CareFirst BlueCross Blue Shield, in partnership with MRO, has a clinical digital exchange platform that both payers and providers can access. The platform gathers member data across 44 disparate EHRs, ...
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 ...
Provider data are the foundation of healthcare operations, but, for health plans, managing those data is a major pain point. Inaccurate provider directories, credentialing delays and disjointed ...
Last year, researchers looked at the directories of the nation’s five largest health plans and found that four out of five entries were inaccurate. This is more than a minor inconvenience. It’s a ...
Accurate and up-to-date healthcare provider data is integral for health plans to guide their members towards the most appropriate care and for providers to deliver that care efficiently – ultimately ...