Inaccurate Health Plan Directory

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How to fix the persistent inaccurate health plan directory problem

(7 days ago) WEBA new paper from the AMA and CAQH outlines the need for health plan-physician practice alignment, automation, and a streamlined process for producing accurate directories. It also highlights the challenges and acknowledges responsibilities of the …

https://www.ama-assn.org/delivering-care/patient-support-advocacy/how-fix-persistent-inaccurate-health-plan-directory

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The Hidden Causes of Inaccurate Provider Directories - CAQH

(Just Now) WEBin plan directories.5 For health plans, directories help members identify in-network doctors and obtain the care they have purchased. As such, inaccurate listings inconvenience …

https://www.caqh.org/hubfs/43908627/drupal/explorations/CAQH-hidden-causes-provider-directories-whitepaper.pdf

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State Efforts to Coordinate Provider Directory Accuracy ASPE

(6 days ago) WEBProvider directories are lists of in-network providers produced by health care plans. They are an important tool for individuals seeking health care providers, and for …

https://aspe.hhs.gov/reports/provider-directory-accuracy

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Improving the Accuracy of Health Plan Provider …

(2 days ago) WEBThe information in health plans’ provider directories is often inaccurate. A 2018 report from CMS found that 52% of physician listings in MA provider directories contained at least one inaccuracy. A …

https://www.commonwealthfund.org/publications/journal-article/2019/jun/improving-accuracy-health-plan-provider-directories

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Health plans face new liabilities for inaccurate provider directories

(7 days ago) WEBThe Consolidated Appropriations Act, 2021 (CAA) (Pub. L. No. 116-260) includes provisions to protect health plan enrollees from unexpected out-of-network bills …

https://www.mercer.com/insights/law-and-policy/health-plans-face-new-liabilities-for-inaccurate-provider-directories/

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Inaccurate Provider Directories Create Barriers to Care

(9 days ago) WEBProvider directory management (PDM) can be a significant and expensive administrative burden for health plans and providers. Although the healthcare industry spends nearly $3 billion annually to maintain …

https://www.availity.com/Blog/2022/November/Inaccurate-Provider-Directories-Create-Barriers-to-Care

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Doctors, Patients Plagued by Incorrect Details in Directories

(8 days ago) WEBMarch 14, 2023, 3:01 PM UTC. Doctors, Patients Plagued by Incorrect Details in Directories. By Sara Hansard. Sara Hansard. Senior Reporter. Addresses, specialties …

https://news.bloomberglaw.com/employee-benefits/doctors-patients-plagued-by-incorrect-details-in-directories

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Podcast: The Problem With Provider Directories Health Affairs

(9 days ago) WEBPreview Short Description. 10.1377/hp20230126.463500. Download Podcast. Add to favorites. Share. Listen to Health Affairs' Leslie Erdelack and Jessica …

https://www.healthaffairs.org/do/10.1377/hp20230126.463500/

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21 Medicare Health Plans Warned To Fix Provider Directory Errors

(6 days ago) WEBPiedmont Community Health Plan, a small Medicare plan with about 5,200 members in southwest Virginia, had the highest rate of inaccuracies among the 54 …

https://kffhealthnews.org/news/21-medicare-health-plans-warned-to-fix-provider-directory-errors/

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Even well-intended laws can’t protect us from inaccurate provider

(5 days ago) WEBUnfortunately, inaccurate directories continue to plague our health care system. A study published in June in the Journal of Health Politics, Policy and Law …

https://health.wusf.usf.edu/health-news-florida/2022-07-26/even-well-intended-laws-cant-protect-us-from-inaccurate-provider-directories

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State Efforts to Coordinate Provider Directory Accuracy: Final …

(2 days ago) WEBAs the statewide, cloud-based technology platform for health plans and providers, Symphony serves as a single source for provider directory data and supports …

https://aspe.hhs.gov/sites/default/files/documents/72a2324e3deb078b275c66eb53052c86/state-coordinate-provider-directory-accuracy.pdf

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Even Well-Intended Laws Can’t Protect Us From Inaccurate …

(3 days ago) WEBThe San Francisco health care executive called local primary care doctors listed in the directory of his health plan, through a major national carrier, and could not …

https://californiahealthline.org/news/article/even-well-intended-laws-cant-protect-us-from-inaccurate-provider-directories/

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Incorrect Provider Directories Associated With Out-Of - Health …

(Just Now) WEBWe examined whether participants had used a plan’s mental health directory in the past year and, among participants who had used a directory, whether …

https://www.healthaffairs.org/doi/10.1377/hlthaff.2019.01501

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Even Well-Intended Laws Can’t Protect Us From Inaccurate Health …

(6 days ago) WEBIf you are one of the roughly 6 million Californians in a federally regulated employer or union plan and you get a big out-of-network bill from a doctor who was …

https://laist.com/news/health/even-well-intended-laws-cant-protect-us-from-inaccurate-provider-directories

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Improving Provider Directory Accuracy: Can Machine-Readable

(Just Now) WEBThe American Journal of Managed Care May 2019. Volume 25. Issue 5. The authors examined the accuracy of provider directories and found widespread errors. …

https://www.ajmc.com/view/improving-provider-directory-accuracy-can-machinereadable-directories-help

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Search for Medicaid Providers in New Jersey Wellpoint

(4 days ago) WEBBehavioral health. To contact Wellpoint for any mental health or substance use disorder care concern, please call 833-731-2147 (TTY 711). Member Services can also get the …

https://www.wellpoint.com/nj/medicaid/search-providers

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W.W. Grainger Suit Says Aetna Drained Health Plans, Hid Misdeeds

(Just Now) WEBIndustrial supplier W.W. Grainger Inc. filed a lawsuit saying Aetna Life Insurance Co. mismanaged its self-funded health plans by approving false and …

https://news.bloomberglaw.com/employee-benefits/w-w-grainger-suit-says-aetna-drained-health-plans-hid-misdeeds

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Hospital Network Finder - New Jersey Health Insurance

(8 days ago) WEBOMNIA Health Plan members enjoy lower premiums, lower deductibles, lower copayments, and lower out-of-pocket costs with OMNIA Tier 1 doctors, hospitals, and other health …

https://www.newjerseyinsuranceplans.com/wp-content/uploads/2016/02/HorizonBCBSNJOMNIATierHospitalListing.pdf

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Best Doctors Near Me in North Bergen, NJ Zocdoc

(7 days ago) WEBZocdoc is a free online service that helps patients find Doctors in North Bergen and book appointments instantly. You can search for North Bergen Doctors by …

https://www.zocdoc.com/primary-care-doctors/north-bergen-nj-92236pm

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Doctor page - First Site

(2 days ago) WEBPlease call 973-972-4908 (NJMS-Office of Managed Care) or send an e-mail to: [email protected]. NJMS Faculty Group Agreements. Aetna …

http://pluto.rbhs.rutgers.edu/NJMSPhysicians/doctor.asp?Doctor=533223753

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Medicaid Program; Medicaid and Children's Health Insurance …

(1 days ago) WEBThe authority for our proposals is extended to prepaid inpatient health plans (PIHPs) To ensure consistency, equity, and context to the final compliance rate …

https://www.federalregister.gov/documents/2024/05/10/2024-08085/medicaid-program-medicaid-and-childrens-health-insurance-program-chip-managed-care-access-finance

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