CAQH, a nonprofit alliance of health plans and related associations, recently received the “Excellence in Health IT Award” from the Workgroup for Electronic Data Interchange (WEDI). Presented during the WEDI annual meeting on December 6, the award recognizes organizations and individuals that have made outstanding contributions to the advancement of information technology (HIT) and eCommerce technology in healthcare.
CAQH Press Releases | Affordable Quality Health Care Press | News
Humana, Texas Medicaid and PokitDok first to complete Phase IV Certification
Today, CAQH CORE announced the launch of Phase IV Operating Rules Certification testing. Organizations can now verify that they are following these operating rules for the electronic exchange of administrative data. The Phase IV rules apply to prior authorizations, healthcare claims, employee premium payment, health plan enrollment and disenrollment, and other transactions.
Federal Employees Health Benefits programs achieve CORE Certification to advance interoperability and seamless electronic data sharing
CAQH CORE®, a collaboration of more than 130 public and private entities across the healthcare industry, has announced that three Federal Employees Health Benefits (FEHB) plans have become CORE-certified. Together, the APWU Health Plan (APWUHP), GEHA and National Association of Letter Carriers Health Benefit Plan (NALC-HBP) cover more than one million federal employees, retirees and their family members.
The ADA® credentialing service, powered by CAQH ProView®, will help reduce repetitive paperwork
In an effort to reduce administrative burdens for all dentists, the ADA and CAQH have formed a strategic alliance to help streamline the credentialing process for dentists, dental plans and employers. The ADA® credentialing service, powered by CAQH ProView®, enables dentists to enter their professional and practice information one time in an easy-to-use, fast and protected digital platform.
CAQH has been named one of the Best Places to Work in Healthcare in 2017 by Modern Healthcare magazine. The organization achieved this honor for the second year in a row.
The “Best Places to Work in Healthcare” recognition program, now in its tenth year, honors workplaces throughout the healthcare industry that empower their employees to provide patients and customers with the best possible care, products and services.
Cynthia West has been named Managing Director, Business Development and Account Management, at CAQH. A senior executive with expertise in both healthcare payer and provider sales and client development, West now oversees all sales and account functions at the organization.
“Cynthia has extensive experience in cultivating strong relationships with both health plans and providers,” said Robin J. Thomashauer, CAQH Executive Director. “She brings a successful track record of strategic team-building and deep knowledge of the healthcare system to CAQH,” she said.
CAQH Convenes Participants in Industry-Wide Collaboration
A cross-section of healthcare leaders has begun work on a wide-ranging effort to improve the accuracy of provider data for both industry stakeholders and patients. Convened by the non-profit alliance CAQH, the Provider Data Action Alliance will develop a roadmap that articulates a vision and actionable strategies for obtaining and sharing better information. Alliance participants represent health, dental and vision plans; provider organizations; health systems; government; and health information exchanges.
Yuvi Kochar is the new Managing Director, Technology and Operations for CAQH, a non-profit alliance of health plans and trade associations that develops solutions to long-term business inefficiencies in healthcare. Kochar has held senior technology leadership positions across industries, including healthcare, media, education and insurance.
Rapidly growing segment of the healthcare economy turns to CORE Certification to improve electronic data sharing
The CAQH Committee on Operating Rules for Information Exchange® (CORE®) today announced that provider-owned health plans are seeking CAQH CORE Certification to go above and beyond regulatory requirements and improve electronic information sharing. To date, Boston Medical Center Health Plan, Providence Health Plan and UPMC Health Plan have completed testing and have been awarded certifications.
Goal is Industry-wide Sharing of Primary Source Verification Data for Healthcare Providers
The non-profit alliance CAQH today announced the launch of a new electronic solution, VeriFide™, that streamlines primary source verification of the healthcare provider information required for health plan credentialing decisions.
VeriFide will immediately improve the quality, speed and integrity of provider data sent to health plans as part of the credentialing process. Over time, plans will be able to share a common data set of verified information for the providers in their networks, reducing administrative costs by eliminating the need for each plan to manage its own data verification process. The solution will also reduce the administrative burden on providers by decreasing the repetitive requests from multiple plans seeking the same information.