Articles
State of Payer Compliance on Provider Directory APIs
It has been 18 months since the July 2021 effective date of the CMS Final Rule on Patient …
In response to CMS’s RFI on a National Healthcare Directory (responses were due Thurs 12/6/2022), over 600 responses were submitted (around 50% of these were …
Executive Summary: CMS describes a National Healthcare Directory that will streamline provider data collection and promote interoperability. Years of industry engagement have produced layers of …
The Need for Linguistically-Appropriate Services
On April 20, 2022, CMS released an action plan that establishes health equity as a ‘first pillar’ of its strategic vision …
Defacto Health has been reviewing health insurers’ Provider Directory APIs in terms of availability, issues, and use cases for almost a year now. This post …
When CMS issued its requirement for payers to publish Provider Directory APIs, it contemplated use cases such as in-network provider search and health plan shopping. …