Provider Directories

careMESH Named a Cool Vendor in the May 2020 Gartner Cool Vendors in Healthcare Interoperability | The Wapakoneta Daily News | 6/23/2020

… urgent response efforts across ecosystem partners including providers, agencies, payers and community service organizations. It also highlights the slow progress the industry has made in interoperability, even in areas as comparatively simple as integrated provider directories 1 .” careMESH offers a unique approach to improving interoperability, by embedding its National Provider Directory within a customer’s Electronic Health Record (EHR) platform. The company then deploys its secure Delivery Manager to guarantee the …

4 Most Important Things to Check Prior to Choosing the Health Insurance Plan | 6/23/2020

… of-network doctor, you don’t have the prices that you would usually pay within your plan. One of the first things to check before buying insurance is if your preferred doctors are in the provider directories for the plan you’re considering. You can also consult your local GP for what insurers they accept. If you don’t have a preferred one, choose a program with an extensive network so that you …

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Texas health insurance marketplace: history and news of the state’s exchange | 6/20/2020

… network emergency care or out-of-network providers who treated the patient at an in-network facility, the unpaid bill won’t affect the person’s credit report. SB1742 , also enacted in 2019, requires health plan provider directories to make it clear whether specialists practicing at in-network facilities are also in-network. In addition, the legislation imposes new rules related to prior authorization , including a readily available list of services that …

Quest Analytics - first to launch platform enabling health plans to simultaneously measure, manage and monitor network adequacy AND directory accuracy | 6/16/2020

… and state network adequacy and directory accuracy regulations, reduce the likelihood of surprise billing, and, in the process, substantially improve the health plan member experience. In its 2020 call letter, CMS noted that: “Inaccurate provider directories may impede access to care and bring into question the adequacy and validity of the [plan’s] provider network”. 1 The CMS audit of Medicare Advantage plan directories found that for the majority of plans …

Ro, Ribbon Health team up to bridge the gap between telehealth and in-person care | 6/16/2020

… enable telehealth patients to have a more convenient way to access in-person care by leveraging Ribbon’s nationwide directory of healthcare providers. Ribbon Health is a data platform that helps healthcare groups provide accurate provider directories , referral management and care navigation. The partnership will enable Ro’s patients to find reliable information on providers, including contact information, location, services offered, accepted insurance and quality indicators. By integrating Ribbon Health’s platform with …

Inaccurate Provider Directories May Spark Surprise Medical Bills | HealthPayer Intelligence | 6/5/2020

Private Payers News Inaccurate Provider Directories May Spark Surprise Medical Bills Patients seeking mental healthcare support may find themselves hit with surprise bills due to inaccurate directory information. Source: Getty Images By June 05, 2020 - Inaccurate provider directory information can leave mental healthcare patients paying for out-of-network providers and facing surprise medical bills, a recent Health Affairs study found. “Patients use directories to locate an in-network provider …

Google Alert - Provider | 6/5/2020

Provider As-it-happens update ⋅ June 5, 2020 NEWS Inaccurate Provider Directories May Spark Surprise Medical Bills HealthPayerIntelligence.com June 05, 2020 - Inaccurate provider directory information can leave mental healthcare patients paying for out-of-network providers and facing surprise … Flag as irrelevant Cinedigm Partners with The World’s Largest Smart TV Solutions Provider Vewd for Global OTT … MarTech Series Cinedigm, a leading provider of OTT entertainment networks and content, announced a …

Inaccurate Provider Directories Lead to Costly Out-of-Network Bills for Mental Health Care | 6/4/2020

… may not be published, broadcast, rewritten or redistributed in any form without prior authorization. Your use of this website constitutes acceptance of Haymarket Media’s Privacy Policy and Terms & Conditions . Close more info about Inaccurate Provider Directories Lead to Costly Out-of-Network Bills for Mental Health Care Loading… Close more info about Inaccurate Provider Directories Lead to Costly Out-of-Network Bills for Mental Health Care Loading… Close more info …

Inaccurate provider directories can lead to out-of-network mental health care | 6/2/2020

June 2, 2020 Inaccurate provider directories can lead to out-of-network mental health care (HealthDay)—Inaccuracies in provider directories are associated with use of out-of-network mental health care providers and surprise bills, according to a study published in the June issue of Health Affairs . Susan H. Busch, Ph.D., from the Yale School of Public Health in New Haven, Connecticut, and Kelly A. Kyanko, M.D., from New York …

Directory errors linked to bills for out-of-network mental health providers | 6/1/2020

… NYU School of Medicine, is published in the journal Health Affairs. Mental health services are up to six times more likely than general medical services to be delivered by an out-of-network provider. Provider directories help patients identify mental health providers that accept their insurance. Incorrect information in directories may result in delays in care, the inability to locate a participating mental health provider with available appointments, or the …

How healthcare companies in India are disrupting the market through collaborations | 4/8/2020

… collaboration members intend to use blockchain to address a range of industry challenges, including promoting efficient claims and payment processing, to enable secure and frictionless healthcare information exchanges, and to maintain current and accurate provider directories . Aetna, Anthem, HCSC, PNC Bank and IBM are actively working to further define the initial use cases for the health utility network. The collaboration will add additional members to the network in the coming …

Beyond screening: How Covid-19 chatbots support patient navigation and health checks - MedCity News | 4/8/2020

… used by at-risk populations, especially the aging)? What are its omnichannel capabilities? Can users seamlessly move from the chatbot experience to other applications to take next steps? Will the chatbot readily integrate with provider directories , appointment schedulers, telehealth applications, etc.? Can it easily move someone to a live agent (chat or in-person?) How flexible is the content in the chatbot’s knowledge base? Is it hard-coded? Many of …

How Health Plans Can Prepare for FHIR Provider Directory Interoperability | 3/31/2020

… last year of work on interoperability. If you’re interested in hearing more about all the steps we took beyond these initial research and planning stages, take a look at our recent webinar, FHIR and Provider Directories : Lessons Learned and Ways Forward . From the beginning, focus on the end result After the proposed rules were announced in early 2019, we focused in on the specific implementation guides that would support compliance …

Project Manager 2-WAH in US - USA-HI-Honolulu | 3/29/2020

… regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.This role will oversee projects focused on improving online search and display capabilities for provider directories that support Humana’s benefit plan members and other users of the online Find A Doctor tool. The Project Manager 2 will field and evaluate enhancement proposals, gather estimates, develop vision, scope and requirements documents …

CMS Changes Hospital CoPs, Will Require Digital Provider Directories | 3/10/2020

CMS Changes Hospital CoPs, Will Require Digital Provider Directories By Michelle M. Stein 18 PM Tweet CMS this year will publicly list providers it suspects of blocking the exchange of patients’ health information and who don’t list their contact information in a national system, the agency said Monday (March 9) in long-anticipated rule that governs the sharing of patient health records, and CMS will make hospitals send electronic notifications …

Long-awaited interoperability rules finalized by Trump admin, prompt industry ire | Healthcare Dive | 3/9/2020

… the federal exchanges now have to “implement, test, and monitor” a Health Level Seven FHIR-compliant API , which the government has selected as the new national standard. Those plans also have to make their provider directories available to current and potential enrollees through the API technology, too (excepting the federal exchanges, which already do so), by 2021, with the hope insurers will carry over those practices to private plans as …

Vulnerable GOP senators move toward provider-friendly surprise billing proposal | Modern Healthcare | 3/6/2020

… both leading proposals in the House and instead suggested transparency measures. Both leading House proposals also have provisions that would increase transparency for consumers by requiring some cost estimates before service delivery and updated provider directories . Letter Editor Send us a letter Have an opinion about this story? Click here to submit a Letter to the Editor , and we may publish it in print. Recommended for You …

New Law Extends Health Coverage for Former Foster Youth | U.S. News & World Report | 12/1/2019

… the state’s Medicaid program, will provide the coverage for the former foster youth. Republican Gov. Charlie Baker signed the bill on Tuesday. The new law also seeks to improve the accuracy of health insurance provider directories . Supporters of the law say out-of-date and inaccurate directories make it difficult for people — especially individuals with behavioral health conditions — to find timely care. Health Care For All Executive Director Amy Rosenthal …

Online Health Information Required for Aged-Out Foster Kids | 11/28/2019

Massachusetts Gov. Charlie Baker signed a law requiring health insurers to keep online provider directories updated so that children who age out of foster care will be able to stay on MassHealth, the state’s Medicaid program. by Shira Schoenberg, The Republican Health insurers will have to keep their online provider directories updated and children who age out of foster care will be able to remain on MassHealth, under a bill …

What Optum, Humana, Ascension & more are doing to advance blockchain | Becker’s Hospital Review | 11/26/2019

… Health Alliance’s No. 1 blockchain priority? Mike Jacobs: The Synaptic Health Alliance views blockchain technology as a means to a critical end for the health care industry: efficient data management and sharing. We selected provider directories as our first use case and through our pilot project are exploring how blockchain technology can help ensure the most current health care provider information is available in the provider directories maintained by health …

Rep. Barber’s initiative to create accurate ‘health provider directories’ included in final children’s health package | 11/26/2019

Representative Christine Barber’s bill to require health plans to regularly update their provider directories was included in an omnibus Children’s Health and Wellness bill that was passed in the House and Senate last week. Both the House and Senate passed versions of a package earlier this year, containing many important provisions to support the health and wellbeing of children across Massachusetts. A Conference Committee, comprised of members of both branches …

Press Statement from Health Care For All’s Executive Director Amy Rosenthal Regarding Passage of the Child Health and Wellness Bill | 11/21/2019

… children and families: improving the accuracy of health insurance provider directories, ensuring uninterrupted health coverage for former foster youth, and addressing access barriers for medically complex children. “ Out-of-date and inaccurate health insurance provider directories make it difficult for consumers, especially people with behavioral health conditions, to find timely, appropriate care. This legislation will improve the accuracy of provider directories so individuals and families can more easily find information …

LexisNexis Risk Solutions Earns Acclaim from Frost & Sullivan for Employing an Advanced Data Analytics Architecture to Aid Healthcare Decision-making | PR Newswire | 11/19/2019

… and provides a persistent key that follows a patient identity throughout its evolution and journey. Furthermore, the company supports large healthcare enterprises with its VerifyHCP ® product, which manages provider information accuracy and attestations feeding provider directories . “Following the success of these technologies, the LexisNexis Risk Solutions Health Care business is well-positioned to introduce consumer-centric analytics tools that automate payer and provider decisions impacting operations, compliance and most importantly …

Providers Spend $2.76B Annually on Provider Directory Maintenance | RevCycle Intelligence | 11/19/2019

… about $2.76 billion each year, with each practice spending $998.84 on average every month, according to a recent survey conducted by the Council for Affordable Quality Healthcare (CAQH) . “Our nations fragmented approach to maintaining provider directories is not only a burden on physician practices, it may be undermining the accuracy of the data,” said April Todd, CAQH Senior Vice President for CORE and Explorations. “Health plans rely on the information …

Rep. Davids’ Insurance Accountability and Transparency Act aims to address surprise medical billing | 11/19/2019

Rep. Sharice Davids introduced legislation on Monday designed to address the growing issue of surprise medical billing. The bill, called the Insurance Accountability and Transparency Act , would require insurance companies to update their provider directories at least once every six months so that patients don’t unintentionally go to an out-of-network provider. “When Kansans look to see if a doctor or hospital is in-network from their insurance company …

Behavioral Health

Castlight Health Offers Its Behavioral Health Solution Free to Customers During COVID-19 | PR Newswire | 6/29/2020

SAN FRANCISCO , June 29, Castlight Health, Inc . (NYSE: CSLT ) today announced the availability of its behavioral health solution to help employees easily access and navigate behavioral health support and resources amidst the COVID-19 pandemic. The newly enhanced offering, Castlight Behavioral Health , is now available to all customers on the company’s flagship platform, Castlight Complete, in response to the growing behavioral health crisis impacting employers and the increased demand for …

Medicaid

New Law Extends Health Coverage for Former Foster Youth | U.S. News & World Report | 12/1/2019

Medicaid program, will provide the coverage for the former foster youth. Republican Gov. Charlie Baker signed the bill on Tuesday. The new law also seeks to improve the accuracy of health insurance provider directories. Supporters of the law say out-of-date and inaccurate directories make it difficult for people — especially individuals with behavioral health conditions — to find timely care. Health Care For All Executive Director Amy Rosenthal said maintaining …

Mental Health

Google Alert - Provider | 11/21/2019

Provider As-it-happens update ⋅ November 21, 2019 NEWS Survey: US physicians pay billions annually to maintain provider directories Medical Economics “Our nation’s fragmented approach to maintaining provider directories is not only a burden on … the holidays are nearly … Flag as irrelevant Court rules defunct mental health provider must pay employee health, annuity plans WHIO The mental health service provider closed in 2018. Its facility was at 1520 Germantown St …

Credentialing

Providers Spend $2.76B Annually on Provider Directory Maintenance | RevCycle Intelligence | 11/19/2019

… according to a recent survey conducted by the Council for Affordable Quality Healthcare (CAQH) . “Our nations fragmented approach to maintaining provider directories is not only a burden on physician practices, it may be undermining the … how providers submit similar information to multiple health plans for credentialing. CAQH noted that most providers already use one channel to submit provider directory information for credentialing purposes. But fewer providers use one channel for …

Surprise Medical Bills

Rep. Davids’ Insurance Accountability and Transparency Act aims to address surprise medical billing | 11/19/2019

… of surprise medical billing. The bill, called the Insurance Accountability and Transparency Act , would require insurance companies to update their provider directories at least once every six months so that patients don’t unintentionally go to … relying on inaccurate information – and are paying the price in surprise medical bills.” There are no federal laws mandating that insurance directories stay updated with a list of doctors, hospitals or other providers that are …

Medicare

Providers Spend $2.76B Annually on Provider Directory Maintenance | RevCycle Intelligence | 11/19/2019

… according to a recent survey conducted by the Council for Affordable Quality Healthcare (CAQH) . “Our nations fragmented approach to maintaining provider directories is not only a burden on physician practices, it may be undermining the … directories may be inaccurate, according to a CMS study of Medicare Advantage directories in 2018. Members rely on directories to discern contact providers in their plan. As a result, any inaccuracy can present a roadblock …

Medicare Advantage

Providers Spend $2.76B Annually on Provider Directory Maintenance | RevCycle Intelligence | 11/19/2019

… according to a recent survey conducted by the Council for Affordable Quality Healthcare (CAQH) . “Our nations fragmented approach to maintaining provider directories is not only a burden on physician practices, it may be undermining the … directories may be inaccurate, according to a CMS study of Medicare Advantage directories in 2018. Members rely on directories to discern contact providers in their plan. As a result, any inaccuracy can present a roadblock …

American Medical Association

Providers Spend $2.76B Annually on Provider Directory Maintenance | RevCycle Intelligence | 11/19/2019

… according to a recent survey conducted by the Council for Affordable Quality Healthcare (CAQH) . “Our nations fragmented approach to maintaining provider directories is not only a burden on physician practices, it may be undermining the … 52 percent) of physicians in a survey conducted by the American Medical Association (AMA) in 2018 said that their patients encounter coverage issues at least once a month due to inaccurate directories. Sixty-two percent …

Care Access

Deal reached to improve health care access for children | 11/19/2019

BOSTON — MassHealth would be required to cover young adults previously in state custody until they turn 26, health insurers would need to maintain accurate provider directories and a host of commissions would be created under compromise children’s health legislation filed late Monday afternoon. The conference committee reconciling the different House and Senate bills filed its report with the House clerk at 4:17 p.m., less than a half hour after wrapping …

Patient Engagement

LexisNexis Risk Solutions Earns Acclaim from Frost & Sullivan for Employing an Advanced Data Analytics Architecture to Aid Healthcare Decision-making | PR Newswire | 11/19/2019

… social determinants of health, claims, and provider data to facilitate decision making that impacts operational efficiency, compliance, growth strategies and patient engagement. This innovation has enabled the company to establish a strong footprint across the … VerifyHCP ® product, which manages provider information accuracy and attestations feeding provider directories. “Following the success of these technologies, the LexisNexis Risk Solutions Health Care business is well-positioned to introduce consumer-centric analytics tools that …

Provider Data Management

The Integrated Healthcare Association (IHA) Releases New White Paper Highlighting Insights from the First Year of the Symphony Provider Directory | PR Newswire | 11/18/2019

… Directory implementation. The Symphony Provider Directory, which launched in January of this year , serves as California’s centralized online platform for provider data management, and is a result of collaboration among stakeholders across the healthcare industry … launch, additional work remains to further define and standardize data. “Provider directories play a vital role in helping enrollees navigate the health care system,” said DMHC Director Shelley Rouillard . “It is exciting to see the …

Digital Health

Google Alert - Provider | 11/18/2019

Provider As-it-happens update ⋅ November 17, 2019 NEWS The Cost Burden of Maintaining Provider Directories Managed Healthcare Executive Responding to health plan requests to verify and update directory information is a significant administrative burden … refuse health care must be carefully balanced … Flag as irrelevant Digital health provider expands AIA tie-up The Straits Times Digital health provider WhiteCoat is expanding its partnership with AIA to provide on-demand telemedicine …

Centers for Medicare and Medicaid Services

CAQH Survey: Maintaining Provider Directories Costs U.S. Physician Practices $2.76 Billion Annually | PR Newswire | 11/13/2019

Sverige CAQH Survey: Maintaining Provider Directories Costs U.S. Physician Practices $2.76 Billion Annually Streamlining the way directory information is collected and shared with health plans can improve accuracy and save physician practices more than $1.1 … of online directories for Medicare Advantage plans conducted by the Centers for Medicare and Medicaid Services (CMS) found that as much as half of the information contained in directories may be inaccurate. Because members rely …

Master Data Management

More Firsts for Healthcare and Provider Data Management: Proof of Concept for Blockchain Integration Successfully Completed | PR Newswire | 11/12/2019

SAN LUIS OBISPO, Calif. , Nov. 12, 2019 /PRNewswire/ – Gaine Healthcare’s Coperor platform for master data management in both the healthcare and the life sciences/biotech space has proven capable of seamless integration with blockchain technology following the completion of a successful proof of concept in collaboration with Symblock BlockSecure. Gaine Healthcare’s Coperor platform for master data management in both the healthcare and the life sciences/biotech space has proven capable …

HIPAA

Blockchain startup Solve.Care signs up Uber Health as a partner | MedCity News | 7/10/2019

… an collaboration with Lyft announced earlier this year which opened up Care.Wallet to the rideshare company’s healthcare customers. “Via our HIPAA-compliant solutions, we are working to facilitate rides for patients who might not have … in the process. Current applications range from creating more accurate provider directories to more effectively protecting drug product integrity . Since its launch last year , Uber Health has been hard at work at opening the rideshare …

Quest Diagnostics

What Optum, Humana, Ascension & more are doing to advance blockchain | Becker’s Hospital Review | 11/26/2019

… collaborations have been created between major healthcare organizations to grow the technology. In April 2018, five healthcare giants — Humana, MultiPlan, Quest Diagnostics, UnitedHealthcare Group and Optum, launched the Synaptic Health Alliance, a pilot program using … health care industry: efficient data management and sharing. We selected provider directories as our first use case and through our pilot project are exploring how blockchain technology can help ensure the most current health care …

Providers shell out $2.76B annually to update directories | Healthcare Dive | 11/14/2019

… annually to update directories Fotolia share Dive Brief: Medical practices spend $2.76 billion annually updating information in a multitude of provider directories — or an average $998.84 per month, per practice, according to a new whitepaper … CVS Health, Ascension, Humana, UnitedHealthcare, UnitedHealth Group’s Optum, MultiPlan and Quest Diagnostics. In a similar vein, CAQH and the Provider Data Action Alliance released a roadmap last year to guide development and implementation of a …

Optum

What Optum, Humana, Ascension & more are doing to advance blockchain | Becker’s Hospital Review | 11/26/2019

… major healthcare organizations to grow the technology. In April 2018, five healthcare giants — Humana, MultiPlan, Quest Diagnostics, UnitedHealthcare Group and Optum, launched the Synaptic Health Alliance, a pilot program using blockchain to ensure health plan … health care industry: efficient data management and sharing. We selected provider directories as our first use case and through our pilot project are exploring how blockchain technology can help ensure the most current health care …

Providers shell out $2.76B annually to update directories | Healthcare Dive | 11/14/2019

… annually to update directories Fotolia share Dive Brief: Medical practices spend $2.76 billion annually updating information in a multitude of provider directories — or an average $998.84 per month, per practice, according to a new whitepaper … the pilot include CVS Health, Ascension, Humana, UnitedHealthcare, UnitedHealth Group’s Optum, MultiPlan and Quest Diagnostics. In a similar vein, CAQH and the Provider Data Action Alliance released a roadmap last year to guide development and …

UnitedHealth

Providers shell out $2.76B annually to update directories | Healthcare Dive | 11/14/2019

Providers shell out $2.76B annually to update directories Fotolia share Dive Brief: Medical practices spend $2.76 billion annually updating information in a multitude of provider directories — or an average $998.84 per month, per practice, according to a new whitepaper from CAQH . The alliance of health plans including Anthem, UnitedHealth and others creates electronic processes to streamline common administrative tasks. By updating information using a single data interface, medical practices would …

How blockchain has strange bedfellows singing kumbaya | Managed Care Magazine | 7/5/2019

Competitors are coming together to see if they can leverage blockchain’s magic to solve big problems. Provider directories are among the first use cases. July 5, 2019 Richard Mark Kirkner Contributing Editor Mike Jacobs works in technology engineering at Optum, UnitedHealth Group’s technology and health care services unit. Kyle Culver has a similar job at Humana. UnitedHealth and Humana are competitors, but now they’re also collaborators, in part because Jacobs …

Ascension

What Optum, Humana, Ascension & more are doing to advance blockchain | Becker’s Hospital Review | 11/26/2019

… program using blockchain to ensure health plan provider directors include up-to-date physician information. Since then, St. Louis-based Ascension and Aetna have joined the project. Mike Jacobs is a technology fellow and senior … health care industry: efficient data management and sharing. We selected provider directories as our first use case and through our pilot project are exploring how blockchain technology can help ensure the most current health care …

Monday, November 18, 2019 | Kaiser Health News | 11/18/2019

… about the ability of patients to control the use of their data. In a controversial collaboration with the hospital chain Ascension, Google gained access to millions of patient records, including names and birthdates, so it … Spend One Staff Day Per Week On Directory Upkeep Maintaining provider directories is an expensive, time-consuming task that takes up the equivalent of one staff day per week for physician practices, a new Council …

Sutter Health

Monday, November 18, 2019 | Kaiser Health News | 11/18/2019

… said in a statement. (Greene, 11/14) Modern Healthcare: Physician Practices Spend One Staff Day Per Week On Directory Upkeep Maintaining provider directories is an expensive, time-consuming task that takes up the equivalent of one … One day after officials announced a $30.5 million settlement with Sutter Health over kickback allegations, prosecutors in Sacramento revealed the health care giant had agreed to pay an additional $15 million over claims submitted to …

In This World Nothing Can Be Said To Be Certain Except Death, Taxes … And Health Care Costs Going Up | Kaiser Health News | 11/18/2019

… said in a statement. (Greene, 11/14) Modern Healthcare: Physician Practices Spend One Staff Day Per Week On Directory Upkeep Maintaining provider directories is an expensive, time-consuming task that takes up the equivalent of one … One day after officials announced a $30.5 million settlement with Sutter Health over kickback allegations, prosecutors in Sacramento revealed the health care giant had agreed to pay an additional $15 million over claims submitted to …

Beaumont Health

Monday, November 18, 2019 | Kaiser Health News | 11/18/2019

… vice president of network solutions for the association . (Golderg, 11/15) Modern Healthcare: Beaumont Settles With Feds Over Alleged ADA Violations Beaumont Health, an eight-hospital health system based in Southfield, Mich., has reached an agreement … Spend One Staff Day Per Week On Directory Upkeep Maintaining provider directories is an expensive, time-consuming task that takes up the equivalent of one staff day per week for physician practices, a new Council …

In This World Nothing Can Be Said To Be Certain Except Death, Taxes … And Health Care Costs Going Up | Kaiser Health News | 11/18/2019

… vice president of network solutions for the association . (Golderg, 11/15) Modern Healthcare: Beaumont Settles With Feds Over Alleged ADA Violations Beaumont Health, an eight-hospital health system based in Southfield, Mich., has reached an agreement … Spend One Staff Day Per Week On Directory Upkeep Maintaining provider directories is an expensive, time-consuming task that takes up the equivalent of one staff day per week for physician practices, a new Council …

MassHealth

New Law Extends Health Coverage for Former Foster Youth | U.S. News & World Report | 12/1/2019

… MassHealth, the state’s Medicaid program, will provide the coverage for the former foster youth. Republican Gov. Charlie Baker signed the bill on Tuesday. The new law also seeks to improve the accuracy of health insurance provider directories. Supporters of the law say out-of-date and inaccurate directories make it difficult for people — especially individuals with behavioral health conditions — to find timely care. Health Care For All Executive Director Amy …

Online Health Information Required for Aged-Out Foster Kids | 11/28/2019

Massachusetts Gov. Charlie Baker signed a law requiring health insurers to keep online provider directories updated so that children who age out of foster care will be able to stay on MassHealth, the state’s Medicaid program. by Shira Schoenberg, The Republican Health insurers will have to keep their online provider directories updated and children who age out of foster care will be able to remain on MassHealth, under a bill …

UnitedHealthcare

What Optum, Humana, Ascension & more are doing to advance blockchain | Becker’s Hospital Review | 11/26/2019

… been created between major healthcare organizations to grow the technology. In April 2018, five healthcare giants — Humana, MultiPlan, Quest Diagnostics, UnitedHealthcare Group and Optum, launched the Synaptic Health Alliance, a pilot program using blockchain to … health care industry: efficient data management and sharing. We selected provider directories as our first use case and through our pilot project are exploring how blockchain technology can help ensure the most current health care …

Providers shell out $2.76B annually to update directories | Healthcare Dive | 11/14/2019

… annually to update directories Fotolia share Dive Brief: Medical practices spend $2.76 billion annually updating information in a multitude of provider directories — or an average $998.84 per month, per practice, according to a new whitepaper … companies involved in the pilot include CVS Health, Ascension, Humana, UnitedHealthcare, UnitedHealth Group’s Optum, MultiPlan and Quest Diagnostics. In a similar vein, CAQH and the Provider Data Action Alliance released a roadmap last year to …

Aetna

What Optum, Humana, Ascension & more are doing to advance blockchain | Becker’s Hospital Review | 11/26/2019

… blockchain to ensure health plan provider directors include up-to-date physician information. Since then, St. Louis-based Ascension and Aetna have joined the project. Mike Jacobs is a technology fellow and senior vice president … health care industry: efficient data management and sharing. We selected provider directories as our first use case and through our pilot project are exploring how blockchain technology can help ensure the most current health care …

Monday, November 18, 2019 | Kaiser Health News | 11/18/2019

provider directories is an expensive, time-consuming task that takes up the equivalent of one staff day per week for physician practices, a new Council for Affordable Quality Healthcare survey finds. CAQH, a not-for-profit health plan alliance who members include top health insurers like Cigna, Aetna and Humana, conducted the survey on 1,240 physician practices in September. It found directory maintenance costs practices nationwide $2.76 billion annually, or …

Humana

What Optum, Humana, Ascension & more are doing to advance blockchain | Becker’s Hospital Review | 11/26/2019

… is why collaborations have been created between major healthcare organizations to grow the technology. In April 2018, five healthcare giants — Humana, MultiPlan, Quest Diagnostics, UnitedHealthcare Group and Optum, launched the Synaptic Health Alliance, a pilot … health care industry: efficient data management and sharing. We selected provider directories as our first use case and through our pilot project are exploring how blockchain technology can help ensure the most current health care …

Monday, November 18, 2019 | Kaiser Health News | 11/18/2019

provider directories is an expensive, time-consuming task that takes up the equivalent of one staff day per week for physician practices, a new Council for Affordable Quality Healthcare survey finds. CAQH, a not-for-profit health plan alliance who members include top health insurers like Cigna, Aetna and Humana, conducted the survey on 1,240 physician practices in September. It found directory maintenance costs practices nationwide $2.76 billion annually, or …

MultiPlan

What Optum, Humana, Ascension & more are doing to advance blockchain | Becker’s Hospital Review | 11/26/2019

… why collaborations have been created between major healthcare organizations to grow the technology. In April 2018, five healthcare giants — Humana, MultiPlan, Quest Diagnostics, UnitedHealthcare Group and Optum, launched the Synaptic Health Alliance, a pilot program … health care industry: efficient data management and sharing. We selected provider directories as our first use case and through our pilot project are exploring how blockchain technology can help ensure the most current health care …

Providers shell out $2.76B annually to update directories | Healthcare Dive | 11/14/2019

… annually to update directories Fotolia share Dive Brief: Medical practices spend $2.76 billion annually updating information in a multitude of provider directories — or an average $998.84 per month, per practice, according to a new whitepaper … pilot include CVS Health, Ascension, Humana, UnitedHealthcare, UnitedHealth Group’s Optum, MultiPlan and Quest Diagnostics. In a similar vein, CAQH and the Provider Data Action Alliance released a roadmap last year to guide development and implementation …

Cigna

Monday, November 18, 2019 | Kaiser Health News | 11/18/2019

provider directories is an expensive, time-consuming task that takes up the equivalent of one staff day per week for physician practices, a new Council for Affordable Quality Healthcare survey finds. CAQH, a not-for-profit health plan alliance who members include top health insurers like Cigna, Aetna and Humana, conducted the survey on 1,240 physician practices in September. It found directory maintenance costs practices nationwide $2.76 billion annually, or …

In This World Nothing Can Be Said To Be Certain Except Death, Taxes … And Health Care Costs Going Up | Kaiser Health News | 11/18/2019

provider directories is an expensive, time-consuming task that takes up the equivalent of one staff day per week for physician practices, a new Council for Affordable Quality Healthcare survey finds. CAQH, a not-for-profit health plan alliance who members include top health insurers like Cigna, Aetna and Humana, conducted the survey on 1,240 physician practices in September. It found directory maintenance costs practices nationwide $2.76 billion annually, or …

Lamar Alexander

Vulnerable GOP senators move toward provider-friendly surprise billing proposal | Modern Healthcare | 3/6/2020

… suit on March 3. Tillis said he thought some portions of a bipartisan compromise bill between Senate health committee Chair Lamar Alexander (R-Tenn.) and ranking member Patty Murray (D-Wash.) “went too far,” and … by requiring some cost estimates before service delivery and updated provider directories. Letter Editor Send us a letter Have an opinion about this story? Click here to submit a Letter to the Editor , and we …

Hospital price transparency push draws industry ire, but effects likely limited | Healthcare Dive | 6/26/2019

… It specifically asks the department to explore using HSA funds for direct primary care, an idea Senate HELP Committee Chairman Lamar Alexander, R-Tenn., said he “especially like[d].” Industry pushes back The order itself … gets concerning,” she said. Practices are more concerned about payer provider directories and their accuracy, something not addressed in the executive order. Not having that type of information can be detrimental for a patient seeking …

Patty Murray

Vulnerable GOP senators move toward provider-friendly surprise billing proposal | Modern Healthcare | 3/6/2020

… thought some portions of a bipartisan compromise bill between Senate health committee Chair Lamar Alexander (R-Tenn.) and ranking member Patty Murray (D-Wash.) “went too far,” and that he thinks Cassidy’s legislation has a … by requiring some cost estimates before service delivery and updated provider directories. Letter Editor Send us a letter Have an opinion about this story? Click here to submit a Letter to the Editor , and we …

How the Senate proposal to reduce healthcare costs would address transparency | Becker’s Hospital Review | 6/20/2019

… Patty Murray, D-Wash. — aims to stop surprise billing, improve healthcare transparency and increase prescription drug competition. Four takeaways on how the Lower Health Care Costs Act would address transparency: 1. Gag clauses. Gag clauses that prevent health plan members or referring providers from viewing cost and quality data on providers would be prohibited in provider-insurer contracts. 2. Provider directories. Insurance companies would be required to keep updated directories …

Kelly Gooch

Surprise-billing proposal targets provider directories | Becker’s Hospital Review | 11/18/2019

Surprise-billing proposal targets provider directories Kelly Gooch - Print Email U.S. Rep. Sharice Davids will introduce legislation Nov. 18 that aims to address surprise medical bills by instituting requirements for health plan provider directories. The proposal — called the Insurance Accountability and Transparency Act — would require private insurers to update their directories of physicians, hospitals or other in-network providers at least once every six months, according to the representative’s office …

Physician practices spend nearly $3B annually updating provider directories, survey finds | Becker’s Hospital Review | 11/16/2019

Physician practices spend nearly $3B annually updating provider directories, survey finds Kelly Gooch - Print Email A recent survey of physician practices revealed that they spend $2.76 billion annually updating and verifying information in health plan provider directories. The survey of 1,240 U.S. physician practices was conducted by the Council for Affordable Quality Healthcare, a national alliance of health plans, associations and other healthcare stakeholders. The council said it found respondents …

Phil Roe

Lawmakers Crack Down On Accuracy Of Provider Directories | 10/3/2019

Lawmakers Crack Down On Accuracy Of Provider Directories By Ariel Cohen October 2, 2019 at 6:06 PM Reps. Phil Roe (R-TN) and Kim Schrier (D-WA) introduced legislation to improve the accuracy of the information listed on health plans’ provider directories to prevent patients from receiving surprise out-of-network bills. The lawmakers introduced the Improving Provider Directories Act (H.R.3575) on Friday (Sept. 27) in the Ways & Means …

Schrier, Roe introduce bill to ensure health provider directories are updated | 9/30/2019

Congresswoman Kim Schrier, D-Wash., and Congressman Phil Roe, R-Tenn., have introduced the Improving Provider Directories Act (HR 4575). The bill will increase the accuracy of the information listed on health plan provider directories to protect patients from surprise out-of-network bills. “When a patient is looking for a new doctor, they will often go to the online directory of their insurance provider to make sure the doctor …