Data dilemma: How inaccurate information undermines payer network strategies
Despite record investments in network design, health plans remain hampered by unreliable data, which limits insight into provider performance, member access and network competitiveness. A new survey conducted in partnership with Becker’s Healthcare uncovers how pervasive these data issues are — and why they’re stalling progress.
Executives from 100 health plans participated in the survey. Their message: smarter networks require smarter data.
From rising regulatory risk to ongoing ghost provider issues, payers need more than compliance — they need claims-based insights that show whether providers are actually delivering care.
This exclusive report dives into the top data challenges and what leading plans are doing differently.
Download to learn:
- Why confidence in cost and access metrics remains low across most health plans
- How claims-based validation is reshaping network adequacy standards
- Which tools can help payers reduce ghost providers and improve competitive positioning
Please fill out the form to download the whitepaper.