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 ...

Inaccurate provider data is leading to a hidden crisis in the healthcare field — one that threatens patients’ access to timely care, according to Sarah Ahmad, CEO of the Council for Affordable Quality ...

Months after announcing a new program to validate self-reported nursing home quality data, the Centers for Medicare & Medicaid Services has begun notifying providers of their selection.

Ensuring excellent quality and outcomes is the essential goal of medical care. To achieve it, a multitude of quality metrics have been added to clinicians’ work. They include things such as ...

Healthcare payers face unprecedented challenges in managing provider networks. Manual processes, fragmented data sources, and regulatory requirements create operational burdens that impact both costs ...

Healthcare organizations have long grappled with the complex challenge of managing provider data and networks. The process has traditionally been laden with manual verification, paper-based workflows ...

Want smarter insights in your inbox? Sign up for our weekly newsletters to get only what matters to enterprise AI, data, and security leaders. Subscribe Now A new report from AI data provider Appen ...

Aetna and Cigna's TIC data generally matched or exceeded their reported provider counts, while UnitedHealthcare listed fewer providers. Physician and hospital outpatient data were more complete than ...