Friday, June 16, 2017

Provider Data Action Alliance Starts Work on Roadmap to Improve Accuracy of Healthcare Provider Data

Excerpts from Council for Affordable Quality Healthcare (CAQH) press release.

A cross-section of healthcare leaders has begun work on a wide-ranging effort to improve the accuracy of provider data for both industry stakeholders and patients. Convened by the non-profit alliance CAQH, the Provider Data Action Alliance will develop a roadmap that articulates a vision and actionable strategies for obtaining and sharing better information. Alliance participants represent health, dental and vision plans; provider organizations; health systems; government; and health information exchanges.

Despite the considerable investment by the healthcare industry to attain and manage that data—currently estimated at more than $2 billion annually—inaccurate information is common. For example, a report released earlier this year by the Centers for Medicare & Medicaid Services (CMS) found that 45.1 percent of practice locations listed in on-line provider directories were incorrect.

Alliance participants will develop strategies to address the challenges of ensuring accurate and timely provider information. These include managing data that changes frequently due to practice location moves, retirement or other life events. In most cases, providers must inform a number of health plans and healthcare organizations of each change, a redundant process that adds to the administrative burden for providers. Requirements for data collection vary depending on the stakeholder and state regulations. The need to increase provider engagement in the maintenance process is another key issue and focus of the Alliance.

The Alliance was a result of the 2016 Provider Data Summit, a CAQH-hosted conference where more than 100 industry leaders met to discuss provider data challenges. Attendees reached agreement on the priorities for improving provider data and called for further industry-wide collaboration.

Learn more about the Provider Data Action Alliance at

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