compliance
Beyond Compliance for Payers: A Unique Opportunity
Written by: Jonathan Shannon, Senior Director of Healthcare Strategy

Now is the time for health plans to start to think beyond compliance: How can you use this newly available data to support and improve critical business functions?

high quality data
Our Commitment: High-Quality Data to Meet Your...
Written by: Lianne Eberle, Senior Director Healthcare Strategy, Provider Data

As the Payer market continues to evolve and the complexities continue to grow, so does the demand for higher quality data around providers at locations and accurate credentials. Despite these market dynamics, most of the state and federal source data that payers require to stay compliant with legislation remains stagnant, with quality levels that cause more challenges for the industry.

provider data accuracy
Prioritize Better Outcomes with Provider Data...
Written by: Laura Long, Vertical Solutions Consultant, Provider Data

The No Surprises Act is going into effect in January 2022. While we wait for the regulation details to materialize, it is important to understand your baseline today to get ahead of what’s to come.

healthcare delivery
HIStalk Interviews LexisNexis Risk Solutions...
Written by: Jay Sultan, VP, Healthcare Strategy

Josh Schoeller, CEO of LexisNexis Risk Solutions Health Care, recently shared industry insights in a candid interview with HIStalk, a healthcare technology industry blog.

healthcare provider profiles
No Surprises Act: Pushing Health Plans into Action
Written by: Laura Long, Vertical Solutions Consultant, Provider Data

With political changes also come regulation changes. Though surprise medical billing has long been an issue, Congress recently passed HR 3630 containing the “No Surprises Act”, to remedy the problem. This latest bill applies to all group and individual health plans, with an effective date of January 2022. Among other things, this regulation requires that provider directories be updated on a regular basis, every 90 days.

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