By Eric Demers – With more than half of patients using a health plan’s provider directory to select a physician, incorrect physician information has quietly become one of the biggest barriers to treatment. Value-based care is supposed to optimize patient outcomes, but that’s tough to do when patients can’t find the appropriate healthcare services.
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By Eric Demers – Is a centralized physician directory viable? The concept could be hugely valuable to patients and providers alike. In 2022, CMS took the first steps toward making this a reality driven by three significant challenges confronting providers and patients.
The thought leaders in our community are good about sharing their thoughts on the issues of today. Here are the top read and shared guest posts of November that we think deserve sharing again.
By Eric Demers – In 2022, 20% of adults said they or their family received an unexpected medical bill. The No Surprises Act, which went into effect last year, is better late than never. A bipartisan effort to protect patients from unexpected healthcare expenses, the NSA minimizes surprise billing and makes…
By Eric Demers – In the quest to make administrative work automated, payers and intermediaries for years have been developing their own homegrown systems to get closer to fully electronic processes for provider data management and revenue cycle management.
By Jim Dougherty – Suffice it to say: the healthcare industry has been laser-focused on the coronavirus pandemic for the past few months. With the urgent care needs that COVID-19 continues to bring and telehealth taking center stage in primary care, many other facets of healthcare — like provider data management — have become afterthoughts.
By Jim Dougherty – By 2020, healthcare spending by the United States is projected to reach almost 20% of GDP, making the U.S. the largest healthcare spender of any nation in the world. While curbing healthcare spending is a herculean task, the 2017 CAQH Index estimated that….