Persistent Inaccurate Health Plan Directory Problems
Listing Websites about Persistent Inaccurate Health Plan Directory Problems
How to fix the persistent inaccurate health plan directory problem
(7 days ago) WebThis problem has persisted despite efforts by policymakers and health plans to address it. A new paper from the AMA and CAQH outlines the need for health plan-physician practice alignment, automation, and a streamlined process for producing …
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The Hidden Causes of Inaccurate Provider Directories - CAQH
(Just Now) Webin plan directories.5 For health plans, directories help members identify in-network doctors and obtain the care they have purchased. As such, inaccurate listings inconvenience …
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Network Directory Accuracy Provider Network …
(8 days ago) WebHow to fix the persistent inaccurate health plan directory problem Patients use health plan directories to help choose a physician and often do not find the correct information. The AMA and CAQH …
https://www.ama-assn.org/topics/network-directory-accuracy
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Inaccurate Provider Directories Create Barriers to Care
(9 days ago) WebProvider directory management (PDM) can be a significant and expensive administrative burden for health plans and providers. Although the healthcare industry spends nearly $3 billion annually to maintain provider …
https://www.availity.com/Blog/2022/November/Inaccurate-Provider-Directories-Create-Barriers-to-Care
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Improving Health Plan Provider Directories - CAQH
(5 days ago) Webstate of the provider directory problem, identify best practices and recommend practical approaches that both health plans and practices can take to solve the problem. The …
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Improving the Accuracy of Health Plan Provider …
(2 days ago) WebThe information in health plans’ provider directories is often inaccurate. A 2018 report from CMS found that 52% of physician listings in MA provider directories contained at least one inaccuracy. A …
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How One Payer Tackled the No Surprises Act Provider Directory …
(7 days ago) WebThe No Surprises Act requires health plans to conduct an attestation process every 90 days to verify that their provider directories are correct. Additionally, whenever providers communicate a
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CAQH White Paper: The Hidden Cause of Inaccurate Provider …
(7 days ago) WebA recent CAQH survey uncovered the administrative burden on providers associated with maintaining provider directories. The survey of 1,240 physician practices, …
https://www.caqh.org/blog/caqh-white-paper-hidden-cause-inaccurate-provider-directories
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Real provider data inaccuracies at two health plans - and how to …
(9 days ago) WebRibbon exists to solve this problem. With the Accuracy Scoring feature of Ribbon Provider Data Platform, organizations can differentiate between good and bad data in minutes, …
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Health plans face new liabilities for inaccurate provider - Mercer
(7 days ago) WebThe Consolidated Appropriations Act, 2021 (CAA) (Pub. L. No. 116-260) includes provisions to protect health plan enrollees from unexpected out-of-network bills …
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Inaccuracies in Provider Directories: How to Overcome …
(6 days ago) WebDirectory inaccuracy calls into question the plan’s ability to meet the beneficiaries’ health care needs. Thus, they may opt for different plan options during re-enrollment. Increased Administrative Costs for …
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When consumers are faced with inaccurate directories, they …
(4 days ago) Webhealth plan provider directories have been a long-standing problem for consumers navigating the health care system. Inaccurate directories can also mask …
https://familiesusa.org/wp-content/uploads/2015/10/10-steps-on-Directories_FINAL.pdf
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Inaccuracies in Provider Directories: How to Overcome these
(2 days ago) WebUnderstanding common drivers of deficiencies is key to maintaining accurate provider directory data. How can health plans overcome these challenges?
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Inaccurate provider directories create barriers to care
(Just Now) WebThe problem of inaccurate provider directories is both enduring and widespread, and has only intensified as millions of people gained coverage under the …
https://www.managedhealthcareexecutive.com/view/inaccurate-provider-directories-create-barriers-care
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Incorrect Provider Directories Associated With Out-Of - Health …
(Just Now) WebInaccurate information in health plans’ mental health provider directories may be compounding this problem. Patients use directories to locate an in-network …
https://www.healthaffairs.org/doi/10.1377/hlthaff.2019.01501
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21 Medicare Health Plans Warned To Fix Provider Directory Errors
(6 days ago) WebFederal officials this month warned 21 Medicare Advantage insurers with high rates of errors in their online network directories that they could face heavy fines or …
https://kffhealthnews.org/news/21-medicare-health-plans-warned-to-fix-provider-directory-errors/
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Doctors, Patients Plagued by Incorrect Details in Directories
(8 days ago) WebMore than 80% of physicians have inconsistent or inaccurate entries in health insurance provider directories, making it harder for patients to know whether they …
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Podcast: The Problem With Provider Directories Health Affairs
(9 days ago) WebPreview Short Description. 10.1377/hp20230126.463500. Download Podcast. Add to favorites. Share. Listen to Health Affairs' Leslie Erdelack and Jessica Bylander …
https://www.healthaffairs.org/do/10.1377/hp20230126.463500/
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Improving the Accuracy of Health Insurance Plans’ Provider …
(3 days ago) WebUnder the preamble to the rule, insurers are required to update their directories at least once a month. The rules also require that, for 2016 plans, directories must include: »The provider’s location. »The provider’s contact information. »The provider’s specialty. »The provider’s medical group.
https://familiesusa.org/wp-content/uploads/2015/10/ACA_Provider-Directory-Issue-Brief_web.pdf
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Provider Directory Inaccuracy and Timely Access for Mental Health …
(6 days ago) WebAs with the directory accuracy analyses, diversity across markets, specialties, and years was apparent. For psychiatrists in 2018 ( Table 3, Figure, and eAppendix), …
https://www.ajmc.com/view/provider-directory-inaccuracy-and-timely-access-for-mental-health-care
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Even Well-Intended Laws Can’t Protect Us From Inaccurate Health …
(6 days ago) WebIf you are one of the roughly 6 million Californians in a federally regulated employer or union plan and you get a big out-of-network bill from a doctor who was listed in your health plan
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