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Perfecting Provider Directory AI Modeling

Q&A with Bob Lindner on why sustainably-fed AI models are the path forward

As an AI company powered by our proprietary data training AI models, the article, “When A.I.’s Output Is a Threat to A.I. Itself,” in the New York Times caught our eye. Illustrating exactly what happens when you make a copy of a copy, the article lays out the problems that arise when AI-created inputs generate AI-created outputs and repeat…and repeat.

Veda focuses on having the right sources and the right training data to solve provider data challenges. A data processing system is only as good as the data it’s trained on; if the training data becomes stale—or, is a copy of a copy—inaccurate outputs will likely result.

We asked Veda’s Chief Science & Technology Officer, Bob Lindner, PhD, for his thoughts on AI-model training, AI inputs, and what happens if you rely too heavily on one source.

At Veda, we use what we call “sustainably-fed models.” This means we use hundreds of thousands of input sources to feed our provider directory models. However, there is one kind of source we don’t use: payer-provided directories.

Provider directories are made by health plans that are spending millions of dollars of effort to make them. By lifting that data directly into Veda’s AI learning model, we would permanently depend on ongoing spending from the payers. 

We aim to build accurate provider directories that allow the payers to stop expensive administrative efforts. A system that depends on payer-collected data isn’t useful in the long term as that data will go away.

The models will begin ingesting data that was generated by models and you will experience quality decay just like the New York Times article describes.
We use sustainably sourced inputs that won’t be contaminated or affected by the model outputs.

Veda does the work and collects first party sources that stand independently without requiring the payer directories as inputs.

Beyond the data integrity problems, if you are using payers’ directories to power directory cleaning for other payers, you are effectively lifting the hard work from payer 1 and using it to help payer 2, potentially running into data sharing agreement problems. This is another risk of cavalier machine learning applications—unauthorized use of the data powering them.

Imagine we make chocolate and we are telling Hershey that they should just sell our chocolate because it’s way better than their own. We tell them, “You could save a lot of money by not making it yourselves anymore.”

However, we make our chocolate by buying a ton of Hershey’s chocolate, remelting it with some new ingredients, and casting it into a different shape.

In the beginning, everything is fine. Hershey loves the new bar and they’re saving money because we’re doing the manufacturing. Eventually, they turn off their own production. Now, with the production turned off, we can’t make our chocolate either. The model falls apart and in the end, no one has any chocolate. A real recipe for disaster.

Health Tech Solution Veda Ranks No. 417 on the 2024 Inc. 5000

With Three-Year Revenue Growth of 1,066 Percent, Veda Ranks No. 417 Among America’s Fastest-Growing Private Companies

August 13, 2024 – Veda Data Solutions, healthcare’s leading AI provider data platform, was named No. 417 on the 2024 Inc. 5000 list revealed today.

Among software companies, Veda was ranked 47th and the Madison, Wis.-based company was the 4th highest-ranked company on the list from Wisconsin. This is Veda’s second consecutive year on the Inc. 5000 list. 

“At Veda, we are committed to improving the healthcare experience by creating the most accurate, curated provider data on the market and partnering with health plans and provider organizations to ensure their members have seamless access to appropriate care,” said Meghan Gaffney, CEO and co-founder of Veda. “Being named in the top 10 percent of high growth companies validates our solution and reflects the value our customers place on member satisfaction, patient access to care, and their commitment to delivering on Medicaid and Medicare requirements.”

The Inc. 5000 class of 2024 represents companies that have driven rapid revenue growth while navigating inflationary pressure, the rising costs of capital, and seemingly intractable hiring challenges. Among this year’s top 500 companies, the average median three-year revenue growth rate is 1,637 percent. In all, this year’s Inc. 5000 companies have added 874,458 jobs to the economy over the past three years. 

“Veda is committed to Health Equity, and creating the most accurate provider data is how we make good on that promise,” said Gaffney. “I am so proud of our customers and team members who ensure members have access to timely, high-quality care.”

For complete results of the Inc. 5000, including company profiles and an interactive database that can be sorted by industry, location, and other criteria, go to www.inc.com/inc5000. All 5,000 companies are featured on Inc.com starting Tuesday, August 13, and the top 500 appear in the new issue of Inc. magazine, available on newsstands beginning Tuesday, August 20. 

“One of the greatest joys of my job is going through the Inc. 5000 list,” says Mike Hofman, who recently joined Inc. as editor-in-chief. “To see all of the intriguing and surprising ways that companies are transforming sectors, from health care and AI to apparel and pet food, is fascinating for me as a journalist and storyteller. Congratulations to this year’s honorees, as well, for growing their businesses fast despite the economic disruption we all faced over the past three years, from supply chain woes to inflation to changes in the workforce.” 

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, follow us on LinkedIn.

More about Inc. and the Inc. 5000 

Methodology 

Companies on the 2024 Inc. 5000 are ranked according to percentage revenue growth from 2020 to 2023. To qualify, companies must have been founded and generating revenue by March 31, 2020. They must be U.S.-based, privately held, for-profit, and independent—not subsidiaries or divisions of other companies—as of December 31, 2023. (Since then, some on the list may have gone public or been acquired.) The minimum revenue required for 2020 is $100,000; the minimum for 2023 is $2 million. As always, Inc. reserves the right to decline applicants for subjective reasons. Growth rates used to determine company rankings were calculated to four decimal places. 

About Inc. 

Inc. Business Media is the leading multimedia brand for entrepreneurs. Through its journalism, Inc. aims to inform, educate, and elevate the profile of our community: the risk-takers, the innovators, and the ultra-driven go-getters who are creating our future. Inc.’s award-winning work achieves a monthly brand footprint of more than 40 million across a variety of channels, including events, print, digital, video, podcasts, newsletters, and social media. Its proprietary Inc. 5000 list, produced every year since its launch as the Inc. 100 in 1982, analyzes company data to rank the fastest-growing privately held businesses in the United States. The recognition that comes with inclusion on this and other prestigious Inc. lists, such as Female Founders and Power Partners, gives the founders of top businesses the opportunity to engage with an exclusive community of their peers, and credibility that helps them drive sales and recruit talent. For more information, visit www.inc.com. 

CMS 2025 Final Rule: New Behavioral Health Requirements for MA Plans

Mental Health Awareness Month and Summary of New CMS Final Rule

Fitting for Mental Health Awareness Month, the Centers for Medicare & Medicaid Services (CMS) recently released its 2025 Final Rule that, among other things, aims to improve access to behavioral health providers for Medicare Advantage members.


Ready to learn about the CMS 2025 Final Rule and Veda’s strategic approach to its behavioral health network requirements?

The CMS 2025 Final Rule significantly expands the behavioral health network requirements for Medicare Advantage (MA) health plans. As reported by Fierce Healthcare, all Medicare Advantage plans will likely see increased administrative burdens due to the behavioral health network expansion requirements.

Not only is Veda a proven and trusted partner for achieving compliance with CMS requirements, Veda’s solutions are unrivaled in their ability to help health plans verify, expand, improve, and map their behavioral health networks.

Here are the behavioral health requirements covered in the Contract Year 2025 Medicare Advantage and Part D Final Rule and Veda’s approach:

New “Outpatient Behavioral Health” Category Added to Network Adequacy Evaluations 

Building upon CMS’s recent addition of a new benefit category for mental health counselors (MHCs) and marriage and family therapists (MFTs)—and recognizing that many MHCs and MFTs practice in outpatient behavioral health facilities—CMS has expanded its network adequacy requirements to include a new category called “Outpatient Behavioral Health.”

Wide Range of Specialists Included in “Outpatient Behavioral Health” Category

More specialties and outpatient care classifications were added to solve behavioral health provider shortages. The specialists in the new “Outpatient Behavioral Health” category include MHCs, MFTs, Opioid Treatment Program providers, Community Mental Health Centers, addiction medicine physicians, nurse practitioners (NPs), physician assistants (PAs), and clinical nurse specialists (CNSs).

Skill Sets of Certain Behavioral Providers Must Be Verified 

“Outpatient Behavioral Health” Facility Added to Time & Distance Standards and Telehealth Specialty Requirements

CMS now includes the “Outpatient Behavioral Health” facility specialty in the list of specialty types that will receive a 10% credit toward meeting time and distance standards. Additionally, MA plan’s networks must include at least one telehealth provider within the Outpatient Behavioral Health specialty.

Veda is Equipped to Meet The Needs Introduced By The 2025 CMS Rule Changes

Veda excels at helping health plans and systems connect members with behavioral health services, treatment facilities, and telehealth providers. The 2025 MA rule changes are an opportunity for health plans and health systems to explore how Veda can help them expand, improve, and map their behavioral health networks and verify the claims data for behavioral health providers.

Veda’s solutions can help connect members to quality behavioral health services more quickly, efficiently, and at less cost than the traditional methods relied on in the past. Armed with the most accurate provider data available, Veda’s solutions contribute to positive member experiences while helping people find the right care for their behavioral health needs.

 

Veda First to Achieve Third-Party Data Validation from Erdős Institute, Reinforcing Commitment to Accountable AI-Powered Solutions in Healthcare

Independent Audit Says Veda’s AI Precision Exceeds 90%, Solving Ghost Networks and Payer Network Attestation Challenges

MAY 6, 2024 – MADISON, WI Veda, a leading health technology company specializing in provider data solutions, announced today that it has achieved third-party validation from the prestigious Erdős Institute, an independent organization of university PhDs advancing the fields of Data Science and Machine Learning.

Following a blind independent review of Veda’s AI-powered data curation engine—the backbone of its product stack—Erdős Institute researchers found highly accurate provider directory data with certain accuracy scores exceeding 90 percent for critical information like addresses, locations, and phone numbers.

By facilitating accurate provider directory data, as mandated by the No Surprises Act, validation of Veda’s proprietary curation and machine learning methodologies represents a pivotal milestone in Veda’s journey towards fostering greater transparency and accountability in payer data solutions.

“As skepticism surrounds AI tools in healthcare, validation from the Erdős Institute underscores Veda’s commitment to leading the market with ethical and reliable solutions,” said Meghan Gaffney, Co-Founder and CEO of Veda. “While outdated methods for maintaining accuracy and compliance continue to fail, Veda is proof positive that automation is an effective and necessary approach to supporting health plan members who rely on provider directories to find care.”

A rigorous analysis by Erdős not only demonstrates Veda’s commitment to AI excellence but also sheds light on the prevalent issue of ‘ghost networks,’ or inaccurate provider directories. Yale Law and Policy Review found between forty-five and fifty-two percent of provider directory listings had errors, with some individual plans having error rates as high as ninety-eight percent. 

Increased pressure on state and federal lawmakers to protect seniors from surprise medical bills and improve access to mental health treatment has spurred a wave of bipartisan legislation seeking to hold commercial and Medicare Advantage plans accountable. 

In a crowded marketplace of payer solutions, the independent validation from Erdős sets a new benchmark for accuracy and compliance.

“Our blinded study found that Veda’s data-driven automation is capable of producing accurate provider data quickly and efficiently,” said Roman Holowinsky, PhD, Managing Director of the Erdős Institute. “Automated, real-time provider datasets like Veda’s can greatly benefit the market and save users a lot of time over manual attestation or intervention.”

To access a copy of the whitepaper, please visit vedadata.com/case-studies/erdos-white-paper-vedas-ai-precision-exceeds-90.

About Erdős Institute:

The Erdős Institute is a multi-university collaboration focused on helping PhDs get jobs they love at every stage of their career. Founded in 2017, the Institute helps train and place a diverse pool of PhDs through boot camps, workshops, mini-courses, consulting opportunities, and direct employer connections. For more information, visit www.erdosinstitute.org

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.

We promise accuracy, and we deliver.

Provider Data Accuracy Verified By Third-Party Audit

Independent Audit Says Veda’s AI Precision Exceeds 90%, Solving Ghost Networks and Payer Network Attestation Challenges

Veda is paving the way for improved data quality, transparency, and accountability in healthcare through continuous validation and testing of our AI-powered solutions. Our scientific rigor commits us to continuously testing our methodology and we believe all AI-powered data solutions should undergo an unbiased independent validation of their data. Learn about our approach to healthcare data challenges and the third-party study performed by Erdős Institute proving our data accuracy.

Provider Data Inaccuracy

Provider data management is inherently flawed. The information found in provider directories is often manually updated, the scope of required information keeps expanding and information changes often; practices move, physicians change practices, and contracts between practices and health plans expire. Multiple industry reports state between 20% and 30% of directory information changes annually

With provider data accuracy rates of 90+%, the study highlights the potential of automation and machine learning in achieving high levels of data accuracy

Reinforcing Commitment to Accountable AI-Powered Solutions in Healthcare

Inaccurate provider directories and networks full of “ghosts” (or unavailable providers) aren’t just frustrating to patients making appointments, they’re making waves among policymakers. The bipartisan Requiring Enhanced & Accurate Lists of (REAL) Health Providers Act, introduced by U.S. Senators and Representatives calls to eradicate ghost networks that are impacting patients nationwide and states across the U.S. have followed suit with their own proposed regulations.

Vectyr Curated Dataset

To prove our products and approach to provider directory accuracy are best-in-class, the Erdős Institute conducted a blind third-party audit of Veda’s Vectyr product.

Vectyr is Veda’s curated dataset that powers all our provider data products. With Vectyr’s continuously monitored and validated data, Veda customers can quickly find correct provider information with the confidence of Veda’s optimal accuracy. Many back-office workflows—like directory management, credentialing, and claims—need access to accurate, up-to-date provider information. Our Vectyr product curates data from over 300,000 sources including NPPES, DEA, and state licensing organizations. 

Why validate with impartial analysis?

As a leader in the industry, armed with proprietary solutions, we understand the key to solving complex healthcare problems lies in innovative technology. We’re taking the lead again, this time via rigorous third-party validation. By subjecting our technology to impartial analysis we’re taking a step forward in the evolution towards greater transparency.

Employing rigorous methodologies and independent sampling techniques, ensuring an unbiased assessment of provider directory accuracy? Sounds like our scientific approach to everything we do.

Additionally, having an independent institute like Erdős conduct the validation study safeguards against potential conflicts of interest and ensures the credibility and integrity of the findings.

Erdõs’ Method for Proving Accuracy

To gauge provider data accuracy, Erdős and Veda simulated a Centers for Medicare & Medicaid Services “secret shopper” audit. Callers attempted to make an appointment on behalf of a patient and collect information that would be necessary to do so: the phone number and location of the provider (which are typically major areas of inaccuracies). The audit provided a measure for the main appointment information and manual research was used to measure more detailed provider information.

To reduce bias in the CMS simulation, Erdős created a sample of NPIs for the measurement. The selection of the sample was aimed to be representative with respect to geographic categories of rural and urban and focused on stratified sampling by specialty. In the total sample, 184 NPIs were called. Of these 184 NPIs, 92 phone numbers and 118 locations could be assessed.

The call-based outcomes found phone and address accuracy are consistent at 90%. Moreover, Erdős found that additional Vectyr fields were also highly accurate. For example, the Vectyr database demonstrated accuracy levels of 99% for fields such as languages spoken. With provider data accuracy rates of 90+%, the study highlights the potential of automation and machine learning in achieving high levels of data accuracy.

Reinforcing Commitment to Accountable AI-Powered Solutions in Healthcare

With a commitment to accountable AI-powered solutions and five approved patents in the industry, we believe all healthcare data vendors need to think more rigorously about what “correct” data means. Attestation does not create quality data. Patients don’t need attested data, they need correct data. Therefore, data vendors must measure performance the same way patients do: making an appointment on the first try, with the correct information. We promise accuracy, and we deliver.

Why It Took Language Processing For AI To Go Mainstream

Scientists and technologists have been using AI for decades. We’ve used it to do complicated calculations and run algorithms and equations that we couldn’t previously conceive of. Your favorite streaming services have been using it for years to recommend shows and movies. But looking at media coverage of the past year, you’d think that AI was just developed. Why is mainstream AI language processing now taking off?

In late 2022, did AI experience an onslaught of media attention that made it seem like it was a new functionality? Why are legislators and regulators now racing to regulate something that has been in existence for about the same length of time as the color TV?

Learning To Learn

Tools powered by AI have essentially learned to learn. The language models we’re all seeing now train themselves with two primary algorithms. First, they can look at any sentence in any context and try to predict the next one.

The other way that language models try to learn is by guessing words in a sentence if some words are randomly removed. These are examples of implicit supervised training, and it’s made possible because these tools use the entire corpus of the internet as training data. This is the actual breakthrough.The other way that language models try to learn is by guessing words in a sentence if some words are randomly removed. These are examples of implicit supervised training, and it’s made possible because these tools use the entire corpus of the internet as training data. This is the actual breakthrough.

Read Chief Science & Technology Officier Dr. Bob Lindner’s entire article on Mainstream AI Language Processing.


Veda at ViVE 2024

Panels, partnerships, and busting ghost networks

ViVE 2024 brought together health tech innovators, vendors, investors, and media. What did Veda bring? Engaging discussions around Medicare Advantage, AI in healthcare, ghost networks, and rural health. Not to mention some heavy media coverage announcing our Humana partnership. Plus, a little fun with a certain famous car to showcase Veda’s ghost network-busting abilities. (We were in Hollywood after all.)

Rural Healthcare and Data

“The way for rural healthcare to succeed is to make it easy to find a doctor, to be a doctor and to pay a doctor,” said Dr. Bob Lindner, Chief Science & Technology officer at Veda during a panel on the challenging rural healthcare landscape. “All of these three things have challenges that can be traced back to the data.”

Bob presented data as a tool that rural health systems can utilize to access accurate information on traveling doctors, a unique offering in rural areas. As rural health faces more hits and challenges, data has the answers.

Accurate provider data leads to better care

The belief that accurate provider data leads to better care is exactly what led to the Humana and Veda partnership (and created plenty of buzz at ViVE). Fierce Healthcare proclaimed “Humana taps data automation startup Veda to polish up provider directories.” MedCity News listed the partnership in their “9 ViVE Announcements You Don’t Want to Miss.”

Veda will use its patented automation technology to analyze, verify, and standardize Humana’s data to ensure the information is accurate and comprehensive, along with real-time scoring of data quality.

Veda is ready for the mainstream adoption of AI and committed to advancing the technology to offer members true access to care.

Busting Ghost Networks

Whether you were building a mini-fig or entering to win an ECTO-1 replica, plenty of fun was found at the Veda booth. With a page taken from a beloved movie franchise, Veda showed off its ‘ghost-busting’ abilities and talked ghost networks.

Ghost networks are provider networks that appear robust and full of available providers but actually contain bad data and thus, much more 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.

Veda’s accurate data eliminates ghost networks, improves member satisfaction, and stays ahead of emerging regulations.

See you next year at ViVE!

ViVE 2024 – Veda Media Mentions

Humana and Veda Press Coverage ViVE 2024

The Humana and Veda partnership was announced at the ViVE 2024 health tech conference. Here is what the media had to say. . .


This move bodes well for Humana as it spends a good chunk of time in calls to confirm provider data. Inaccurate and inconsistent data from provider directories will cause friction in the process of finding a provider, thereby increasing administrative work for providers, health plans and seniors.
-Nasdaq


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.
-Fierce Healthcare


Keeping provider directories up to date is often a massive undertaking for health plans and providers. In the past, Humana has had to make “millions of calls annually” to make sure its provider directory is accurate.
-MedCity News


Lawmakers have pressed insurers to improve their provider directories. In October, Sens. Thom Tillis, Ron Wyden and Michael Bennet introduced the Requiring Enhanced & Accurate Lists of (REAL) Health Providers Act, which would strengthen requirements for Medicare Advantage plans to maintain accurate directories.

Becker’s Payer Issues also cited an April 2023 study in JAMA Health Forum (which found physician information is often inconsistent across payer directories) to emphasize the challenges associated with provider data.
-Becker’s Payer Issues


Veda will use its automation technology to analyze, verify, and standardize Humana’s data, ensuring accurate provider data.
-Vator.tv.


The Humana and Veda partnership has come full circle after Veda got its start in a Humana hackathon back in 2016.
-Digital Health Wire

WATCH: Meghan Gaffney Shares Insights on HealthTech Industry

Interview by Dennis Dailey of HIT!Show at ViVE 2024. Watch to hear Meghan Gaffney insights on Healthtech industry trends.

“We’ve finally made the jump from AI as an idea to AI really moving the needle for plans and providers,” remarks Meghan Gaffney, Co-Founder and CEO of Veda, during our video interview at the event.

“At Veda, we like to say, ‘We build technology that helps people, help people,‘” Meghan continues, reflecting on her background in public policy and the company’s mission to tackle healthcare infrastructure challenges.

Meghan shares insights into Veda’s partnership with Humana, highlighting their efforts to enhance provider directory accuracy for Medicare Advantage members.

“The complexity is that there are six million healthcare providers… We really focus on using technology to make the entire exchange of information easy for both the provider and the payer,” she explains.

Discussing industry trends, Meghan emphasizes the significance of regulations like the Real Provider Act and their impact on ensuring patients’ access to accurate healthcare information. “There’s going to be an increased focus on making sure that every patient has access to the right information to get care,” she adds.

“We’re excited about being a part of that conversation and bringing AI into the mainstream,” Meghan concludes, expressing Veda’s commitment to advancing the potential of AI technology in healthcare.

See you next year at ViVE!

What Will It Take to Transform the Rural Healthcare Landscape?

HealthTech Magazine

The way for success in the rural healthcare landscape is to make it easy to find a doctor, to be a doctor and to pay a doctor,” said Bob Lindner during a ViVE 2024 education session on the challenging rural healthcare landscape. “All of these three things have challenges that can be traced back to the data.”

Bob Lindner Chief Science and Technology Officer at Veda Data Solutions

Many rural healthcare organizations are struggling due to current reimbursement models and lack of resources. This can have an impact on patients in rural areas, who often face challenges with care access.

Health IT leaders from different parts of the industry addressed these pain points and what needs to happen to keep rural healthcare organizations afloat.

Data Can Drive Change for Rural Healthcare

Lindner shared a story of an organization that wanted to know why it was so hard for patients to find appointments for addiction medication. He said it was important to analyze the data because the reason could have been that there were enough providers, but they were hard to find on a website; that there weren’t enough providers and the industry needs to recruit more; or that there were enough providers accepting patients, but they were scheduling them out so far, they might as well have been unavailable.

“You don’t want to jump to a conclusion and try to solve something without understanding what your actual problem is,” said Lindner.

Amy Gleason, chief product officer at Main Street Health, said that many rural healthcare organizations are using older electronic health record systems, and some are still using paper charts. Not having a robust EHR setup makes it difficult for these health systems or clinics to determine which patients have missed screenings or other trends in their patient population. Gleason pointed out that while health plans try to provide their own data to rural organizations, they may all do that in a different way with a different portal. Clinicians don’t have the time to log in to different portals or find out how to get into a spreadsheet — and often, their EHR can’t handle that influx of data anyway. Read the full article from HealthTech.

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. 

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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