There are a number of trends creating challenges in Healthcare and putting pressure on basic business processes and administrative functions. Increase consumerism, larger volume and variety of plans have added complexity, online market places, customer choice added competition.
The Problem the industry running into is notoriously bad data quality….specifically Provider data, which impacts several process weather managing provider networks associated with plans or paying claims
All this bad data is causing significant impacts…from high cost to maintain and update all this information….penalties associated with failing to meet requirements…and low customer Satisfaction, numerous complaints…. study in CA showed 50% of consumer complaints were about inaccurate provider information, several lawsuits underway, services performed thought in network, billed as out of network. A lot of cost and risk stemming from bad provider data, some estimate put the cost at $30M a year, large health Payer.
Regulatory compliance requirements
Digital transformation resulting in vast new repositories of data
This the problem we solve, and our solution combines, both a trusted data source, on the left. Call Golden Provider Source, which we offer through a data quality service. Looking specifically at the Provider Data Source, see data quality levels – (service levels) we deliver overall accuracy, provider profile accuracy. So feeding into our process, several standard sources, National Plan & Provider system, Medicare/Medicaid Services, and others….
Also DvSum specific approaches from healthcare personal groups, technology-driven approaches….
Bring that all into our platform, work our magic, turn out the Golden Data Source
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We'd love to show you our platform, technology and discuss with you, how we can help you get more value out of your data.