Automate Provider Lifecycle Management

Tuesday, 3/15/2022
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: Simplify Healthcare

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The No Surprises Act (NSA) has exposed the issue in many payers that there is not a solution that integrates provider data and processes across the multiple needs that a payer has. Payers have an effective point solution, but these are typically stitched together and supported by extensive manual processes. With the advent of the NSA, these manual processes are becoming untenable.

Simplify Healthcare's eProviderSync can deliver the solution to these challenges. By creating the single master provider record where all updates are ingested and pushed to downstream systems, much of the manual work is eliminated and compliance with NSA becomes possible. eProviderSync can manage enrollment, provider contracts, and ensure that directories and other systems are kept updated as provider information changes.

You will learn the following:

• The challenges that many payers face in managing provider data and contracts.
• How to automate the management of provider data.
• How to automate the management of provider contracts.
• How to provide various views of provider data based on need including, enrollment, claims, credentialing, fees and rates, and more.
• How to ensure compliance with the No Surprises Act.

About Simplify Healthcare

Simplify Healthcare is a rapidly growing healthcare enterprise solutions company that offers a unique platform that solves a number of pain points for healthcare payers. Simplify Healthcare is the leading player in the benefit plan management vertical with deep expertise for Large Group, Small Group, and Individual Benefit Plan Management across all lines of business (Commercial, Medicaid, Medicare, and ACA QHPs). 

The company is quickly emerging as a leading player in other areas including Provider Data, Directory, and Contract Management; Client Setup, Onboarding, and Enrollment Management; Member and Provider Benefit Inquiry; Claims Configuration; and Value-Based Payment Reconciliation. 

The company has consistently seen an increase in PBPs filed with CMS using the Medicare Advantage plan management solution, eMedicareSync™, currently accounting for 1 in 4 individual PBPs submitted to CMS. The company ranked 38 in the 2021 Inc. 5000 Regionals list of the fastest-growing private companies in the Midwest region and 700 in the 2021 Inc. 5000 America’s fastest-growing private companies list. The company ranked 239 on the 2021 Deloitte’s Technology Fast 500™ list.

Notice to Participants:
Please note that this webinar is a Vendor Spotlight and will be a capabilities-focused presentation. While this vendor is not under contract with the Health Plan Alliance, we believe this webinar will provide you the opportunity to learn more about this vendor and the programs and services it provides. Offering this webinar does not imply that the Health Plan Alliance endorses this vendor. The webinar is merely for informational purposes only. Should you wish to share feedback and/or have questions about this vendor, please contact Jaime González, the Alliance’s Chief Business Development Officer, at jaime.gonzalez@healthplanalliance.org or 972-830-6355.