by Howard Koenig... A beautiful user interface in a provider directory is the right idea, but only if the data it contains and presents is reliable, error free, up-to-date, quickly accessed, compliant, and intuitive. A focus on the “important stuff” can improve NCQA scores, ensure compliance, build member loyalty, and reduce the workload burden for health plan teams.
By outsourcing and optimizing the back-end process of provider data management, organizations can better streamline workflow and better manage the “stuff” that contributes to staff burnout and burden. Conflicting data formats and platforms, duplication of effort, lack of accountability, data siloes, and other inefficiencies are eliminated by an automated infrastructure that continuously maintains network integrity.
Modernizing the backend of provider network systems and processes helps to accelerate digital transformation and reduce the hidden cost related to staff burnout and attrition. It starts by assessing the current state of provider network data sources, data integrity, internal and external resources, and overall efficiency. This helps identify the true cost of inefficiency, data errors, and burnout.
A reimagining can help to reduce workflow steps, increase accountability, enable access to authoritative data, automate data sourcing and cleansing, and finding a more efficient roster management process. Re-engineering operational strategies and processes, unburdens stakeholders across the organization. Internal teams can better focus on other critical aspects of the business.