CAQH Press Releases | Affordable Quality Health Care Press | News

WASHINGTON, DC - 3/20/19

CAQH CORE has awarded more than 350 certifications to healthcare organizations that conform to CAQH CORE Operating Rules. In becoming certified, these entities – which include health plans, Medicaid programs, providers, vendors and more – demonstrate their commitment to automation, interoperability and efficient business processes.

Technology delivers better data, more efficiently, with less provider abrasion

WASHINGTON, DC - 3/14/19

CAQH® has developed patent-pending artificial intelligence (AI) technology to identify incorrect healthcare provider data and improve the accuracy of directories without contacting the provider. Health plans can use the findings to improve data quality and decide which office locations and other information about a provider to publish in their directories.

MD-Staff now generates CAQH ProView for Groups-compatible rosters that can be submitted to multiple plans at once

WASHINGTON, DC and TEMECULA, CA - 2/28/19

Applied Statistics & Management Inc. (ASM) and CAQH® today announced that they are working together to make it easier for large provider groups to share credentials and other information with health plans. MD-Staff, the ASM flagship credentialing system, now automatically generates rosters that may be uploaded directly into CAQH ProView for Groups, enabling provider organizations to submit information about their providers accurately and efficiently with multiple health plans at once.

WASHINGTON, DC - 1/23/19

Leading managed care plans in Tennessee have adopted CAQH ProView  to increase the accuracy of provider data in the state. Participating plans include Amerigroup Tennessee, BlueCross BlueShield of Tennessee, and UnitedHealthcare.

Opportunity for $12.4 billion in additional savings exists through further automation

WASHINGTON, DC - 1/16/19

CAQH released the 2018 Index today, which reveals that the healthcare industry continues to make progress automating business processes. Electronic adoption and transaction volume increased, with several common transactions reaching 80 percent electronic adoption across the sector. This progress resulted in a narrowing of the cost savings opportunity for the first time in CAQH Index history.