Current Situation
There is increasing pressure to prove provider network adequacy to consumers and regulatory bodies.
Goals and Objectives
Comply with ACA/HHS/state compliance regulations. Enable customer satisfaction with provider network adequacy.
Technology Deployed
Network penetration software; Provider risk analysis analytics; Geo-access mapping; Provider network adequacy analytics; Census/geotract data
Use Case Summary
An agile provider systems of record enables healthcare organizations to respond to fast-changing data, complete with external validation sources.