September 2019

CAQH CORE and HL7 Announce Collaboration

September 2019

CAQH CORE and Health Level Seven International (HL7) have come together to accelerate automation and improve interoperability between healthcare administrative and clinical systems.

Though this is the first time that these organizations have collaborated on solutions specific to technical and administrative burdens, their complementary individual work has helped improve the electronic exchange of data across the healthcare industry.

CAQH CORE Comments on Administrative Burdens to HHS and CMS

September 2019

In response to a request for information (RFI) from HHS and CMS, CAQH CORE submitted comments on “Reducing Administrative Burden to Put Patients over Paperwork,” an initiative to focus the healthcare delivery system on patient-centered care, innovation and outcomes.

In the response, CAQH addressed:

Moving Medicaid Plans Beyond Pay and Chase

September 2019

For health plans, coordinating benefits is challenging under the best of circumstances. Due to the complexity of payment systems, and a lack of data uniformity, interoperability and transparency, most plans rely on recovery vendors to identify third-party liability after claims are paid. It is a highly manual and inefficient system that results in overpayments going uncollected and significant increases in costs and labor efforts.

CAQH Presents to National Conference of State Legislators

September 2019

This summer, CAQH spoke to members of the NCSL Insurance Task Force on initiatives to streamline the business of healthcare and improve provider data.

In August, CAQH Director of State Relations, Randi Chapman, addressed the task force at the NCSL summit, which was attended by legislators from across the country, AHIP, BCBSA, the American Dental Association and other industry groups.