The myriad health and welfare plan requirements in the Consolidated Appropriations Act, 2021 include those for a group or individual health plan to maintain a cost comparison tool and an accurate and ...

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 ...

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 ...

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 ...

OAKLAND, Calif., March 14, 2024 (GLOBE NEWSWIRE) -- The Integrated Healthcare Association (IHA) and Covered California, the state’s Affordable Care Act health insurance marketplace, have finalized ...

Provider directories are widely inaccurate, with conventional directories slightly outperforming MR directories in accuracy. MR directories have potential for accuracy improvement but lack regulatory ...

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 ...

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 ...