With the prevalence of burnout and staffing shortages, there's a growing need to examine workflows for solutions that can streamline processes like prior authorizations. How close is the #healthcare industry to achieving this goal? See what Clarissa Riggins, Chief Product Officer at Experian Health, had to say via Healthcare IT Today: https://lnkd.in/gUakvfbZ
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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 directories are key to better patient care, lower costs
medicaleconomics.com
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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
The Critical Link Between Provider Directories and Delivering Quality Care - Health IT Answers
https://www.healthitanswers.net
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The new CMS Interoperability and Prior Authorization Rule is a game-changer for payers. It uses API-based data sharing to boost care coordination, improve member experiences, and streamline prior authorizations, helping payers meet compliance and strategic goals simultaneously. (Thanks for sharing, Matt Whitnack) #digitalhealth #payers #interoperability #priorauthorization
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Gartner’s latest healthcare benchmark reveals key priorities for US payers in Q1 2024: quality improvement, data analytics, behavioral/mental health, and risk adjustment optimization. The CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F), effective January 2024, aligns these mandates with business goals, driving urgency in pivotal initiatives. To comply effectively, payers must integrate IT, clinical, and business leadership, guided by regulatory expertise, to unify systems around member longitudinal health records. This strategic alignment ensures both compliance and advances in business strategy. #HealthcareInnovation #CMSFinalRule #Interoperability #PayerStrategy
The Promising Convergence of Payer Strategy and Compliance with the CMS Interoperability and Prior Authorization Final Rule
fiercehealthcare.com
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How accurate is your provider data? Would you bet potential CMS Fines on it? Stop by and check out the Madaket Health provider directory solution.
From revenue leakage to #physicianburnout, NSA compliance, member satisfaction, and even health outcomes — inaccurate provider data impacts nearly every aspect of healthcare. More than ever, the system needs automated, agnostic solutions to ensure seamless data exchange and ongoing updates for #payers and providers. Dive deeper into this crucial topic with Madaket Health CEO Eric Demers in his article at MedCity News: https://lnkd.in/gDS6YsHq #ProviderData #Payers
Accurate Provider Directories Drive Care Quality and Cost Efficiency - MedCity News
https://medcitynews.com
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The need to streamline data management in healthcare is growing. The article contains some great insights and is worth the read. There are so many gaps in the standard information flow that can be eliminated to increase the quality of patient care by centralizing information and making it easily accessible to providers.
In this insightful article from Health Data Management, athenahealth’s Michael Palantoni emphasizes the importance of relevant context and ease of action in the clinical workflow to enable healthcare organizations to be successful in value-based care (VBC). Read it here: https://bit.ly/43RieaN.
Two canoes, one canoeist: The accelerated transition to value-based care - Health Data Management
healthdatamanagement.com
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📰 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
Fierce Healthcare: Payer innovation council weighs improvements to provider data management experience
caqh.org
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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.
📰 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
Fierce Healthcare: Payer innovation council weighs improvements to provider data management experience
caqh.org
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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.
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
Council Post: The Data Behind The Provider Directory: Why Provider Data Is Key
forbes.com
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From revenue leakage to #physicianburnout, NSA compliance, member satisfaction, and even health outcomes — inaccurate provider data impacts nearly every aspect of healthcare. More than ever, the system needs automated, agnostic solutions to ensure seamless data exchange and ongoing updates for #payers and providers. Dive deeper into this crucial topic with Madaket Health CEO Eric Demers in his article at MedCity News: https://lnkd.in/gDS6YsHq #ProviderData #Payers
Accurate Provider Directories Drive Care Quality and Cost Efficiency - MedCity News
https://medcitynews.com
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🌟 Check out our latest blog 🌟 "The Quest for Healthcare Transparency: Understanding the Transparency in Coverage (TiC) Rule." Dive into the critical changes and how they affect self-insured employers and employees alike. 💡 🔍 What's Inside: - Insights on the rising need for transparency in healthcare pricing - A detailed look at the TiC rule's impact on healthcare decisions - A short assessment to review compliance and effectiveness - How Faros Health's ENLIGHT platform can help you navigate these changes for better healthcare outcomes and lower costs Read the full story here ⬇ https://lnkd.in/gGACaagD #TiCRule #FarosHealth #InformedDecisions
The Quest for Healthcare Transparency: Understanding the Transparency in Coverage (TiC) Rule
faroshealth.com
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