Amy Yeargan ✨’s Post

In a rare display of cooperation, leading health plans came together under the umbrella of an innovation council to address common frustrations in provider data management and credentialing. Inaccurate provider directories lead to patient difficulties in finding and accessing care. The credentialing process, where providers need verification to join a payer network, remains cumbersome and time-consuming. Duplicative efforts plague the system, with providers required to submit the same information repeatedly to different payers. CAQH proposes a solution: a universal provider roster. Providers would submit their information once and have it shared securely among payers. This would significantly reduce administrative burdens for both providers and payers. Learn more: https://hubs.ly/Q02F7_db0

Provider data made it to the mainstream! Forbes recently published an article exclaiming the importance of accurate provider data for health plans and the healthcare industry at large. "Today, the linchpin for optimizing workflows, eliminating inefficiencies, ensuring precise claims payments and facilitating swift strategic decisions lies in the realm of accurate provider data." At Orderly Health, we couldn't agree more. Orderly is committed to bringing accurate provider data to payers, health systems, and digital health companies to make healthcare better for all. Check out the full article here: https://lnkd.in/eS8FxVX8 #ProviderData #HealthcareInnovation #OrderlyHealth

You know a issue is mainstream when Forbes talks about it. #ProviderData is a challenge that has existed for decades, but is just now coming into the spotlight. Orderly Health has been ahead of the curve in trying to solve this particularly vexing problem. Read the Forbes article on why this data is so important.

Recently, CAQH's Innovation Council brought together major health plans to address issues like credentialing and provider data management. This collaboration aimed to streamline processes and improve data quality, benefiting both providers and patients. Below is a great summarization of the event, including key takeaways for #HealthPayers. Check it out below and let us know your thoughts on these critical topics: #Healthcare #SimplifyingtheBusinessofCare

📰 CAQH in the News: We're bringing major health plans together to fix provider data management issues. Accurate provider information is crucial, and we're simplifying processes to make healthcare work better.   It’s one of the first times payers have sat down together to solve these pain points, CAQH CEO Sarah Ahmad told Fierce Healthcare in an interview.    🔗 https://lnkd.in/dk8sm5qq   #healthcaredata #providerdata #healthIT

Aligning health plans on data requirements for provider enrollment and provider directories are two high impact, basic examples of how CAQH simplifies the day to day of healthcare operators. What's exciting is this is the tip of the iceberg! I look forward to what lies ahead.

Proper physician credentialing is a "cornerstone" of healthcare operations, yet inefficiencies, delays, and inaccuracies in the credentialing process plague health systems. symplr's Managing Director of Provider Data Management Bill Christy explains how hospitals can take a holistic, collaborative approach to credentialing - and ultimately improve patient trust. #ProviderManagement #HealthcareOperations

I've spent over 15 years in the provider data and network administration solutions space, navigating the technology and data challenges highlighted in Eric Demers' insightful article. As the industry grapples with inaccuracies, administrative burdens, and the need for transparency, I've witnessed firsthand the complexities of aligning provider data. Eric's comments on transforming healthcare delivery through data and interoperability definitely resonate with my own experiences. #providerdata #networkadministration #healthcare #datamanagement

Just came across this enlightening piece on a critical issue plaguing the healthcare system – inaccurate provider directories. With 81% of entries showing inconsistencies, and billion dollar loss! It's clear that there's a pressing need for solutions to streamline data exchange and ensure patients receive the care they need when they need it. I think with the right technology solutions in place, we can simplify data management, improve data accuracy, and ultimately enhance patient care. We can work together to bridge this gap and improve healthcare outcomes for all! Let me know your thoughts on it. https://lnkd.in/dvUJXkkD

Healthcare organizations work to continuously improve member services and business outcomes. Using as-a-service solutions can help payers achieve both results. My Sagility colleagues shared their as-a-service expertise during a recent webinar. The details are summarized for an easy read that will answer many questions about these solutions, which combine technology, people, and processes to generate positive results. Read the article: https://lnkd.in/geTYjf7e #AsAService #HealthcareOperations #Payer #HealthPlan