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Every healthcare organization knows that data accuracy is king. Is your payer data up to date and accurate? If your patients can't find you, that creates a cascade of issues in care and revenue. Our CMO Kristin Russel was part of an innovative panel that met to discuss this issue. symplr can provide that single source of truth in your data. How's your provider directory? Because ours is incredible. Hear Kristin's take in an article from Fierce Healthcare. #payer #CAQH #healthcare

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

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.

📰 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.

Two new proposed rules could be a game changer for health data interoperability... In early July (published in Federal Register August 5), ASTP/ONC released all 1,067 pages of its proposed HTI-2 rule, in which it proposed expanding its Certification Program to complement CMS' FHIR APIs. This included creating criteria impacting payers and public health IT. It reminded me of a line of questioning from ONC's electronic prior authorization RFI from January 2022, where the agency asked nearly ten questions about what certification criteria should look like to facilitate electronic prior authorization processes. The thought then, and even at the publication of HTI-2, was that certified modules wouldn't help payers much because payers are not the ones implementing modules. The vendors who provide the administrative platforms are. As it stands, there are only disincentives to certifying under the program for payer health IT vendors (i.e., bringing them under the information blocking rule), so payers are really at the mercy of their vendors. This is in stark contrast to the impact the program has on EHR developers. That was until HHS' ASFR and ASTP/ONC released another proposed rule on August 9 that would require all providers and health plans (that means you, MA plans) that receive HHS funding to use certified health IT or adhere to ONC standards at a minimum. So, what does this mean? Payers who receive HHS funding could now have the regulatory support to require their vendors to be certified... If passed as written, payer health IT vendors that want to maintain their contracts with federally funded plans would not be able to "unreasonably limit" the exchange, access, or use of electronic health information - including charging an unreasonable fee. They could be penalized up to $1M per violation if they do. This is a huge deal. Luckily, the team at Maverick Health Policy summarized both proposals (linked below). If you need help navigating these changes, we're here to help. HTI-2: https://lnkd.in/g4McbwMy Acquisition Regulation: https://lnkd.in/gWY--VPb

"Discover how #EHRA tackles health IT regulatory hurdles, fostering collaboration for streamlined compliance and innovative solutions in healthcare." #HealthITRegulation #EHRAInnovation #HospitalIT #DistilINFO. https://lnkd.in/dWyDuyHy

Inaccurate provider data plagues the healthcare system, creating a burden for both providers and payers. Outdated information leads to wasted resources, with providers spending billions annually maintaining directories for different insurers. Patients struggle to find in-network providers due to incorrect data, leading to revenue loss for providers and frustration for patients. The No Surprises Act (NSA) mandates accurate directories, but inconsistencies make compliance difficult. Studies show 81% of provider listings in major insurer directories contain errors. Manual updates are cumbersome and prone to mistakes. What's the Solution? Collaboration and Technology Learn more: https://hubs.ly/Q02qPDmp0

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