Inaccurate Health Plan Directory
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How to fix the persistent inaccurate health plan directory problem
(7 days ago) WEBA new paper from the AMA and CAQH outlines the need for health plan-physician practice alignment, automation, and a streamlined process for producing accurate directories. It also highlights the challenges and acknowledges responsibilities of the …
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Health plans face new liabilities for inaccurate provider directories
(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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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 …
https://www.availity.com/Blog/2022/November/Inaccurate-Provider-Directories-Create-Barriers-to-Care
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What's more accurate than health plan directories?
(4 days ago) WEBThe federal government's failure to develop a strategy to address inaccurate health plan directories. Discussion. Michael Adelberg, the study's lead author who has held senior positions at CMS and …
https://www.advisory.com/daily-briefing/2019/08/21/health-plan-directories
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Even well-intended laws can’t protect us from inaccurate provider
(5 days ago) WEBUnfortunately, inaccurate directories continue to plague our health care system. A study published in June in the Journal of Health Politics, Policy and Law …
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21 Medicare Health Plans Warned To Fix Provider Directory Errors
(6 days ago) WEBPiedmont Community Health Plan, a small Medicare plan with about 5,200 members in southwest Virginia, had the highest rate of inaccuracies among the 54 …
https://kffhealthnews.org/news/21-medicare-health-plans-warned-to-fix-provider-directory-errors/
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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 …
https://www.healthaffairs.org/do/10.1377/hp20230126.463500/
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State Efforts to Coordinate Provider Directory Accuracy ASPE
(6 days ago) WEBProvider directories are lists of in-network providers produced by health care plans. They are an important tool for individuals seeking health care providers, and for …
https://aspe.hhs.gov/reports/provider-directory-accuracy
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81% of Entries Are Inaccurate in Provider Directories of 5 Large …
(1 days ago) WEBThe accuracy rate was higher for physicians with only one practice address. Among this subpopulation, 84.8 percent of the addresses were correct as well as 68.6 …
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State Efforts to Coordinate Provider Directory Accuracy: Final …
(2 days ago) WEBAs the statewide, cloud-based technology platform for health plans and providers, Symphony serves as a single source for provider directory data and supports …
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Improving Provider Directory Accuracy: Can Machine-Readable
(Just Now) WEBThe American Journal of Managed Care May 2019. Volume 25. Issue 5. The authors examined the accuracy of provider directories and found widespread errors. …
https://www.ajmc.com/view/improving-provider-directory-accuracy-can-machinereadable-directories-help
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Even Well-Intended Laws Can’t Protect Us From Inaccurate …
(3 days ago) WEBThe San Francisco health care executive called local primary care doctors listed in the directory of his health plan, through a major national carrier, and could not …
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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 …
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CA State Assembly Passes Patient Protection to Ensure Accurate …
(5 days ago) WEBAB 236 (Holden), which seeks to improve the accuracy of health plan provider directories for consumers, now heads to the California Senate. ***Impacted …
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Search for Medicaid Providers in New Jersey Wellpoint
(4 days ago) WEBBehavioral health. To contact Wellpoint for any mental health or substance use disorder care concern, please call 833-731-2147 (TTY 711). Member Services can also get the …
https://www.wellpoint.com/nj/medicaid/search-providers
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Find a Dentist UnitedHealthcare Community Plan
(8 days ago) WEBUnitedHealthcare Connected® (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to …
https://www.uhc.com/communityplan/find-a-dentist
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W.W. Grainger Suit Says Aetna Drained Health Plans, Hid Misdeeds
(Just Now) WEBIndustrial supplier W.W. Grainger Inc. filed a lawsuit saying Aetna Life Insurance Co. mismanaged its self-funded health plans by approving false and …
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Hospital Network Finder - New Jersey Health Insurance
(8 days ago) WEBOMNIA Health Plan members enjoy lower premiums, lower deductibles, lower copayments, and lower out-of-pocket costs with OMNIA Tier 1 doctors, hospitals, and other health …
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North Bergen, New Jersey ACA Health Insurance Plans
(1 days ago) WEBNew Jersey enrollment dates and deadlines. New Jersey residents can apply for Affordable Care Act (ACA) health insurance plans during the annual Open Enrollment Period or …
https://www.healthmarkets.com/plans/aca-health/new-jersey/north-bergen/
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Medicaid Program; Medicaid and Children's Health Insurance …
(1 days ago) WEBThe authority for our proposals is extended to prepaid inpatient health plans (PIHPs) To ensure consistency, equity, and context to the final compliance rate …
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