Articles and Updates

Podcast: Transforming Healthcare with CAQH - Erin Weber and Don Rucker on Data Quality and Interoperability
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Most Recent Articles and Updates

March 17, 2025
CAQH Establishes a Provider Advisory Council to Expand Provider Engagement and Advance Healthcare Data Solutions

February 19, 2025
CAQH Index Report Findings Featured at ViVE 2025

February 11, 2025
New CAQH Index Reveals $20B Savings Opportunity to Cut Waste, Reduce Costs, and Improve Patient Access

February 6, 2025
The Cost of Ignoring Women’s Health Extends Beyond Finances: Sarah Ahmad

February 5, 2025
Podcast: Transforming Healthcare with CAQH - Erin Weber and Don Rucker on Data Quality and Interoperability

January 22, 2025
CAQH's Ashley Blankette Named to The Top 50 Women Chief Product Officers of 2025

December 4, 2024
CAQH’s Kristina Rollings Talks Value-Based Care

November 12, 2024
CAQH and HiLabs Partner to Deliver Industry Leading Provider Data Solutions

November 6, 2024
Advancing Value-Based Care with Collaborative and Patient-Focused Strategies

November 4, 2024
Empowering Women Through Menopause with Better Care That Starts with Better Data

November 3, 2024
PODCAST: Using a data-driven approach to human-centered SDOH work

October 18, 2024
Beyond Directories: The Real Impact of Accurate Provider Data in Healthcare

October 9, 2024
Navigating Healthcare Data Security: A Roadmap for Health Plans and Their Partners

September 25, 2024
CAQH Names Ashley Blankette as Chief Product Officer to Lead Provider and Member Data Solutions

August 19, 2024
A Look at the Changes in RCM that Are Happening Now and Changes that Need to Happen

August 15, 2024
How to Master Cost Avoidance: Best Practices for COB Data Automation, Ingestion, and Curation

August 13, 2024
Revenue cycle analytics and how providers can help create best practices for the industry

August 13, 2024
5 Tips for a Successful Payment Integrity Healthcare Program

June 28, 2024
Celebrating Pride Month: Our Commitment to Diversity and Inclusive Care

June 24, 2024
Fierce Healthcare: Payer innovation council weighs improvements to provider data management experience

June 20, 2024
From HFMA: Engaging in operating rule development and adoption amidst the era of healthcare automation

June 11, 2024
Transforming Customer Support: The CAQH Approach to Customer Service

May 20, 2024
Chris Schaefer Appointed as Chief Financial Officer at CAQH

April 30, 2024
New and Updated CAQH CORE Operating Rules for Healthcare Payments and Claims Processing Efficiency

April 30, 2024
Exploring the New and Updated CAQH CORE Operating Rules

April 2, 2024
New CAQH Report Reveals Significant Differences in Administrative Costs

March 4, 2024
HHS Recommends CAQH CORE Operating Rules for federal adoption

February 6, 2024
CAQH Announces an Initiative with Leading Health Plans to Support Healthcare Providers and Improve Data Quality

January 30, 2024
2023 CAQH Index Report Reveals Transformative Forces

January 11, 2024
CAQH Announces Kim Koebel as the Organization’s First Chief Operating Officer and Erin Weber as new Chief Policy and Research Officer

August 14, 2023
CAQH Announces New CEO, Sarah Ahmad

July 20, 2023
Message from Health Care Claims Subgroup Co-Chairs: Rule Development Update

July 11, 2023
National Committee on Vital and Health Statistics (NCVHS) Recommends HHS Adopt CAQH CORE Operating Rules

June 29, 2023
A Message from the CAQH CORE Value-based Payment Co-chairs: Early Progress and Directions

June 26, 2023
Data Strategies for Every Health Plan

June 12, 2023
CAQH Unveils New Brand Highlighting Innovative, Data-Driven Approach to Streamlining Healthcare Administration

June 9, 2023
Breaking Down Barriers: The Impact of EHR Integrations on Healthcare Efficiency and Care Delivery

June 2, 2023
CAQH Recognized as Best Place to Work by Modern Healthcare

May 10, 2023
Improving Price Transparency in Healthcare with the No Surprises Act and the CAQH CORE Eligibility & Benefit Operating Rules

May 10, 2023
Two Million Healthcare Providers Trust CAQH Solutions to Securely and Seamlessly Exchange Professional Information with Health Plans and Other Organizations

April 19, 2023
Three Considerations for Building a Proactive COB Program

February 9, 2023
The Cost of Customization

February 9, 2023
Opportunity: Adopting Operating Rules with Attachment Standards

January 31, 2023
2022 CAQH Index: Health plans and providers can save nearly $25 billion annually by automating administrative transactions

December 20, 2022
Performant and CAQH Announce Strategic Partnership

November 3, 2022
A Message from the CAQH CORE Board Chairs: Support for the Proposed Operating Rules for Federal Mandate

September 22, 2022
What is value-based payment?

July 13, 2022
3 Challenges and Lessons Learned for FHIR Implementations

June 9, 2022
Healthcare Leaders Join the CAQH CORE Board

April 26, 2022
CAQH CORE Awards 400th Certification

April 20, 2022
New CAQH CORE Operating Rules Improve How Plans and Providers Exchange Information Related to Eligibility and Supplemental Documentation

March 16, 2022
Improving Health Plan Provider Directories

March 7, 2022
Why Automated Credentialing is Imperative for the Dental Industry

March 7, 2022
How Dental Plans Can Improve Provider Data Management

February 15, 2022
Alleviating the Administrative Burden of Credentialing for Dental Practices

January 31, 2022
2021 CAQH Index: COVID-Related Challenges Resulted in Increased Adoption of Electronic Business Processes and Greater Opportunities for Future Savings

January 12, 2022
Will You Meet the NSA Directory Requirements in Time?

December 15, 2021
CAQH Releases New Features to Streamline How Hospitals and Group Practices Manage Directory and Credentialing Information and Share It with Health Plans

November 15, 2021
Rick Ratliff Joins CAQH Leadership Team

November 9, 2021
CAQH CORE Releases Industry Guidance on Advanced Explanation of Benefits

September 7, 2021
CAQH CORE Welcomes Two New Board Members

August 9, 2021
CAQH Measures COVID-19 Impact on Healthcare Transaction Volumes

July 29, 2021
AultCare Becomes the First Organization to Earn CORE Recertification

June 30, 2021
Primary Source Verification Protects Patients

June 29, 2021
6 Things to Look for When Evaluating a COB Data Source

June 2, 2021
CAQH and EHNAC Partner to Provide Incentives for FHIR App Developers to Become Accredited

May 12, 2021
Provider Directory Accuracy Is Critical for Patient Well Being

April 21, 2021
CAQH Launches National Directory of FHIR Endpoints and Third-Party Apps

April 7, 2021
Provider Credentialing: Explained

March 24, 2021
Coordination of Benefits, Explained

February 25, 2021
CAQH CORE Launches New Participant Dashboard

February 8, 2021
Efficient Credentialing Has Never Been More Important for Medicaid Plans

February 5, 2021
February is National Provider Directory Data Improvement Month

February 3, 2021
CAQH 2020 Index: Automating Healthcare Administrative Transactions Has Reduced Annual Costs by $122 Billion, $16.3 Billion More Can Be Saved Through Further Automation

February 3, 2021
CAQH 2020 Index: Automating Healthcare Administrative Transactions Has Reduced Annual Costs by $122 Billion, $16.3 Billion More Can Be Saved Through Further Automation

January 14, 2021
New CAQH CORE Operating Rules Improve Connectivity and Accelerate Transition to Value-Based Payments

January 7, 2021
CAQH Previews Endpoint Directory at Virtual ONC Event

January 7, 2021
CAQH CORE Approves Operating Rules on Value-based Payments and Interoperability

January 7, 2021
CAQH Releases Inaugural Pharmacy Services Index

January 7, 2021
April Todd Interview on Prior Authorizations is AJMC's Most Popular Podcast of 2020

December 15, 2020
CAQH Study: Initial Results Show Pharmacy Administrative Transactions Are Highly Automated

November 17, 2020
New CAQH Report: Rural Providers Face Disproportionate Administrative Burdens Associated with Credentialing

November 17, 2020
CAQH CORE Releases Findings from Industry Survey on Exchanging Medical Documentation

November 17, 2020
April Todd Discusses Prior Authorization on Change Healthcare Podcast

October 8, 2020
CAQH CORE Shares Initial Findings of Prior Authorization Pilot & Measurement Initiative

October 8, 2020
CAQH Releases Annual Report

October 8, 2020
CAQH Contributes to Industry Study on Rising Healthcare Costs

October 8, 2020
CAQH Announces Development of National Directory of FHIR Endpoints

August 28, 2020
CAQH CORE Presents Prior Authorization Operating Rules for Federal Adoption

August 28, 2020
CAQH Shares Best Practices for Managing Coordination of Benefits in a Crisis

August 11, 2020
National Lieutenant Governors’ Association Passes Resolution Calling for Administrative Simplification in Healthcare

August 4, 2020
CAQH Achieves HITRUST CSF Certification for Third Consecutive Year

July 29, 2020
How It All Began

July 29, 2020
An Interview with Sorin Davis, Senior Vice President, Industry Relations

July 17, 2020
CAQH Recognized as Best Place to Work Five Years in a Row

June 24, 2020
SSI Group, Availity Achieve Additional CAQH CORE Certifications

June 24, 2020
Re-attestation Critical as Healthcare Organizations Return to Normal

June 24, 2020
Ensuring Accurate Coordination of Benefits During Remote Work

June 24, 2020
CAQH CORE Leads Virtual Discussions on Pressing Industry Issues

June 4, 2020
CAQH Announces Healthcare Industry Veteran Roger Mermelstein as Senior Vice President, Business Development

May 12, 2020
CAQH Employees Donate iPads to Children’s National Hospital

May 12, 2020
CAQH White Paper: Simplifying Provider Data Management

May 12, 2020
CAQH CORE Welcomes Epic to Its Board of Directors

May 12, 2020
Provider Directories and Access to Care

April 13, 2020
We Are All in This Together

April 13, 2020
Streamlining the CAQH ProView Application Process

April 13, 2020
CAQH ProView: Enhancements in Response to COVID-19

March 10, 2020
CAQH Hosts Third COB Smart Symposium

February 18, 2020
Humana Joins Industry Effort to Improve Provider Data and Directories through CAQH DirectAssure

February 18, 2020
Humana Joins Industry Effort to Improve Provider Data and Directories through CAQH DirectAssure

February 4, 2020
CAQH CORE Approves Two-Day Rule to Accelerate Prior Authorization Process

January 29, 2020
CAQH Releases 2019 Index

January 29, 2020
CAQH CORE White Paper: The Connectivity Conundrum

January 29, 2020
United Healthcare and Optum Earn Phase III CAQH CORE Certification

January 29, 2020
CAQH ProView: A Year in Review

January 21, 2020
CAQH 2019 Index: $13.3 Billion, 33 Percent of Healthcare Administrative Spend, can be Saved Annually Through Automation

November 22, 2019
CAQH Achieves HITRUST CSF Certification

November 22, 2019
CAQH White Paper: The Hidden Cause of Inaccurate Provider Directories

November 22, 2019
How Unclear Provider Data Contributes to Unexpected Medical Bills

October 28, 2019
Presentation Showcases How Medicaid Plans Can Improve Coordination of Benefits

October 28, 2019
Deadline Extended: Exchanging Medical Documentation Survey

October 28, 2019
Industry Collaboration Improves Provider Directories

October 28, 2019
Dental Market Expansion

October 28, 2019
Industry Progress on Improving Prior Authorizations

September 25, 2019
CAQH Presents to National Conference of State Legislators

September 25, 2019
CAQH CORE Comments on Administrative Burdens to HHS and CMS

September 25, 2019
CAQH CORE and HL7 Announce Collaboration

September 25, 2019
Moving Medicaid Plans Beyond Pay and Chase

July 31, 2019
NCQA Finds CAQH Solutions Beneficial in Supporting Accreditation

July 31, 2019
New CAQH CORE White Paper on Automating Prior Authorization

June 26, 2019
Leading Health Plans in Texas Adopt CAQH ProView

May 30, 2019
CAQH CORE Releases Phase V Operating Rules

May 30, 2019
Easing Access to Provider Directory Data

May 30, 2019
5 Opportunities to Fix Attachments

May 30, 2019
Participation in CAQH ProView for Groups Continues to Grow

May 22, 2019
Texas Health Plans Use CAQH ProView to Improve Provider Data Accuracy

March 26, 2019
AI Technology is Improving Provider Directories

March 26, 2019
Recommendations to the Senate HELP Committee

March 26, 2019
CAQH CORE Awards 350th CORE Certification

February 27, 2019
Prior Authorization Getting Much Needed Attention

January 30, 2019
Verifying Provider Credentials is Easier than Ever

January 30, 2019
Humana Joins CAQH

January 30, 2019
Collaboration is Improving Healthcare Provider Directories

November 5, 2018
CAQH CORE Calls for Work Group Participation to Help Improve Prior Authorization Process

November 5, 2018
CAQH Offers Solutions Suite to Improve Credentialing Process

September 12, 2018
CAQH CORE Backs Industry Collaboration to Improve Prior Authorization Process

September 10, 2018
Massachusetts Health Plans Select DirectAssure to Improve Provider Directory Accuracy

July 17, 2018
CAQH Earns HITRUST CSF Certification, Demonstrating Commitment to Information Security

May 31, 2018
CAQH Named One of the Best Places to Work in Healthcare for Third Consecutive Year

May 31, 2018
New Industry Roadmap Recommends Path Toward Sustainable Provider Data System

March 29, 2018
CAQH CORE Report Highlights Ways to Streamline Value-based Payment Operations

March 28, 2018
Data Quality Improves with DirectAssure Enhancements

December 18, 2017
Phase IV CAQH CORE Certification Opens for Prior Authorization and Other Electronic Transactions

December 18, 2017
CAQH Recognized for Excellence in Health IT by WEDI

December 18, 2017
Health Plan Strategies to Improve Directory Accuracy

October 24, 2017
New On-Demand Webinar: Keys to Improving Your Credentialing Process

October 24, 2017
CAQH Teams with the American Dental Association (ADA) to Simplify Credentialing Process for Dentists

October 24, 2017
CAQH CORE Issue Brief: Why the Industry Needs to Lead the Way in Streamlining Healthcare Business Transactions

August 16, 2017
Improving Provider Directory Accuracy in an Evolving Regulatory Landscape

August 16, 2017
Lessons from UnitedHealthcare and DirectAssure on Improving Provider Directory Accuracy

August 16, 2017
CAQH ProView Updates Enhance Provider Data and Address Industry Needs

August 16, 2017
Article in Group Practice Journal Highlights Provider Benefits of CORE Certification

June 12, 2017
Provider-Owned Health Plans Awarded CORE Certification

June 12, 2017
CAQH Again Named Best Place to Work in Healthcare

June 12, 2017
Now Online: 2016 CAQH Annual Report

June 12, 2017
CAQH Convenes Alliance to Improve Accuracy of Healthcare Provider Data

June 12, 2017
Gwendolyn Lohse Named One of Most Powerful Women in Healthcare IT by Health Data Management

April 5, 2017
CORE Exceeds 300 Certifications Milestone

April 5, 2017
CAQH Provider Directory Solution Demonstrates High Provider Engagement

April 5, 2017
CAQH Launches New Solution to Improve the Provider Credentialing Process

January 31, 2017
Integrating User Feedback to Enhance CAQH ProView

January 31, 2017
New Video Describes Value and Goals of the CORE Certification Program

November 2, 2016
CAQH-Convened Summit Tackles Provider Data Problems with Industry Leaders

October 26, 2016
CAQH CORE Town Hall Highlights Progress of Operating Rules and Opportunities Ahead

August 1, 2016
Health Plan Business Partners Find Value in CAQH CORE Certification

March 8, 2016
CAQH is Simplifying Provider Directory Maintenance with DirectAssure

November 24, 2015
More than 200 CORE Certifications Awarded

August 18, 2015
CAQH CORE Testifies Before HHS Review Committee on Benefits/Challenges of Operating Rules