Overview of Contractor Transition
The Centers for Medicare and Medicaid Services (CMS) has announced a significant change in its provider enrollment verification process. Starting January 3, 2026, CMS will transition to two new National Site…
The Accuracy-Adequacy Paradox
A regional health plan improved its provider directory accuracy by 8%, only to discover hundreds of specialists listed as “in-network” had moved or stopped practicing. Rather than losing coverage, the plan leveraged…
This announcement was written by Rahul Shivkumar, Co-Founder of Assured
We started Assured in 2024 to build the automation layer for healthcare administration. We believe that fixing provider credentialing and payer enrollment is one of the highest-leverage…
REVENUE IMPACT OF CREDENTIALING BOTTLENECKS
Healthcare providers face significant financial losses due to lengthy credentialing processes, according to new data from Assured. The healthcare credentialing site reports that providers wait an average of 90 to…
Top News
Investment firm KKR acquires a co-ownership stake in healthcare payments and analytics vendor Cotiviti from Veritas Capital for $10.5 billion. Buzz about the deal with KKR began circulating several months ago.
Reader Comments
From Beltone:…
There are significant challenges and opportunities ahead for the healthcare industry, whether it’s the rise of artificial intelligence, increasing cost pressures or M&A activity.
In a recent report, consulting firm West Monroe laid out three…
With Efficient Growth, Innovation, and Marquis Healthcare Customers like Humana – Verifiable is Shaking up the Multi-Billion Dollar Provider Network Management Category
Verifiable, an API-first innovator to the antiquated provider network management software category, has…
