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 ...

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 ...

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 ...

Big data refers to large, diverse sets of information from multiple sources that can provide strategic information for ...