How Insurance Payers Allying With Providers Can Lead to Efficient Health Outcomes

Improving healthcare Insurance payers greatly influence outcomes and patient experiences and the subject has become a hot-button issue, especially as the costs of healthcare continues to escalate. In an industry that accounted for nearly 18 percent of the U.S. GDP in 2021, the insurance payers’ role in improving healthcare access, experience, and outcomes is crucial. The timely discourse surrounding their impact, responsibilities, and potential for bridging gaps in the healthcare system is more significant than ever.

What is the role of insurance payers in improving healthcare? How are insurance companies responding to the call for more accessible and effective healthcare? How can they collaborate with providers, patients, and technology innovators to deliver better outcomes?

These critical questions were answered in an episode of “Highway to Health,” hosted by healthcare advocate and podcast host, David Kemp who interviewed Dr. Samrat Ambewadikar, MD, Regional Vice President and Medical Director of National Accounts at Anthem, one of the largest insurance companies in the country. The discussion delved into the payer’s perspective of healthcare, their efforts to be an ally to all stakeholders, and their vision for the future of health.

The main points of conversation between Kemp and Ambewadikar included:

  • The responsibility and role of insurance payers in improving healthcare access and outcomes
  • The potential for digital health solutions and software innovations in aiding providers
  • The importance of self-care, physical activity, and healthy lifestyle habits among healthcare executives

Dr. Ambewadikar is a respected figure in the healthcare industry with years of experience in strategic roles at Anthem, one of the largest health insurance providers in the United States. He is an advocate for physical fitness, nutrition, and self-care, leveraging these principles in his personal life and professional practice. His insights stem from a blend of medical expertise and executive leadership in the payer sector of healthcare.

Recent Episodes

CEO turnover across U.S. hospitals is accelerating. Hospitals and health systems announced 146 CEO changes in 2023—a 42 percent increase over the 103 exits recorded in 2022, according to a Challenger, Gray & Christmas report. As more leaders transition into new roles, the importance of making a good first impression has intensified. The early…

In this episode of Care Anywhere, host Lea Sims sits down with Louis Brownstone, President of WorldWide HealthStaff Solutions, to explore how one of the largest global staffing organizations is giving back to nursing education in meaningful, long-term ways. While known for their direct hire placements across the U.S. and Middle East, WorldWide is also…

Healthcare providers are under increasing pressure to meet consumer expectations without adding an administrative burden. According to a survey conducted by The Harris Poll in June 2024, 18% of the 2,092 American adults who were surveyed had received an unexpected medical bill of $1,000 or more in the past year, and 50% said they would…