UHC, Cigna and Centene Sign On to New National Shared Credentialing Program
CertifyOS launched a shared credentialing program that allows providers to submit their information once for multiple health plans.
Assured Health Secures $19M to Get Providers In-Network Faster with Agentic AI
Assured Health raised $19 million for its AI agents that verify provider credentials and manage insurance enrollment for health systems and group practices. The startup said it can cut a process that usually takes months down to days.
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Closing the Quality-Affordability Gap in Workplace Mental Health
In an interview, Kyan Health Co-Founder and Chief Commercial Officer Konstantin Struck discussed how Kyan gives mid-market and enterprise employers access to premium workforce mental healthcare, at a price point that is affordable.
The Case for a “Single Source of Truth” in Provider Credentialing
A single source for provider credentialing would involve creating a centralized, continuously updated database of credentialing information that could be accessed and trusted across the healthcare sector. While no such system exists today, it should be the goal, and here’s why.
NCQA’s Updated 2025 Standards Have Published: What it Means for Quality and Compliance in Healthcare
The new standards emphasize the need for strong reporting and analytics that go beyond just credentialing automation. Healthcare organizations must look for solutions with comprehensive self-serve reporting capabilities to improve access and visibility into activities like potential changes to data, monitoring gaps, and more.
From Risk to Trust: Tackling Inefficient Provider Verifications in 2024 and Beyond
The NCQA proposed standards updates are just one part of a healthcare landscape undergoing rapid transformation, but the imperative for optimizing operational processes has never been clearer.
CertifyOS raises $14.5M in Series A funds for credentialing automation platform
Provider intelligence platform CertifyOS recently raised $14.5 million in Series A funding, which it will use to strengthen its automation software for clinician credentialing, licensing and enrollment. The startup also announced it has received certification as a CVO from the National Committee for Quality Assurance.
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From Blind Spots to Better Outcomes: How SNF Data Transparency Strengthens LTSS
What if health plans could identify member decline before an avoidable hospitalization occurs? Real-time clinical visibility into long-stay SNF members uncovers risk earlier and drives better outcomes.
Medallion gets a $35M boost to continue its goal of removing inefficiencies in provider management
Medallion — a provider management platform that automates licensing, continuing education tracking, credentialing and compliance — has completed three funding rounds in one year. On Thursday, it closed a $35 million Series C round, which will be used to help the startup attract more hospital and health system customers.
Technology’s role in streamlining processes and lowering costs in the fight against Covid-19
With so many incredible advancements in technology in the healthcare space, it’s important to understand where exactly these developments have a measurable impact.