Provider Lifecycle Management in Healthcare

This whitepaper examines the challenges and solutions related to Provider Lifecycle Management (PLM) in the healthcare industry. It outlines the current state of the provider-payer data exchange process, highlighting the complexities involved in managing contracts with multiple payers, each having unique onboarding processes. The paper details how the lack of standardization complicates data sharing, leading to inefficiencies, high administrative costs, and poor data quality. It emphasizes the need for a cohesive data strategy and the establishment of trust between payers and providers to create a holistic health ecosystem. The document also discusses the impact of poor data quality on downstream processes, including primary care provider assignments and claims processing, which ultimately affect member experience and operational costs. The vision presented is for an end-to-end digital PLM solution that can enhance collaboration and transform care experiences by addressing the fundamental issues within the payer-provider relationship.