Persistently 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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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) WebFree access to JAMA Network™ and CME. Save hundreds on insurance. Fight for physicians and patient rights. Join the AMA Today. May 18, 2023 ·. 4 MIN READ. Evidence on inaccurate directories piles …
https://www.ama-assn.org/topics/network-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 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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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 Commonwealth …
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Evidence on inaccurate directories piles up. It’s time to act.
(7 days ago) WebIn phone calls to a sample of 120 provider listings across 12 different health plans, 33% were inaccurate, had nonworking numbers, or had unreturned calls. …
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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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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 …
https://www.availity.com/Blog/2022/November/Inaccurate-Provider-Directories-Create-Barriers-to-Care
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New Research from HiLabs Shows that 81% of Physicians had …
(1 days ago) WebThe study, published in JAMA, is the first to assess provider directory data since the implementation of the No Surprises Act . BETHESDA, Md., March 16, 2023 …
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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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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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Health Plans Face New Liabilities for Inaccurate Provider Directories
(9 days ago) WebThe Consolidated Appropriations Act, 2021 (CAA) (Pub. L. No. 116-260) includes provisions (29 U.S.C. § 1185i) to protect health plan enrollees from unexpected out-of-network bills …
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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 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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Doctors, Patients Plagued by Incorrect Details in Directories
(8 days ago) WebMarch 14, 2023, 3:01 PM UTC. Doctors, Patients Plagued by Incorrect Details in Directories. By Sara Hansard. Sara Hansard. Senior Reporter. Addresses, specialties frequently …
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Inaccurate provider directories create barriers to care
(Just Now) WebThe Centers for Medicare & Medicaid Services (CMS) released a report in January on the accuracy of provider directories, the online lists provided by insurers and used by health …
https://www.managedhealthcareexecutive.com/view/inaccurate-provider-directories-create-barriers-care
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Federal Register, Volume 89 Issue 92 (Friday, May 10, 2024)
(9 days ago) WebThe authority for our proposals is extended to prepaid inpatient health plans (PIHPs) and prepaid ambulatory health plans (PAHPs) through [[Page 41009]] …
https://www.govinfo.gov/content/pkg/FR-2024-05-10/html/2024-08085.htm
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Marcia Gonzalez , MD - Hackensack Meridian Health
(7 days ago) WebUS Family Health Plan; Reviews. 4.9 of 5 stars 430 Ratings, 69 Reviews. The Patient Satisfaction Rating is an average of all responses to the care provider related questions …
https://doctors.hackensackmeridianhealth.org/provider/Marcia+Gonzalez/1317934
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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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North Bergen, New Jersey ACA Health Insurance Plans
(Just Now) 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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