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.
CAQH Press Releases | Affordable Quality Health Care Press | News
Costs for electronic processing have decreased as costs for manual and partially electronic transactions have increased, resulting in opportunities for future savings
Guidelines establish consistent industry expectations for sharing of patient attribution information and exchanging data
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
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
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.
Certification underscores CAQH commitment to the higest standard of protecting sensitive private healthcare information
CAQH today announced that Roger Mermelstein has joined the organization as Senior Vice President, Business Development. In this role, he will lead sales and account management for the non-profit alliance’s health plans and other participating organizations, and serve on the CAQH leadership team.
An accomplished executive with a proven track record building high performing teams, Mr. Mermelstein is recognized across the healthcare industry for his ability to develop long-term client relationships built on trust and exceptional service.
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.