CAQH Press Releases | Affordable Quality Health Care Press | News

WASHINGTON, DC - 2/18/20

CAQH, an industry alliance working to transform the business of healthcare, today announced that Humana Inc. (NYSE: HUM), one of the nation’s leading health and well-being companies, has joined other national health benefits companies in the effort to improve the accuracy of health care provider directories by participating in CAQH DirectAssure®.

Over 80 percent of industry stakeholders agree to time limits on requests for supporting information and final determinations on prior authorizations 


CAQH CORE, a multi-stakeholder organization representing a broad spectrum of health plans, providers, vendors, and government entities, has voted to set two-day time limits on how quickly health plans must request additional supporting information from providers and make final determinations on prior authorization requests.

Of the $350 billion widely cited as the cost of administrative complexity, $40.6 billion is spent on eight business transactions 

WASHINGTON, DC - 1/21/20

CAQH® today released the seventh annual report measuring the progress made by the healthcare industry in reducing the costs and burden associated with administrative transactions through automation. The 2019 CAQH Index found that, of the $350 billion dollars widely cited as the cost of administrative complexity in the US healthcare system, $40.6 billion is spent on eight administrative transactions.