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.
CAQH Press Releases | Affordable Quality Health Care Press | News
Technology delivers better data, more efficiently, with less provider abrasion
MD-Staff now generates CAQH ProView for Groups-compatible rosters that can be submitted to multiple plans at once
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.
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
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.
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.
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
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
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.
Industry veteran will work with CAQH participating plans, providers and other stakeholders to advance the organization's mission of streamlining the business of healthcare
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.