Episodes: 46
Frequency: Irregular
Rating: 5.0/5.0
Estimated listeners: 100 - 1,000
Gender skew: Neutral
Listener location: USA
Publicly listed emails
nicole.martin@usthealthproof.com
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Not specified in provided data - The host’s name and bio are not included in the provided podcast listing/episodes. The description indicates the show features conversations with payer industry experts about operating infrastructu...
Shelby Jansen - Medicare Advantage CMS 2027 Changes And Implications For Stars Program Priorities, Measurement/simplification, And Quality Performance Expectations.
Alex Loera - Key Lessons From 2026 Enrollment, Including Enrollment Integrity, Broker Oversight, Digital Shopping, Data Quality, Interoperability/eligibility And Provider Data Automation Implications.
2027 Star Ratings Report
October 16, 2026
The 2027 Star Ratings are out, and the headline numbers tell only part of the story. For Medicare Advantage plans, this year’s results raise important questions about performance, financial exposure, and how to prepare for a changing quality program. What do shifts across rating tiers reveal that an industry average might miss? How should plans interpret a rating when the thresholds themselves change?This annual report examines the latest results, the significance of moving cut points, and th...
The Cost of Inaction
April 24, 2026
Rising margin pressure, regulatory demands, and fragmented operations are forcing health plans to confront a difficult question: when does maintaining the current model become more expensive than changing it? This episode examines the often-overlooked cost of inaction—where financial strain, delayed growth opportunities, and operational complexity quietly compound over time. It explores why incremental fixes and point solutions are no longer enough, and how legacy operating structures can lim...
The Hidden Economics of Payer Operations
March 18, 2026
Administrative costs are climbing across the payer industry, but many plans still rely on high-level expense views that mask the true drivers of operational spend. Beneath the surface, fragmented systems, manual processes, and vendor complexity may be shaping financial outcomes more than leaders realize. This episode takes a closer look at how hidden cost dynamics emerge and why understanding the full operating picture is becoming a strategic priority for executive teams.If your organization ...
Current Trends For Payers is hosted by Not specified in provided data. Its publicly listed email is nicole.martin@usthealthproof.com. For guest bookings, the host or producer is usually the best person to reach. Podseeker helps you find direct host and producer contacts and pitch from your own inbox.
The publicly listed email for Current Trends For Payers: nicole.martin@usthealthproof.com.
Podseeker estimates Current Trends For Payers reaches 100 to 1,000 listeners per episode. Only the publisher has exact numbers.
Current Trends For Payers typically books industry leaders. Typical guest background: Payer-industry leaders and recognized specialists in Medicare Advantage quality (Stars/HEDIS/NCQA), CMS/program performance, payer operations (core admin, care management, risk adjustment), enrollment & eligibility, BPaaS/technology delivery, data security, and healthcare regulatory/compliance execution. Common among recent guests: Demonstrated impact on Stars/HEDIS performance and NCQA readiness; Leadership roles in payer operations transformation (enrollment, billing, core admin); Authorship/leadership in payer compliance or security programs. Recent guests include Shelby Jansen and Alex Loera.
Medium. Guests usually need solid credentials in the topic and an idea that fits the show.
Recent episodes cover Healthcare, Payers, Operations, Quality, and Compliance. Pitch an idea tied to one of these topics and mention a recent episode.
Publicly listed emails
nicole.martin@usthealthproof.com
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