Provider Data Management in Healthcare: All You Need to Know In January this year, the No Surprises Act – part of the Consolidated Appropriations Act of 2021 – went into effect, requiring US health plans to verify and update their provider directories within 48 hours...
No Surprises Act Means Heightened Regulatory Risk for Network Adequacy The pressure is on. Health plans are under heightened regulatory risk around network adequacy with the passing of the No Surprises Act in December 2020. Here’s what you need to know. The act brings...
A Three-Pronged Approach to Improve Provider Network Adequacy: Part 3 Part Three: A Single Source of Truth that Works for Everyone In part one of this series, we highlight how phone calls and fax requests fail to collect reliable provider data. Part two dove into the...
A Three-Pronged Approach to Improve Provider Network Adequacy: Part 2 Part Two: How to get Accurate, Accessible and Affordable Provider Data Recently, we threw a spotlight on the futility of calling and faxing providers to obtain and verify information. Today, we’re...
A Three-Pronged Approach to Improve Provider Network Adequacy: Part 1 Learn more about the many provider network adequacy issues facing health plans. It’s no secret that phoning and faxing providers to collect and update data doesn’t work. And yet, here we are in 2021...
