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 |
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
