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Author: Ron Urwongse

January 28, 2025January 28, 2025Policy and Regulation

Empowering Patient Choice with Payer and Provider Data

Special thanks to Aneesh Chopra, Chief Strategy Officer at Arcadia; Ryan Howells, Principal at Leavitt Partners; Eric Ellsworth, Director of Health Data

November 23, 2024December 13, 2024Data at Work

Payer Provider Directories + Appointment Scheduling

This post was co-authored with Aneesh Chopra, Chief Strategy Officer at Arcadia and first U.S. Chief Technology Officer under the Obama administration,

October 30, 2024October 30, 2024Policy and Regulation

Mental Health Provider Directories: The Rising Risk of Litigation

Last week, a class action lawsuit was filed in the Southern District of New York against Anthem Blue Cross and Blue Shield,

September 18, 2024September 18, 2024Data at Work, Policy and Regulation

CMS Announces National Directory for Healthcare Pilot in Oklahoma

Yesterday at Health Datapalooza, CMS announced its intent to pilot key components of a National Directory of Healthcare in the state of

August 20, 2024August 20, 2024Data at Work

Using Provider Directory APIs to identify errors in plan directories

“One potentially promising method is to use data analytics to compare health plans’ directories, many of which are available in machine-readable formats

August 19, 2024August 20, 2024Policy and Regulation

HHS report considers the merits of centralized provider directories

In December 2023 the Office of Behavioral Health, Disability, and Aging Policy (within the US Department of Health and Human Services) published

June 24, 2024July 8, 2024Policy and Regulation

State of Provider Directory APIs 2024

Background and Purpose of Analysis In July 2021, CMS required payers with CMS-regulated health plans to publish Provider Directory APIs. In the 3 years

January 22, 2024Data at Work, Policy and Regulation

Provider Directory API’s Supporting Role in the 2024 CMS Interop Rule

Key Takeaways: Re-Cap of the 2024 Rule Our previous post included a summary of the 2024 CMS Interoperability and Prior Authorization Final

January 18, 2024January 19, 2024Policy and Regulation

A Review of the 2024 CMS Interoperability Rule through the Lens of Directory Use Cases

Yesterday, 13 months after proposing it, CMS finalized its Interoperability and Prior Authorization Rule. As CMS worked towards publishing this rule, payers,

October 26, 2023October 26, 2023Policy and Regulation

The REAL Health Providers Act

Last week, the Requiring Enhanced and Accurate Lists (REAL) of Health Providers Act was introduced by Senators Wyden D-Ore., Bennet D-Colo., and

Posts pagination

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Recent Posts

  • Empowering Patient Choice with Payer and Provider Data
  • Payer Provider Directories + Appointment Scheduling
  • Mental Health Provider Directories: The Rising Risk of Litigation
  • CMS Announces National Directory for Healthcare Pilot in Oklahoma
  • Using Provider Directory APIs to identify errors in plan directories

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