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THE CERTIFYOS PODCAST

Why provider data is broken — and what health plans can do about it

Episode 1 · June 2, 2026 · 49 min

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ABOUT THE SPEAKERS

Meet this episode’s guests

Nick Helfrich
Nick HelfrichChief Growth Officer, CertifyOS
Mitch Gorodokin
Mitch GorodokinSenior Vice President of Business Development, CertifyOS
Tyler Ford
Tyler FordSenior Vice President, Union Healthcare Insight

EPISODE DESCRIPTION

Provider data has been called the invisible backbone of healthcare. It drives directories, network adequacy, credentialing, claims… basically everything. And in most organizations, it's still managed through spreadsheets, siloed systems, and a stack of vendors that don't talk to each other. So why hasn't the industry fixed it? Tyler Ford has spent his career at the center of that question, from the Advisory Board to UnitedHealth Group to his current role as SVP of Strategy and Operations at Union Healthcare Insight. He's one of the few people who has seen this problem from every angle: the plan side, the regulatory side, and the advisory side. And in this conversation, he doesn't pull punches.

Key takeaways

17 plansProviders are still asked to repeat the same credentialing workflow across plan after plan, creating avoidable administrative burden before they can see patients.
1 source of truthShared credentialing has failed because healthcare still lacks a trusted, designated system of record for verified provider data.
50 statesState-level rules, Medicaid requirements, Medicare, commercial lines, and plan-specific standards make “one packet for everyone” much harder than it sounds.
5 pillarsCertifyOS’s shared credentialing model is built around one portal, aligned recredentialing dates, subscription economics, strong SLAs, and highest-standard verification.

TRUSTED BY HEALTH PLANS AND PROVIDER GROUPS NATIONWIDE

Meridian HealthCenteneMolina HealthcareOscar HealthAlignment Healthcare
“Healthcare is heading toward a forced efficiency leap. The industry can’t keep funding administrative waste.”

— Tyler Ford, Union Healthcare Insight

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