PRESS RELEASE 11/14/18

CAQH® announces that Humana has joined the organization and will serve on the CAQH board of directors. “We are thrilled that Humana is joining CAQH and will help lead the effort to improve healthcare business processes,” said Robin Thomashauer, President of CAQH. “Humana’s engagement will further advance our mission to make information sharing across the industry more accurate and efficient.”

Press Release 10/23/18

CAQH announced that April Todd has joined the organization as Senior Vice President of CAQH CORE and Explorations. In this role, she will be responsible for leading industry efforts to develop and adopt operating rules for electronic transactions across the continuum of fee-for-service (FFS) to value-based payment (VBP). She will also direct CAQH Explorations research functions, including the CAQH Index.

Press Release 10/04/18

CAQH has launched CAQH ProView for Groups, simplifying the way data is shared between delegated provider groups and health plans. This first-of-its-kind functionality replaces the highly manual processes widely used today with an intuitive, efficient module within CAQH ProView.

Press Release 10/01/18

For the third consecutive year, CAQH, an industry alliance working together to streamline the business of healthcare, has been named one of the “Best Places to Work” by Modern Healthcare.

Press Release 08/13/18

State agencies and health plans covering 44 percent of all Medicaid enrollees have achieved some level of CORE Certification. This compares to 78 percent for commercial health plans and 75 percent for Medicare Advantage plans. Medicaid agencies and health plans can save more than $4.8 billion annually by fully adopting CAQH CORE Operating Rules.

Press Release 07/26/18

The Board of CAQH CORE® released an open letter to the authors of the Consensus Statement on Improving the Prior Authorization Process, urging ongoing cooperation to reduce healthcare costs, ease administrative burdens and improve continuity of care and the patient experience.

Press Release 06/14/18

2017 CAQH Index

Increasing Automation of Claims-Related Business Transactions Would Save Healthcare $11.1 Billion Annually

Press Release 06/18/18

CAQH Achieves HITRUST Certification

With the HITRUST CSF Certified Status, CAQH infrastructure, security and privacy programs, as well as CAQH ProView®, DirectAssure®, VeriFide™, EnrollHub®, SanctionsTrack®, and COB Smart® meet key healthcare regulations and requirements for protecting and securing sensitive private healthcare information.

On-Demand Webinar

Keys to Improving Your Credentialing Process

Opportunities to lower costs and increase file accuracy are a few reasons why health plans are exploring ways to improve their provider credentialing process. Learn how Aetna has used VeriFide to streamline internal business processes, reduce provider abrasion, and increase cost savings in provider credentialing data verification.

*Registration required.

CAQH ProView

ADA and CAQH Simplify the Credentialing Process for Dentists

The American Dental Association and CAQH are working together to make it easier for dentists to enter and share their professional and practice data with dental plans.

DirectAssure

DirectAssure reduces the need for direct health plan outreach to providers, saving time and expense.