provider data management Archives

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.

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.

“We want to be a partner with CMS and policymakers in improving the accuracy of provider directories. This collaboration with Veda will enhance not only the experience for our members, but also our provider community,” “We’re committed to delivering an exceptional experience for both, ultimately improving health outcomes and enhancing the overall well-being of our members.”
Robbie Tindall, Vice President, Provider Process Network Operations at Humana

“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.

Veda Partners with OutCare to Support Health Equity for LGBTQ+ Communities

Partnership with OutCare Health helps patients and plans identify LGBTQ+ affirming providers, improving access to care

Veda, a health technology provider specializing in accurate, curated provider data, has partnered with OutCare Health, a leading organization championing LGBTQ+ health equity.

Among software companies, Veda was ranked 22nd and it was the highest-ranked company on the list from Wisconsin.

The groundbreaking collaboration addresses the unique needs of LGBTQ+ communities by incorporating the data from OutCare Health’s OutList®, the largest, most comprehensive directory of LGBTQ+ affirming providers, into the high-quality provider data that Veda delivers to its health plan customers.

The OutList® features thousands of providers across all specialties nationwide. The collaboration will make it easier for patients to find providers and for health plans to build LGBTQ+ affirming provider networks.

The need for accurate and inclusive provider data has never been more critical. More than half of LGBTQ+ patients experience stigma in healthcare settings, and more than 92% believe it’s crucial to find LGBTQ+ affirming healthcare providers.

“By leveraging OutCare Health’s comprehensive OutList® through Veda’s robust provider data solutions, health plans can make informed decisions, ensure accurate and meaningful referrals, and provide members with timely access to the quality care they deserve.”
OutCare Health Founder and President, Dr. Dustin Nowaskie

“Many of the health plans that we work with are actively looking for ways to ensure their members have access to LGBTQ+ affirming care,” said Meghan Gaffney, CEO and co-founder of Veda. “They know that patients in LGBTQ+ communities report higher rates of negative health experiences and have higher risk for medical and mental health conditions. Our customers are taking action, and this partnership enables us to help health plans in all communities deliver affirming and supportive experiences for their members.”

Recent research by OutCare Health and Healthgrades laid bare the critical need for patients to find informed and supportive doctors. The survey revealed that LGBTQ+ patients are more likely to have skipped care in the past year and less likely than the heterosexual cisgender population to have had important health screenings. Even more troubling, 18% of LGBTQ+ patients have experienced medical trauma, 125% the rate reported by cisgender, heterosexual patients.

Together, OutCare Health and Veda are revolutionizing the healthcare landscape by empowering health plans to prioritize LGBTQ+ health equity and create more inclusive, affirming healthcare experiences for all LGBTQ+ people.

The two organizations will host an America’s Health Insurance Plans webinar on October 25. Visit www.ahip.org/webinars soon to register for the webinar titled Is Your Provider Directory Offering Inclusive Access for LGBTQ+ Members?

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 OutCare Health
OutCare Health is a leading 501(c)(3) nonprofit organization dedicated to promoting health equity for LGBTQ+ communities worldwide. OutCare’s mission is to empower LGBTQ+ people with comprehensive information, resources, support, and education, including an affirming healthcare provider directory, mentorship, training, research, community building, support groups, webinar series, blogs, and much more. OutCare’s vision is to create a world where every LGBTQ+ person has access to quality healthcare and feels empowered to live their healthiest, most authentic life. To learn more about OutCare, visit outcarehealth.org and follow on Facebook, LinkedIn, Instagram, or Twitter.

Veda Ranks No. 176 on the 2023 Inc. 5000

Three-year revenue growth of 2,998 percent

Veda Data Solutions, a Madison, Wis.-based company that solves healthcare’s most complex provider data issues was named by Inc. as No. 176 on the 2023 Inc. 5000 list revealed today.

Among software companies, Veda was ranked 22nd and it was the highest-ranked company on the list from Wisconsin.

The Inc. 5000 is an annual list of the fastest-growing private companies in America. The prestigious ranking provides a data-driven look at the most successful companies within the independent, entrepreneurial business segment. Facebook, Chobani, Under Armour, Microsoft, Patagonia, and many other household name brands gained their first national exposure as honorees on the Inc. 5000.

“When we started Veda, we set out to make the healthcare industry more efficient and build a company that we could be proud of,” said Meghan Gaffney, CEO and co-founder of Veda. “Being named to the Inc. 5000 list validates our solution and vision and recognizes the Veda team who works tirelessly each day to help people access the care they need.”
Meghan Gaffney, CEO

The Inc. 5000 class of 2023 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 ticked up to an astonishing 2,238 percent. This year’s Inc. 5000 companies have added 1,187,266 jobs to the economy over the past three years.

“Running a business has only gotten harder since the end of the pandemic,” says Inc. editor-in-chief Scott Omelianuk. “To make the Inc. 5000—with the fast growth that requires—is truly an accomplishment. Inc. is thrilled to honor the companies that are building our future.”

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. Veda will also be included in the September issue of Inc. as the magazine highlights the top 500 companies.

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.

More about Inc. and the Inc. 5000

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 reaches more than 50 million people across a variety of channels, including events, print, digital, video, podcasts, newsletters, and social media. Its proprietary Inc. 5000 list, produced every year since 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.

Methodology
Companies on the 2023 Inc. 5000 are ranked according to percentage revenue growth from 2019 to 2022. To qualify, companies must have been founded and generating revenue by March 31, 2019. They must be U.S.-based, privately held, for-profit, and independent—not subsidiaries or divisions of other companies—as of December 31, 2022. (Since then, some on the list may have gone public or been acquired.) The minimum revenue required for 2019 is $100,000; the minimum for 2022 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.

Veda Recognized in Gartner® Hype Cycle™ for U.S. Healthcare Payers, 2023

Veda named a Sample Vendor for Provider Data Management

Gartner® Hype Cycles™ are a graphical representation of a technologies lifecycle that provides end users insights about which technologies to invest in to save time and money. Veda is named a Sample Vendor for Provider Data Management technology.

The analysis by Connie Salgy explains why provider data management is important:

“Inaccurate provider data leads to poor total experience and increases reputational and compliance risk. Payers rely on accurate provider data to authorize services, administer claims and deliver care advocacy services. This data also drives member-facing tools such as provider directories, health management portals and medical shopping applications.”
Gartner, Inc. Hype Cycle for U.S. Healthcare Payers, 2023

If you are a Gartner subscriber, you can access the report here.

Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research publications consist of the opinions of Gartner’s research organization and should not be construed as statements of fact. Gartner disclaims all warranties, expressed or implied, with respect to this research, including any warranties of merchantability or fitness for a particular purpose.

Veda Selected as Provider Data Management Solution by Gartner

The key findings? Legacy solutions cannot deliver value and are being replaced with modern innovations like Veda.

Gartner selects Veda as a Provider Data Management solution in the 2021 Market Guide for U.S Health Plans. Our AI Smart Automation platform, Velocity, can automate roster intake and updating, so you can maintain accuracy and compliance. In less than 24 hours—Guaranteed.

ABOUT THE MARKET GUIDE

Gartner, the information technology research and consultancy company, provides expert guidance and tools that enable faster, smarter decisions and stronger performance on an organization’s most critical priorities.

“PAYER CIOS CAN USE THIS MARKET GUIDE TO SELECT THE RIGHT RELATIONSHIP MANAGEMENT TOOLS TO ENGAGE THEIR PROVIDERS.” – GARTNER

The 2021 Market Guide for U.S. Healthcare Payers’ Provider Network Management Applications includes key findings, recommendations, and a redefinition of the marketplace. The key findings? Legacy solutions cannot deliver value and are being replaced with modern innovations like veda.

Members of Gartner are able to access the full report here.

ABOUT VEDA’S SOLUTION – VELOCITY

Our patented, Smart Automation platform allows you to process—format, validate, and correct—provider data files and update the data in your system in less than 24 hours. Guaranteed. All while saving costs and improving accuracy. By automating roster intake, we reduce human processing and reduce human error.

Trusted by six of the top 10 U.S. health plans, veda Velocity uses AI and machine learning to help plans transform and enhance their provider data—achieving fast, accurate, and compliant results that otherwise would not be possible.

The platform takes unstructured roster files from provider organizations and standardizes them into the health plan’s preferred format. The smart automation solution improves productivity by 10-12x and reduces data processing time by 98%, allowing plans to publish directory updates in 24 hours or less. Files are verified, corrected, and updated—all within the plan’s existing database.

To learn more about how Veda can transform your provider network management, schedule a demo.

The most up-to-date, comprehensive, and accurate source of data. Your organization can access profiles of every active provider in the U.S.—over 3.5 million.

See how we’ve helped leading healthcare organizations achieve significant cost savings, improve data accuracy, and enhance patient care. Here, you will find our results, research, reports, and everything else our scientists are testing in the Veda Lab – no lab coat required.

Stay up-to-date on industry trends and discover a wealth of resources on provider data management, roster automation, and AI.

At Veda we understand that every data point is an opportunity to improve the healthcare experience. And we can see the potential when data is no longer a barrier.

Veda solutions

For provider data management

provider data management

Veda at ViVE 2024

Panels, partnerships, and busting ghost networks

Rural Healthcare and Data

Accurate provider data leads to better care

Busting Ghost Networks

ViVE 2024 – Veda Media Mentions

WATCH: Meghan Gaffney Shares Insights on HealthTech Industry

What Will It Take to Transform the Rural Healthcare Landscape?

Data Can Drive Change for Rural Healthcare

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

ENHANCING EXPERIENCES WITH VEDA’S AUTOMATION TECHNOLOGY

About Humana

About Veda

Veda Partners with OutCare to Support Health Equity for LGBTQ+ Communities

Partnership with OutCare Health helps patients and plans identify LGBTQ+ affirming providers, improving access to care

Veda Ranks No. 176 on the 2023 Inc. 5000

Three-year revenue growth of 2,998 percent

Veda Recognized in Gartner® Hype Cycle™ for U.S. Healthcare Payers, 2023

Veda named a Sample Vendor for Provider Data Management

Veda Selected as Provider Data Management Solution by Gartner

The key findings? Legacy solutions cannot deliver value and are being replaced with modern innovations like Veda.

ABOUT THE MARKET GUIDE

“PAYER CIOS CAN USE THIS MARKET GUIDE TO SELECT THE RIGHT RELATIONSHIP MANAGEMENT TOOLS TO ENGAGE THEIR PROVIDERS.” – GARTNER

ABOUT VEDA’S SOLUTION – VELOCITY

You know your business. We know data.

One Simplified Platform

Velocity

ROSTER AUTOMATION

Vectyr

PROFILESEARCH

Quantym

DIRECTORY ANALYSIS

Resources & Insights

Provider Data Solution Veda Automates Over 59 Million Hours of Administrative Healthcare Tasks Since 2019

HealthX Ventures Blog: How Veda Is Aiming to Fix Healthcare’s Broken Provider Directories

AI accountability in healthcare for business success

Contact Veda Today

Take your healthcare data to the next level

About Humana  

PROFILE
SEARCH