Modernizing Provider Network Management With an Integrated Approach
Existing provider network management solutions are often developed for a single purpose, cobbled together with a disjointed combination of homegrown and legacy IT. They have been supporting evolving organizational needs such as credentialing portal, provider data analysis, and more. However, this approach is not a long-term solution to provider network management needs and prevents payers from gaining an unbiased, unified view of provider performance. Relying on claims data alone is insufficient.