Insurers, researchers, and consumers are struggling with the price transparency files required under the No Surprises Act. This post reviews how a public network ID could make these files smaller and more accurate. We’ve previously written about the many benefits of a public identifier for networks (here, and here). Background Under the No SurprisesContinue reading “How a Consumer Network ID can make price transparency files smaller and more accurate”
Category Archives: Data Transparency
Like provider directories, drug lookups have many data quality problems
Part of helping consumers shop for health insurance is helping them determine which plans offer the coverage for their medication needs with the lowest cost and the fewest hassles. Health insurance companies create lists called formularies that show which prescription drugs are cover by each health plan. Right now, these formulary lists have aContinue reading “Like provider directories, drug lookups have many data quality problems”
Checkbook/CSS Response CMS RFI for a National Directory of Healthcare Providers
Checkbook/CSS Response to CMS RFI for a National Directory of Healthcare Providers CMS’s proposed NDH would provide critical infrastructure to ease burden on providers and insurers and improve accuracy; clear definitions of provider organizations and appropriate accountability are key for success. Earlier this fall, Centers for Medicare & Medicaid Services (CMS) took an importantContinue reading “Checkbook/CSS Response CMS RFI for a National Directory of Healthcare Providers”
Consumer Network ID – A Proposal for Helping Consumers Understand Coverage of Doctors They Care About
Consumers’ ability to make use of their health insurance depends heavily on their ability to see in-network doctors, as health plans generally offer limited or no coverage of care from providers outside their networks. However, for a consumer to determine whether a particular doctor is in their plan’s network they must get through a processContinue reading “Consumer Network ID – A Proposal for Helping Consumers Understand Coverage of Doctors They Care About”
