Oscar Health + Certify
In 2022 Oscar Health, a national Health Plan serving 1.5M members, and Certify, the industry's premier provider data intelligence platform partnered to improve provider network operations at Oscar Health. The initial goals of the partnership were to improve the provider experience, decrease administrative costs, and improve provider data quality. These goals were going to be focused on provider monitoring, credentialing, and credentialing efforts as Oscar Health scaled their provider network nationally. Both organizations are extremely proud to say we've seen tremendous results including significant decreases in cost, more efficient operations, and improved provider satisfaction.
Share this article:
RELATED ARTICLES
- BlogCarla Simmons joined Certify in March 2022 and was promoted to Director of Operations in January 2024. She graduated from Tennessee State University with a BS in Cardio-Respiratory Care Science. Her previous employers include Humana and Centene Corporation. While she was born in Toronto, Carla grew up in the Bronx in New York City. Currently, she lives in Metro-Atlanta with her husband and 2 young adult children. Outside of work, Carla loves all things Arts & Crafts, as well as traveling and volunteering in her community. Carla also enjoys spending time with her family, especially with her twin sister.
- BlogZoltan joined Certify in February 2024 as Sr. VP of Engineering. Zoltan brings a wealth of experience and passion to his role through a diverse background, including serving as a Water Polo Timing Official at Aragon High School in San Mateo, CA and coaching rowing from 2002 to 2003. Zoltan lives with his wife, 3 children, 2 cats, and dog in California. He recently participated as a panelist at HiPaaS 2024, showcasing his commitment to advancing the future of AI in healthcare.
- BlogIn the complex world of healthcare, the relationships between payers and providers can often become strained. This strain, commonly referred to as "provider abrasion," signifies the friction that can arise from misunderstandings, miscommunications, and procedural inefficiencies. These challenges can impact the efficiency of care delivery and the overall satisfaction of both providers and patients. In this post, we will delve into the concept of provider abrasion and explore effective strategies to reduce it, fostering smoother and more productive collaborations in the healthcare ecosystem.