Insights
Through research and partnerships across the industry, CAQH Insights identifies opportunities to streamline business practices and measure the impact of a more automated healthcare workflow.
The CAQH Index
The CAQH Index is the industry source for tracking health plan and provider adoption of electronic administrative transactions.
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Latest Research
CAQH periodically releases issue briefs on topics related to administrative burden and streamlining the business of healthcare. Explore recent research below.
Administrative Transaction Costs by Provider Specialty
$83B is spent by the medical industry on administrative transactions and 97% is incurred by providers. This new report identifies what is driving costs up by specialty and highlights opportunities to streamline processes that will reduce administrative burden.
How Health Plans Connect: Payer-to-Payer Data Sharing
Read this issue brief to gain insights about the growth and implementation of application gathering interfaces (APIs), and the requirements under the Interoperability and Patient Access Rule.
Clinical Documentation
This issue brief outlines challenges faced by health plans and providers when exchanging clinical and administrative attachments for prior authorizations and claims.
Accelerating Interoperability and Patient Access
This issue brief explores the healthcare industry's efforts towards meeting the goals of the 2020 CMS Interoperability Rule.