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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. 

“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

Is Your Data Partner Ready for New AI Regulations?

How to Find the Right Provider Data Vendor Partnership

It seems that almost every week we see new vendor offerings within the provider data management ecosphere—each claiming to offer a revolutionary way of visualizing your data and making impactful improvements for healthcare. The provider data accuracy challenges that health plans and provider organizations face are vast, so it’s not surprising that new health tech companies are quick to capitalize. Caution: all health tech companies may not be keeping new and developing AI regulations in mind when developing their technology.

All health tech companies may not be keeping new and developing AI regulations in mind when developing their technology.

Looking at the Bigger Provider Data Picture

Quality provider data can help the healthcare industry tackle some of the biggest challenges health plans and provider networks face, like onboarding, credentialing, roster creation, and referrals. 

A commitment to improving your provider data can have great ROI potential and long-term impacts on your business and patient populations. But, with all the buzzwords and capability promises from the masses, how do you find the best vendor fit for your business needs?

Necessary Topics to Cover When Vetting Provider Data Vendors

To set you up for partnership success, here are discussion ideas for data vendor conversations:

  1. Find out the vendor’s practices for responsible data collection, storage, and validation. For example, does the vendor keep their data in the U.S.?
    Veda’s Take: You want to ensure any vendor interacting with critical data is not utilizing offshore, 3rd party data processing centers that can unnecessarily expose data and therefore, providers’ information. Consider this: If patient data is protected from offshore processing vendors via HIPAA and other regulations, shouldn’t the same protections be afforded to provider data? Veda offers comprehensive security and data protection and is HITRUST-certified.
  2. Understand the vendor’s business policies regarding AI. For example, how does an AI vendor utilize Language Learning Models? 
    Veda’s Take: Avoid risk by future-proofing your AI policies. Machine Learning can be a powerful tool, but should be approached thoughtfully and aligned with current and future U.S. legislative requirements such as President Biden’s executive order for the Development and Use of Artificial Intelligence. Warning: fewer companies comply with the proposed regulatory requirements than you may think.
  3. Ask about their reporting and measurement. How does the vendor define accurate data and measure it during and after delivery?
    Veda’s Take: Data can be compliant but inaccurate and unusable for health plan members who depend on the data to get care. Be prepared to discuss your business goals and thresholds for accuracy—consider going beyond meeting regulatory guidelines. We think healthcare data should truly be considered “accurate” if it meets a member’s needs when accessing care. 
  4. Discuss what is necessary for your business success. Can the vendor offer the necessary tools to reach your goals and eliminate what is unproven?
    Veda’s Take: Don’t be distracted by tools that may not deliver results or provide value for your goals. For example, APIs are often necessary to save time on automation. Therefore, many businesses focus on the ability to have an API connection and the API integration above even the results the product delivers. Or, in another example, the UX and the interface of a product can become a focal point above the actual functionality of the product. If you can’t trust the data and know how to interpret and use it, then connectivity and appearances don’t matter.
  5. Determine what happens first. Can a vendor partner prioritize your specific business requirements?
    Veda’s Take: All businesses have different objectives and these goals greatly impact priorities. Your vendor should clearly articulate what needs to happen first, upon implementation of the product, to realize immediate value and reach success. There is no one-size-fits-all solution when working with a provider data vendor. Before integration and during the initial conversations is the perfect time to establish an approach to prioritization within business rules. 
  6. Get familiar with the training process. What does the implementation, training, and delivery process look like for your AI data vendor?
    Veda’s Take: How a provider data vendor plans to work with you, and how they plan to train others in your organization, is key to partnership success. Beyond day-to-day use of the tools, how does the vendor recommend using the data and applying the findings? Who should be trained on what tasks? Clear and concise preparation will ready everyone in your organization.

Ensure any vendor interacting with critical data is not utilizing offshore, 3rd party data processing centers that can unnecessarily expose data and therefore, providers’ information.

Once you have a solid understanding of how a potential partner tackles the above objectives, only then can you capitalize on a business case for building a collaborative partnership with a provider data vendor.

Need more ideas on what to ask a potential provider data vendor? See Veda’s Six Questions to Ask Your Provider Data Vendor

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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