SPH Analytics conducts Provider Access Audits to ensure patients and members have appropriate access to care and providers are meeting health plan standards. For health plans, access to care can have a significant impact on the members’ overall satisfaction and loyalty to the plan. In fact, most states have requirements around member access to physicians. For providers, access to care also influences patient satisfaction and can have a serious impact on the patient’s quality of care and health outcomes.
SPH’s Provider Directory Verification Program ensures healthcare organizations provide up-to-date physician information, stay in compliance with CMS, and satisfy NCQA accreditation standards.
Roughly half of 4.5 and 5 Star plans plans (47%) analyze ease of access to providers for their members via SPH’s Provider Access solution