Data Dilemma: How Inaccurate Information Undermines Payer Network Strategies

Even with record investments in network design, health plans continue to struggle with unreliable data, limiting visibility into provider performance, member access, and network competitiveness. A new survey conducted with Becker’s Healthcare reveals the extent of these data challenges and why they’re holding health plans back. 

What Did We Discover?

Executives from 100 health plans shared their perspectives, and the message is clear: Smarter healthcare networks require smarter data.

With increasing regulatory pressures and challenges like ghost providers, payers can’t rely solely on network adequacy metrics. They need claims-based insights to understand whether providers are truly delivering care.

What’s Inside the Report? 

This exclusive report explores the most pressing data challenges and what high-performing plans are doing differently.

Download the Report to Discover:

• Why executives lack confidence in cost and access metrics
• How claims-based validation is being integrated into network adequacy standards
• The tools helping payers reduce ghost providers and strengthen their market position