Mohsin Amin (Jerry)’s Post

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

As we continue advancing healthcare delivery, one thing becomes increasingly clear: accurate provider data is the cornerstone of value-based care. Read this insightful article in HIT Consultant Media authored by our CEO Eric Demers, that highlights how comprehensive and reliable provider data empowers organizations to: ✅ Streamline care coordination ✅ Enhance patient outcomes ✅ Optimize resource utilization From ensuring that patients can access the right specialists seamlessly to enabling organizations to make data-driven decisions, accurate provider information is pivotal in creating a healthcare system that delivers value at every touchpoint. 💡 How is your organization leveraging provider data to improve care? Share your thoughts in the comments! #HealthcareInnovation #ValueBasedCare #DataDrivenHealthcare https://lnkd.in/eEJs7pgT

📢 Navigating Provider Directory Management: Essential for a Seamless Patient Journey 📢 In today’s healthcare landscape, accurate and accessible provider directories are critical—not only for compliance but for patient satisfaction and trust. According to a 2024 CMS report, about 50% of reviewed provider directory entries had inaccuracies. Common errors included listing providers at incorrect locations (about 33% of cases) and marking providers as accepting new patients when they were not. Such inaccuracies not only cause frustration for patients but also create access barriers by misleading patients about network adequacy. 🌐Industry estimates suggest that health insurers collectively spend over $2.1 billion annually on directory data maintenance. 🌐Directory errors can lead to 20% of surprise medical bills for patients, as they unknowingly visit out-of-network providers due to inaccurate information. 🌐It is estimated that 30% of administrative resources in health plans are dedicated to maintaining directory accuracy, which diverts resources from other essential services. Is your provider directory optimized for today’s healthcare needs? Contact HealthyFort Services to focus on your core healthcare services while we update your provider directories. info@HealthyFort.net #Healthcare #ProviderDirectory #PatientExperience #HealthcareInnovation #Outsource #Compliance #CMS #Directoryverification

In healthcare, network adequacy isn’t just about meeting requirements—it’s the key to unlocking better outcomes and patient satisfaction. When provider networks fall short, the result is costly delays, frustrated members, and compliance issues that no health plan wants to face. Meeting regulatory standards is just the beginning. A strong, well-maintained network means seamless operations, satisfied patients, and lower costs by keeping care in-network. So, how does Certify help? By cutting credentialing time from 30+ days to under 5, we enable health plans to quickly fill gaps, stay compliant, and keep things running smoothly. Want to read more? Check out the full article here : https://lnkd.in/gAaYRphT and discover how Certify can transform your provider network.

Historically, healthcare organizations have considered the contact center to be a cost center, a communications platform for conveying information to patients and plan members. Today, however, AI-enabled contact centers can be drivers of value, especially in a value-based care environment.

CMS is turning up the heat on payers with new FHIR-based data sharing rules. Is your organization ready for the value-based revolution? The quest for value in healthcare is nothing new, but CMS is raising the stakes. New regulations mandating the use of FHIR® are forcing payers and providers to step up their game and compete on quality and outcomes, not just cost. Read more in our latest by Jennifer Bresnick here: https://hubs.ly/Q02QDtww0 #healthcare #digitaltransformation CHIME Digital Health Insights

Struggling to better understand how pricing transparency data can be used in your practice? Let SumHealths comprehensive expertise and atlas of both hospital pricing transparency, and newly introduced payer data, provide a new means to serve your patients in this new era of pricing transparency. In today's healthcare landscape, transparency is not just a regulatory requirement but a cornerstone of patient trust and practice efficiency. At SumHealth, we provide comprehensive pricing transparency data, empowering practitioners to enhance their practice's transparency and develop detailed, itemized billing structures. Transparency in healthcare pricing is pivotal for building patient trust and ensuring compliance with industry standards. By leveraging SumHealth's extensive data, practitioners can gain insights into their service charges relative to other hospitals and practices. Our pricing transparency data offering is done within the following terms: (1) Comparative analysis platform which enables you to align your pricing strategies with market standards, fostering a transparent environment that patients appreciate. We share this comparative analysis through the SumHealth platform by giving you the ability to generate your own reports, OR our team at SumHealth can work together with you to create specific insights based on the services and prices that you would like to compare and contrast. (2) A web-based application for you and your patients to use at the point of care. Interactively search through all the prices available for services that you are prescribing for your patients to present prices that they can expect when receiving care at a practice different from yours. Patients are more likely to trust and remain loyal to practices that are upfront about their pricing. Transparent, itemized bills demystify healthcare costs, enabling patients to see exactly what they are paying for. This clarity can lead to higher patient satisfaction, positive reviews, and increased referrals, ultimately contributing to the growth of your practice. In a competitive healthcare market, practices that offer transparency stand out. Using SumHealth's data to develop transparent billing practices, you position your practice as a leader in ethical and patient-centered care. This distinction can attract more patients who value honesty and clarity in their healthcare providers. Embracing transparency through detailed, itemized billing aligns your practice with regulatory standards, builds trust, and enhances operational efficiency. SumHealth is committed to providing the data and support you need to implement these practices seamlessly. Join us in transforming healthcare transparency for the betterment of your training and the satisfaction of your patients. #pricingtransparency #healthcare #primarycare #medicare #medicaid

We found this article very interesting. The new ruling establishes critical standards for information sharing among healthcare providers - check it out when you have time. https://lnkd.in/gQ86sj58

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

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