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’ […]
May 26, 2022June 6, 2023Data Insights 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 […]