Take deep dives into credentialing, provider network management, and healthcare administration news, best practices, and technology with expert members of the andros team.
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
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
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
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
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
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, 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
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?
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.
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
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
In this podcast episode, Tracy Bahl, the Executive Chairman of andros, joins hosts Mike Simmons and Brett Zelkind to discuss the importance of provider networks in the healthcare industry. Tracy shares his insights on the significant changes he has observed over the past few decades and how these shifts have improved the industry’s ecosystem. With over 30 years of
We’ve got you covered with a handy all-in-one guide to credentialing in 2023! The what, when, where, and how in one place. Fun fact – did you know this practice goes all the way back to 1000 BC? See how much you really know about credentialing. What Is Provider Credentialing In Healthcare? Provider credentialing, also known as practitioner credentialing, is the
As I reflect on the accomplishments of our team over the last year, I’m proud that we were able to end the year on a strong note. Our mission to provide the best credentialing services for our clients remains unchanged. We have far exceeded industry standards, with faster turnaround times and more reliable results. As we look ahead, we remain agile and prepared to adjust for an ever-evolving market.
In the ever-evolving landscape of healthcare, it’s not enough to just meet standards – you need to surpass them. As a health plan looking to outshine competitors, it’s crucial to understand that being merely ‘adequate’ won’t cut it. Your aim should be to offer an exceptional service that not only meets but exceeds the expectations of your consumers. That’s where
Jamie Kates Senior Compliance Manager What are your responsibilities as the Senior Manager of Compliance at andros? As the Senior Compliance Manager at andros I am responsible for on-going compliance throughout the organization. I lead the delegated audit programs for our clients as well as internal audits. Compliance, as a team, is a resource for our clients as well as
Celebrating #OneTeam: andros Summer MVPs Each quarter we acknowledge the team members who went above and beyond in their role and who exemplified the andros values. All MVP winners are nominated by their peers or manager and the People Team identifies the MVPs (and some honorable mentions!) for the quarter based on these nominations. We love this opportunity to recognize
The healthcare industry may be thriving with new innovations in patient care, but provider network development often lacks the same innovative energy. This leads to a fractured and messy experience for providers, with over 70% of them unsatisfied with the contracting and credentialing experience.
To persuade them to join your network and reduce operating costs, treat every stage of the provider lifecycle as a unified experience. And that’s where andros comes in, managing the lifecycle of your providers in one place to build you a stronger network. With smart recruiting data and technology automation, you can attract new providers quickly and efficiently, and ensure that your network directory is error-free, complete, and compliant.
Plus, with automated full-time monitoring and compliance expertise, your provider network can maintain adequacy and compliance standards. By centralizing information and simplifying processes, andros helps you operate efficiently and serve your patients more effectively, ultimately making you more competitive in the healthcare marketplace.
Celebrating #OneTeam: andros Spring MVPs Each quarter we acknowledge the team members who went above and beyond in their role and who exemplified the andros values. All MVP winners are nominated by their peers or manager and the People Team identifies the MVPs (and some honorable mentions!) for the quarter based on these nominations. We love this opportunity to recognize
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