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Author: Ron Urwongse

August 30, 2023August 31, 2023Data at Work

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

July 26, 2023August 30, 2023Developers

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

May 18, 2023June 6, 2023Data at Work

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

May 9, 2023June 6, 2023Policy and Regulation

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

April 25, 2023June 6, 2023Data Insights

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

March 8, 2023June 6, 2023Developers

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

February 1, 2023June 6, 2023Policy and Regulation

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

December 9, 2022June 6, 2023Policy and Regulation

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%

October 14, 2022June 6, 2023Policy and Regulation

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

June 1, 2022June 6, 2023Data Insights

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’

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