Blog

At Blueprint 2026, three of healthcare's sharpest minds sat down to wrestle with a question the industry has been circling for decades: what will it actually take to fix provider data? Here are the five moments that cut through the noise.

CertifyOS and Assured are often evaluated simultaneously, but they are designed to solve different aspects of provider data and credentialing workflows. Although their capabilities overlap, the platforms are not interchangeable.

We’ve all heard increasing rumblings about the growing administrative burden in healthcare, but the numbers really put it in perspective:

Provider Data Management (PDM) was once a small-scale administrative function but has now become a foundational part of healthcare operations, influencing everything from claims processing and member experience to compliance, quality scores, and patient outcomes. As site provider networks expand, affiliations multiply and care delivery grows more complex, the systems responsible for managing provider data have struggled to keep pace.

For payers, every hiccup in provider data management (PDM) aggravates an already stressed system. Errors in provider directories or credentialing data lead to provider and member abrasion and denied claims. Operational breakdowns increase administrative costs and workforce attrition. And evolving regulatory requirements, from NCQA standards to the No Surprises Act and Transparency in Coverage rules, raise the stakes even higher.

Provider data management (PDM) has become one of the most critical (and most challenging) administrative functions in healthcare. As provider networks grow more complex and clinicians practice across multiple locations, health systems, and affiliations, maintaining accurate, up-to-date provider data has become increasingly difficult.

The notion of applying a quick fix is something that everyone in health care can relate to. It speaks to problems that are clearly recognized, repeatedly addressed at the surface, but never truly solved.

Dr. Hernandez* is an orthopedist who practices in a small town. She just opened up a small clinic where she works with a nurse and a nurse practitioner to serve the town’s population.