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Humana Announces Strategic Partnership with Veda to Improve Accuracy of Provider Directories

Enhancements will help seniors get real-time access to local in-network providers

LOUISVILLE, KY and MADISON, WI (February 26, 2024) – Leading health and well-being company  Humana Inc. (NYSE: HUM) today announced a strategic partnership with Veda, a health technology company specializing in helping healthcare companies solve complex provider data challenges. Humana will partner with Veda to improve the accuracy of its provider information and ensure that seniors have real-time details about in-network providers, making it easier for them to access high-quality healthcare.  

Ensuring the accuracy of provider directories has been the source of ongoing challenges for seniors, health plans, providers and policymakers. Maintaining up-to-date provider directories, including accurate phone numbers, addresses and panel status of in-network practitioners, is critical to helping seniors make informed choices about their healthcare. While Humana historically was making millions of calls annually to confirm provider data, ongoing inconsistencies and inaccuracies in these directories can make it harder to find a provider and lead to administrative burden for seniors, providers, and health plans.   

ENHANCING EXPERIENCES WITH VEDA’S AUTOMATION TECHNOLOGY

Veda will use its patented automation technology to analyze, verify, and standardize Humana’s data to ensure it is accurate and comprehensive, along with real-time scoring of data quality. Veda’s platform achieves high data accuracy, ensuring quality across networks as measured by the Center for Medicare & Medicaid Services (CMS). Veda’s automation will allow Humana to devote more time and resources to enhance the patient experience. 

“Accurate provider data is a key component of efficient health plan operations, care delivery, interoperability, and ultimately patient satisfaction,” said Veda co-founder and CEO Meghan Gaffney. “By addressing the challenges that members may face with finding in-network care providers, Humana is ensuring their members have access to the timely, high-quality care they deserve.” 

In addition to working with Veda, Humana will continue to apply best practices in ensuring that provider directories are accurate and up-to-date. Humana has also long supported efforts to create a National Directory of Healthcare Providers and Services, and has provided feedback to CMS about how such a national effort can increase patient satisfaction.

View release on Humana’s website.


About Humana   

Humana Inc. is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell health care services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com

About Veda 

Veda blends science and imagination to solve healthcare’s most complex data issues. Through human-in-the-loop Smart Automation, our solutions dramatically increase productivity, enable compliance, and empower healthcare businesses to focus on delivering care. Veda’s platforms are simple to use and require no technical skills or drastic system changes because we envision a future for healthcare where data isn’t a barrier—it’s an opportunity. To learn more about Veda, follow us on LinkedIn

Rural healthcare challenges: How bad data deepens disparities

In rural healthcare, timely access to crucial mental healthcare and other specialized services presents a significant challenge. Over the last decade, numerous rural hospitals have shuttered, with more at risk of closure due to staffing shortages, declining reimbursement rates, diminished patient volume, and challenges attracting talent. The answer to the challenges in rural healthcare is to get more data.

With very few options for specialty and subspecialty providers, rural patients often endure long journeys for necessary care. According to a Pew Research Center report, the average drive to a hospital in a rural community is approximately 17 minutes, nearly 65 percent longer than the average drive time in urban areas. Such systemic failures not only exacerbate disparities but also challenge the very foundation of patient care.

A functioning rural health system relies on legions of specialty care doctors conducting outreach visits across vast geographic areas. In principle, this approach presents an efficient means to provide rural patients with access to specialty care, eliminating the need for extensive travel to major urban centers. However, the persistence of inaccurate data poses a significant barrier to achieving comprehensive access to specialty care in rural regions.

Discover Bob Lindner’s take on how bad data exacerbates rural healthcare challenges and impacts patients on Chief Healthcare Executive.

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

5 Vital Lessons for Entrepreneurial Leaders: Strategic Breaks for Success

ENTREPRENEUR – Veda Data’s CEO and CO-Founder Meghan Gaffney talks valuable lessons for entrepreneurial leaders. These lessons include engaging with diverse entrepreneurs, promoting continuous learning, overcoming gender bias, the importance of big thinking, and remembering that leadership requires ongoing strategic thinking. Discover how taking time away enables entrepreneurs to rejuvenate and gain valuable insights that help improve leadership.

5 Vital Lessons for Entrepreneurial Leaders

Like you, I have big goals for my company and know that getting lost in the minutiae won’t get me there. Taking time away for personal and professional development ensures you remember to look up.

As founders and leaders, if we just keep our heads down and focus solely on getting tasks done, we miss critical opportunities for big thinking. The kind of thinking that leads to growth and transformation. The kind of thinking that can impact the trajectory of a young company. And to be honest, the kind of thinking that is necessary of leaders and founders and those of us responsible for the vision of our companies. Here’s what I learned when I took the time to step away from the day-to-day.

1. Lessons from outside your industry are invaluable

As startups, we are often able to bring an important outside perspective to the industries we operate in. We’re disruptors who think differently and aren’t constrained by legacy norms that can slow down innovation.

But then we grow and there is a shift that happens. Instead of bringing the outside perspective, we sometimes find ourselves needing an outside perspective. That’s why it’s critical to spend time developing important relationships with peers outside of our sector.

Other innovators will look at a problem (and solution) with fresh eyes and help ground us in the innovator role we built our company on. We can learn from the experiences they’ve had, even if we serve different industries. Read the full article from Entrepreneur: 5 Vital Lessons for Entrepreneurial Leaders

Addressing Challenges in Rural Healthcare Data

HEALTHCARE BUSINESS TODAY — Specialty and subspecialty healthcare services are less likely to be available in rural areas and are less likely to include highly sophisticated or high-intensity care. This exacerbates problems for rural patients seeking specialized care who must travel significant distances for treatment.

It comes as no surprise a 2019 policy brief from the University of Minnesota Rural Health Research Center found that 64% of surveyed rural health clinic staff members reported difficulties finding specialists for patient referral.

A functioning rural health system relies on legions of specialty care doctors doing outreach visits across a wide geography. In theory, that’s an effective way to ensure that rural patients have access to specialty care without traveling to a major metro area. But, bad data is keeping us from achieving complete access to specialty care in rural areas and experts across industries are weighing in on the issue.

Read Chief Science & Technology Officier Dr. Bob Lindner’s entire article addressing rural healthcare data challenges.


Progress in healthcare data quality

Health tech companies have attempted to solve provider data inaccuracy problems with a number of products, platforms, and integrations. No solutions have been able to offer members the ability to easily book an appointment armed with accurate information.

While many solutions focus on gathering all data sources available to identify providers, most don’t have the ability to effectively clean up those databases. That’s where we comes in. Veda is leading efforts to eradicate rural healthcare data challenges in the U.S. Discover how our technology connects patients to the critical care they need while ensuring that individuals are not burdened with unexpected healthcare costs.

Healthcare Business Today: Congress, Bad Data, and Ghost Networks

The Senate Finance Committee has advanced legislation that aims to eradicate ghost networks, a goal that will benefit payers, providers, and patients alike.

As the legislation advances through the halls of Congress, all stakeholders must have a clear understanding of why the bill is necessary and what’s behind all those ghosts anyway.

Ghost networks are provider networks that appear robust and full of available providers but actually contain inaccurate data and, in reality, have limited availability and unreachable providers. These “ghosts” are no longer practicing, not accepting new patients, are not in-network, or have errors in their contact information.

Read Veda CEO Meghan Gaffney’s entire article in Healthcare Business Today.

MedCity News: Healthcare Doesn’t Need More Big Tech

Healthcare Doesn’t Need More Big Tech; It Needs Specialized Tech. Byline by Dr. Bob Lindner in MedCity News.

It’s easy to oversimplify and say, “These big tech companies are now doing healthcare and they’re going to solve everything.” But the reality is that often, the solutions are not going to come from big tech.

READ FULL MEDCITY NEWS ARTICLE

Just like clinicians who specialize in an area of medicine, healthcare’s tech problems need specialized solutions. That’s because the industry doesn’t have a single general issue to solve, healthcare has many discrete issues to address.

To further complicate things, healthcare is not one industry but many industries under the same umbrella. Clinical care, devices, diagnostics, pharmaceuticals, hospitals, payers, and more each has its own unique challenges and opportunities that need to be addressed with unique solutions.

It’s easy to oversimplify and say, “These big tech companies are now doing healthcare and they’re going to solve everything.” But the reality is that often, the solutions are not going to come from big tech.

Our healthcare system is built on a series of complex requirements and regulations that conventional technology solutions aren’t built for. Patient data privacy, regulatory compliance, interoperability, and the sensitivity of medical information call for a specialized set of solutions. A solution for a payment issue isn’t the same as a solution for patient records or network construction, telehealth, provider data, or a condition-specific issue.

These individual problems are being addressed by legions of innovative people working in smaller, more focused organizations where they are experimenting, iterating, pivoting, and getting closer and closer to solutions to the issue they’re addressing. These teams are focusing on singular issues and solutions in a way that bigger, more general tech doesn’t.

To compound the issue, healthcare is an ever-changing industry and requires solution providers to be agile in order to keep up with emerging trends, new discoveries, new regulations, and shifts in patient and provider preferences. These smaller more specialized companies may not have the resources of large tech enterprises; however, they are inherently more adept at quickly iterating solutions, responding to changes, and adapting to evolving needs.

This is why specialized solutions and specialized tech providers are ultimately going to be the problem solvers.

Does this mean that big tech doesn’t have a place? Of course not. Big tech can do what big tech does best: identify, vet, and foster some of these solutions and ultimately scale the right ones.

But what about the funding? These entrepreneurial companies who are developing innovative tools are often start-ups and frequently raising capital at the same time they are building the solution.

A recent Pitchbook report covered by MedCity News included a mixed bag of news for these entrepreneurial companies in the medtech space. The report noted that venture capital funding to medtech appears to have bottomed out in the first quarter of this year and has been ticking slightly upward. That’s the good news. The troubling news is that this year’s medtech funding total may not reach the 2022 funding total of $13.5 billion and certainly won’t even approach the 2021 funding total of more than $19 billion.

In healthcare the stakes are high, and any tech solution needs to operate as a “mission-critical” part of the equation. Think NASA or car safety where there are no margins for error or experimentation like there are if we were building a ridesharing or shopping app. We’re dealing with people’s health and lives on a daily basis. The stakes should be treated as life or death because they are. And the solutions we deploy need to be more than adequate. They need to be infallible.

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

Leaders of B2B Podcast: Meghan Gaffney

Leaders of B2B podcast quote

In this episode of Leaders of B2B, Meghan Gaffney, CEO and co-founder of Veda, offers an in-depth perspective on the evolving realm of artificial intelligence in healthcare. With her extensive experience, Meghan underscores the transformative impact of implementing AI solutions in medical diagnostics and patient care pathways.

Tune in to learn why a diagnostic approach is essential for effective data management across industries, to identify and address critical issues systematically.

Veda Brings AI Data Solutions to Provider Group Organizations

Accurate data simplifies referral management to address outcome gaps

October 9, 2023, MADISON, Wis. – Veda, a health technology provider specializing in accurate, curated provider data, is introducing new features to support healthcare provider organizations making specialty referrals. In an effort to get patients the care they need and help improve outcomes, Veda’s solutions remove barriers for both referring providers and patients.

With our accurate provider data and human-in-the-loop technology, we can positively impact the legions of patients who are not accessing necessary specialty care.

Meghan Gaffney, CEO and co-founder, veda

In one survey 1, as many as one-third of patients don’t follow through on a referral to a specialist from their primary care provider. Provider groups who can deliver accurate referrals can improve the chances of a patient pursuing specialty care.

1. Becker’s Payer Issues: Only two out of every three patients actually receive the care that they need when a referral is made.

“With our accurate provider data and human-in-the-loop technology, we can positively impact the legions of patients who are not accessing necessary specialty care,” said Meghan Gaffney, CEO and co-founder of Veda. “In addition, our technology can help capture potential lost revenue for provider organizations by managing referral leakage to providers outside of the organization.”

Health plans across the country currently benefit from Veda’s suite of AI-powered products. With this expansion, Veda is delivering solutions to health systems and provider groups for the first time with the product Vectyr.

Vectyr curates data from more than 100,000 unique sources, optimizing results for each provider every 24 hours. Rigorous scientific validation methodology ensures that users have the most up-to-date data for every provider in the country, on-demand, every day. The database provides records for physicians, nurses, allied health, behavioral health, pharmacists, and dental providers.

About Veda

Veda blends science and imagination to solve healthcare’s most complex data issues. Through human-in-the-loop Smart Automation, our solutions dramatically increase productivity, enable compliance, and empower healthcare businesses to focus on delivering care. Veda’s platforms are simple to use and require no technical skills or drastic system changes because we envision a future for healthcare where data isn’t a barrier—it’s an opportunity. Follow Veda on LinkedIn.

WisBusiness: Veda CEO honored as EY Entrepreneurial Winning Women

WisBusiness covered Veda CEO Meghan Gaffney’s EY Entrepreneurial Winning Women Class of 2023 inclusion.

Fierce Healthcare: OutCare Health partners with Veda to deliver LGBTQ+ affirming provider list to payers

fierce healthcare outcare health veda

Fierce Healthcare covered Veda’s partnership with OutCare Health on September 21, 2023.

Veda, a data automation startup serving payers, has partnered with OutCare Health to help patients and payers identify queer-affirming providers.

OutCare Health, a nonprofit advocating for queer health equity, is known for OutList—what it calls the most comprehensive directory of LBGTQ+ affirming providers. Veda will incorporate those data into the information it offers to payer clients.

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

digital health transformers
Meghan Gaffney, CEO and Co-Founder of Veda: The Power Of AI-Driven Data Automation
February 20, 2025
Deepfakes Can Damage Businesses—Here’s How To Fight Back
February 10, 2025
meghan gaffney bob lindner patents
Q&A with Veda’s Co-Founders: Patented AI Approach for Provider Data
February 6, 2025
Contact Veda Today

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