Andros Insights
Take deep dives into credentialing, provider network management, and healthcare administration news, best practices, and technology with expert members of the Andros team.
Automate and Simplify State License Verifications
Navigating the complexities of state license verification for providers can be challenging for health plans. Each state has unique requirements and processes, making it difficult to ensure providers are licensed and compliant across multiple jurisdictions. To help health plans combat these complexities, we’re now offering a State License Verification solution automates this process, bringing efficiency, accuracy, and compliance to your
A New Era at Andros: Introducing Andros Arc™
It’s an exciting time at Andros. We’ve just launched Andros Arc™, a reimagined provider network optimization platform. This new generation of provider network management capabilities positions healthcare organizations for what’s to come. Andros Arc unifies data from over 250 sources and integrates 7.5 million National Provider Identifiers (NPIs) into a connected provider graph, helping health plans and other healthcare organizations
Rising Healthcare Costs—What Health Plans Need to Know Now (and in the Year Ahead)
The respected accounting and auditing firm PwC has released a new report titled “Medical Cost Trend: Behind the Numbers 2025.” It contains valuable forecasts for the upcoming year in healthcare, crucial insights behind the trends, and ideas around cost containment in a fiscal environment that will present continued challenges for payers. To compile the report, PwC’s Health Research Institute (HRI)
Exciting News from Ignite, Our Andros Company-Wide Event
Recently Andros came together for a powerful in-person company-wide event called Ignite. I’m thrilled to share some of the many highlights and to celebrate the amazing connections and opportunities that emerged. Our team gathered to champion our mission of unlocking the potential of the most valuable connection in healthcare: the patient-provider relationship. We explored our R&D and innovation in provider
Andros Unveils New Brand Identity
Andros, a healthcare industry leader in next-generation provider network management solutions, has unveiled a fresh and original brand look. This new brand identity was developed and chosen to reflect the company’s dedication to innovation, growth and the potential for whole-enterprise transformation through intelligent provider network management. This new brand identity evolved through a lengthy process evaluating both the Andros
Enabling Provider Data Management with the Andros Credentialing API
Behind the scenes of every healthcare organization lies a complex web of credentialing processes. Credentialing is a cornerstone of quality healthcare delivery, ensuring that every provider in a network meets rigorous standards. Traditional credentialing processes are often slow, manual, and prone to errors, leading to delays in patient care and provider onboarding. Manual downloads, uploads, and updates of flat files
Megan Wirth Assumes Expanded Role with andros
andros is pleased to announce that Megan Wirth, who joined the company five months ago, will now assume an expanded role encompassing Strategic Partnerships, Customer Success, and Implementations. In this capacity, Wirth will infuse even greater dedication and strategic guidance into serving andros clients. Before joining andros, Wirth held strategic growth positions at OptumHealth and 2nd.MD/Accolade. “As VP of Strategic
Top 3 Provider Network Management Credentialing Trends to Watch in 2024
The credentialing process for healthcare payers and provider organizations is a crucially important, ongoing administrative priority that must be done right. It’s like the foundation of a well-built house: with the right expertise and attention to detail, everything built on top of it is sturdy and resilient. But if that foundation isn’t solid, what comes next is going to be
Best Practices for Credentialing Committee Meeting Management
The National Committee for Quality Assurance (NCQA) mandates that health plans convene regularly to make decisions about the credentialing of their network practitioners. In these committee meetings, external experts assess whether providers qualify to remain in the network. While these meetings are essential for compliance, many health plans find it challenging to conduct them efficiently and effectively. We’re here to
Charting a New Course in Healthcare Compliance: A Spotlight on Our Latest Offerings
As healthcare advances and becomes more complex, compliance isn’t mere protocol—it’s the cornerstone of trust, bridging patient care and the intricate workings of organizational operations. Think of it not just as a rulebook, but as a silent sentinel, carefully preserving the integrity and security of healthcare practices against a backdrop of evolving standards and regulations. Fully understanding the nuanced relationship between
From CDs To Telehealth – Charting The Evolution Of Medical Tech With Timothy Kelley
The evolution of technology offers great convenience to many industries. In medical technology, this evolution is set to transform how we provide care for our patients. Today, Mr. Timothy Kelly, the founder of Nautilus Medical, charts the evolution of medical technology in developing medical recording software. He also dives into their newest venture, TeleRay, and how it impacts the
Building Innovative Solutions For The New Healthcare Economy With Dr. Paula Muto
In many ways, the healthcare industry is disempowering to both patients and healthcare professionals. There is a need to put the power back to these key stakeholders, and that takes nothing short of a revolution. A visionary healthcare entrepreneur, Dr. Paula Muto advocates passionately for personalized medicine and a patient-centered approach, emphasizing the importance of patients taking ownership of
Introducing Jeff Fritz, New andros CEO Leading The Next Chapter Of Healthcare Innovation
Over the past 10 years, andros has stayed true to its commitment to deliver the highest quality of healthcare provider network management to its clients, and that has undoubtedly resulted to favorable outcomes for their end customers. Now, as the company continues to grow and scale, it has become imperative to bring in new leadership talent to bring its products
Provider Network Adequacy: The Waiting Game
It’s no secret that access to healthcare services is a pivotal issue for many. Provider network adequacy, which ensures that health plans have enough providers to meet their members’ needs, serves as a cornerstone for healthcare access. However, the current network adequacy standards fall short in addressing how long patients may have to wait to get an appointment with their
Health Plan Provider Credentialing: A Beginner’s Guide
In the field of healthcare, proper credentialing is crucial. Health plan providers must meticulously verify credentials, or risk legal and financial repercussions. When it comes to health plans, the quality of healthcare services provided is paramount. Clients carefully consider the expertise and experience of practitioners when choosing a health plan. Therefore, it is the responsibility of the health plan provider
Telemedicine Credentialing Guide for Beginners
Telemedicine, a practice that has been in existence for decades, experienced a significant boost during the COVID-19 pandemic. It evolved from being a supplementary option for patients unable to see doctors in person into a thriving $225 billion industry. As remote healthcare options continue to expand, several questions have emerged. Patients express concerns about the security of their personal information
The Misconception of Provider Network Adequacy
When it comes to health plans, provider network adequacy is crucial. For most health insurance products, it is mandated by law that health insurers ensure that their networks are sufficient in size and scope to offer a defined set of covered services to their members. However, provider network adequacy does not always equate to actual member access. Fact or Myth?
Exploring The Evolution And Application Of Telehealth With Aditi Joshi
In our rapidly expanding digital world, telehealth is revolutionizing access to healthcare. By utilizing real-time calls and online channels, individuals can easily get answers and attention for their medical concerns and needs. Brett Zelkind and Mike Simmons speak with Dr. Aditi Joshi, a digital health expert, about the optimal application of telehealth to maximize its reach and potential. Dr.
Navigating Value-Based Care And The Future Of Healthcare With Tracy Bahl
We are on a journey of innovation in healthcare. As we strive to continually provide value to people, healthcare organizations also need to constantly face the challenges that come their way. Back for the second time to continue the last episode’s discussion, Tracy Bahl of andros helps us navigate, this time, value-based care. He talks about the transition he made in his career
The Importance of Member Experience in Provider Network Adequacy
When it comes to healthcare, ensuring the satisfaction and positive experience of patients or members should be a priority of networks. However, this seems not to be the case for some, particularly those that have inadequate provider networks. Contrary to what many people think, having a sufficient number of healthcare providers in a network does not necessarily mean that members
