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.


(Proposed by AMA)
Drexel University College of Medicine Marilyn J. Heine, MD, FACEP, FACP, FCPP; Clinical Assistant Professor of Medicine
(Proposed by MGMA)
Massachusetts General Physician Organization Kevin Mulcahy, FACMPE, Senior Director, Provider and Payer Service

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 John Williford, Vice President and Chief Operations Officer 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
Health Plan BCBSNC Emily Brannen, Vice President, Digital and Service Strategy
Health Plan - Vice Chair Centene Anika Gardenhire, RN, Chief Digital Officer
Health Plan  UnitedHealth Group Tim Kaja, MBA, President, Optum Health Networks & Network Support 
Health Plan
(Proposed by AHIP)
Point32Health Michael S. Sherman, MD, MBA, MS; Chief Medical Officer
Health Plan  Aetna Scott Waller, Vice President, Aetna IT Application Delivery Division
Other athenahealth Paul Brient, MBA, Senior Vice President and Chief Product Officer
Other InstaMed Chris Seib, Chief Technology Officer and Co-Founder
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 - Sarah Aker, Director, South Dakota Medicaid 
  • 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: Viet Nguyen, MD, Chief Standards Implementation Officer
  • 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