The CAQH Index is the industry source for tracking health plan and provider adoption of fully electronic administrative transactions. It also estimates the industry cost savings opportunity, an amount that declines as adoption and efficiency grows.
Tracking adoption and the cost savings opportunities is essential for assessing the progress and momentum of an ongoing transition that now spans more than two decades. By benchmarking progress, industry and government can more easily identify barriers that may be preventing stakeholders from realizing the full benefit of electronic administrative transactions. These insights can prompt new initiatives and reduce barriers.
Participation from pharmacy benefit managers, health plans and providers, including hospitals, health systems, medical groups and IPAs are essential to the success of the CAQH Index. Regardless of adoption status, CAQH encourages all entities to participate.
History of the CAQH Index
While established in 2008 by Emdeon (now Change Healthcare), the Index was adopted by CAQH in 2011 and it quickly evolved into the industry source for tracking adoption of HIPAA-mandated and other electronic administrative transactions for the medical and dental industries. To maintain pace with the evolving healthcare industry, CAQH continues to refine current measures, examine new opportunities and expand the scope of the Index.