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.

Blog

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

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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

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Blog

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

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Blog

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

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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

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GAIT - DFY 5 Paula Muto | UBERDOC
Podcast

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

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Blog

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

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Blog

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

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Blog

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

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Blog

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?

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GAIT - DFY 3 Aditi Joshi | Telehealth
Podcast

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.

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GAIT 2 | Value-Based Care
Podcast

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

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Blog

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

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GAIT 1 | Healthcare Provider Networks
Podcast

The Power Of Provider Networks In Healthcare With Tracy Bahl

  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

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Blog

The Guide to Healthcare Provider Credentialing

We’ve got you covered with a handy all-in-one guide to credentialing – the what, when, where, and how in one place. Provider Credentialing in Healthcare Provider credentialing, also known as practitioner credentialing, is the process of verifying the qualifications, training, and professional background of healthcare providers or practitioners. Traditionally, credentialing is a time-consuming manual process. Healthcare providers submit detailed information

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Blog

Summer Newsletter: Note from Jeff Fritz

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.

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Blog

Surpassing Network Adequacy: A New Approach to Health Equity

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

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Blog

Meet Our Compliance Expert: Jamie Kates

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

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