CAQH Press Releases | Affordable Quality Health Care Press | News

WASHINGTON, DC -

CAQH today announced that Rick Ratliff has joined the organization as Senior Vice President for Business Development and Marketing.

CAQH CORE convenes stakeholders from across healthcare to develop recommendations for meeting No Surprises Act requirements

WASHINGTON, DC -

WASHINGTON, DC—NOVEMBER 9, 2021—CAQH CORE released guidance today for how healthcare providers and plans can meet the Advanced Explanation of Benefits (EOB) requirements included in the No Surprises Act, signed into law in December 2020.

TDRAAP accreditation program paves the way for apps and plans to connect and
for consumers to gain greater access to their healthcare data

WASHINGTON, DC -

CAQH and the Electronic Healthcare Network Accreditation Commission (EHNAC) have partnered to provide incentives for application developers participating in the CAQH Endpoint Directory to become accredited through the

Centralized resource streamlines information sharing between health plans, Medicaid agencies and third-party app developers ahead of CMS Interoperability and Patient Access rule deadlines

WASHINGTON, DC -

CAQH today announced the launch of the CAQH Endpoint Directory, a centralized repository of validated payer FHIR endpoints and third-party applications.

Costs for electronic processing have decreased as costs for manual and partially electronic transactions have increased, resulting in opportunities for future savings

WASHINGTON, DC -

CAQH today released the eighth annual report measuring the progress made by healthcare payers and providers in automating administrative transactions. The 2020 CAQH Index found that, of the $372 billion widely cited as the cost of administrative complexity in the US healthcare system, the industry can save $16.3 billion by fully automating nine common transactions.

Guidelines establish consistent industry expectations for sharing of patient attribution information and exchanging data

WASHINGTON, DC -

CAQH CORE, a multi-stakeholder organization representing a broad spectrum of health plans, providers, vendors and government entities, today released new operating rules for patient attribution data exchange and an update to existing connectivity rules.

CAQH Pharmacy Services Index examines administrative workflows and opportunities for further automation of the pharmacy sector

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CAQH today released the first CAQH Pharmacy Services Index, a report that examines levels of automation among pharmacy benefit managers (PBMs) for three common administrative transactions. This initial research suggests that PBMs generally conduct a higher percentage of these transactions electronically than medical plans, likely due to different workflows, volumes and levels of transaction complexity.  

Solution will facilitate how health plans, Medicaid agencies and third-party apps find and share technology connections to provide consumers greater access to their healthcare data

WASHINGTON, DC -

CAQH today announced the development of a centralized directory of validated payer FHIR endpoints and third-party applications. This solution will simplify how healthcare organizations and app developers connect with each other to help consumers access and transfer their healthcare information.

WASHINGTON, DC -

CAQH today announced its support for a resolution passed by the National Lieutenant Governor’s Association (NLGA) recognizing the need for administrative simplification in our nation’s healthcare system.

Certification underscores CAQH commitment to the higest standard of protecting sensitive private healthcare information 

WASHINGTON, DC -

CAQH®, a nonprofit alliance focused on simplifying the business of healthcare, today announced that the organization has earned certifications for information security by the Health Information Trust (HITRUST) Alliance for CAQH ProView®, COB Smart®, EnrollHub®, DirectAssure®, Ve