“Collaborating to Take Costs Out of the Business of Healthcare”

August 2015
Collaborative projects are advancing operational efficiencies, improving health plan and provider relations and reducing millions in costs for the healthcare system at large, according to examples recently provided by senior executives from three national health plans at AHIP Institute 2015. The presentation by CAQH explored the advantages of using industry-wide collaboration to improve routine business processes. In the session, titled “Collaborating to Take Costs Out of the Business of Healthcare,” panelists explained how this approach helps ease the burden on individual health plans and… Read more »
August 2015
At the inaugural hearing of the Affordable Care Act (ACA)-mandated Review Committee in June, CAQH CORE presented compelling testimony that operating rules have resulted in significant contributions to the business needs of the healthcare industry. CAQH CORE also emphasized that many opportunities still exist to use operating rules to achieve interoperable data exchange. The Review Committee was created via the Affordable Care Act to periodically review existing administrative transactions for which standards, code sets, identifiers, or operating rules have already been adopted by mandate and… Read more »