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CAQH CORE Value-based Payments Advisory Group
Building on the report findings, in 2019 CAQH CORE launched a multi-stakeholder Advisory Group consisting of 12 executive leaders representing health plans, providers, vendors, government entities and advisers. The group evaluated pain points caused by value-based payments across the traditional revenue cycle work flow, developing a list of 19 draft opportunity areas for streamlining administration of these arrangements.
After careful consideration, the group condensed the original list down to five opportunity areas for administrative simplification and clinical integration in value-based payments. Three of these opportunity areas will be considered by a CAQH CORE Value-based Payments Subgroup or via a pilot launching this fall and the remaining opportunities align with existing CAQH CORE efforts related to clinical alignment for prior authorization and attachments.