The Digital Health 150: The most promising digital health companies of 2022

With PY2027 QHP submissions underway, health plans must go beyond meeting requirements as certification readiness now demands reliable provider data, validated processes, and the operational infrastructure to back it all up.

Provider networks are one of the few levers that can tackle healthcare waste head-on. Here are four models worth understanding.

As CMS moves toward state-driven network adequacy oversight, health plans (especially multi-state issuers) may face growing complexity around provider data quality, access validation, and documentation standards.