Google offers more accurate provider information than many health plan directories, according to a study recently published in the American Journal of Managed Care.
For the study, Austin Frakt—a health economist who holds positions at Veterans Affairs, Boston University's School of Public Health, and the Harvard T.H. Chan School of Public Health—and other researchers examined the accuracy of various health plan provider directories by reviewing CMS' National Plan and Provider Enumeration System (NPPES) file, Medicare Advantage (MA) directories found on health plans' websites and other online sources, machine-readable (MR) health insurance directories for exchange plans, and Google Places in five counties.
The researchers determined accuracy by contacting provider practices and using text-matching techniques. They also interviewed 21 stakeholders, including CMS officials and state regulators.
The researchers identified three types of inaccuracies across provider directories:
According to the researchers, Google Places provided more accurate provider information than conventional MA directories, and conventional MA directories provided more accurate information than MR directories for exchange plans.
For example, the researchers said they were able to confirm 73% of providers' address information listed on Google Places, compared with 72% in MA directories, 67% in CMS' NPPES file, and 65% in MR health insurance exchange directories:
The researchers also found that directories from the same insurer in some instances included conflicting information. The researchers wrote, "We … found that provider directories from insurers with MA and exchange plans did not report the same phone number 50% of the time and did not list the same address 31% of the time."
The researchers attributed the inaccuracies to:
Michael Adelberg, the study's lead author who has held senior positions at CMS and currently leads health care strategy at the law firm Faegre Baker Daniels, said, "Directory accuracy is hard. But when a consumer joins a plan to get to a doc in the directory and then cannot, that consumer has a very legitimate beef."
Overall, the researchers recommended that, to address the directory inaccuracies:
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