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Supervised vs. Unsupervised Machine Learning: Using The Right Tool For The Job

It’s Veda’s philosophy that any new technology tools we utilize are not meant to wholly replace human engagement. We believe that technology should help elevate humanity. With a focus on performing meaningful work, people can achieve their highest value. Technology should help people help people.

As a Data Science as a Service (DSaaS) company, Veda leverages scientific principles within our unique AI and machine learning systems to perpetually clean, correct, and monitor evolving provider and facility data. A lot of companies claim to offer accurate provider data, but none are as committed to using science to solve deeply entrenched provider data problems.

Dr. Bob Lindner describes supervised vs. semi-supervised learning

At Veda, we use AI systems including natural language processing (NLP), supervised, and unsupervised learning components that can be leveraged to solve a wide array of payer data challenges depending on what tool is right for the job. No matter what, we start by understanding the problem—not by applying a method.

A lot of companies claim to offer accurate provider data, but none are as committed to using science to solve deeply entrenched provider data problems.

The Roles of Supervised and Unsupervised Learning

Supervised Learning

Veda utilizes supervised learning because it doesn’t require “perfect” sources of data— it can make use of the good parts of any data source and knows how to ignore errors. With supervised learning, a data scientist is watching and helping train a model with all the healthcare nuances and industry-specific language, etc. to make the model a good one.

We’ve measured individual sources of data for years—including attestation— and haven’t found any at 90% or above yet. Supervised learning is incredibly accurate with the data we have access to today. The benefit is the highest accuracy which is flexible and not dependent on a single data source.

Unsupervised Learning

We also use unsupervised learning for offline data exploration and research to learn more about a dataset, to help design better machine learning features for supervised learning systems. That’s because unsupervised learning separates big collections of data into groups on its own. The benefit of unsupervised learning is its ability to pick out patterns in the data.

Unsupervised learning separates big collections of data into groups on its own. Some will claim that unsupervised learning, alone, is superior to supervised learning because of the lack of human intervention. However, most algorithms require the user to specify upfront how many groups they want the data separated into. So no matter what data is being grouped, one would have to delineate exactly how many groups are wanted ahead of time and the exact number of groups the data is sorted into regardless of whether the groups match up well with the data. This requires the user to have upfront knowledge of exactly what labels and groups they need.

But the biggest pitfall of unsupervised learning is that there’s no labeled training data, which means there’s no actual measurement of how well it’s working and placing the items into the correct groups. And with no way of knowing how well it’s working, it’s impossible to depend on unsupervised learning as a primary method for accuracy.

The Right Tool For the Job

Supervised and unsupervised learning are tools, and just as you wouldn’t remodel your kitchen and only use a saw, you shouldn’t only use one kind of machine learning model.

Veda’s technology and approach to data challenges are fundamentally different from other provider data technology companies in that we focus on fully automating both the static information and the more challenging temporal information about a provider—data that changes at varied rates over time, like practice address, phone, and group affiliation. Our patented systems do not require manual outreach to providers, rather they rely on data created by providers throughout their established workflows. This increases data accuracy by reducing human error while also decreasing provider abrasion. Validating millions of temporal data elements in real-time requires Veda’s full automation system and could not be solved manually.

Above all, we believe that AI and machine learning are the best ways to solve the provider data quality problem because:

  • These techniques do not require us to know how accurate our sources of data are ahead of time—the machine figures out how to tell good data from bad
  • AI makes the most of imperfect and changing data
  • They do not require provider participation—we use data they already create in their day-to-day workflows, so no need to persuade providers to take additional action
  • It works—we have scientifically tested attestation along with “source of truth” modeling, and Veda’s approach has the highest measured accuracy of any approach in the industry.

Read more about Veda’s approach to AI and data science with Dr. Bob Lindner’s blog post, Artificial Intelligence, ChatGPT, and the Relationship Between Humans and Machines.

CEO Meghan Gaffney Selected for EY Entrepreneurial Winning Women™ North America Class of 2023

Veda’s Meghan Gaffney Selected for EY Entrepreneurial Winning Women™ North America Class of 2023

Ernst & Young LLP (EY) is proud to announce that Meghan Gaffney, CEO of Veda, a health technology provider specializing in accurate, curated provider data, is one of the 23 women founders from 20 companies selected for the EY Entrepreneurial Winning Women™ North America (Winning Women) Class of 2023.

Now in its 16th year, the program identifies talented entrepreneurs with scalable companies in the United States and Canada and connects them with the networks and resources they need to accelerate growth and scale their businesses.

Participants receive customized executive education, introductions, and access to the Winning Women community around the world, as well as the entirety of the EY global entrepreneurial ecosystem, including members of the Entrepreneur Of The Year® and EY Entrepreneurs Access Network (EAN) programs.

meghan gaffney ey winning woman

“Women founders contribute trillions to the US economy, and studies have shown that when women are empowered, the economy grows,” said EY Americas Industry and Solutions Leader Cheryl Grise, who also serves as the EY Entrepreneurial Winning Women North America Program Executive Sponsor. “At EY, we believe that a rising tide lifts all boats, so the success of women impacts the success of every business,” said Grise. “Over the last 16 years, the Winning Women program has intentionally addressed societal gender-based challenges that often confront women entrepreneurs by providing these phenomenally talented businesspeople with greater access, guidance and knowledge, which are the tools they need to continue to break the mold, inspire innovation and be shamelessly ambitious. I welcome these women to the fold and look forward to seeing them do even bigger and greater things.”

Cheryl Grise

Members of the Winning Women Class of 2023 have ambition, creativity and a desire to build a better world in common. They are tackling problems from inclusivity, to offering healthier products and food, to solving for complex health care issues. Others are bringing to the table innovative solutions in supply chain, data management, marketing and more. The founders selected for the program display unparalleled ingenuity, business prowess, ambition in crafting solutions and a formidable can-do attitude that allowed them to break from the pack of their peers to stand out.

“2023 has been filled with many economic ups and downs – from geopolitical unrest, to interrupted supply chains, to inflation – there has been plenty to make consumers tighten their belts” said Maranda Bruckner, EY Entrepreneurial Winning Women North America Program Leader. “I applaud these business leaders for not only surviving these challenges, but exceeding growth and profit expectations when others did not. They are outstanding examples of being unstoppable and shifting entire industries. We are excited to have them in the program, and deeply congratulate them on this recognition.”

The EY Entrepreneurial Winning Women North America program serves women business owners who are founding CEOs of any US or Canadian privately held company. Company revenues typically range from at least $2m to $30m annually. The EY Entrepreneurial Winning Women program participants become part of a global peer community, which includes more than 900 entrepreneurs in 55 countries and on every continent.

“Every year, I am so pleased to welcome the newest class of the EY Entrepreneurial Winning Women North America program, who are not only incredible leaders in their organizations but also in their communities,” said Lee Henderson, Americas EY Private Leader. “It is an honor to provide these best-in-class founders with resources and access to EY’s vast entrepreneurial ecosystem to help them scale, attract talent and disrupt industries. I am always excited to see where these entrepreneurs go next. I already know it’s only up from here.”

The Class of 2023 will be officially recognized in November 2023 at the Strategic Growth Forum®, one of the nation’s most prestigious events for ambitious, high-growth, market-leading business leaders.

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 is simple to use and requires 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, visit vedadata.com and follow us on LinkedIn.

About EY
EY exists to build a better working world, helping create long-term value for clients, people and society and build trust in the capital markets.

Enabled by data and technology, diverse EY teams in over 150 countries provide trust through assurance and help clients grow, transform and operate.

Working across assurance, consulting, law, strategy, tax and transactions, EY teams ask better questions to find new answers for the complex issues facing our world today.

EY refers to the global organization, and may refer to one or more, of the member firms of Ernst & Young Global Limited, each of which is a separate legal entity. Ernst & Young Global Limited, a UK company limited by guarantee, does not provide services to clients. Information about how EY collects and uses personal data and a description of the rights individuals have under data protection legislation are available via ey.com/privacy. EY member firms do not practice law where prohibited by local laws. For more information about our organization, please visit ey.com.

Ernst & Young LLP is a client-serving member firm of Ernst & Young Global Limited operating in the US.

About EY Entrepreneurial Winning Women™
The EY organization is committed to seeing women lead. EY Entrepreneurial Winning Women™ is a global program for successful entrepreneurs whose successful businesses show more potential to scale. Through access to global EY networks throughout the entrepreneurial ecosystem, pioneering founders on every continent secure the resources, advice and connections they need to scale their businesses sustainably. This one-of-a-kind community of founders is rewriting rules and remaking markets. Visit ey.com/us/winningwomen.

About EY Private
As Advisors to the ambitious™, EY Private professionals possess the experience and passion to support private businesses and their owners in unlocking the full potential of their ambitions. EY Private teams offer distinct insights born from the long EY history of working with business owners and entrepreneurs. These teams support the full spectrum of private enterprises, including private capital managers and investors and the portfolio businesses they fund, business owners, family businesses, family offices and entrepreneurs. Visit ey.com/us/private.

Optimal and Proven Provider Data from Veda

What makes Veda’s data so great?

Healthcare provider data can be riddled with inaccuracies—just ask anyone who uses network directories to find an in-network specialist or view clinics in a 10-mile radius. The Centers for Medicare & Medicaid Services (CMS) Medicare Advantage (MA) online provider directory reviews between September 2016 and August 2017 found that 52.2% of the provider directory locations listed had at least one inaccuracy.  

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 ultimately offer a better experience for members where it matters: the ability to easily book an appointment armed with accurate information.

Many solutions in the market focus on gathering all data sources available to identify providers but don’t have the ability to clean up those databases so they have only current and accurate information. A patient might find a doctor in a directory but if the location and coverage information was wrong, they still can’t make an appointment.

Enter Veda’s latest offering: Vectyr Data Curation. Vectyr offers the most up-to-date, comprehensive, and accurate source of provider data on the market. Vectyr’s database uses more than 100,000 unique sources to create an optimal collection of provider information. The data is continuously monitored, validated daily, and backed by our accuracy guarantees.

Prove It

How does Veda back up claims of accuracy and completeness? For one, our team of data scientists behind the development of Vectyr has the clout and expertise needed for intensive data modeling. From creating ground-breaking machine learning code to researching at the largest particle physics laboratory in the world, the best in science and technology are found at Veda. Here is how Veda employs a different approach than other data companies on the market:

  • Automation: Veda fully automates static and temporal data, boosting accuracy and reducing provider barriers. This validation process is automated in real-time, a fundamental advantage for healthcare companies seeking effective data structure.
  • Performance Measurement: Veda’s team of scientists carefully monitors the data’s success rate, creating statistical models, sample sizes, and methodologies to consistently guarantee accuracy. This process ensures specialty and data demands are evaluated and performing at the highest level.
  • Data Reconciliation: As temporal data evolves, Veda’s entity resolution process follows. Our technology accounts for data drifts over time, so our entity resolution is calibrated to recognize correct data from the abundant sources available today. New data is always cleansed and standardized, then consolidated within a database to eliminate duplicates.
  • Test Outcomes: Even with 95%+ accuracy, Veda doesn’t rely on automation to do all the work. The Veda team inspects all aspects of delivered data, including quality, delivery methods, bugs, and errors with a continuous monitoring process. By continually auditing and testing our data fields to confirm they are the competitive, current, and optimal quality we know reasonable coverage is reached.

Coverage, Precision, and Recall are numbers reported and recorded by the science team.

Coverage: What is the fraction of the data that isn’t blank?

Precision: When we do have an answer, how often is it right?

Recall: If we should have an answer, how often do we actually have it?

“Anyone can make an API. They are flashy, they can help operations, they can automate processes. But if your API is pulling in duplicative, inaccurate, and just plain bad information it’s useless,” says Dr. Robert Lindner, Chief Science & Technology Officer at Veda. “With our science backing, Veda’s data is guaranteed accurate and with flexible query so data delivery is where, when, and how users need it.”

Veda’s data is currently being used by top health plans for the correction and cleansing of their directories. Now, customers, new prospects, and new channel partners have direct access to Veda’s best-in-class provider information based on their nuanced business use case. 

Vectyr has profiles on more than 3.5 million providers who have an NPI 1 number—including MDs, DOs, RNs, social workers, DDS, and pharmacists.

What can health plans do with Veda’s data?
Staying atop changing information ensures provider directories are always accurate. This is no small feat as 20-30% of all provider directory information changes annually. With Vectyr, health plans can offer a better experience for members and providers by:

  • Expanding network offerings: Members need both provider options and location access to get the care they need. Using Veda’s data can help health plans identify providers they aren’t currently contracted with and fill geographic or provider gaps in their network. 
  • Sourcing correct providers for referrals: Providing accurate and on-the-spot information for in-network referrals relieves administrative burdens and eliminates frustrating hours spent searching for answers.
  • Quick credentialing: Credential providers faster and deliver faster onboarding and credentialing support with data that’s updated every 24 hours and guaranteed accurate.

What’s possible with optimal provider data?
There are immediate benefits to using Veda’s data. Health plan members will no longer wonder if their doctor of choice accepts their insurance or where the closest allergist to their home is. Hours of phone calls and administrative burdens are eliminated for both the member and the health plan. And, most importantly, health plans can trust Veda’s rigorous scientific validation methodology to ensure they have the optimal data for every provider in the country, on-demand, every day.

When health plans have access to optimal data, it means members have access to optimal data and that results in a markedly better customer experience.

More about Vectyr Data Curation

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.

Star Systems Meet Star Ratings: Using Science and Imagination to Solve Healthcare’s Most Complex Data Problems

What the heck does astrophysics have to do with provider data quality?

With an entire science department dedicated to solving complex data issues, science is at the very core of Veda’s existence. After all, our Chief Science & Technology Officer and Co-founder, Dr. Bob Lindner, began his career in astrophysics.

After taking a leap from the academic world and into political data analysis, Bob and co-founder Meghan Gaffney realized the potential of provider data automation. [READ Q&A WITH DR. BOB LINDNER]

The commitment to the scientific method and investment in science is what sets Veda apart from other data and healthcare tech companies—and what led to a robust science department with an impressive five IP and automation patents.

But you might be thinking: what exactly does this background in galaxy-staring, particle-measuring, and the expansive universe have to do with ensuring health plans’ provider directories are accurate?

The answer lies in wholeheartedly embracing the scientific method and Veda’s mission: We blend science and imagination to arrive at solutions for our customers. In fact, Bob argues one would not be able to tackle provider data problems accurately and reliably without a science department.

In the healthcare industry, data changes rapidly, some sources of data claim to be sources of truth but may in fact not be accurate, and data can be a heavily manual process. The only way to uncover the truth is with a careful and accurate measurement process.

Science meets imagination with Veda’s Science Team

Here is an expert from Dr. Lindner on problem-solving at Veda:

There are two kinds of main prediction problems. One where the answer to any given problem is self-evident. You can look at it and immediately know what the answer is. You give this problem a fast feedback loop and design your system to get the right answer based on immediate feedback from engineers. Outside of healthcare, an example is image classification. Is there a smiling person in this picture or not? You can look at an image and immediately tell.

A different kind of problem that we’re faced with every day at Veda is if the answer you’re trying to predict is not self-evident by a trained user in the field. For example, does this provider work at this address? It may look like a reasonable address and provider name but you don’t know if it’s accurate just by looking at it.

The only way to know if the system is working is to be very disciplined with the art of measurement and calibration. You must have a good set of test data that you trust that was collected in a way that was very tightly controlled. And you have to trust you are training your models on the data in a way that’s not overfitting because when your system gets used in production you don’t know—aside from that measurement in comparison to your training data set—if it’s working or not. You have to trust in science fully because if you do that part wrong, by using a biased training set or too narrow of a sample, there are errors that are invisible until you actually try to use the data. It can be a devastating effect. If you have a 10-digit number that says it’s the phone number of a provider, and you can’t call every phone number, how do you know it’s correct? You must have faith in the process. And the process to have faith in is the scientific method.

Dr. Robert Lindner

Provider data is complex and vast just like data in the field of astrophysics. However, provider data is nuanced and complicated in ways that even monitoring billions of stars is not.

The challenges with provider data are more complex than say, finding the largest thing in the universe, because the information included in directories changes often and the scope of required information keeps expanding. Practices move locations, physicians change practices, and contracts between practices and health plans expire. Multiple industry reports state between 20% and 30% of directory information changes annually.

Yet, no single party is the exclusive keeper of this information. Some of the information is governed and controlled by the practice, such as contact information and the roster of clinicians who practice there. Other data, such as whether a clinician is accepting new patients under a specific plan, can be owned by the practice, the health plan, or in some instances, shared by both parties.

Veda’s Science Team

Having different authoritative sources depending on the data contributes to the difficulty for health plans and practices in keeping information accurate.

So yes, provider data is more complicated to monitor than the stars but the Veda science department, using the scientific method day in and day out, can solve complex provider data problems faster and more accurately than anyone else. We start by understanding problems deeply before pairing them with an appropriate model and AI technology.

Before you select a healthcare data vendor, ask yourself, why don’t they have a science department backed by patented IP?



Get your provider data assessed by Veda.

MedCity News: Heard at HLTH 2022: Interview with Meghan Gaffney

What separates Veda from other companies promising to make sense of healthcare data? Hear from Veda’s CEO Meghan Gaffney in this MedCity News interview straight from the HLTH2022 conference floor. 

Multi-State Payer Achieves Zero Roster backlog with Veda

A large, multi-state BCBS plan leveraged automation to modernize and improve the labor-intensive, manual provider operations process to increase the accuracy and efficiency of roster intake. Not only did the plan eliminate their backlog, but they also implemented a process for sustained intake efficiency. 

Veda Launches Quantym To Improve Health Plan Compliance And Data Accuracy

Veda Quantym automates accuracy checks on provider directory databases; helps health plans meet compliance requirements, dramatically improve data accuracy and cut costs.

MADISON, Wis.–(BUSINESS WIRE)–Veda, an automation company that saves healthcare companies millions and makes it easier for patients to access care, announced today the launch of Veda Quantym at AHIP 2022. Quantym provides a comprehensive, real-time analysis of a health plan’s provider data within 24 hours, using patented automation technology and rigorously tested machine learning systems. With Veda Quantym, health plans can modernize their provider directory and significantly reduce operational costs, validate and enhance network data within claims systems, and improve data accuracy in Center for Medicare and Medicaid Services (CMS) audits and boost network quality.

The name Quantym was inspired by the scientific breakthroughs in quantum physics which helped Veda enable a new generation of innovation. Quantum physics requires trusting the math and embracing that probabilistic methods can help us better explain our world. In healthcare, Veda Quantym enables plans to better understand and accurately describe provider, prescriber, and facility data through rigorously tested probabilistic methodology. The result? Unlocking innovative solutions to improve member experience, reduce provider abrasion and deliver cost-effective, quality care to everyone.

“Provider data impacts nearly every aspect of the member experience, from searching for a new provider to processing claims. Unfortunately, it’s very challenging for health plans to keep pace with provider data changes. Inaccurate data makes it harder for patients to access care, drives provider abrasion and opens plans up to hefty CMS penalties when their directory data falls short in audits,” said Bo Roff-Marsh, Veda Chief Technology Officer. “New provisions in the No Surprises Act mean many payers need to verify the accuracy of data for hundreds of thousands of providers every 90 days – a task that is incredibly costly and error-prone when done manually. Veda Quantym is the culmination of years of research and uses patented technology to automate the cleaning and validation process. No matter the size of your data set, Veda Quantym makes it faster, easier and more cost-effective to have quality data for your members while meeting federal and state compliance requirements.”

Veda Quantym automates provider data validation and enhancement, while providing a comprehensive report detailing data quality and improvements made by the patented technology. The product provides acts of validation and suggests confirmations and corrections to improve the overall health of provider networks, focusing research efforts on the records that are most at-risk of driving down overall quality metrics. Customers can quickly standardize the way their data is stored and presented to their members.

For one Blue Cross Blue Shield client that scored 43% in data accuracy in a CMS audit, Veda Quantym improved network accuracy by 97% and reduced administrative costs for manual updates by over $1M. With Veda, the plan was also able to achieve 95% data accuracy in CMS audit fields.

“At Veda, we’re developing solutions to complex data problems that have challenged the healthcare system for decades,” said Meghan Gaffney, Veda co-founder and CEO. “The industry has long struggled to manage human-generated data like provider rosters and directories. Through trusted solutions like Veda Quantym, healthcare organizations can easily harness the power of data to make healthcare more efficient, accessible, and interoperable.”

To learn more, visit https://vedadata.com/products/data-quality/ or visit Veda at AHIP 2022 Booth 531.

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 is simple to use and requires 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, visit vedadata.com and follow us on LinkedIn and Twitter.

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
Contact Veda Today

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