Lyric - Clarity in motion.’s Post

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

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

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

Approached from the right perspective, new regulatory requirements can be harnessed to put in place infrastructure and business processes that will strengthen the enterprise for years to come. #health #qualityofcare #dataanalytics #healthequity #populationhealthmanagement #valuebasedhealthcare #valuebasedcare #vbc #integratedhealthcare #integratedhealthcaresystems #healthtech #Persivia #PersiviaAI https://lnkd.in/gpauVqzR

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

Today's Forbes article describes how siloed provider directory data can ultimately lead to surprise bills and frustration from patients. Greater pricing transparency in healthcare is yet another benefit of breaking down data silos and working towards interoperability. https://hubs.ly/Q02BW6510 #Interoperability #Healthcare #HealthcareIT #DataSilos

#Healthcaredata breaches at third-party vendors affect huge numbers of people each time. A recent example is the #cyberattack on HealthEC, LLC, a health technology company serving providers with management software. One hack on one company reached patients at seventeen healthcare providers, amounting to almost 4.5 million people. #HIPAARiskManagement #SecurityRiskAssessment #HIPAASecurityRule #HIPAARiskAnalysis

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