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CMS Is Publishing Your Provider Directory: Publicly, Daily, and by Name

A new CMS rule is making Medicare Advantage provider directory accuracy public, measurable, and a C-suite responsibility. Here's what plans need to know before the September 2026 deadline.

Sury Agarwal

CMS Is Publishing Your Provider Directory: Publicly, Daily, and by Name

Case Study: How Sana Benefits Scaled Care Navigation

Case Study: How Sana Benefits Scaled Care Navigation

As Sana scaled its care navigation model, fragmented provider data slowed referrals and limited growth. By partnering with Candor, Sana replaced disconnected data sources with a single, continuously validated provider intelligence platform, cutting referral time in half and enabling faster, more reliable care navigation at scale.

The Overlooked Bottleneck of Provider Data Accuracy

The Overlooked Bottleneck of Provider Data Accuracy

Accuracy failures rarely originate where teams look for them. They begin at provider roster ingestion, where inconsistent formats, missing fields, and incorrect data quietly introduce downstream risk. Getting ingestion right creates cleaner data, faster issue detection, and scalable accuracy.

Lucky Tavag

Provider Data Accuracy Without Compromising Network Adequacy

Provider Data Accuracy Without Compromising Network Adequacy

Provider data accuracy and network adequacy are deeply connected, yet often at odds. In this Modern Healthcare article, learn how improving accuracy reveals access gaps and how health plans can stay compliant while protecting member access.

Sury Agarwal

Webinar Roundup: Four Takeaways for Smarter Provider Data Systems

Webinar Roundup: Four Takeaways for Smarter Provider Data Systems

Accurate provider data is now essential. Learn how Candor Health, CertifyOS, and Oscar Health are advancing scalable, interoperable systems that protect compliance and improve member experience.

Sury Agarwal

CertifyOS Announces Partnership with Candor Health

CertifyOS Announces Partnership with Candor Health

CertifyOS and Candor Health Partner to Solve Provider Data Accuracy with an End-to-End Integrated System

Understanding the REAL Health Providers and No Surprises Acts

Understanding the REAL Health Providers and No Surprises Acts

Explore the key differences between the No Surprises Act (NSA) and REAL Health Providers Act.

Sury Agarwal

Redefining How Care is Found: A Smarter and Simpler Search

Redefining How Care is Found: A Smarter and Simpler Search

A significant majority of patients, around 60-80 percent, now start their healthcare journey by searching for health information online; however, 65 percent of U.S. adults feel managing healthcare is “overwhelming” and “time-consuming.”

Julianne Zech

Building Inclusive Healthcare for LGBTQ Communities

Building Inclusive Healthcare for LGBTQ Communities

LGBTQ individuals often face significant barriers to receiving equitable and compassionate healthcare.

Julianne Zech

Improving Healthcare Interoperability with Accurate Provider Data

Improving Healthcare Interoperability with Accurate Provider Data

Real-World Solutions for Records Requests and Patient Referrals

Rob Nolan

Navigating Provider Data Challenges in Mental Health

Navigating Provider Data Challenges in Mental Health

A New York State Attorney General report revealed that 86% of listed in-network mental health providers were not available or not in-network.

Julianne Zech

Introducing Clinical Expertise

Introducing Clinical Expertise

A common challenge faced in the healthcare industry is being able to search and find the doctors and facilities that specialize in treating a certain condition.

Julianne Zech

Helping Aligned Marketplace Build a Quality and Reliable Provider Network

Helping Aligned Marketplace Build a Quality and Reliable Provider Network

Finding a doctor is hard, as you may know if you've tried to book an appointment with a doctor through your insurance company's website. What's worse? On average, you'll need to call four different doctors just to find one who can actually see you.

Sury Agarwal