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Automation, Machine Learning, and the Universe: Q&A with Veda’s Chief Science & Technology Officer and Co-founder, Dr. Bob Lindner

Veda’s science department is dedicated to solving complex data issues with creativity and imagination. Learn more about the head of the department, Dr. Bob Lindner, Veda’s Chief Science & Technology Officer, and his journey to co-founding Veda in the Q&A below.

 “With automation, we’re not focusing on moving work from humans to machines, rather, how to amplify the power of humans to be more capable in what they’re doing.”

Describe your science background. How did you get interested in astrophysics?

I grew up in Rome, Wisconsin, a small town where you can see a lot of stars and the Milky Way. I wondered about the stars a lot. I was interested in Star Wars and science fiction things. In school, physics seemed like the thing for me.

I wasn’t sure what the jobs were in physics, but I knew there were jobs out there in that field and I found it fun to study. Physics led me into astrophysics and then in grad school, I got involved in observational astrophysics.

For those of us not in the science world, what kind of work are astrophysicists performing?

In my world, I was collecting data from telescopes. This was a lot of fun, hectic, and chaotic because I got to travel around, collect the data, run the telescopes, and analyze the data. One thing was always true: The data is always a mess.

Scientific observers are like the front lines of the science world. The crazy uncalibrated data from the brand-new telescopes lands on their desk.

I spent a lot of years handling this kind of data and making it easier for scientists to work on it. I released the machine learning code Gausspy in 2017 which automates and accelerates the ability for scientists to analyze data from next-generation telescopes. With Gausspy, scientists can test theories using the increased data from bigger telescopes to find out why stars form, why they age and die, and get much closer to understanding the most fundamental question of why we are here.

Automation seems like a natural progression; how did that lead to healthcare data?

When I was a postdoc, I got interested in where else this automation could happen. Of course, there are challenges in science with data standardization, but other sectors experience this too. I got more interested in the process of handling the data, rather than whose data it was. Even in science, I hopped between a lot of subfields of science like radio, infrared, submillimeter, and x-ray and that’s because a lot of times, the data processing challenges are what guided me and not a single science question.

Then I got connected with Meghan to analyze data in the political world. It became clear healthcare data was a more complex and necessary problem that needed tackling, leading to the creation of Veda.

You’re seeing complexity and data problems in many industries.

Yes, Veda has a lot of commonalities that span all industries. The patterns to handle problems within data are stunningly similar. Lots of fields have data that is a numerical value. Perhaps the data is missing, or corrupted, or has an outlier. The way to fix it is largely the same. For example, take text categories and classifications. Galaxies have text classifications like spiral, elliptical, merger. Similarly, doctors have text classifications; these would be specialties like pediatrics and internal medicine.

The way to handle how to classify something into its correct text phrase has a lot of commonalities. It’s important to really understand the domain of the data you’re analyzing but that’s the final flavor for a lot of techniques that span industries.

Another example is time series data. This is one value changing over time. Whether that’s the value of the intensity inside a telescope receiver, or it’s the current stock price of a U.S. security, or it’s the present location of a healthcare provider, tracing it across time has a lot of commonalities. Seeing the patterns of how data behaves across industries has been a lot of fun. It summarizes my background because it explains why it’s in so many different places.

With healthcare data analysis, it wasn’t a huge pivot. It’s really doing the same thing for a different industry.

“Messy data that you want to extract reliable conclusions from spans every topic and institution in the world.”

We have astrophysicists working at Veda, how does that background align with the work the science department is performing?

Astrophysics is a great crash course in what to do with an enormous amount of inaccurate data. It’s the norm and everyday life in that field. The telescopes of the modern era produce terabytes of data every day, you need to get used to having low expectations of how high quality the raw data is going to be.

With healthcare data, people look closely at their databases and find it way lower quality than they are expecting. It can be a stumbling block or even a brick wall to analyze it unless you’re staffed up with folks who have a high fortitude for getting started in such suboptimal conditions.

How does this group of problem solvers get past complex problems?

The project has to move on and so you need to find ways to mitigate, manage, handle, and circumvent all these data suboptimalities. Plus, these elements are not all equal.

It sounds simple but you must take the important things seriously and move past the things that are less important. The important trick here is deciding what effects are the most important ones and which ones can you come back to later. That comes with the process of measurement—making accurate measurements of what the impact of different effects is going to be. If you can do that, it becomes manageable. If you have 15 problems in your data set and you can rank those in order of magnitude, then you don’t have to tackle all 15 at once. You can tackle the first two and make huge gains and you may not come back to the lower ones because you’ve moved on to another priority. That’s really the scientific method. It’s saying “I know there are problems, but I don’t know what to do next. Let’s measure it and see what the data says.” Using those measurements will guide what we do next.

What is your big-picture goal at Veda?

At its highest level, I’m focusing on making sure our technology helps people help people. With automation, we’re not focusing on moving work from humans to machines, but rather, how to amplify the power of humans to be more capable in what they’re doing.  We want to empower the users with the power of automation.

Automation and AI frequently get a negative reputation from the public–taking away jobs, and being emotionless. For the most part, machines are actually really narrow in what they can do well. Humans are unmatched at solving problems when a wrench is thrown into the system. Something you didn’t expect that does not conform to rules that the system was wanting to do, a left-field problem. In this area, humans have a problem-solving ability that can never be removed from our philosophy of how to solve problems.

Solving a lot of the messier and more important problems in the world requires end-to-end attention. You can’t cut out the creative power of humans. You need to have them close by in your process.

Tell me about a day in the life of Dr. Bob. What are you doing today?

I make sure I’ve had plenty of caffeine then I do morning Zoom meetings and check in with the team, looking at plots of various kinds, writing code, querying databases, and sketching on paper.

Paper? That sounds pretty analog.

I have a tin of actual pencils with a sharper. When you really need to sketch something out creatively, you can’t be limited to the digital world. You need to put the lines on the paper and you can add structure as you go forward.

Outside of Veda, what things are intriguing to you in science right now?

The pictures of the universe coming out of the James Webb Space Telescope are capturing my attention. The universe is huge and we’re still tiny and that is immensely interesting to me.

Connect with Dr. Bob Lindner on Twitter and LinkedIn.

How to Thrive and Find Belonging in a Virtual Workplace

Staying connected 3,000 miles from headquarters

By: Katie Titus, Veda Customer Success Manager

I live 3,330 miles from Veda’s Madison, Wisconsin headquarters in the small city of Fairbanks, Alaska. I’m a people person and an extrovert who gets energy from sunlight and social interaction. Then why you might ask, do I live in interior Alaska and work remotely?

I joined Veda upon finishing my graduate degree in public health. Since my husband is in the military, I knew we’d be moving around and that I needed a remote job. Luckily, due to the pandemic, many companies were offering remote work at the time. While scrolling LinkedIn, Veda’s deep purple brand logo, unique founder story, and mission to make our health system more efficient immediately piqued my interest.

“After interviewing with my now-colleagues, who made me feel comfortable, confident, and welcomed, I knew it was the perfect fit.”

Shortly after becoming a Vedan I learned that my husband and I would be moving to Fairbanks, Alaska sooner than expected. In the middle of November, after having worked at Veda for only one month, we started the 100+ hour drive from Columbus, Georgia to Fairbanks, Alaska – all with Veda’s full support. Veda is a fully work-from-home company but I would now have the distinction of being the most remote remote worker.

It all happened very fast: New company. New place. New darkness. New version of cold I wasn’t accustomed to. New house. New car. And having only been married seven months, a relatively new husband.

It didn’t take me long to realize I needed to find purpose and belonging in order to survive in all the newness.

In a matter of three months, I learned. I learned to shovel myself out of a snowstorm. I learned to put heating oil into my home’s oil tank. I learned to bundle up and run despite -40 degree temperatures (yes, that’s a negative sign in front of that 40). I learned I could run toward a moose and it wouldn’t charge me. And one of the most rewarding things, I learned to find belonging at work from 3,330 miles away.

Titus Time at Headquarters

10 Ways I Found Belonging

Seeing as remote work has become more commonplace, I’m offering up the specific things I did to connect to my colleagues and work. These helped me feel like a part of a team and fit in even when I was physically distant:

  1. I trusted my manager and VP to direct my work. Through months of conversation, they helped guide me toward my goals and eventually accomplish them.
  2. I dressed the part—complete with professional outfits, Zoom backgrounds, and a workspace I was proud of. That way, if anyone wanted an impromptu meeting, I was ready and excited to join.
  3. I was aware of how much space I was taking up during virtual meetings. In college, I learned the phrase “take space, make space.” It has always stuck with me. I assessed how much I was talking, and made sure others were also getting to contribute to the conversation.
  4. I owned my personality. With remote work, I find it easy to feel replaceable because others can also get the work done. I felt like my personality could set me apart. It became about how I did the work and with what attitude I did it that mattered most to me.
  5. I found meaning in the small things. If a 1:1 went really well with my manager, or my whole team joined a Zoom call to collaborate in what we call Zoom parties, it made my day.
  6. I learned to leverage my manager who taught me to never stop learning. The more questions I asked, the better we both became at communicating and working together to make our work lives more productive and fruitful.
  7. I learned to make a list of my accomplishments at work for days when I have imposter syndrome. (I also learned this from leveraging my manager.)
  8. I didn’t make work my everything and I didn’t expect work to be everything from my coworkers. I learned that CEOs, Vice Presidents, managers, and board members are people at their core with life responsibilities outside of work too. I learned it was okay to take and enjoy time off because my coworkers understood and related to living life outside of work.
  9. I viewed travel as a privilege and not a burden when I participated in in-person events.
  10. I connected with my coworkers even when it didn’t come naturally. Sometimes connection is natural and when it was I would go with it. Sometimes, however, connection is uncomfortable, and I learned to try despite the discomfort because even if there wasn’t an immediately apparent reason to connect, there was someone on the other end of the Zoom trying to find belonging too.

Conclusion

I feel lucky to work at Veda and definitely feel like an important part of the team. However, it took hard work and time to get to this level of comfort and belonging. Working remotely, and in a time of economic and global instability, is an ever-changing challenge. I continue to lean on those I trust for guidance and find joy in the journey.

Katie Titus is a Customer Success Manager at Veda. She’s a proud dog owner of the cutest puppy on the pet-pic Slack Channel, Nali. She earned a Master’s in Public Health from UC Berkeley in September 2021 and started with Veda shortly after in October 2021. She is passionate about expanding access to healthcare and feels her work at Veda contributes to this passion. When she’s not working, Katie is chasing adventure, spending time with her family, and sharing joy through health and fitness. 

See open positions at Veda.

How Smart Automation Brings The Healthcare Ecosystem Closer To True Interoperability

Most of the public discourse on interoperability has been centered around EHR vendors and clinical data, in large part because the Office of the National Coordinator for Health Information Technology (ONC) is requiring that these vendors make an expanded set of personal health data available by October 2022. However, EHR data represents just a fraction of the massive amounts of data that are constantly being harvested in healthcare. And ONC’s mandate represents just one of many interoperability scenarios.

“WHILE THE LACK OF INTEROPERABILITY IN HEALTHCARE CREATES ENDLESS BARRIERS, STAKEHOLDERS ACROSS THE SYSTEM TRULY NEED AI SOLUTIONS TO HELP THEM CONNECT THE DOTS WHEN IT COMES TO BOTH RECEIVING DATA, SHARING THEIR OWN DATA WITH OTHER ENTITIES, AND MINING ALL DATA FOR MEANINGFUL INSIGHTS.”

Given the industry’s host of disparate IT systems—layered on top of its tendency to customize technology platforms—there are myriad examples of how extremely challenging it is to derive value, produce accurate insights, and achieve connectivity from healthcare data. And the fact that all of these different systems are unable to communicate with one another and properly exchange information is one of the healthcare industry’s most critical issues.

True interoperability is the long-term goal for the industry—some would go so far as to say it’s the golden ticket for delivering patient-centered care. But like other major initiatives intended to address the inefficiencies of the healthcare system, such as value-based care, we are still far from a universal solution. In the meantime, providers, payers, and other key stakeholders are hungry for solutions that will help them connect their existing legacy IT systems and enable them to share data across systems. Fortunately, companies like Veda now offer relief through Smart Automation solutions that can be implemented both in the near term and the future.

Common interoperability issues

The ultimate reason to strive for global interoperability is to improve patient care and make it easier for all stakeholders to navigate healthcare’s messy data environment. While strides in sharing health data have been made, there are still many hurdles to jump. 

“THE NEW PROVISIONS OF THE 21STCENTURY CURES ACT ARE DESIGNED TO IMPROVE HEALTHCARE’S IT ECOSYSTEM IN THE LONG RUN, BUT IN REALITY, IT’S UNLIKELY THAT ANY SINGLE PIECE OF LEGISLATION WILL BE ABLE TO SOLVE ONE OF THE MOST COMPLEX AND LONG-STANDING CHALLENGES IN THE INDUSTRY.”

As mentioned, the most universally acknowledged and long-standing interoperability problem in the healthcare system is around electronic health records (EHRs) data-sharing. Today, approximately 90% of hospitals and physician practices use EHRs. But even when two hospitals have the same EHR vendor, it’s so common for hospitals to customize their systems that in the end, oftentimes neither hospital is able to fully “talk to” each other and easily share information. Many in the industry have set their sights on Health Level 7 (HL7) as a universal solve for this problem—it makes sense that using a standard language would improve data sharing. However, while HL7’s goal is to function as a bridge between modern healthcare systems, it’s also being customized by healthcare organizations, much like EHR platforms. 

Although it receives less attention, for payers, the provider roster data processing problem is just as significant of a problem as the EHR data sharing issue, especially now that the No Surprises Act (NSA) is being implemented. It’s so complex an issue that many industry insiders have deemed it unsolvable. More often than not, insurers’ member-facing provider directories are outdated and riddled with errors and inaccuracies. Patients could go through as many 40 entries in a directory before they actually find a provider who can address the health issue they’re experiencing and who is in their geography. Not to mention that it can take up to 6 weeks for new provider information to get updated in the directories. This creates a significant barrier to patients seeking care, one that would never be tolerated or left unsolved by a retailer. If a consumer went on a website like GrubHub, for example, and the first 40 restaurants that came up in their search results weren’t in their delivery area—GrubHub would likely be out of business. 

“VEDA’S AUTOMATION IS PARTICULARLY ATTRACTIVE BECAUSE IT CAN DO ALL OF THIS WITHOUT REQUIRING AN ORGANIZATION TO OVERHAUL ITS EXISTING IT INFRASTRUCTURE”

The reason this issue exists is that health plans are continuously processing enormous amounts of provider data that’s not being shared through a common platform between both payers and providers. Payers are ultimately receiving human-generated, messy, and incomplete data spreadsheets from providers, formatted in many different templates. Updates to the roster data can take weeks on end to process, end up costing millions of dollars a year, and still have accuracy rates as low as 60%. This is a problem, as health plans rely on this data to make updates to their directories, along with impacting how providers are paid.

Automation: A solution with both short- and long-term potential

The new provisions of the 21stCentury Cures Act are designed to improve healthcare’s IT ecosystem in the long run, but in reality, it’s unlikely that any single piece of legislation will be able to solve one of the most complex and long-standing challenges in the industry. Given the state of the healthcare ecosystem and the growing number of data sources, AI solutions like Veda’s will be as crucial for achieving data connectivity in the future as this seminal piece of legislation and others that will come after it. 

And in the near term, prior to legislative format consolidation, stakeholders across the system (including payers) need AI solutions to help them connect the dots when it comes to both receiving data, sharing their own data with other entities, and mining all data—regardless of its origin—for meaningful insights. Veda’s automation is particularly attractive because it can do all of this without requiring an organization to overhaul its existing IT infrastructure or communicate in a standard language like HL7. The technology is able to sit between disparate systems and act as a translator for the data coming out of each. (Not to mention the major cost efficiencies achieved through automating rote manual tasks that do not require a human brain to execute with accuracy.)

This same automation that helps healthcare organizations function in the absence of true interoperability offers many more benefits. Through Veda’s technology, customers also gain the ability to more easily address compliance at both the federal and state levels, achieve both cost savings and productivity gains, reduce backlog, increase data quality to further cut costs downstream, and more. Existing Health plan customers see improvements across Medicare star ratings (specifically fields related to ease of access to care and quality of member experience), reduce their overall risk exposure (i.e., from sanctioned providers, poor claims system quality, or violations of the NSA), and streamline referral management.

The future of interoperability 

Complex, messy data, which is pervasive throughout the entire healthcare ecosystem, creates equally complex issues–not just from a data processing and analysis perspective, but across the whole system. Data sharing and the struggle to achieve interoperability are some of the most difficult and important challenges in the healthcare industry. 

Schedule a demo to see how Veda’s science-driven approach can help you optimize data for your organization.

For key stakeholders in the space, waiting on legislation may not be ideal, and as mentioned, there’s ultimately not likely to be a one-size-fits-all approach to achieving interoperable health information exchange. Smart automation is exactly what healthcare organizations need to overcome the lack of data integration across industry systems and bridge data connectivity gaps, both now and in the future. 

Why Healthcare is Behind in AI and How The Industry Can Catch Up

Artificial intelligence (AI) and machine learning have proven their worth in numerous industries—social media platforms that are perfectly curated to your tastes, the ability to shop online for clothes, groceries, and even real estate and cars (not to mention cars that drive themselves). The healthcare industry however, lags behind others. In this post, we’ll discuss why this happened, how automation solutions can help process and surface insights from the masses of data flooding the healthcare system, and what the future will look like for patients and plans alike when healthcare catches up and embraces automation.

WHY HEALTHCARE IS BEHIND WHEN IT COMES TO AI

There’s an understandable extreme level of caution around embedding automation in healthcare systems and technology; lives are on the line, and if there were ever an industry where it’s critical that humans make major decisions, healthcare is it. That being said, many of the decision-makers in healthcare lack an in-depth understanding of the current capabilities of these kinds of tools, the use cases for them (many of which are administrative rather than clinical), or the mechanisms put in place to ensure humans remain in control of patient care.

 A holistic view of a patient’s health is just out of reach in the absence of tools that make data processing efficient.

A second reason AI hasn’t achieved deep penetration in healthcare is the state of the industry’s technology. It wasn’t too long ago that hospitals housed huge document storage rooms and hired file clerks to sort, alphabetize, and distribute medical documents into physical patient folders. Although electronic health records (EHRs) are now the standard, every hospital has customized its installation, making it difficult for these systems (even those from the same manufacturer) to “talk” to one another. There are many examples of technology not standardized across the industry. The typical national payer, for instance, uses up to 15 technology tools and platforms to meet the needs of its members. But interoperability is an issue—only a few of these systems can communicate with each other.

Further complicating the picture, is the very nature of healthcare data. There is not one standard way of recording and translating data between healthcare institutions or corporations, or even systems within the same corporation. Because of that, it makes it very challenging for an automation algorithm to predict and understand errors in the data (…but not impossible, as we’ll elaborate on below). It’s much easier to leverage automation for Uber, DoorDash, or Amazon, because the data is generated by machines, and therefore inherently controlled and clean. The humans who run healthcare are anything but standard, on the other hand. Each has their own way of understanding and organizing data points (language, phrasing, punctuation, emojis, and shorthand). It takes incredibly sophisticated algorithms to process an Excel spreadsheet created by a person.

HOW AUTOMATION SOLUTIONS CAN PROCESS AND SURFACE INSIGHTS FROM THE MASSES OF DATA FLOODING THE HEALTHCARE SYSTEM

Given all these barriers—particularly the “messy data” issue—some question whether it’s even possible to successfully leverage AI and machine learning in healthcare. The answer is a resounding, “Yes.” As tech platforms intended to advance care continue to proliferate, so do the data they generate. The problem in healthcare today isn’t a lack of data; it’s actually the inverse. There’s so much data that neither administrators nor clinicians can successfully process all of it and extract value. A holistic view of a patient’s health is just out of reach in the absence of tools that make data processing efficient.

A smart solution like Veda’s can step in as a “Rosetta stone” to translate this messy data and process it in just hours and with 98% accuracy.

Luckily, in the past few years, automation algorithms have become more sophisticated, with a “next generation” of solutions that are capable of parsing the messy, human-generated data that permeate healthcare now emerging. There are almost endless use cases for putting such sophisticated solutions to use, but one that’s very easy to understand is using AI to make the search for in-network care simpler for patients.

Health plans are constantly receiving updates from providers in their networks, such as where they are located, who has joined or left a practice, and more. Currently, most plans have staff manually inputting these updates from Excel spreadsheets into their unique systems. As a result, updates take up to six weeks to show in the patient-facing portals, and the accuracy of the entries can be as low as 60%, despite payors’ best efforts.

A smart solution like Veda’s can step in as a “Rosetta stone” to translate this messy data and process it in just hours and with 98% accuracy. Veda’s AI understands human-generated data points, in all their diversity, and makes it possible for healthcare organizations to exchange data seamlessly. The provider directory use case is just one of many ways that automation can be used to organize and cleanse data, making it possible to extract insights that previously remained locked.

A FUTURE WHERE HEALTHCARE CATCHES UP AND PATIENTS BENEFIT

The pandemic created a huge influx of patient data that overwhelmed healthcare organizations, creating the final push that many needed to finally test the automated solutions they had been wary of for so long. The outcomes of these “tests” conducted out of pure necessity were overwhelmingly positive; patients were receiving the care they needed in a more timely manner, reduced administrative costs and errors, and health plan readiness for compliance with the provision of the No Surprises Act that requires them to make provider directory updates in just 48 hours starting January 1, 2022.

What do we have to look forward to in the future as more and more healthcare organizations adopt automation? We’ll continue to see the $1 trillion annual administrative spend in healthcare go down. We’ll continue to see patients accessing care more easily. And best of all, we’ll see more resources dedicated to what really matters to all stakeholders in the system—patient care.

Veda’s AI understands human-generated data points, in all their diversity, and makes it possible for healthcare organizations to exchange data seamlessly.

Veda’s AI automation solution helps health plans leverage machine learning to process data efficiently and effectively, so you can continuously maintain compliance and improve ROI. Schedule a demo to see what Veda can do for you.

Are You in Compliance? What Health Plans Need To Know About The No Surprises Act

The No Surprises Act (NSA), which is a part of the Consolidated Appropriations Act of 2021 (Public Law 116-260), went into effect at the beginning of this year, on January 1, 2022. The goal of this law is to protect consumers from unexpected medical bills arising from circumstances beyond their control. In an effort to ensure a patient knows what providers are available within their health plan network, one of the provisions of the NSA requires health plans to update their provider directories more frequently (you can review the law in full here).

Three months into the year, we’re now at a point where it’s important for any health plans to ensure that they are updating their provider directories in 48 hours or less, as the law mandates, or be working towards a solution that can meet these critical timing requirements.

WHAT ARE THE PROVIDER DIRECTORY REQUIREMENTS IN THE NO SURPRISES ACT?

The “No Surprises Act” will require all provider directory updates to be processed quickly. This is a pivot from the manual processing and attestation that health plans have traditionally incurred

  • Update databases and new directory information: All provider directory updates will need to be processed within 2 business days of receipt of changes
  • Quarterly database quality audits: Validate provider data in databases and directories at least every 90 days

PENALTIES FOR NON-COMPLIANCE OF THE NO SURPRISES ACT

There are mechanisms for enforcement in place at both the state and federal levels. In Q1 2022, CMS began to levy fines for “coverage determination appeals and grievances” (42 C.F.R. § 422.105(a)) and an uptick in fines for non-compliance is likely down the road. Now is the time to assess if you’re in compliance with the new mandates and understand the potential risk they have for your business.

BUILDING YOUR COMPLIANCE CHECKLIST

Assessing your situation today: To understand what changes your health plan may still need to make, we recommend that you ask and answer the following questions:

  • What are your goals for processing provider data? Obviously meeting the 48-hour requirement should be the topline goal, but some plans may have variations on this goal based on the number of covered lives under their purview and the geographies they cover (some may want for example, to make updates within a 24-hour window).
  • What process(es) do you have in place for updating provider info? How does your plan deal with messy data coming from provider organizations? Are these processes documented, or is the organization reliant on employees with historical knowledge?
  • What process(es) do you have in place for verifying the accuracy of provider info? Are there documented procedures for communicating with providers, and are these mechanisms effective? What’s in place to manage providers who are submitting “bad” data?
  • What are the data points that you currently verify? Thinking beyond basic data such as first name, last name, and specialty… you will want to make sure your plan is also able to track individual and group NPIs, organizational tax identification numbers, whether providers are accepting new patients, and more.
  • How quickly are you currently able to make provider directory updates? If the answer is weeks, which is often the case for large, national plans, it’s important that new processes be put in place as soon as possible.
  • What process(es) do you have in place for helping members that are having difficulty navigating your provider directory? The entire purpose of the NSA is to shield consumers from “bad” bills, and to overall improve their experience with the healthcare system. A system that your plan is part of.
  • How often are you cleaning your provider data in aggregate? In addition to processing regular data updates, what processes are in place to keep your database clean as a whole, and to ensure that “old” data is verified at regular intervals?

USING AUTOMATION TO IMPROVE YOUR SITUATION

Most plans have historically used manual processes—human hands on keyboards—to update provider directories. But with the NSA’s 48-hour requirement in effect, manual processes are unlikely to remain effective, and automation truly is needed. Before bringing in an automation solution, however, you should get educated about their capabilities.

  • Understand what automation can and cannot do. Automation cannot completely solve the global interoperability problem. What some of the more sophisticated platforms can do, however, is sit between disparate systems and act as a translator.
  • Assess the situation and set realistic goals. Under current manual processes, how long does it take to make provider updates, on average? What percentage of the updates are accurate? What types of issues does your plan most commonly experience with the data you receive (is it missing column headers and or containing blank fields in Excel files, providers listed at the wrong practice locations, or something else entirely)? The answers to these questions will vary from plan to plan, as will the goals for improvement.
  • Understand the range of automation solutions available. Not all automation solutions are created equal. Some require a “rip and replace” approach that health plans may find disruptive to existing IT infrastructure, but other solutions can co-exist with current systems. Solutions also vary in terms of the type of data they can automate—your plan should seek out those that are sophisticated enough to deal with the inherent messiness of human-generated data. Finally, you should look for an automation partner that provides human support in addition to technology.

THE ONLY TOOL AVAILABLE THAT ALLOWS FOR COMPLETE PROVIDER DIRECTORY COMPLIANCE

Veda is the only solution on the market today that makes it possible for plans to fully comply with the provider directory provision of the NSA. And we can do it in 24 hours. Our smart automation platform offers the fastest provider roster & delegated network processing available, with guaranteed accuracy thresholds. 

Our platform performs multiple functions that increase efficiency and accuracy for provider data processing. Key features include:

  • Intake: automate manual workflows
  • Validate: stop bad data from entering your system
  • Enhance: simplify audits with cleaner data
  • Compare: integrate to quickly update your database

Learn more about Veda’s automation solutions and why six of the top 10 health plans trust Veda with their automation. 

You know your business. We know data.

One Simplified Platform

Veda’s provider data solutions help healthcare organizations reduce manual work, meet compliance requirements, and improve member experience through accurate provider directories. Select your path to accurate data.

Velocity
ROSTER AUTOMATION

Standardize and verify unstructured data with unprecedented speed and accuracy.

Vectyr
PROFILE
SEARCH

The most up-to-date, comprehensive, and accurate data source of healthcare providers, groups, and facilities on the market.

Quantym
DIRECTORY ANALYSIS

Review and refresh your network directory to identify areas that affect your quality metrics.

Resources & Insights

Provider Data Solution Veda Automates Over 59 Million Hours of Administrative Healthcare Tasks Since 2019
October 21, 2024
HealthX Ventures Blog: How Veda Is Aiming to Fix Healthcare’s Broken Provider Directories
October 17, 2024
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