Provider Data Action Alliance

The Provider Data Action Alliance is an industry-wide group convened in 2017 by CAQH to address the challenges of collecting and maintaining accurate, timely data on healthcare providers.

The Alliance grew out of the CAQH Provider Data Summit last fall when more than 100 leaders from health, dental and vision plans, hospitals and healthcare systems, provider organizations, health information exchanges, vendors, government, consumer groups and others met to discuss the problems related to managing administrative provider data. At the close of the Summit, CAQH committed to facilitating the follow-up discussions and development of a roadmap with a multi-stakeholder group of industry participants.

Alliance participants will spend the spring and summer of 2017 working on a Roadmap of strategies to advance the industry toward reliable, accurate provider data. A final roadmap will be developed this summer and available on the CAQH website in the fall.

If you would like to receive updates, please contact CAQH


Participants

Participants in the Provider Data Action Alliance represent a diverse cross-section of healthcare stakeholders.

Views of the participants are their own, and do not necessarily reflect those of their organizations. 

Participant Name and organization
Jim Augustus, Vice President, Provider Network Operations
Humana
Patricia Barrett, Vice President, Product Design and Support
NCQA
Zigmund Brzezinski, Operations Director
Cigna
Daniel Chaput, IT Specialist
Office of the National Coordinator for Health Information Technology
Michael Dowling, Chief Administrative Officer
Montefiore Care Management
Stacy Eiselstein, Vice President, Provider Network Operations
Blue Cross Blue Shield of Tennessee
Dennis Elliot, Director, Provider Services
TennCare
Hank Fanberg, Technology Advocacy
CHRISTUS Health
Richard Gilbert, Division Director
Centers for Medicare and Medicaid Services
Ben Holliday, Director, Provider Data Management
Blue Cross Blue Shield of Tennessee
Robert Horst, Consultant
Chesapeake Regional Information System for our Patients
Katherine Knapp, Program Analyst
U.S. Department of Veterans Affairs
Lance Lang, M.D., Chief Medical Officer
Covered California
Dave Lehr, Chief Information Officer
Anne Arundel Medical Center
Kelly Leonard, Vice President
UnitedHealthcare Dental
Jeff Livesay, Associate Director
Michigan Health Information Network Shared Services
Dave Marotz, Director, Directory Services
SureScripts
Bill Moore, Director, Provider Network Operations
Davis Vision
Tim Pletcher, Executive Director
Michigan Health Information Network Shared Services
Tsveta Plhemus, Assistant Director, Product Development
NCQA
Jeffrey Schmitt, Director, Information Architecture and Quality Operations
Harvard Pilgrim Health Care
Harnam Singh, Ph.D., Division of Practitioner Data Banks
Health Resources and Services Administration
Edward Sverdlin, Vice President, Network Portfolio Management UnitedHealth Group
Aaron Young, Ph.D., Assistant Vice President, Research and Data Integration
Federation of State Medical Boards

 

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