Resources for Improving the Provider Experience
Take deep dives into news, best practices, and technology about improving the provider experience with expert members of the andros team.
Breaking Through Provider Fatigue: How andros Uses Data and Analytics to Build Better Medicare Advantage Networks
Since its launch by CMS, Medicare Advantage (MA) has transformed healthcare in the United States. As a result, Medicare beneficiaries now have more options and insurers are competing on price and quality, which has led to lower healthcare costs and better healthcare outcomes. It seems like a win-win scenario for health plans and consumers… until you recognize which group is
Why improving the credentialing experience for providers matters
The 90 days plus time taken [for credentialing] is not acceptable. No one at the insurance company is available… emails are not responded to for many many days… talking to different people has no results. -Anthony D., healthcare provider When you ask a consumer what they think of the experience of procuring and receiving healthcare, chances are you’ll hear
Creating a Better Provider Experience: andros Survey Insights
Introduction Building strong, healthy provider networks is anything but easy and absolutely critical to the success of every health plan. The healthcare industry continues to accelerate investments in digital healthcare tools and platforms (e.g., telehealth, remote patient monitoring, remote meetings, etc.) that disrupt traditional payment and communication barriers. M&A activity is accelerating at a breakneck pace, leading to consolidation that
From Direct Contracting Model to ACO REACH: Navigating the Continued Evolution of Value-Based Care in Traditional Medicare
With a speedy makeover for the Global and Professional Direct Contracting Model, CMS is making sure to incorporate lessons learned from previous value-based care programs. The revamped ACO REACH initiative aims to make it easier and more rewarding to embrace value-driven principles in traditional Medicare. Introduction Ever since the Affordable Care Act (ACA) became the law of the land in
Delegated Credentialing: Easing the pain of credentialing your providers
Delegated Credentialing: Easing the pain of credentialing your providers Credentialing in house can be painful for health plans and other types of payors, adding the time and administrative stress of continually tracking and updating new providers, locations, and information. It can be burdensome for provider organizations too, submitting new documents with each provider, location and information changes, not to mention
Top 4 Challenges Facing Health Plans in 2022 and How to Overcome Them
From network development and staffing shortages to managing relationships in an increasingly digital world, health plans have a lot on their plates in 2022. How can leaders effectively navigate this difficult environment while continuing to provide exceptional services to members? Introduction Since the beginning of this tumultuous decade, health plans have been confronted with an unprecedented array of challenges.
Roadmap to Innovation: What Payers Need to Compete in the Digital-First Healthcare Environment
Innovation is no longer optional for established health payers and digital native startups. Without revamping inefficient processes, payers risk falling behind in the race for provider participating providers and market share.Here are the first steps payers can take on the path toward sustainable, successful innovation. Introduction The health plan marketplace is evolving quickly as changing demographics, new regulations,
The Future of Value-Based Care: Making the Most of the New Direct Contracting Model for Traditional Medicare Populations
CMS introduced the Global and Professional Direct Contracting (GPDC) Model in 2020 to build on previous successes and continue transforming the world of value-based care. What does the new program entail and how can participants maximize their opportunities to succeed? A decade after the launch of the first accountable care organizations (ACOs), the healthcare industry has come a long way—but
Infusing Digital Innovation into Network Development to Boost Efficiency and Improve Experiences
View PDF version High-performing provider networks are at the core of a health plan’s success. Embracing digital innovation during the network development process will allow Medicare Advantage plans to secure the best possible partners in an extremely competitive environment. The Medicare Advantage (MA) marketplace has never been more vibrant. More Americans than ever are opting for the affordable coverage and
Credential Your Network While You Build It
Both network builds and credentialing rely on having accurate, up-to-date data. Consider integrating these two processes around a unified data resource to deliver the best results while saving time and money.
Hey, providers, let’s make healthcare better for everyone
We’re on a mission at andros. Everyone knows there’s a lot of waste in the healthcare system, especially in healthcare administration. JAMA reports estimates of the costs of “administrative complexity” at over $260 billion a year! andros is using technology to make healthcare administration, and the healthcare system as a whole, better for everyone—providers, patients, and plans alike. We’re eliminating
Gaining an Edge in Contracting and Credentialing with Best Practices for Medicare Advantage Plans
The Medicare Advantage landscape offers attractive opportunities for health plans looking to enter the market or expand their presence into new territories. In order to succeed, plan sponsors will need to embrace innovative technologies and proactive strategies that help them stay ahead of the competition. Introduction The Medicare Advantage (MA) market is one of the most dynamic and
Redefine the Provider Network Development Process with Technology
Let’s get real for a second. Working in the healthcare industry is rewarding but can be frustrating at times. Providers and patients alike look to healthcare organizations to offer easy-to-use, modern solutions that make their experience as seamless as possible. Yet the healthcare industry as a whole is playing catchup on back-end innovations that can make our own processes faster,
