Payer solutions drive efficiency in healthcare operations amid swift regulatory changes
HOUSTON – June 11, 2024 – symplr®, a leading provider of enterprise healthcare operations software, will debut its suite of end-to-end data management solutions for payers at today’s AHIP 2024 conference in booth #1727 in Las Vegas. With provider data credentialing having long been a time-consuming process – often taking three to six months to complete – symplr will demonstrate the company’s expanded initiative that has helped payers credential 60% more providers, 30% more quickly, through automation.
"The industry needs companies like symplr to automate our workflows, drive innovation, and meet regulatory demands," said Antoinette Geyer, Senior VP of Provider Delivery Services at The Health Plan of West Virginia. "In today’s evolving healthcare landscape, symplr holds the key to leveraging technology strategically, empowering health plans and providers to be more responsive and adaptable."
With frequent provider demographic data changes monthly, payer organizations often struggle to maintain high-quality provider data, a requirement of Centers for Medicare and Medicaid Services (CMS). A CMS review found nearly 50% of provider directories had incorrect information following a review of 5,602 providers and 10,504 locations. This difficulty – along with other critical challenges like rising costs, financial penalties, data security, and technology integration – have driven symplr to provide its single-source payer solutions to help 400+ health plans to reduce data redundancy and streamline processes.
"Our solutions are at the forefront of driving innovation and better member outcomes in the payer space," said Bill Christy, Managing Director of Provider Data Management at symplr. "We are committed to providing the necessary tools to enhance operational efficiency, elevate member care, and help organizations navigate regulatory complexities."
Among the highlights of symplr payer solutions showcased at AHIP:
- symplr's Provider Data Management: The only HITRUST Certified PDM solution supporting the highest level of data security and compliance for critical processes such as credentialing and contracting.
- Integrated provider search experience: Award-winning solution that streamlines operations and regulatory standards to boost member satisfaction.
- NCQA-accredited and certified credentials verification organization (CVO): The nation’s largest team of experts, meeting the highest quality standards in primary source verification, management, and monitoring services.
For more information about symplr’s payer solutions, visit www.symplr.com/payers.
About symplr
symplr is a leader in enterprise healthcare operations software and services. Trusted by leaders for more than 30 years, our solutions are found in 400+ U.S. health plans and 9 of 10 U.S. hospitals where our cloud-based solutions drive better operations for better outcomes. Our provider data management, workforce management, compliance, quality and safety, and contract and supplier management solutions improve the efficiency and efficacy of healthcare operations. This enables caregivers to quickly handle administrative tasks, so they have more time to do what they do best: provide high-quality patient care. Learn how at www.symplr.com.