Health plans

2020 COB Smart Symposium

Section: Event Solutions

How will coordination of benefits (COB) impact the future of healthcare delivery? More states are expanding Medicaid, the ACA is evolving, and member experiences are more critical than ever to your...

TPL, Medicaid and Cost Avoidance - The Missing Link

Section: Event About

For Medicaid/MCO payers, quick and secure access to reliable, accurate health plan data continues to be an ongoing challenge. Join us for an hour and discover how other states and Medicaid/MCO...

Deadline Extended: Exchanging Medical Documentation Survey

Section: Newsletter Article

CAQH CORE is seeking participants for its survey on the exchange of medical documentation, also known as “attachments.” Since no federally mandated standard for sharing electronic attachments exists...

Industry Progress on Improving Prior Authorizations

Section: Newsletter Article

A standard electronic method for conducting at least a portion of the prior authorization process has been federally mandated since the early 2000s. However, nearly 20 years later, 88 percent of...

Presentation Showcases How Medicaid Plans Can Improve Coordination of Benefits

Section: Newsletter Article

CAQH estimates that administrative inefficiencies associated with coordination of benefits cost the industry $800 million each year. At the Medicaid Health Plans of America (MHPA) Annual Conference,...

Industry Collaboration Improves Provider Directories

Section: Newsletter Article

Members expect their health plan to deliver reliable and accurate provider information so they can find the care they need. Yet maintaining up-to-date, high-quality provider directories is...

Dental Market Expansion

Section: Newsletter Article

Today, more dentists are practicing each year as the U.S. dental industry is growing1. According to the Health Policy Institute (HPI), the number of practicing dentists is expected to increase...

Advancing Collaborative Industry Solutions for Provider Directory Accuracy

Section: Event Solutions

Members expect their health plan to deliver reliable and accurate provider information, so they can find the care they need. But maintaining up-to-date, high quality provider directories is...

CAQH CORE and HL7 Announce Collaboration

Section: Newsletter Article

CAQH CORE and Health Level Seven International (HL7) have come together to accelerate automation and improve interoperability between healthcare administrative and clinical systems. Though this is...

CAQH CORE Comments on Administrative Burdens to HHS and CMS

Section: Newsletter Article

In response to a request for information (RFI) from HHS and CMS, CAQH CORE submitted comments on “Reducing Administrative Burden to Put Patients over Paperwork,” an initiative to focus the healthcare...

CAQH CORE Participant Calendar

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