PRESS RELEASE 01/16/19

CAQH released the 2018 Index today, which reveals that the healthcare industry continues to make progress automating business processes. Electronic adoption and transaction volume increased, with several common transactions reaching 80 percent electronic adoption across the sector. This progress resulted in a narrowing of the cost savings opportunity for the first time in CAQH Index history.

PRESS RELEASE 12/13/18

CAQH today announced upcoming advanced new functionality for VeriFideTM, the automated solution that authenticates the accuracy and completeness of credentialing information submitted by healthcare providers to health plans. These latest updates to the primary source verification (PSV) solution offer plans real-time visibility into the credentialing status of each provider throughout the verification process.

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 10/04/18

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.

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.