AHIMA March 1, 2020
Realizing the promise of value-based healthcare will require a level of payer and provider collaboration virtually unheard-of in the recent past—and health information management (HIM) professionals play an essential role in achieving this reality.
To achieve success in the new value-based world, both payers and providers must work together to develop the most efficient means of sharing data, managing risk, validating provider credentials, processing claims, controlling costs, and optimizing the consumer experience. However, in the realm of provider data management (PDM), efforts directed towards payer-provider collaboration are expensive and time-consuming.
For example, each year it costs physician practices $2.76 billion to maintain provider directories—an average of about $1,000 per month per practice—according to a recent survey1 conducted by the Council...
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