Resources

Many people assume significant changes to systems or processes take months, require major overhauls, and involve onerous work to get stakeholder buy-in. This can be true, but sometimes it just takes one person, system, or group to simply draw a line in the sand and say, “This is going to be different. We’re setting a new standard.”

Recently, Certify hosted Blueprint 2025, its first provider data leadership summit.

We’ve all heard the headlines: AI is taking over because it’s better, faster, and cheaper than the human alternative. This may be true in some industries, but that’s not the case when it comes to healthcare. In fact, recent data paints a very different picture.

Simon Maas is originally from Vancouver, BC where he grew up in a family of physicians. He earned his BA from Harvard where he was also on the varsity lightweight rowing team. He’s been the COO at Certify since October 2023 and lives with his family in Los Angeles.

For health plans, maintaining accurate provider information is essential for regulatory compliance and claims processing. Delegated credentialing serves as a valuable strategy to offload administrative tasks, but it also creates new challenges. While delegated entities manage their provider rosters by verifying and monitoring providers, a significant issue arises when these entities return rosters in incomplete, inconsistent, or incompatible formats. This creates a substantial burden for health plan teams who must manually clean, validate, and ingest this data into their specific data schema and format that drives downstream business processes.

Credentialing is an essential part of enrolling your providers in new health plans so you can tap into new patient markets. But it also involves many time-consuming verification steps and strict regulatory requirements—and you’re often stuck waiting on payers to handle them.

The landscape of 21st-century medicine is shifting more rapidly than ever. This is certainly the case for digital health. While technology enables health care practitioners to practice across state boundaries, licensing structures have not evolved fast enough to keep up. Individual U.S. states or territories issue these licenses, and the process must be completed for each state where a provider intends to practice. Navigating this landscape is complex and expensive. Nevertheless, ensuring that healthcare providers meet licensing requirements is essential to delivering safe and compliant care in this changing environment. This guide will help digital health companies navigate the complexities of medical licensing to ensure compliance across state lines.

Our interviewee, Juliana Van Daele, brings a wealth of experience and a diverse background to Certify. Originally from Manhattan and raised in New Jersey, she attended Santa Clara University, where she earned a BA in Communications and Art History and competed on the lacrosse team. Her career includes positions at prominent organizations such as Google, Babylon, Genentech, and Sword Health, where she honed her skills and earned a Project Management certification. She has lived in London, Brazil, and New York, but currently resides in Newport Beach, California, with her husband, their new daughter, and their two dogs, Moses and Jude.