Convention Comedian: Stories and Wisdom From Two Decades of Chicken Dinners and Comedy Clubs. She also has a popular podcast titled Comedian Stories: Tales From the Road in Under 5 Minutes. In her former life, she was a marketing executive in Washington, D.C. for national non-profits, and she received the Greater Washington Society of Association Executives “Excellence in Education” Award. Jan's been featured at thousands of events from the Federal Reserve Banks to the Mayo Clinic.   https://www.TheWorkLady.com https://youtu.be/BtjxzDn-QLE https://www.linkedin.com/in/janmcinnis https://twitter.com/janmcinnis https://www.pinterest.com/janmcinnis/pins/ https://www.youtube.com/c/JanMcInnisComedian https://www.facebook.com/ComedianJanMcInnis https://www.instagram.com/jan.mcinnis/   Jan has shared her humor keynotes from Fortune 500 companies to international associations. Groups such as . .. Healthcare. . . Mayo Clinic, Health Information Management Associations, Healthcare Financial Management Associations, Hospitals, Abbott Pharmaceuticals, Sanofi Aventis Pharmaceuticals, Kaiser-Permanente, Davita Dialysis Centers, Blue Cross, Blue Shield, Home Healthcare Associations, Assisted Living Associations, Healthcare Associations, National Council for Prescription Drug Companies, Organization of Nurse Leaders, Medical Group Management Associations, Healthcare Risk Associations, Healthcare Quality Associations   Financial. . . Federal Reserve Banks, BDO Accounting, Transamerica Insurance & Investment Group, Merrill Lynch, treasury management associations, bankers associations, credit unions, Money Transmitter Regulators Association, Finance Officers Associations, automated clearing house associations, American Institute of CPAs, financial planning companies, Securities, Insurance, Licensing Association   Government . . . purchasing officers associations, city clerks, International Institute of Municipal Clerks, National League of Cities, International Worker's Compensation Fund, correctional associations, LA County Management Association, Social Security Administration, Southern California Public Power Authority, public utilities, U.S. Air Force, public personnel associations, public procurement associations, risk management associations, Rehabilitation associations, rural housing associations, community action associations   Women's Events. . . American Heart Associations, Go Red For Women luncheons, Speaking of Women's Health, International Association of Administrative Professionals, administrative professionals events, Toyota Women's Conference, Women in Insurance and Financial Services, Soroptimists, Women in Film & Video, ladies night out events, Henry Ford Health Centers Women's Event, spirit of women events, breast cancer awareness,   Education . . . School Business Officials associations, school superintendent associations, school boards associations, state education associations, community college associations, school administrators associations, school plant managers associations, Head Start associations, Texas adult protective services, school nutrition associations, Association of Elementary and Middle School Principals, principal associations, library associations   Emergency, safety, and Disaster . . . International Association of Emergency Managers, Disney Emergency Managers, state emergency management associations, insurance groups, COPIC, Salt Lake County Public Works and Municipal Services Disaster Recovery Conference, Pennsylvania Governor's Occupational Safety and Health conference, Mid Atlantic Safety conference and Chesapeake Regional Safety Council, Risk associations.  

Right up front here, let me just state loudly that there are some amazing independent TPAs (third-party administrators) out there who have the expertise, the scrappy willfulness, and the deep desire to do right by their clients, their self-insured employer clients. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. And look, they may be facing some of the same headwinds that plan sponsors themselves face, like anticompetitive contracts, brokers who are up to no good, etc. So, just keep that in mind as you listen. And the main point of all of this if you are a plan sponsor is, find a good TPA partner, which, as Bryce Platt has said about consultants but same rules apply about TPAs here, the difficulty is being informed enough to tell the difference. So, the goal of this show is to help with that, the “be informed enough to tell the difference.” All of this being said, this is technically a Take Two; but we trimmed it down and welcome to a whole new intro. So, call this a refresher and an update about a really, really important topic from last year that is becoming extremely (maybe even more) relevant this year. Really relevant. Consider, for example, the show with Claire Brockbank (EP453) about carrier/TPA RFPs (requests for proposal) and all of the landmines that are really expensive, that are buried in some of these contracts. Then there was the Cynthia Fisher show (EP457) from last year about the millions, maybe billions of dollars in aggregate going missing in medical (ie, TPA or ASO [administrative services only]) spread pricing. We had “The Mystery of the Weekly Claims Wire” show with Justin Leader (EP433), again, revealing money that's being disappeared when the TPA is withdrawing dollars from plan sponsor checking accounts. And then there's the payment integrity episode with Kimberly Carleson (EP480) from a few weeks ago with just another wrinkle on this, namely TPAs or ASOs who insist on auditing themselves and how that turns out for members and plan sponsors. Oh, and last, but certainly not least, is the whistleblower show with Ann Lewandowski (EP476) on how a TPA arm of an EBC (employee benefit consultant) allegedly pocketed $20 million—$20 million of their client's pharma rebates—and used that $20 million to fund their executive bonus pool. What a time to be alive! All of this just highlights the huge stakes for plan sponsors to really understand what their TPA is all about. And when I say high stakes, I mean from both a legal standpoint and also just vast dollars in play here. But this episode with Elizabeth Mitchell is also, I'm gonna say, extremely relevant given just a few ripped from the headlines and news articles such as these. I'm gonna start actually with a post from Kimberly Carleson, and I like the comment by Jeff Evans, who wrote, “How does $8,710 equal $104,266?” Spoiler alert, it doesn't. Lots of missing dollars there. Someone's hands are in the cookie jar. Oh, look, the TPA has entered the chat. In a nutshell, and I'm quoting something Peter Hayes wrote, he wrote, “TPAs have received relatively little public attention. [There's an article in Health Affairs] that describes how TPAs impose hidden fees, benefit from their own form of spread pricing, and otherwise prioritize their own financial interests over those of their plan clients.” Also, here's a totally other issue. Let me quote Luke Prettol highlighting something Jason Shafrin had written about a paper by Jeff Marr, Daniel Polsky, and Mark Meiselbach. Let me slightly rephrase what Luke said. He wrote, “Employers pay, on average, a 4.7% [so almost 5%] price markup when hospitals are in their TPA's [Medicare Advantage] network.” Right? Dr. Eric Bricker talked about this in that episode (EP472) just how TPAs with MA (Medicare Advantage) business negotiate their commercial clients to pay higher rates so that then they can pay lower rates for their own MA members. As Luke wrote, “On its face, this overpayment does not appear to be solely in the interest of participants.” No kidding. Now, let's spin the wheel here. There are barriers for TPAs themselves, even the ones who have a deep desire to do the right thing. As Patrick Moore wrote, “Most TPAs still can't do [many of the things that employers might want because there are] PPO contracts.” So, is it a rock in a hard place situation? I mean, if the TPA has no other options than using a carrier's PPO (preferred provider organization) network with all its attendant contractual issues, then yeah, that is one definite challenge. Along these lines, let me read a post by Rina Tikia, because I think she sums up this really well. “When independent TPAs … push for transparency, they're blocked under the banner of ‘fiduciary risk.' “Meanwhile, the largest carriers and PBMs, with Cayman shell subsidiaries, DOJ kickback probes, [huge] hedge fund ties, [$10 million-plus] lobbying budgets, and antitrust violations continue unchecked. They are not only allowed to operate but celebrated as mainstream options. “Why the double standard? Political donations? Foundation smokescreens? Nonprofit status as a PR shield?” These are excellent questions. And here's another challenge: brokers. Ramesh Kumar Budhani wrote about this one, just how hard it is sometimes to find—for TPA, an independent TPA, trying to do the right thing—to find brokers who prioritize doing the right thing for employers and helping their clients save money. The summary of all of this: There are TPAs and there are ASOs who aren't even trying. They are going to ride the flywheel, the gravy train, and catch all of the dollars flying off of it for as long as they can manage to cling to it with all 10 of their fingers. Then there are TPAs, mostly indies, trying super hard to do the right thing. But how successful they are is going to depend on how boxed in they are by the PPO networks or the carriers that the brokers or even plan sponsors may insist on. Just how courageous they are and just how smart they are and experienced they are about the market and how it actually operates. So, the show that follows is about all of this, including how we can inspire TPAs, which, in the show that follows, subsumes ASOs kind of into it. But in the show that follows, I hope it's inspiring to create an environment so that the market demands TPAs that do all of the things, and we make inertia not a viable business strategy. Elizabeth Mitchell, my guest today, currently serves as the president and CEO of the Purchaser Business Group on Health. Also mentioned in this episode are Purchaser Business Group on Health; Bryce Platt; Claire Brockbank; Cynthia Fisher; Justin Leader; Kimberly Carleson; Ann Lewandowski; Jeff Evans; Peter Hayes; Luke Prettol; Jason Shafrin; Jeff Marr; Daniel Polsky; Mark Meiselbach; Eric Bricker, MD; Tom Nash; Patrick Moore; Rina Tikia; Ramesh Kumar Budhani; Mark Cuban; Harold Miller; Chris Deacon; Moby Parsons, MD; Benjamin Schwartz, MD, MBA; Mishe Health; Rik Renard; and Cora Opsahl. You can learn more at PBGH and by connecting with Elizabeth on LinkedIn.   Elizabeth Mitchell, president and CEO of the Purchaser Business Group on Health (PBGH), advances its strategic focus areas of advanced primary care, functional markets, and purchasing value. She leads PBGH in mobilizing health care purchasers, elevating the role and impact of primary care, and creating functional healthcare markets to support high-quality affordable care, achieving measurable impacts on outcomes and affordability. At PBGH, Elizabeth leverages her extensive experience in working with healthcare purchasers, providers, policymakers, and payers to improve healthcare quality and cost. She previously served as senior vice president for healthcare and community health transformation at Blue Shield of California, during which time she designed Blue Shield's strategy for transforming practice, payment, and community health. Elizabeth served as the president and CEO of the Network for Regional Healthcare Improvement (NRHI), a network of regional quality improvement and measurement organizations. She also served as CEO of Maine's business coalition on health (the Maine Health Management Coalition), worked within an integrated delivery system (MaineHealth), and was elected to the Maine State Legislature, serving as a State Representative. Elizabeth served as vice chairperson of the U.S. Department of Health and Human Services Physician-Focused Payment Model Technical Advisory Committee, board and executive committee member of the National Quality Forum (NQF), member of the National Academy of Medicine's “Vital Signs” Study Committee on core metrics, and a guiding committee member for the Health Care Payment Learning & Action Network. Elizabeth holds a degree in religion from Reed College and studied social policy at the London School of Economics.   08:06 What is the overarching context for health plans in healthcare purchasing? 11:31 Why is it important to reestablish a connection between the people paying for care and people providing care? 13:47 What are the needs of a self-insured employer when managing employee benefits? 19:00 Is it doable for employers to set their own contracts? 21:24 Is transparency presumed? 22:39 Will the new transparency upon us actually expose wasted expense? 24:23 EP408 with Chris Deacon. 25:58 “This is not about individual bad actors. … The systems … that is not aligned.” 27:39 Are there providers who want to work directly with employers? 30:53 Why is it important that incentives need to be aligned? 32:42 EP427 with Rik Renard. 33:51 What's missing from the conversation on changing health plans?   You can learn more at PBGH and by connecting with Elizabeth on LinkedIn.   @lizzymitch2 of @PBGHealth discusses #TPA and #healthplan vs. #jumboemployer inertia on our #healthcarepodcast. #healthcare #podcast #financialhealth #patientoutcomes #primarycare #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! Dave Chase, Jonathan Baran (Part 2), Jonathan Baran (Part 1), Jonathan Baran (Bonus Episode), Dr Stan Schwartz (Summer Shorts), Preston Alexander, Dr Tom X Lee (Take Two: EP445), Dr Tom X Lee (Bonus Episode), Dr Benjamin Schwartz, Dr John Lee (Take Two: EP438), Kimberly Carleson, Ann Lewandowski (Summer Shorts)  

Referrals are a big part of most freelancer's business, especially comedians and keynote speakers! Here's a quick story about the right and wrong way to go about asking for a referral.   https://www.TheWorkLady.com  Jan McInnis is a top change management keynote speaker and comedian. She uses short funny stories to emphasize her tips on how businesses can use humor to handle change. Jan is a top conference keynote speaker, comedian, Master of Ceremonies, and comedy writer. She has written for Jay Leno's The Tonight Show monologues as well as many other people, places, and groups—radio, TV, syndicated cartoon strips, guests on The Jerry Springer Show (her parents are proud). For over 25 years, she's traveled the country as a keynote speaker and comedian, sharing her unique and practical tips on how to use humor in business (yes, it's a business skill!). She's been featured in The Huffington Post, The Wall Street Journal, and The Washington Post for her clean humor, and she's the author of two books: Finding the Funny Fast – How to Create Quick Humor to Connect with Clients, Coworkers, and Crowds, and Convention Comedian: Stories and Wisdom From Two Decades of Chicken Dinners and Comedy Clubs. She also has a popular podcast titled Comedian Stories: Tales From the Road in Under 5 Minutes. In her former life, she was a marketing executive in Washington, D.C. for national non-profits, and she received the Greater Washington Society of Association Executives “Excellence in Education” Award. Jan's been featured at thousands of events from the Federal Reserve Banks to the Mayo Clinic.   https://www.TheWorkLady.com https://youtu.be/BtjxzDn-QLE https://www.linkedin.com/in/janmcinnis https://twitter.com/janmcinnis https://www.pinterest.com/janmcinnis/pins/ https://www.youtube.com/c/JanMcInnisComedian https://www.facebook.com/ComedianJanMcInnis https://www.instagram.com/jan.mcinnis/   Jan has shared her humor keynotes from Fortune 500 companies to international associations. Groups such as . .. Healthcare. . . Mayo Clinic, Health Information Management Associations, Healthcare Financial Management Associations, Hospitals, Abbott Pharmaceuticals, Sanofi Aventis Pharmaceuticals, Kaiser-Permanente, Davita Dialysis Centers, Blue Cross, Blue Shield, Home Healthcare Associations, Assisted Living Associations, Healthcare Associations, National Council for Prescription Drug Companies, Organization of Nurse Leaders, Medical Group Management Associations, Healthcare Risk Associations, Healthcare Quality Associations   Financial. . . Federal Reserve Banks, BDO Accounting, Transamerica Insurance & Investment Group, Merrill Lynch, treasury management associations, bankers associations, credit unions, Money Transmitter Regulators Association, Finance Officers Associations, automated clearing house associations, American Institute of CPAs, financial planning companies, Securities, Insurance, Licensing Association   Government . . . purchasing officers associations, city clerks, International Institute of Municipal Clerks, National League of Cities, International Worker's Compensation Fund, correctional associations, LA County Management Association, Social Security Administration, Southern California Public Power Authority, public utilities, U.S. Air Force, public personnel associations, public procurement associations, risk management associations, Rehabilitation associations, rural housing associations, community action associations   Women's Events. . . American Heart Associations, Go Red For Women luncheons, Speaking of Women's Health, International Association of Administrative Professionals, administrative professionals events, Toyota Women's Conference, Women in Insurance and Financial Services, Soroptimists, Women in Film & Video, ladies night out events, Henry Ford Health Centers Women's Event, spirit of women events, breast cancer awareness,   Education . . . School Business Officials associations, school superintendent associations, school boards associations, state education associations, community college associations, school administrators associations, school plant managers associations, Head Start associations, Texas adult protective services, school nutrition associations, Association of Elementary and Middle School Principals, principal associations, library associations   Emergency, safety, and Disaster . . . International Association of Emergency Managers, Disney Emergency Managers, state emergency management associations, insurance groups, COPIC, Salt Lake County Public Works and Municipal Services Disaster Recovery Conference, Pennsylvania Governor's Occupational Safety and Health conference, Mid Atlantic Safety conference and Chesapeake Regional Safety Council, Risk associations.    

As we age, managing health becomes more complex. Multiple doctors, medications, and appointments can make it hard to keep everything connected. Dr. Zaidi, Plan Performance Medical Director at Anthem Blue Cross & Blue Shield, joins Tina McIntosh to talk about what coordinated care really means for seniors and their families. He explains the role of a hospitalist, why preventive care matters, and how screenings and vaccines can help older adults stay healthier for longerShow notes:www.Joyshouse.orghttps://www.anthem.com/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

What you wear onstage is important. This is a quick story about what NOT to wear. I got to work with someone who wore an odd outfit and her wordrobe choice backfired on her.   https://www.TheWorkLady.com  Jan McInnis is a top change management keynote speaker and comedian. She uses short funny stories to emphasize her tips on how businesses can use humor to handle change. Jan is a top conference keynote speaker, comedian, Master of Ceremonies, and comedy writer. She has written for Jay Leno's The Tonight Show monologues as well as many other people, places, and groups—radio, TV, syndicated cartoon strips, guests on The Jerry Springer Show (her parents are proud). For over 25 years, she's traveled the country as a keynote speaker and comedian, sharing her unique and practical tips on how to use humor in business (yes, it's a business skill!). She's been featured in The Huffington Post, The Wall Street Journal, and The Washington Post for her clean humor, and she's the author of two books: Finding the Funny Fast – How to Create Quick Humor to Connect with Clients, Coworkers, and Crowds, and Convention Comedian: Stories and Wisdom From Two Decades of Chicken Dinners and Comedy Clubs. She also has a popular podcast titled Comedian Stories: Tales From the Road in Under 5 Minutes. In her former life, she was a marketing executive in Washington, D.C. for national non-profits, and she received the Greater Washington Society of Association Executives “Excellence in Education” Award. Jan's been featured at thousands of events from the Federal Reserve Banks to the Mayo Clinic.   https://www.TheWorkLady.com https://youtu.be/BtjxzDn-QLE https://www.linkedin.com/in/janmcinnis https://twitter.com/janmcinnis https://www.pinterest.com/janmcinnis/pins/ https://www.youtube.com/c/JanMcInnisComedian https://www.facebook.com/ComedianJanMcInnis https://www.instagram.com/jan.mcinnis/   Jan has shared her humor keynotes from Fortune 500 companies to international associations. Groups such as . .. Healthcare. . . Mayo Clinic, Health Information Management Associations, Healthcare Financial Management Associations, Hospitals, Abbott Pharmaceuticals, Sanofi Aventis Pharmaceuticals, Kaiser-Permanente, Davita Dialysis Centers, Blue Cross, Blue Shield, Home Healthcare Associations, Assisted Living Associations, Healthcare Associations, National Council for Prescription Drug Companies, Organization of Nurse Leaders, Medical Group Management Associations, Healthcare Risk Associations, Healthcare Quality Associations   Financial. . . Federal Reserve Banks, BDO Accounting, Transamerica Insurance & Investment Group, Merrill Lynch, treasury management associations, bankers associations, credit unions, Money Transmitter Regulators Association, Finance Officers Associations, automated clearing house associations, American Institute of CPAs, financial planning companies, Securities, Insurance, Licensing Association   Government . . . purchasing officers associations, city clerks, International Institute of Municipal Clerks, National League of Cities, International Worker's Compensation Fund, correctional associations, LA County Management Association, Social Security Administration, Southern California Public Power Authority, public utilities, U.S. Air Force, public personnel associations, public procurement associations, risk management associations, Rehabilitation associations, rural housing associations, community action associations   Women's Events. . . American Heart Associations, Go Red For Women luncheons, Speaking of Women's Health, International Association of Administrative Professionals, administrative professionals events, Toyota Women's Conference, Women in Insurance and Financial Services, Soroptimists, Women in Film & Video, ladies night out events, Henry Ford Health Centers Women's Event, spirit of women events, breast cancer awareness,   Education . . . School Business Officials associations, school superintendent associations, school boards associations, state education associations, community college associations, school administrators associations, school plant managers associations, Head Start associations, Texas adult protective services, school nutrition associations, Association of Elementary and Middle School Principals, principal associations, library associations   Emergency, safety, and Disaster . . . International Association of Emergency Managers, Disney Emergency Managers, state emergency management associations, insurance groups, COPIC, Salt Lake County Public Works and Municipal Services Disaster Recovery Conference, Pennsylvania Governor's Occupational Safety and Health conference, Mid Atlantic Safety conference and Chesapeake Regional Safety Council, Risk associations.  

In this episode, I had the opportunity to sit down with Marylu, a remarkable HR leader in the ag industry whose story is deeply rooted in resilience, compassion, and advocacy. Her journey began with a powerful influence—her mother, one of the first women to rise into a leadership role in ag in the 90s. That example of professionalism and quiet strength laid the foundation for Marylu's own leadership approach today.Our conversation was a rich reflection on what it means to lead with empathy in an industry often driven by compliance and regulations. Marylu opened up about the joy she finds in training and empowering her teams, how she navigates the fine balance between policy and humanity, and how field visits give her direct insight into employee challenges. She shared the emotional weight of HR work—listening to workers' personal stories, addressing their fears around immigration, and helping them navigate mental health stressors, especially in the aftermath of COVID.What really stood out to me was her emphasis on connection. Marylu believes in treating employees not just as workers, but as people with unique experiences. She finds fulfillment in seeing them grow and succeed, and she brings that same care into her leadership with her own team.She also spoke about her transformation through the Women Ag Leadership Academy, how it helped her find her voice, overcome self-doubt, and step confidently into visible leadership. Her closing message—especially for our Spanish-speaking audience—was a beautiful reminder: don't be afraid to ask for help, use the resources available, and most importantly, don't forget about yourself while you're taking care of everyone else.Marylu is exactly the kind of leader our industry needs—grounded, authentic, and deeply committed to both people and progress. I'm proud to serve alongside her on the United Ag board and to continue building this movement for empathetic, inclusive leadership together.Marylu Ramirez: https://www.linkedin.com/in/marylu-ramirez-57134142/Good Farms: https://goodfarms.com/Kirti Mutatkar, President and CEO of UnitedAg. Reach me at kmutatkar@unitedag.org, www.linkedin.com/in/kirtimutatkarUnitedAg website - www.unitedag.orgUnitedAg Health and Wellness Centers - https://www.unitedag.org/health-benefits/united-agricultural-benefit-trust/health-centers/Episode Contributors - Marylu Ramirez, Kirti Mutatkar, Dave Visaya, Rhianna MaciasThe episode is also sponsored by Brent Eastman Insurance Services Inc. - https://brenteastman.comBlue Shield of California - https://www.blueshieldca.comElite Medical - https://www.elitecorpmed.comGallagher - https://www.ajg.com/SAIN Medical https://sainmedical.com/MDI Network - https://www.mdinetworx.com/about-us

As a comedian, I've learned that TV credits don't always define success. People often assume fame equals talent, but my career has thrived without constant screen time. From Irish Pubs to casino gigs, whats in a TV Credit? https://www.TheWorkLady.com  Jan McInnis is a top change management keynote speaker and comedian. She uses short funny stories to emphasize her tips on how businesses can use humor to handle change. Jan is a top conference keynote speaker, comedian, Master of Ceremonies, and comedy writer. She has written for Jay Leno's The Tonight Show monologues as well as many other people, places, and groups—radio, TV, syndicated cartoon strips, guests on The Jerry Springer Show (her parents are proud). For over 25 years, she's traveled the country as a keynote speaker and comedian, sharing her unique and practical tips on how to use humor in business (yes, it's a business skill!). She's been featured in The Huffington Post, The Wall Street Journal, and The Washington Post for her clean humor, and she's the author of two books: Finding the Funny Fast – How to Create Quick Humor to Connect with Clients, Coworkers, and Crowds, and Convention Comedian: Stories and Wisdom From Two Decades of Chicken Dinners and Comedy Clubs. She also has a popular podcast titled Comedian Stories: Tales From the Road in Under 5 Minutes. In her former life, she was a marketing executive in Washington, D.C. for national non-profits, and she received the Greater Washington Society of Association Executives “Excellence in Education” Award. Jan's been featured at thousands of events from the Federal Reserve Banks to the Mayo Clinic.   https://www.TheWorkLady.com https://youtu.be/BtjxzDn-QLE https://www.linkedin.com/in/janmcinnis https://twitter.com/janmcinnis https://www.pinterest.com/janmcinnis/pins/ https://www.youtube.com/c/JanMcInnisComedian https://www.facebook.com/ComedianJanMcInnis https://www.instagram.com/jan.mcinnis/   Jan has shared her humor keynotes from Fortune 500 companies to international associations. Groups such as . .. Healthcare. . . Mayo Clinic, Health Information Management Associations, Healthcare Financial Management Associations, Hospitals, Abbott Pharmaceuticals, Sanofi Aventis Pharmaceuticals, Kaiser-Permanente, Davita Dialysis Centers, Blue Cross, Blue Shield, Home Healthcare Associations, Assisted Living Associations, Healthcare Associations, National Council for Prescription Drug Companies, Organization of Nurse Leaders, Medical Group Management Associations, Healthcare Risk Associations, Healthcare Quality Associations   Financial. . . Federal Reserve Banks, BDO Accounting, Transamerica Insurance & Investment Group, Merrill Lynch, treasury management associations, bankers associations, credit unions, Money Transmitter Regulators Association, Finance Officers Associations, automated clearing house associations, American Institute of CPAs, financial planning companies, Securities, Insurance, Licensing Association   Government . . . purchasing officers associations, city clerks, International Institute of Municipal Clerks, National League of Cities, International Worker's Compensation Fund, correctional associations, LA County Management Association, Social Security Administration, Southern California Public Power Authority, public utilities, U.S. Air Force, public personnel associations, public procurement associations, risk management associations, Rehabilitation associations, rural housing associations, community action associations   Women's Events. . . American Heart Associations, Go Red For Women luncheons, Speaking of Women's Health, International Association of Administrative Professionals, administrative professionals events, Toyota Women's Conference, Women in Insurance and Financial Services, Soroptimists, Women in Film & Video, ladies night out events, Henry Ford Health Centers Women's Event, spirit of women events, breast cancer awareness,   Education . . . School Business Officials associations, school superintendent associations, school boards associations, state education associations, community college associations, school administrators associations, school plant managers associations, Head Start associations, Texas adult protective services, school nutrition associations, Association of Elementary and Middle School Principals, principal associations, library associations   Emergency, safety, and Disaster . . . International Association of Emergency Managers, Disney Emergency Managers, state emergency management associations, insurance groups, COPIC, Salt Lake County Public Works and Municipal Services Disaster Recovery Conference, Pennsylvania Governor's Occupational Safety and Health conference, Mid Atlantic Safety conference and Chesapeake Regional Safety Council, Risk associations.  

In the "Medicare Advantage Minute" we learn that many Medicare Advantage insurance companies have stopped paying sales commissions to agents that sell some of their Medicare Advantage and Part D prescription drug plans. Later in the episode we receive the same interesting news from Blue Shield of California. How does a company expect to sell products through insurance brokers without paying sales commissions? In the "Your Medicare Benefits 2025" segment we learn how Medicare is likely to handle claims for Mental Health Care (Partial Hospitalization). Finally, client Larry reported that Globe Life of NY was planning to increase the monthly premium of the HDG plan he and his wife have been enrolled in. What he may not have realized is that it was the first rate increase in four years...unheard of for any but the much-maligned HDG supplement plans! 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!" "MEDICARE DRUG PLANS: A SIMPLE D-I-Y GUIDE" For sale on Amazon.com. After enjoying the books, please consider returning to leave a short customer review to  help future readers. Official website: https://www.MedicareForTheLazyMan.com.

This behind-the-scenes look at a once-iconic comedy club shares the highs, nerves, and unexpected lessons that come with chasing stage time in a competitive industry. Through one comic's journey to land a coveted spot at Harvey's Comedy Club. https://www.TheWorkLady.com  Jan McInnis is a top change management keynote speaker and comedian. She uses short funny stories to emphasize her tips on how businesses can use humor to handle change. Jan is a top conference keynote speaker, comedian, Master of Ceremonies, and comedy writer. She has written for Jay Leno's The Tonight Show monologues as well as many other people, places, and groups—radio, TV, syndicated cartoon strips, guests on The Jerry Springer Show (her parents are proud). For over 25 years, she's traveled the country as a keynote speaker and comedian, sharing her unique and practical tips on how to use humor in business (yes, it's a business skill!). She's been featured in The Huffington Post, The Wall Street Journal, and The Washington Post for her clean humor, and she's the author of two books: Finding the Funny Fast – How to Create Quick Humor to Connect with Clients, Coworkers, and Crowds, and Convention Comedian: Stories and Wisdom From Two Decades of Chicken Dinners and Comedy Clubs. She also has a popular podcast titled Comedian Stories: Tales From the Road in Under 5 Minutes. In her former life, she was a marketing executive in Washington, D.C. for national non-profits, and she received the Greater Washington Society of Association Executives “Excellence in Education” Award. Jan's been featured at thousands of events from the Federal Reserve Banks to the Mayo Clinic.   https://www.TheWorkLady.com https://youtu.be/BtjxzDn-QLE https://www.linkedin.com/in/janmcinnis https://twitter.com/janmcinnis https://www.pinterest.com/janmcinnis/pins/ https://www.youtube.com/c/JanMcInnisComedian https://www.facebook.com/ComedianJanMcInnis https://www.instagram.com/jan.mcinnis/   Jan has shared her humor keynotes from Fortune 500 companies to international associations. Groups such as . .. Healthcare. . . Mayo Clinic, Health Information Management Associations, Healthcare Financial Management Associations, Hospitals, Abbott Pharmaceuticals, Sanofi Aventis Pharmaceuticals, Kaiser-Permanente, Davita Dialysis Centers, Blue Cross, Blue Shield, Home Healthcare Associations, Assisted Living Associations, Healthcare Associations, National Council for Prescription Drug Companies, Organization of Nurse Leaders, Medical Group Management Associations, Healthcare Risk Associations, Healthcare Quality Associations   Financial. . . Federal Reserve Banks, BDO Accounting, Transamerica Insurance & Investment Group, Merrill Lynch, treasury management associations, bankers associations, credit unions, Money Transmitter Regulators Association, Finance Officers Associations, automated clearing house associations, American Institute of CPAs, financial planning companies, Securities, Insurance, Licensing Association   Government . . . purchasing officers associations, city clerks, International Institute of Municipal Clerks, National League of Cities, International Worker's Compensation Fund, correctional associations, LA County Management Association, Social Security Administration, Southern California Public Power Authority, public utilities, U.S. Air Force, public personnel associations, public procurement associations, risk management associations, Rehabilitation associations, rural housing associations, community action associations   Women's Events. . . American Heart Associations, Go Red For Women luncheons, Speaking of Women's Health, International Association of Administrative Professionals, administrative professionals events, Toyota Women's Conference, Women in Insurance and Financial Services, Soroptimists, Women in Film & Video, ladies night out events, Henry Ford Health Centers Women's Event, spirit of women events, breast cancer awareness,   Education . . . School Business Officials associations, school superintendent associations, school boards associations, state education associations, community college associations, school administrators associations, school plant managers associations, Head Start associations, Texas adult protective services, school nutrition associations, Association of Elementary and Middle School Principals, principal associations, library associations   Emergency, safety, and Disaster . . . International Association of Emergency Managers, Disney Emergency Managers, state emergency management associations, insurance groups, COPIC, Salt Lake County Public Works and Municipal Services Disaster Recovery Conference, Pennsylvania Governor's Occupational Safety and Health conference, Mid Atlantic Safety conference and Chesapeake Regional Safety Council, Risk associations.    

Annie Wingate Spell, Louisiana State Representative for District 45, joins Discover Lafayette to share the journey that led her to public service. Annie's story is one of unwavering determination, professional excellence, and personal resilience. A licensed clinical child psychologist, Annie holds degrees from UL Lafayette and LSU. In 2024, she was honored with the Angel Award by the Blue Cross and Blue Shield of Louisiana Foundation for her long-standing advocacy on behalf of Hearts of Hope, which supports survivors of sexual assault victims in Acadiana. A lifelong learner and self-starter, Annie recounted the early days of her path to becoming a psychologist. While studying at USL, she pivoted from business to psychology after realizing her passion for understanding human behavior. She reached out to 16 local psychologists listed in the Yellow Pages, offering to pay for their time to learn more about the profession. “They didn't charge me.” One of those who answered her call, Dr. Kenneth Bouillion, became an influential mentor, helping her determine that child psychology was her calling: “I always thought it was easier to build up a child than build up an adult. There's so much flexibility in a child's development and fluidity that if we can affect change on their environment, we could have better outcomes for them. ” A Lafayette native, Annie credits her parents, Joan Babineaux Wingate and Keith Wingate, with instilling a deep sense of faith, gratitude, and service. “God will provide. But don't act as if He will. Don't take anything for granted.” Her mother, she said, is “the epitome of a servant leader. My father was one of those dads that was ever involved. Having three girls, he learned that shopping malls could be fun. He learned that cheer camps are the best thing ever." Annie's grandfather, Judge Allen Babineaux, was also a defining influence in her life. A former Louisiana State Representative for District 45, he served as a judge in the 15th JDC. He championed CODOFIL, advocated for the recognition of Acadiana as a geographic and cultural region, and played a key role in bringing about the Acadiana flag. “He wasn't just a politician… He was a neighbor, a friend, and a leader.” The flag of Acadiana was first displayed on Feb. 22, 1965, the centennial of the Acadian arrival in this area. Shown are Thomas Arceneaux, president of the Bicentennial Celebration of France-Amerique and the designer of the flag; Roy Theriot, president of the Acadian Committee; and Judge Allen Babineaux, who sponsored the flag's creation. Photo credit: Lafayette Parish Clerk of Court Louis Perret She also spoke of her experience helping children and families after Hurricane Katrina, both in New Orleans and later during her residency in Houston, where she worked with evacuees from Louisiana. “The strength of a community and the ability for people to mobilize together is really critical. "The need for a strong community was ever evident to me in those moments when crisis hits, in those moments when what you thought was certain, which you had taken for granted, was no longer there. The strength of a community and the ability for people to mobilize together is really critical. I saw children who are by far very resilient most times when it comes to tragedy. So a lot of what I did was supporting the parents in those moments because they were the ones that were obviously dealing with the very serious consequences of their home, their work, all of that.” Annie married Joe Spell, founder and CEO of Tides Medical, in 2006. She described him as “a generous person, generous in spirit and time” who waited for her while she pursued her goals. The strength of their relationship was evident when Annie was diagnosed with stage four Hodgkin's lymphoma shortly after the birth of their first son. "The day I was diagnosed was the day that my husband Joe, was hiring his first executive besides himself.

This episode recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable features Dr. Tom Allen, Executive Medical Director, Behavioral Health, Blue Cross and Blue Shield. Dr. Allen shares how his team is advancing behavioral health outcomes through telehealth, data-driven insights, and deeper integration with primary care while addressing rising rates of mental health conditions with a focus on member experience and whole-person care.

This episode recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable features Dr. Tom Allen, Executive Medical Director, Behavioral Health, Blue Cross and Blue Shield. Dr. Allen shares how his team is advancing behavioral health outcomes through telehealth, data-driven insights, and deeper integration with primary care while addressing rising rates of mental health conditions with a focus on member experience and whole-person care.

In this special live episode from the 2025 Advisory Board Summit, host Rachel (Rae) Woods sits down with a leader well-versed in bold transformation: Paul Markovich. After more than a decade as President and CEO of Blue Shield of California, Paul now leads Ascendiun—a new nonprofit parent company that includes Blue Shield of California, its clinical services firm Altais, and the newly launched health services business, Stellarus. Together, they explore the mounting pressures facing health plans and the bold bets Paul has made in pursuit of a powerful mission: to eagerly create a healthcare system that is worthy of friends and family—and sustainably affordable. Upholding that mission while navigating constant disruption is no easy feat. In this episode, you'll learn: How organizations can drive radical change without losing public trust What action steps leaders can take today, from getting their digital house to restructuring their pharmacy models What it takes to prioritize, scale, and sustain bold moves across a complex organization We're here to help: Ascendiun Blue Shield of California is ditching its PBM. Here's our take. Radio Advisory's Leadership playlist Understand your customer: Health plans Home - 2025 Advisory Board Virtual Summit Series There are two events remaining in the 2025 Advisory Board Summit Series. Click here to learn more and secure your spot. Advisory Board Fellowship A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.

In this episode, Dr. Jennifer Nuovo, Chief Medical Officer of Blue Shield of California's Promise Health Plan, joins Jakob Emerson to discuss how her team is increasing access to preventive care, addressing health disparities, and building community trust through targeted outreach, innovative programs, and a focus on whole person care.

This episode, recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable, features Angie Kalousek, Senior Director, Clinical Strategy and Programs at Blue Shield of California. Angie shares how her organization is innovating in value-based care, virtual delivery, and health equity initiatives to balance affordability, quality, and access for diverse member populations.

On today's episode of Fostering Change, we continue our special acknowledgment that May is National Foster Care Awareness Month. We hope you have taken some moments to reflect on what you can do to support those in the foster care system: donate, volunteer your time, mentor, or even consider taking steps to be a CASA or foster parent. Thank you for all you do!If you'd like a simple way to support Comfort Cases, here's an idea: You can participate in the Hundred X program. Click on the following link, and you'll be guided to complete surveys about brands and companies you are familiar with. Comfort Cases will receive $1.60 for every survey you fill out (and it only takes 2 minutes max for each!) https://programs.hundredx.com/givewithoutspendingNow, on to today's episode: For 8 years, we have worked with the team at Anthem Blue Cross Blue Shield in Indiana, and have expanded that partnership throughout the country, literally giving away THOUSANDS of our Comfort Cases backpacks to social service agencies and youth experiencing foster care.Today, we speak with Aimee Christian, a Fostering Connections Case Manager with Anthem Blue Cross Blue Shield. Aimee and Rob Scheer have a lively discussion that focuses on the positive changes that can be made to improve the foster care system.Some of the points they cover include changing our vocabulary so we're not labeling these youth, changing the focus from just on the child to the entire family, and building and improving relationships with the birth family and the foster family.Aimee and Rob will certainly motivate you to—at minimum—give new thoughts to the foster care system and—at best—possibly motivate you to consider becoming a foster parent yourself!We know you'll enjoy this interview. Thank you again to Anthem Blue Cross Blue Shield for being such a valuable and supportive partner to Comfort Cases all these years! ​​The partnership between Anthem Blue Cross and Blue Shield and Comfort Cases has grown since 2018. Since the expansion, Anthem Blue Cross and Blue Shield's affiliated health plans have hosted dozens of packing parties across 16 states, Washington DC, and Puerto Rico, providing thousands of Comfort Cases and XL duffel bags to youth in foster care nationwide.For more information about the foster care system or how you can support Comfort Cases, please visit our website: www.comfortcases.org. If you have any questions, comments, or guest suggestions, please reach out to us at info@comfortcases.org. Hosted on Acast. See acast.com/privacy for more information.

Over 160 million Americans are served by Optum, yet many still don't fully understand what it actually does—or why it matters.Dr. Patrick Conway, newly appointed CEO of Optum and former head of CMS Innovation Center and Blue Cross NC, joins Steve for a wide-ranging discussion on the state of healthcare delivery, affordability, and the potential of value-based care at a national scale. With experience spanning the frontlines of medicine to top government and corporate leadership, Conway breaks down how Optum aims to improve care while controlling costs—and why he continues to practice as a pediatric hospitalist on weekends.We cover:

In this episode, we sit down with Lisa-Maree Blumenfeld, a seasoned HR leader with over 25 years of experience, to discuss her journey in the world of Human Resources and her passion for helping startups build strong, people-first cultures. As the founder of Retain and co-founder of Eleven, Lisa-Maree shares her insights on scaling businesses while ensuring a solid and compliant HR foundation. Key Topics Discussed: Lisa-Maree's career journey and her extensive experience with startups and established corporations The importance of crafting scalable HR strategies in fast-growing companies How Eleven empowers leaders to enhance communication with their teams The role of empathy in HR leadership and executive coaching Navigating the challenges and chaos of building high-performing teams Insights on work-life balance and the importance of joy in both personal and professional life Guest Background: Before launching Retain and Eleven, Lisa-Maree was the VP of People at Expa, where she played a crucial role in scaling HR for over 20 startups. Her career also includes leadership positions at Lyft, NinthDecimal, and Aria Systems, alongside roles at PG&E and Blue Shield of California. Fun Facts: Lisa is a proud mom of four and loves live music, often attending concerts in her free time. She is currently on a mission to persuade her husband to adopt another puppy! Resources Mentioned: Retain Eleven Connect with Lisa-Maree: LinkedIn: Lisa-Maree Blumenfeld  

Join us for an important discussion of the mental health impact on our youth of the fast pace and changing environment—and the volatility and uncertainty—of the post-COVID era. Afterward, stay for our post-program reception. Clara Armstrong is a 16-year-old sophomore who is deeply committed to advocating for youth mental health. Since November 2024, she has been an active member of the Sacramento County Behavioral Health Youth Advisory Board, where she has taken on leadership roles, including planning and leading youth listening sessions. Mav Li is a perpetual learner, currently focused on healing, exploring new hobbies, and transitioning, while based in San Francisco as a barback at Old Skool Cafe. A Harvard early graduate and former quant trader, Mav once represented the United States in chess and earth science during high school. Brihanna Best, 17, is a high school junior, youth leader, and mental health advocate based in San Leandro, California. As a Digital Media Intern at the Best Buy Teen Tech Center, she uses storytelling and creative technology to uplift the voices of her peers and spark conversations around emotional well-being. She is currently enrolled in a Child Development ROP program and aspires to become a child psychologist, with a focus on creating safe, affirming spaces for youth. Anjali Menon is a serial entrepreneur and founder of tbh, a venture-backed mental health platform built to support high school and college students across the country. As CEO of tbh, Anjali works with colleges and K–12 districts around the country to offer virtual coaching, therapy, and basic needs support. Special Intro: Paula Ambrose is a principal at Blue Shield of California, where she leads the company's signature social impact initiative BlueSky and supports corporate giving efforts. With more than 30 years of experience in program management and leadership, across multiple industries and functions, Paula has a proven track record of developing and implementing effective strategies to drive positive change and results. She is passionate about creating a more equitable and just society, and is committed to leveraging her skills and experience to make a lasting impact. Our moderator Zach Gottlieb is a mental health activist, speaker, and the founder of Talk With Zach, a community and platform that aims to change the culture around wellness for the next generation. He is head of partnerships at Crew Dog, a lifestyle collegiate apparel brand, and consults for startups. He attends Stanford University, has spoken in many media forums, and has been published in the Los Angeles Times, The New York Times, Boston Globe and more. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of This Is Ag, I'm joined by Veronica Luna—Director of Administrative Operations at Rancho Guadalupe and a passionate advocate for the people who power our fields. With years of experience in agriculture, Veronica has become a quiet but powerful force behind the scenes, using her voice to champion mental health, accessible benefits, and compassionate leadership.Raised by a strong mother, Veronica learned early what it meant to speak up—even when it wasn't easy. Today, she carries that legacy forward at Rancho Guadalupe, where she not only manages Human Resources and benefits but also plays a key role in shaping a workplace culture grounded in care.In this episode, Veronica opens up about helping launch Spring Health before the pandemic—a bold move that brought mental health support to ag workers when they needed it most. She shares how her personal grief journey became the spark to advocate for others, and how leadership at Rancho Guadalupe—especially General Manager AJ Cisney—listens and acts when employees speak.This is an episode about the heart of ag—the unseen labor, the emotional weight, and the deep humanity behind every harvest. Veronica's story is a reminder that care, empathy, and advocacy aren't just nice to have; they're essential tools for building a stronger, more resilient ag community.Veronica Luna: https://www.linkedin.com/in/veronica-luna-88900b199/Rancho Guadalupe: https://ranchoguadalupe.com/Kirti Mutatkar, President and CEO of UnitedAg. Reach me at kmutatkar@unitedag.org, www.linkedin.com/in/kirtimutatkarUnitedAg website - www.unitedag.orgUnitedAg Health and Wellness Centers - https://www.unitedag.org/health-benefits/united-agricultural-benefit-trust/health-centers/Episode Contributors - Barbara Meza, Kirti Mutatkar, Dave Visaya, Rhianna MaciasThe episode is also sponsored by Brent Eastman Insurance Services Inc. - https://brenteastman.comBlue Shield of California - https://www.blueshieldca.comElite Medical - https://www.elitecorpmed.comGallagher - https://www.ajg.com/SAIN Medical https://sainmedical.com/MDI Network - https://www.mdinetworx.com/about-us

Let's Hear It is back after a brief break—and we're diving into one of the most powerful conversations we've had yet. In this episode, Eric sits down with Rachael Kagan, Director of Communications and Public Affairs at the Blue Shield of California Foundation. With a background in journalism and public health, Rachael has channeled her experience into creating The Journalist Playbook—a practical, compassionate, and groundbreaking tool for improving how domestic violence is covered in the media. Together, they unpack the why and how of this innovative resource, the effect it's already having across California newsrooms, and what it means to truly shift the narrative around domestic violence. This isn't just a tool for reporters—it's a model for how philanthropy, journalism, and advocacy can work together to drive lasting change. You'll also hear candid reflections on Rachael's journey from the frontlines of health communications to the strategic heights of philanthropy, plus a moving reminder that domestic violence affects far more people than we may realize—58% of Californians, to be exact. Find the playbook at LetsEndDV.org and the National Domestic Violence Hotline at 1-800-799-7233. We're thrilled to be back—thanks for welcoming us into your ears. Don't forget to follow, rate, and review!

Retain provides on-demand HR for startups and small businesses that need access to core Human Resources services without having to hire full-time HR staff.  Retain was founded by Lisa-Maree Blumenfeld who has 20+ years of HR experience and was most recently VP of People at Expa, where she lead a centralized HR and Recruiting team that worked on behalf of 20+ startups.  Prior to Expa, Lisa has worked with fast-moving startups (Lyft, NinthDecimal, Aria Systems) as well as with larger Fortune 500 companies (PG&E, Blue Shield of California).  Her passion for early to mid-stage startups encouraged the start of Retain and her deep network of experienced HR professionals make up the team.Lisa-Maree Blumenfeld has revolutionized HR at various levels, from startups like Lyft to larger corporations. Merging HR with financial literacy seems like a natural progression. Her practical tips could empower your listeners to enhance both their organizational culture and financial health.

The Senate HELP committee report calls for reforms within the 340B drug discount program. Blue Shield of California leaked health data of nearly 5-million members to Google. And, measles misinformation is on the rise nationwide, according to a new poll. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.