Issue Briefs

The CAQH Explorations team periodically releases issue briefs outlining their work and research. Explore the issue briefs and reports below to learn about cost saving opportunities for the healthcare industry and more. 




Healthcare Utilization During a Pandemic: How COVID-19 Impacted Administrative Transactions

COVID-19 affected every level of healthcare. This issue brief, published in Spring 2021, explores the impact the pandemic had on healthcare utilization and administrative transactions. 




Credentialing - All for One

Many health plans and providers use a multiplicity of platforms to communicate with one another. This report explores the fragmented credentialing system, the opportunities for cost savings, and a better credentialing process for providers. 




The Hidden Causes of Inaccurate Provider Directories

A CAQH survey of 1,240 physician practices, conducted in September 2019, determined that directory maintenance costs practices nationwide $2.76 billion annually. Read the whitepaper to learn about this problem and how health plans and providers can work together to decrease the burden of directory updates.


FHIR Issue Brief

Engaging with HL7 FHIR: Health Plan Baseline Readiness and Challenges

In the Spring of 2020, the Centers for Medicare & Medicaid (CMS) released Final Rules supporting industry interoperability and patient information access. This issue brief explores medical plans' readiness and barriers to HL7 FHIR implementation. 


CAQH Program