Up-to-date provider network directories enhance patient satisfaction and reduce operational costs. Yet health plans are facing several challenges to attract, retain and manage their provider networks ...

Before founding Virsys12, I started my career as a software developer in healthcare and ultimately held roles as a CTO and CIO. It was evident to me that there was room for improvement in the ...

Healthcare payers face unprecedented challenges in managing provider networks. Manual processes, fragmented data sources, and regulatory requirements create operational burdens that impact both costs ...

Today’s payers are still adjusting to the significant operational and transparency changes as a result of the No Surprises Act and Consolidated Appropriations Act. These mandates put the provider ...

For healthcare payer organizations, Medicare Advantage (MA) represents one of the most dynamic and competitive opportunities in the marketplace. With the number of Medicare beneficiaries growing, MA ...

PHILADELPHIA, Oct. 12, 2021 (GLOBE NEWSWIRE) -- Medicare Advantage insurer Zing Health has chosen Perspecta LLC, an innovator in provider data management solutions, to make its provider directory more ...

SAN FRANCISCO--(BUSINESS WIRE)--Clarify Health, a leading healthcare analytics and value-based payments platform company, today announced it has been named a Representative Vendor in the Provider ...

Anshul Rathi, founder and CEO of CertifyOS is an engineer by background who became one of Oscar Health's earliest employees, working to build their provider network management function. This is for ...

GE Healthcare IT, based in Barrington, Ill., has announced the availability of its Meaningful Use-ready software release for Centricity Enterprise, the company’s integrated clinical, financial and ...

Gartner highlights vendors offering flexible, modular solutions that align with the operational maturity and specific needs of healthcare payers. HiLabs earned recognition for its MCheck suite of ...

BlueCross BlueShield of Tennessee has promoted Jenni Bradley to director of strategy and planning in the Provider Network Management division. "Ms. Bradley will oversee teams responsible for ...