Oscar Health + Certify
In 2022 Oscar Health, a national Health Plan serving 1.5M members, and Certify, the industry's premier provider data intelligence platform partnered to improve provider network operations at Oscar Health. The initial goals of the partnership were to improve the provider experience, decrease administrative costs, and improve provider data quality. These goals were going to be focused on provider monitoring, credentialing, and credentialing efforts as Oscar Health scaled their provider network nationally. Both organizations are extremely proud to say we've seen tremendous results including significant decreases in cost, more efficient operations, and improved provider satisfaction.
Share this article:
RELATED ARTICLES
- BlogFor too long, healthcare organizations have been held back by fragmented data and manual processes. The tools meant to help—clunky portals and disconnected software—often become little more than digital filing cabinets, creating more administrative work than they eliminate. This legacy approach, built on manual data entry and periodic checks, is no longer sustainable. It’s slow, prone to error, and creates a significant drag on efficiency and compliance.
- BlogIn early 2025, McKinsey released a report claiming that by 2030, more than 30% of U.S. jobs will be automated and 60% significantly transformed by the use of AI. Ray Daloio, founder of the Bridgewater Hedge Fund, says he has started to worry about a “great deleveraging” where technology innovations outpace the speed at which new human roles emerge, leading to a massive impact on our economy.
- BlogAt first glance, provider data management appears to be a relatively straightforward endeavor: Health plans regularly collect and update provider information, aligning with regulatory requirements, ensuring that patients have access to high-quality care, and that providers are paid on time.