Industry expert will lead multi-stakeholder efforts to promote efficient, secure electronic data exchange across payment models
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.
“If we can increase the level of automation across healthcare business processes, everyone will benefit,” said Robin Thomashauer, President of CAQH. “We’re thrilled to have April leading this effort.”
Prior to joining CAQH, April led data, analytic, strategic and product development functions focused on value-based care for Avalere Health, an Inovalon Company. Previously, she established the Minnesota health insurance exchange (MNsure), served as Minnesota’s State Health Economist, and held leadership roles at UnitedHealth Group.
A multi-stakeholder collaboration of public and private entities across the healthcare industry, CAQH CORE drives the creation and adoption of healthcare operating rules that support standards, accelerate interoperability, and align administrative and clinical activities among providers, payers and consumers. CORE Certification is the gold standard for demonstrating market adoption and adherence to operating rules to exchange data efficiently and effectively.
“Inefficiencies and outdated business practices burden payers and providers, and hinder the delivery of high-value care to patients,” April Todd said. “By bringing all stakeholders together, CAQH CORE and Explorations are driving and measuring major changes in the industry. I am proud to be leading these efforts.”