In this episode, Angel Ballew, Head of Pharmacy Clinical Programs and Services at Centene, discusses how the organization approaches GLP-1 coverage across Medicaid, Medicare, and marketplace plans while balancing clinical evidence, affordability, and member access. She also shares insights on utilization management, adherence strategies, and preparing for the next wave of indications for these rapidly evolving therapies.

GLP-1 Coverage, Affordability, and Member Access with Angel Ballew

Becker’s Healthcare Podcast

The payer-provider relationship has never been simple, but what's happening now is something different. Value-based models are maturing unevenly, prior authorization reform is reshaping workflows on both sides, and affordability pressure is intensifying. The organizations that figure out how to collaborate genuinely, not just contractually, are the ones that will set the terms for what comes next.

Becker's 5th Annual Fall Payer Issues Roundtable brings together more than 500 executive-level attendees and 70-plus speakers for two days of focused, senior-level conversation on benefit design, network strategy, transparency, and the financial and regulatory dynamics that are redefining how care gets paid for. Join us November 2nd and 3rd at the Swiss Hotel Chicago. For the agenda and event details, visit beckerspayer.com and click on the Events tab in the upper right.

Hello, everyone. This is Scott Becker with the Becker's Pay Your Issues Podcast. Thrilled today to be joined by Angel Ballew, who serves as the Head of Pharmacy Clinical Programs and Services at Centene. Angel, thank you so much for taking the time to be with me on the podcast today. Thank you, Jacob. Happy to be here. Yeah, Angel, and we're glad to have you with us. Excited to dive into a topic that seems to be taking up headlines every day at this point.

Before we dive into all that, can you first tell our audience a little bit more about yourself, your background in healthcare, and what it is that you do today at Centene? Absolutely. So I am a licensed pharmacist and have been in this space for close to 20 years, with close to 17 of them being in the managed care space.

GLP-1 Coverage, Affordability, and Member Access with Angel Ballew

Read the full transcript

The candid version is on a podcast,
not the earnings call.

GLP-1 Coverage, Affordability, and Member Access with Angel Ballew

Read the full transcript

The candid version is on a podcast, not the earnings call.

The candid version is on a podcast,
not the earnings call.