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 […]
Author: Ron Urwongse
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 […]
Health equity and languages spoken
The Need for Linguistically-Appropriate Services On April 20, 2022, CMS released an action plan that establishes health equity as a ‘first pillar’ […]
The Importance of Health Plan Information and Identity
Defacto Health has been reviewing health insurers’ Provider Directory APIs in terms of availability, issues, and use cases for almost a year […]
Using Provider Directory APIs to assess provider network size
When CMS issued its requirement for payers to publish Provider Directory APIs, it contemplated use cases such as in-network provider search and […]