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Category: Policy and Regulation

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 […]

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 […]

January 18, 2022June 6, 2023Policy and Regulation

Payer Compliance: Provider Directory APIs in the first six months since CMS Final Rule enforcement

The CMS Final Rule on Interoperability and Patient Access requires payers to publish provider directory APIs and has been enforceable since July […]

Recent Posts

  • How payers can think about competition as network and price transparency expands
  • Payers are switching Provider Directory API vendors
  • Using Payer APIs to Improve Mental Health Networks
  • Understanding Mental Health ‘Ghost’ Networks
  • How many payer contracts do providers have?

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