by Kristine Grow
March 9, 2017
WASHINGTON, D.C. – Accurate provider directory information depends on strong partnerships between doctors and health plans. That’s the key take-away from the Provider Directory Initiative, a pilot program conducted by America’s Health Insurance Plans (AHIP) to learn best practices in maintaining accurate and up-to-date provider directories.
Consumers want health care to be simple. That includes being able to get accurate information about what doctors are in their networks, and how to reach their providers. The Provider Directory Initiative was designed to gain an independent view of how best to improve the accuracy of provider directories.
“Health plans are committed to improvements,” says Jeanette Thornton, senior vice president of Health Plan Operations and Strategy at AHIP. “While no one size fits all, health plans are using the results of this pilot to find actionable solutions to ensure a better consumer experience.”
Among the findings:
Accurate directories require commitment and partnership between providers and health plans, and plans are looking at ways to incent providers to ensure that their directory information is accurate. They are also considering new approaches to integrate and coordinate data, which would make it simpler for providers to send updated information.