Healthcare is a data-driven industry, but it's held together by incompatible, siloed data systems. Providers and payers need the ability to exchange data and update directories in real time; otherwise, they cannot ensure patients will access the high-quality care they deserve.
Administrative inefficiencies create a bottleneck that hinders the entire healthcare system.
The home care industry is booming. As Baby Boomers age and more families seek in-home solutions for loved ones, demand for home care services is at an all-time high.
Conducted by researchers at the University of Colorado medical school, the new report is the latest to gauge the extent of a costly problem that federal regulators are working to solve: Information about doctors varies from provider directory to provider directory.
About 62% of Americans don’t trust their health plan when it comes to finding care, a Ribbon Health survey found. Providing more accurate information on provider directories could repair this trust.
Keeping health plan provider directories current is a major administrative and cost burden for the industry, with an estimated $2.1 billion spent annually across the healthcare system to acquire and maintain provider data.
“I told the CEOs it looks to me like nobody cared. We will be holding their feet to the fire on this,” said Shelley Rouillard, director of the California Department of Managed Health Care.
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Flawed directories are “a real barrier to accessing the care and accessing the insurance consumers have purchased.”