The average physician practice updates information for 20 health plan contracts, and large practices may work with more than 30 health plans. (Image: Shutterstock) Managing staff directories costs ...

Seniors shopping between Medicare Advantage plans will soon have clearer data about payers’ provider networks under a rule the CMS finalized Thursday. Regulators are requiring MA plans to directly ...

In navigating the evolving landscape of regulatory reforms, intensifying competition and escalating pricing pressures, health plans stand at a pivotal juncture where the accuracy and currency of ...

Inaccurate provider directories have long been a source of frustration for patients, providers, and payors alike. Today, in a regulatory environment shaped by the No Surprises Act (NSA), they’ve ...

CMS is soliciting feedback on the creation of the first national directory of healthcare providers and services (NDH), which would contain information on healthcare providers and services across the ...

In today's healthcare landscape, efficient data exchange is crucial. However, the industry struggles with siloed data—information isolated within different departments, systems or ...

Relying on a 2-stage secret shopper survey, the authors found that inaccuracies in provider directories often persisted for well over 1 year. Objectives: Provider directory inaccuracies have important ...