Kymberly Eide’s Post

📰 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

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

Accurate provider data is crucial for the U.S. healthcare system, impacting patient access, claims processing, and fraud detection. Despite spending over $2.1 billion annually, maintaining accurate data is challenging due to frequent changes, complex data integration, and administrative burdens. A "golden record" approach, integrating data from various sources, can improve data accuracy, reduce costs, and enhance operational efficiency. Key steps include defining use cases, aligning data architecture, identifying critical data elements, building the golden record, and regularly refreshing data. This strategy offers long-term benefits and a competitive edge. https://lnkd.in/exr35k4J #healthcare #healthcareinnovation #healthcareit #healthcaredata #ehr #emr #hit #bigdata #DataAccuracy #MedicalRecords

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

Embracing data management platforms that facilitate centralized data exchange between #healthcare systems and #payers can alleviate provider burdens, enhance patient experiences, and ensure better outcomes overall. However, these solutions must address challenges such as data fluctuations, standardization issues, and regulatory compliance. Read more from Madaket CEO Eric Demers in his latest article at HealthIT Answers: https://lnkd.in/eMmBK_5T #Answers Media Network #healthtech

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.

The "data" story in healthcare continues to dominate the conversations I’m having with peers and partners in healthcare. As I’ve talked about before, it’s astounding to consider that healthcare as an industry accounts for 30% (!) of all data out there. Yet, despite its vast potential, we still haven’t cracked the code to truly “unleash” or “harness” it effectively.  Regulatory frameworks, while critical for ensuring privacy and security, often create bottlenecks that stifle the creativity and innovation needed to put this data to work for our most important stakeholders: patients, providers, care teams, and beyond. As David Snow aptly points out: “VBC works when healthcare stakeholders have access to clean, enriched data that informs decision-making throughout a patient’s health journey. We have the data, but our siloed approach and the patchwork of point solutions that comprise most healthcare technology ecosystems make it difficult for even well-intentioned organizations to maximize data.” Here’s to hoping we can come together as an industry to unlock that future. #valuebasedcare #future #data #healthcare #stellarhealth

Embracing uniform national provider directory standards is the key to seamless data exchange and improved patient care. Learn how you can join the movement towards a more connected healthcare system! #Interoperability #HealthTech #ProviderDirectoryStandards

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