androsInsights
Take deep dives into credentialing, provider network management, and healthcare administration news, best practices, and technology with expert members of the andros team.
What Does CMS’ Final Rule for 2023 Mean for You?
What Does CMS’ Final Rule for 2023 Mean for You? In late April 2022, CMS announced the changes to the
Delegated Credentialing: Easing the pain of credentialing your providers
Delegated Credentialing: Easing the pain of credentialing your providers Credentialing in house can be painful for health plans and other
The lesser-known process affecting healthcare quality: Credentialing
Board of Directors Investor Portal The lesser-known process affecting healthcare quality: Credentialing By Mark Hirschhorn Over the last two years,
The Future of Value-Based Care: Making the Most of the New Direct Contracting Model for Traditional Medicare Populations
CMS introduced the Global and Professional Direct Contracting (GPDC) Model in 2020 to build on previous successes and continue transforming
Building Culture, One Shout-Out at a Time
Every Thursday afternoon at 4 pm, andros has a full-company all-hands meeting we call “Rounds.” Rounds typically starts with an
Keep your Medicare Advantage network build on track with these tips
As fall settles in, and you’re sitting at your (home office) desk with a pumpkin spice latte, chances are your
Scaling the andros Engineering Organization in 2021
In 2021 the andros Engineering organization experienced significant growth – more than doubling in size. This has enabled more parallel
Turning an Early “No” in a Medicare Advantage Network to Your Advantage
No one starts a Medicare Advantage (MA) network development project with the idea of pulling the plug before it’s approved
Innovation is the answer: Why andros built the industry’s first API for NCQA-certified credentialing
You don’t need to be a rocket scientist to figure out that there are some big issues in the US
Credential Your Network While You Build It
Both network builds and credentialing rely on having accurate, up-to-date data. Consider integrating these two processes around a unified data resource to deliver the best results while saving time and money.
Why a holistic approach to Medicare Advantage makes all the difference
The facts and figures behind the growth of Medicare Advantage (MA) are clear – Medicare Advantage patients pay 40% less
Hey, providers, let’s make healthcare better for everyone
We’re on a mission at andros. Everyone knows there’s a lot of waste in the healthcare system, especially in healthcare
Credentialing organizations like you’ve never seen
Credentialing healthcare organizations has traditionally been difficult to manage efficiently. The lack of an industry standard, like the one NCQA
Redefine the Provider Network Development Process with Technology
Let’s get real for a second. Working in the healthcare industry is rewarding but can be frustrating at times. Providers
The Top 5 Mistakes You’re Making in Your Provider Network Development Strategy
Launching a provider network is a complex process requiring the coordination of multiple teams and countless data points. Even for
Transforming the Medicare Advantage CMS Application Process with androsPathway*
Launching or expanding a Medicare Advantage (MA) plan is a herculean task for even the most experienced healthcare organization; it
What is andros?
You may have noticed we did a little redecorating around here recently. But when you take two well-respected, established brands
Recredentialing Q&A – What You Need to Know
Q: How often are practitioners recredentialed? A: Practitioners and facilities are typically recredentialed every three years unless a state or
The Journey to Achieving Delegated Credentialing
Have you been thinking about applying for delegated credentialing? Not sure where to start? Going through the process of achieving
Best Practices for Credentialing Committee Meeting Management
As you probably already know, NCQA requires health plans to meet periodically to make credentialing decisions about network practitioners. During