CORE Board

 

In 2013, CAQH CORE extended its existing multi-stakeholder governance and, in 2015, updated its governing procedures, which can be accessed here. Presented below is the multi-stakeholder CAQH CORE Board.

 

ENTITY TYPE COMPANY INDIVIDUAL

Provider - Chair
(Proposed by AHA)

St. Joseph's Health Linda Reed, RN, MBA, CHCIO, FCHIME;  Senior Vice President and Chief Information Officer
Hospital Montefiore Medical Center Stephen Rosenthal, MBA, Senior Vice President, Population Health Management and President of CMO, Montefiore Care Management
Broader Care Delivery Aspen Dental Management, Inc. Margaret Schuler, MBA, Senior Vice President, Practice Support Operations and Revenue Cycle Management
Provider
(Proposed by AMA)
Drexel University College of Medicine Marilyn J. Heine, MD, FACEP, FACP, FCPP; Clinical Assistant Professor of Medicine
Provider 
(Proposed by MGMA)
Massachusetts General Physician Organization Kevin Mulcahy, FACMPE, Senior Director, Provider and Payer Service
Health Plan  Aetna Scott Waller, Vice President, Aetna IT Application Delivery Division
Health Plan BCBSNC Troy Smith, MBA, Vice President, Cost of Care and Value Programs
Health Plan  UnitedHealthcare Tim Kaja, MBA, Senior Vice President, Optum Care
Health Plan - Vice Chair Centene Anika Gardenhire, RN, Chief Digital Officer
Health Plan
(Proposed by AHIP)
Harvard Pilgrim Health Care Michael S. Sherman, MD, MBA, MS; Chief Medical Officer
Other InstaMed Chris Seib, Chief Technology Officer and Co-Founder
Other athenahealth Paul Brient, MBA, Senior Vice President and Chief Product Officer
Other Epic Achudhan Sivakumar, Software Development Product Lead - Referrals & Authorizations


Non-Voting Members

  • Federal Government - Daniel Kalwa, Deputy Director, National Standards Group, CMS
  • State Government - Caprice Knapp, Medicaid Director, State of North Dakota
  • Author - CAQH CORE: Robin Thomashauer, President, CAQH
  • Author - CAQH CORE: April Todd, Senior Vice President of CORE & Explorations

Non-Voting Advisors

  • X12: Cathy Sheppard, Executive Director
  • HL7: Walter Suarez, Chair, HL7 International Board of Directors 
  • NACHA: Jane Larimer, President and CEO
  • NCPDP: Lee Ann Stember, President
  • WEDI: Charles Stellar, President and CEO
  • Emeritus: Joel Perlman, Former EVP, CFO, Montefiore Medical Center
CAQH Program