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 […]
Author: Ron Urwongse
How payers can think about competition as network and price transparency expands
Regulatory Requirements on Network and Price Transparency Transparency-related federal rules are causing a seismic shift in the healthcare industry, compelling payers to […]
Payers are switching Provider Directory API vendors
Two years after the effective date of the CMS Final Rule on Patient Access and Interoperability, payers are reassessing their Provider Directory […]
Using Payer APIs to Improve Mental Health Networks
In our last article, we explored mental health ‘ghost’ networks as discussed in the May 3rd Senate Finance Committee hearing. We summarized […]
Understanding Mental Health ‘Ghost’ Networks
This is the first of a two-part series on mental health ghost networks. In the first post, we will assess the information […]
How many payer contracts do providers have?
Knowing the number of payers that providers contract with is important for a few reasons. Reason 1: It is a proxy for […]
What a good developer experience looks like: VA Lighthouse
In our previous post, we reviewed the status of payer provider directory APIs and learned that some payers take a compliance-only mindset […]
Provider Directory APIs: Beyond a Compliance-Only Mindset
State of Payer Compliance on Provider Directory APIs It has been 18 months since the July 2021 effective date of the CMS […]
Responses to the CMS RFI on National Healthcare Directory
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% […]
A Review of the CMS RFI on National Healthcare Directory
Executive Summary: CMS describes a National Healthcare Directory that will streamline provider data collection and promote interoperability. Years of industry engagement have […]