CAQH Press Releases | Affordable Quality Health Care Press | News

WASHINGTON, DC - 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.

WASHINGTON, DC - 11/14/18

CAQH®, an industry alliance working to transform the business of healthcare, today announced 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.”

Industry expert will lead multi-stakeholder efforts to promote efficient, secure electronic data exchange across payment models

WASHINGTON, DC - 10/23/18

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.

Streamlined, automated process delivers higher quality data, more efficiently

WASHINGTON, DC - 10/4/18

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.

WASHINGTON, DC - 10/1/18

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.

Industry veteran will work with CAQH participating plans, providers and other stakeholders to advance the organization's mission of streamlining the business of healthcare

WASHINGTON, DC - 9/25/18

CAQH® announces Mark Pratt as the organization’s Senior Vice President of Public Affairs. In this role, Pratt will lead CAQH state and federal government relations, regulatory affairs and public policy efforts to advance the organization’s mission to transform business processes in healthcare.


HealthCare Administrative Solutions (HCAS), a non- profit organization of Massachusetts based health plans, has selected DirectAssure®, a CAQH Solution®, to improve the quality and timeliness of healthcare provider directories for its member health plans that operate throughout New England.

State agencies and health plans covering 44% of all Medicaid enrollees demonstrate commitment to automation, efficient processes through CORE Certification; remaining payers have an opportunity for savings, operational improvements

WASHINGTON, DC - 8/13/18

CAQH CORE® today announced that 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 for electronic transactions as verified by certification.

In letter to authors of the Consensus Statement on Improving Prior Authorization, CAQH CORE highlights areas of agreement, opportunities to address burdens on healthcare providers, health plans and patients

WASHINGTON, DC - 7/26/18

The Board of CAQH CORE®, a collaboration of more than 130 public and private entities across the healthcare industry, today released an open letter to the authors of the Consensus Statement on Improving the Prior Authorization Process, which include the American Hospital Association (AHA), America’s Health Insurance Plans (AHIP), American Medical Association (AMA), American Pharmacists Association (APhA), Blue Cross Blue Shield Association (BCBSA) and Medical Group Management Association (MGMA). In the letter, the CAQH CORE Board endorses the statement and urges ongoing cooperation to reduce healthcare costs, ease administrative burdens and improve continuity of care and the patient experience.

HITRUST Certification validates CAQH commitment to meeting key healthcare regulations and protecting sensitive private healthcare information.

WASHINGTON, DC - 6/18/18

CAQH®, a nonprofit alliance focused on simplifying the business of healthcare, today announced that the stated portfolio of CAQH Solutions® has earned Certified status for information security by the Health Information Trust (HITRUST) Alliance.