EPISODE · Jun 2, 2026 · 48 MIN
Why Shared Credentialing Has Failed Every Time (and Why It's Different Now) | Tyler Ford
from Provider Data Dorks · host CertifyOS
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.What's covered in the first episode of Provider Data Dorks with Tyler Ford:Why provider data is a definitions problem, a technology problem, and an incentives problem all at once and why that intersection is what makes it so hard to solveThe credentialing standoff: health plans need accuracy and compliance; providers need speed. Why bridging those two priorities has never workedThe one provider data standard that actually succeeded (the CRED App), why it worked, and the lesson the industry hasn't learned from itWhy standards without enforcement are just suggestions and what No Surprises Act implementation taught the industry about accountabilityWhat Tyler calls the "Gordian knot" problem: why shared credentialing isn't one solvable problem but a system of layered complexity in technology, incentives, process, and peopleThe five pillars of CertifyOS's shared credentialing model and why Tyler thinks the conditions to finally make it work are actually hereWhy the shift toward consumer-driven health plans (ICHRA/ECS) is about to make clean provider data mission-critical for health plan survivalSubscribe to the show on YouTube, Spotify, and Apple Podcasts, or wherever you get your podcasts.
What this episode covers
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.What's covered in the first episode of Provider Data Dorks with Tyler Ford:Why provider data is a definitions problem, a technology problem, and an incentives problem all at once and why that intersection is what makes it so hard to solveThe credentialing standoff: health plans need accuracy and compliance; providers need speed. Why bridging those two priorities has never workedThe one provider data standard that actually succeeded (the CRED App), why it worked, and the lesson the industry hasn't learned from itWhy standards without enforcement are just suggestions and what No Surprises Act implementation taught the industry about accountabilityWhat Tyler calls the "Gordian knot" problem: why shared credentialing isn't one solvable problem but a system of layered complexity in technology, incentives, process, and peopleThe five pillars of CertifyOS's shared credentialing model and why Tyler thinks the conditions to finally make it work are actually hereWhy the shift toward consumer-driven health plans (ICHRA/ECS) is about to make clean provider data mission-critical for health plan survivalSubscribe to the show on YouTube, Spotify, and Apple Podcasts, or wherever you get your podcasts.
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Why Shared Credentialing Has Failed Every Time (and Why It's Different Now) | Tyler Ford
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