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CAQH at Large
Results Delivered
Read out whitepapers to learn how CAQH Solutions deliver results:
Demystifying the CMS Interoperability Final Rule
One of several deadlines from the Centers for Medicare and Medicaid Services (CMS) Patient Access and Interoperability Final Rule went into effect on July 1, 2021. The standards pose large hurdles for health plans and app vendors with many in the industry still unclear on how to support the scale of interoperability needed.
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.
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April Todd Interview on Prior Authorizations is AJMC's Most Popular Podcast of 2020
Earlier this year, April Todd spoke to AJMC's Managed Care Cast about the impact of two-day rules on streamlining prior authorization. This became the podcast's most popular episode of 2020.
Click here to listen to the podcast.
CAQH Previews Endpoint Directory at Virtual ONC Event
This month, April Todd presented the new CAQH Endpoint Directory solution at the Office of the National Coordinator for Health Information Technology’s (ONC), Accelerating APIs in Healthcare: A Year in Review and Momentum for 2021 virtual event.
CAQH CORE Approves Operating Rules on Value-based Payments and Interoperability
Last month, CAQH CORE passed new Operating Rules for patient attribution data exchange and an update to existing connectivity rules:
CAQH CORE Value-based Payments Attribution Rules Package
CAQH Releases Inaugural Pharmacy Services Index
For the past decade, the CAQH Index has tracked the adoption of electronic administrative transactions between medical and dental providers and payers. In that time, it has become an authoritative source of information on our nation’s progress toward a more automated and efficient healthcare system.
CAQH CORE Releases Findings from Industry Survey on Exchanging Medical Documentation
For more than a decade the healthcare industry has been guided by the triple aim: the goal to deliver an improved patient experience, at lower costs, while improving the overall health of a population. But as providers are expected to deliver more value and take on more financial risk, a fourth aim has been added — avoiding physician burnout.
