Forbes December 13, 2024
Tammy Hawes is CEO and Founder of Virsys12, a Salesforce Appexchange / Consulting Partner focused on Provider Lifecycle process automation.
A groundbreaking study published in The American Journal of Managed Care (AJMC) has exposed a critical failure in healthcare administration: Provider directory mandates are fundamentally not working. The research revealed that 40% of provider directory inaccuracies persisted for an average of 540 days—nearly six times longer than the 90-day federal requirement for updates. This systematic failure has significant implications for patient care, regulatory compliance and healthcare access. While the mandates are in place for provider directory updates, the mandates have not been enforced rigorously.
The study’s findings paint a troubling picture of the current state of provider directories. Only 13.3%...