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CAQH Board Elects New Officers: Timothy Kaja Chair, Susan Smith Vice Chair
UnitedHealth Group’s Timothy Kaja and Centene’s Susan Smith were elected CAQH Board Chair and Vice Chair to advance the nation’s most complete healthcare data foundation and power faster, more confident decisions across healthcare.
Learn MoreMost Recent Blogs
July 2, 2025
By: Erin Weber, Chief Policy and Research Officer, CAQH
The Path Forward for Prior Authorization Reform
June 24, 2025
By: CAQH
CAQH Comments to CMS on Health Technology Ecosystem RFI
June 11, 2025
By: CAQH
CAQH CEO Sarah Ahmad Named to Becker’s “100 Women in Health IT to Know” for 2025
May 28, 2025
By: CAQH
Bad Provider Data Is Delaying Care and Driving Up Costs
April 17, 2025
By: CAQH
AI is everywhere in healthcare conversations. But how is it being used?
March 17, 2025
By: CAQH
CAQH Establishes a Provider Advisory Council to Expand Provider Engagement and Advance Healthcare Data Solutions
February 19, 2025
By: CAQH
CAQH Index Report Findings Featured at ViVE 2025
February 11, 2025
By: CAQH
New CAQH Index Reveals $20B Savings Opportunity to Cut Waste, Reduce Costs, and Improve Patient Access
February 6, 2025
By: CAQH
The Cost of Ignoring Women’s Health Extends Beyond Finances: Sarah Ahmad
February 5, 2025
By: CAQH
Podcast: Transforming Healthcare with CAQH - Erin Weber and Don Rucker on Data Quality and Interoperability
January 22, 2025
By: CAQH
CAQH's Ashley Blankette Named to The Top 50 Women Chief Product Officers of 2025
December 4, 2024
By: CAQH
CAQH’s Kristina Rollings Talks Value-Based Care
November 12, 2024
By: CAQH
CAQH and HiLabs Partner to Deliver Industry Leading Provider Data Solutions
November 6, 2024
By: CAQH
Advancing Value-Based Care with Collaborative and Patient-Focused Strategies
November 4, 2024
By: Sarah Ahmad, CEO
Empowering Women Through Menopause with Better Care That Starts with Better Data
November 3, 2024
By: Roy Beveridge, MD Avalere & Sarah Ahmad, CAQH CEO
PODCAST: Using a data-driven approach to human-centered SDOH work
October 18, 2024
By: CAQH
Beyond Directories: The Real Impact of Accurate Provider Data in Healthcare
October 9, 2024
By: CAQH
Navigating Healthcare Data Security: A Roadmap for Health Plans and Their Partners
September 25, 2024
By: CAQH
CAQH Names Ashley Blankette as Chief Product Officer to Lead Provider and Member Data Solutions
August 19, 2024
By: CAQH
A Look at the Changes in RCM that Are Happening Now and Changes that Need to Happen
August 15, 2024
By: Jason Moseley
How to Master Cost Avoidance: Best Practices for COB Data Automation, Ingestion, and Curation
August 13, 2024
By: CAQH
Revenue cycle analytics and how providers can help create best practices for the industry
August 13, 2024
By: CAQH
5 Tips for a Successful Payment Integrity Healthcare Program
June 28, 2024
By: CAQH
Celebrating Pride Month: Our Commitment to Diversity and Inclusive Care
June 24, 2024
By: CAQH
Fierce Healthcare: Payer innovation council weighs improvements to provider data management experience
June 20, 2024
By: CAQH
From HFMA: Engaging in operating rule development and adoption amidst the era of healthcare automation
June 11, 2024
By: Charlene Harrison, Vice President of Operations, CAQH
Transforming Customer Support: The CAQH Approach to Customer Service
May 20, 2024
By: CAQH
Chris Schaefer Appointed as Chief Financial Officer at CAQH
April 30, 2024
By: CAQH
New and Updated CAQH CORE Operating Rules for Healthcare Payments and Claims Processing Efficiency
April 30, 2024
By: CAQH
Exploring the New and Updated CAQH CORE Operating Rules
April 2, 2024
By: CAQH
New CAQH Report Reveals Significant Differences in Administrative Costs
March 4, 2024
By: CORE Team
HHS Recommends CAQH CORE Operating Rules for federal adoption
February 6, 2024
By: CAQH
CAQH Announces an Initiative with Leading Health Plans to Support Healthcare Providers and Improve Data Quality
January 30, 2024
By: CAQH
2023 CAQH Index Report Reveals Transformative Forces
January 11, 2024
By: CAQH
CAQH Announces Kim Koebel as the Organization’s First Chief Operating Officer and Erin Weber as new Chief Policy and Research Officer
August 14, 2023
By: CAQH
CAQH Announces New CEO, Sarah Ahmad
July 11, 2023
By: CAQH
National Committee on Vital and Health Statistics (NCVHS) Recommends HHS Adopt CAQH CORE Operating Rules
June 29, 2023
By: Michael Alwell VP/CFO Physician Enterprise St. Josephs Health Naveen Maram VP Provider Digital Operations Centene Corporation Michael Pattwell Principal Business Advisor – Val
A Message from the CAQH CORE Value-based Payment Co-chairs: Early Progress and Directions
June 26, 2023
By: CAQH
Data Strategies for Every Health Plan
June 12, 2023
By: CAQH
CAQH Unveils New Brand Highlighting Innovative, Data-Driven Approach to Streamlining Healthcare Administration
June 9, 2023
By: CAQH
Breaking Down Barriers: The Impact of EHR Integrations on Healthcare Efficiency and Care Delivery
June 2, 2023
By: CAQH
CAQH Recognized as Best Place to Work by Modern Healthcare
May 10, 2023
By: CAQH
Two Million Healthcare Providers Trust CAQH Solutions to Securely and Seamlessly Exchange Professional Information with Health Plans and Other Organizations
May 10, 2023
By: CAQH
Improving Price Transparency in Healthcare with the No Surprises Act and the CAQH CORE Eligibility & Benefit Operating Rules
April 19, 2023
By: Morgan Tackett VP Product Management
Three Considerations for Building a Proactive COB Program
February 9, 2023
By: CAQH
The Cost of Customization
February 9, 2023
By: CAQH
Opportunity: Adopting Operating Rules with Attachment Standards
January 31, 2023
By: CAQH
2022 CAQH Index: Health plans and providers can save nearly $25 billion annually by automating administrative transactions
December 20, 2022
By: CAQH
Performant and CAQH Announce Strategic Partnership
November 3, 2022
By: CAQH
A Message from the CAQH CORE Board Chairs: Support for the Proposed Operating Rules for Federal Mandate
September 22, 2022
By: CAQH
What is value-based payment?
July 13, 2022
By: CAQH
3 Challenges and Lessons Learned for FHIR Implementations
June 9, 2022
By: CAQH
Healthcare Leaders Join the CAQH CORE Board
April 26, 2022
By: CAQH
CAQH CORE Awards 400th Certification
April 20, 2022
By: CAQH
New CAQH CORE Operating Rules Improve How Plans and Providers Exchange Information Related to Eligibility and Supplemental Documentation
March 16, 2022
By: CAQH
Improving Health Plan Provider Directories
March 7, 2022
By: CAQH
Why Automated Credentialing is Imperative for the Dental Industry
March 7, 2022
By: CAQH
How Dental Plans Can Improve Provider Data Management
February 15, 2022
By: CAQH
Alleviating the Administrative Burden of Credentialing for Dental Practices
January 31, 2022
By: CAQH
2021 CAQH Index: COVID-Related Challenges Resulted in Increased Adoption of Electronic Business Processes and Greater Opportunities for Future Savings
December 15, 2021
By: CAQH
CAQH Releases New Features to Streamline How Hospitals and Group Practices Manage Directory and Credentialing Information and Share It with Health Plans
November 15, 2021
By: CAQH
Rick Ratliff Joins CAQH Leadership Team
November 9, 2021
By: CAQH
CAQH CORE Releases Industry Guidance on Advanced Explanation of Benefits
September 7, 2021
By: CAQH
CAQH CORE Welcomes Two New Board Members
August 9, 2021
By: CAQH
CAQH Measures COVID-19 Impact on Healthcare Transaction Volumes
July 29, 2021
By: CAQH
AultCare Becomes the First Organization to Earn CORE Recertification
June 30, 2021
By: CAQH
Primary Source Verification Protects Patients
June 29, 2021
By: CAQH
6 Things to Look for When Evaluating a COB Data Source
May 12, 2021
By: CAQH
Provider Directory Accuracy Is Critical for Patient Well Being
April 21, 2021
By: CAQH
CAQH Launches National Directory of FHIR Endpoints and Third-Party Apps
April 7, 2021
By: CAQH
Provider Credentialing: Explained
March 24, 2021
By: CAQH
Coordination of Benefits, Explained
February 25, 2021
By: CAQH
CAQH CORE Launches New Participant Dashboard
February 8, 2021
By: CAQH
Efficient Credentialing Has Never Been More Important for Medicaid Plans
February 5, 2021
By: CAQH
February is National Provider Directory Data Improvement Month
February 3, 2021
By: CAQH
CAQH 2020 Index: Automating Healthcare Administrative Transactions Has Reduced Annual Costs by $122 Billion, $16.3 Billion More Can Be Saved Through Further Automation
January 14, 2021
By: CAQH
New CAQH CORE Operating Rules Improve Connectivity and Accelerate Transition to Value-Based Payments
January 7, 2021
By: CAQH
CAQH Previews Endpoint Directory at Virtual ONC Event
January 7, 2021
By: CAQH
CAQH CORE Approves Operating Rules on Value-based Payments and Interoperability
January 7, 2021
By: CAQH
CAQH Releases Inaugural Pharmacy Services Index
January 7, 2021
By: CAQH
April Todd Interview on Prior Authorizations is AJMC's Most Popular Podcast of 2020
December 15, 2020
By: CAQH
CAQH Study: Initial Results Show Pharmacy Administrative Transactions Are Highly Automated
November 17, 2020
By: CAQH
New CAQH Report: Rural Providers Face Disproportionate Administrative Burdens Associated with Credentialing
November 17, 2020
By: CAQH
CAQH CORE Releases Findings from Industry Survey on Exchanging Medical Documentation
November 17, 2020
By: CAQH
April Todd Discusses Prior Authorization on Change Healthcare Podcast
October 8, 2020
By: CAQH
CAQH Announces Development of National Directory of FHIR Endpoints
October 8, 2020
By: CAQH
CAQH CORE Shares Initial Findings of Prior Authorization Pilot & Measurement Initiative
October 8, 2020
By: CAQH
CAQH Releases Annual Report
October 8, 2020
By: CAQH
CAQH Contributes to Industry Study on Rising Healthcare Costs
August 28, 2020
By: CAQH
CAQH CORE Presents Prior Authorization Operating Rules for Federal Adoption
August 28, 2020
By: CAQH
CAQH Shares Best Practices for Managing Coordination of Benefits in a Crisis
August 11, 2020
By: CAQH
National Lieutenant Governors’ Association Passes Resolution Calling for Administrative Simplification in Healthcare
August 4, 2020
By: CAQH
CAQH Achieves HITRUST CSF Certification for Third Consecutive Year
July 29, 2020
By: CAQH
How It All Began
July 29, 2020
By: CAQH
An Interview with Sorin Davis, Senior Vice President, Industry Relations
July 17, 2020
By: CAQH
CAQH Recognized as Best Place to Work Five Years in a Row
June 24, 2020
By: CAQH
SSI Group, Availity Achieve Additional CAQH CORE Certifications
June 24, 2020
By: CAQH
Re-attestation Critical as Healthcare Organizations Return to Normal
June 24, 2020
By: CAQH
Ensuring Accurate Coordination of Benefits During Remote Work
June 24, 2020
By: CAQH
CAQH CORE Leads Virtual Discussions on Pressing Industry Issues
June 4, 2020
By: CAQH
CAQH Announces Healthcare Industry Veteran Roger Mermelstein as Senior Vice President, Business Development
May 12, 2020
By: CAQH
CAQH Employees Donate iPads to Children’s National Hospital
May 12, 2020
By: CAQH
CAQH White Paper: Simplifying Provider Data Management
May 12, 2020
By: CAQH
CAQH CORE Welcomes Epic to Its Board of Directors
May 12, 2020
By: CAQH
Provider Directories and Access to Care
April 13, 2020
By: CAQH
We Are All in This Together
April 13, 2020
By: CAQH
Streamlining the CAQH ProView Application Process
April 13, 2020
By: CAQH
CAQH ProView: Enhancements in Response to COVID-19
March 10, 2020
By: CAQH
CAQH Hosts Third COB Smart Symposium
February 18, 2020
By: CAQH
Humana Joins Industry Effort to Improve Provider Data and Directories through CAQH DirectAssure
February 4, 2020
By: CAQH
CAQH CORE Approves Two-Day Rule to Accelerate Prior Authorization Process
January 29, 2020
By: CAQH
CAQH Releases 2019 Index
January 29, 2020
By: CAQH
CAQH CORE White Paper: The Connectivity Conundrum
January 29, 2020
By: CAQH
United Healthcare and Optum Earn Phase III CAQH CORE Certification
January 29, 2020
By: CAQH
CAQH ProView: A Year in Review
January 21, 2020
By: CAQH
CAQH 2019 Index: $13.3 Billion, 33 Percent of Healthcare Administrative Spend, can be Saved Annually Through Automation
November 22, 2019
By: CAQH
CAQH Achieves HITRUST CSF Certification
November 22, 2019
By: CAQH
CAQH White Paper: The Hidden Cause of Inaccurate Provider Directories
November 22, 2019
By: CAQH
How Unclear Provider Data Contributes to Unexpected Medical Bills
October 28, 2019
By: CAQH
Presentation Showcases How Medicaid Plans Can Improve Coordination of Benefits
October 28, 2019
By: CAQH
Deadline Extended: Exchanging Medical Documentation Survey
October 28, 2019
By: CAQH
Industry Collaboration Improves Provider Directories
October 28, 2019
By: CAQH
Dental Market Expansion
October 28, 2019
By: CAQH
Industry Progress on Improving Prior Authorizations
September 25, 2019
By: CAQH
CAQH Presents to National Conference of State Legislators
September 25, 2019
By: CAQH
CAQH CORE Comments on Administrative Burdens to HHS and CMS
September 25, 2019
By: CAQH
CAQH CORE and HL7 Announce Collaboration
September 25, 2019
By: CAQH
Moving Medicaid Plans Beyond Pay and Chase
July 31, 2019
By: CAQH
NCQA Finds CAQH Solutions Beneficial in Supporting Accreditation
July 31, 2019
By: CAQH
New CAQH CORE White Paper on Automating Prior Authorization
June 26, 2019
By: CAQH
Leading Health Plans in Texas Adopt CAQH ProView
May 30, 2019
By: CAQH
CAQH CORE Releases Phase V Operating Rules
May 30, 2019
By: CAQH
Easing Access to Provider Directory Data
May 30, 2019
By: CAQH
5 Opportunities to Fix Attachments
May 30, 2019
By: CAQH
Participation in CAQH ProView for Groups Continues to Grow
May 22, 2019
By: CAQH
Texas Health Plans Use CAQH ProView to Improve Provider Data Accuracy
March 26, 2019
By: CAQH
AI Technology is Improving Provider Directories
March 26, 2019
By: CAQH
Recommendations to the Senate HELP Committee
March 26, 2019
By: CAQH
CAQH CORE Awards 350th CORE Certification
February 27, 2019
By: CAQH
Prior Authorization Getting Much Needed Attention
January 30, 2019
By: CAQH
Verifying Provider Credentials is Easier than Ever
January 30, 2019
By: CAQH
Humana Joins CAQH
January 30, 2019
By: CAQH
Collaboration is Improving Healthcare Provider Directories
November 5, 2018
By: CAQH
CAQH CORE Calls for Work Group Participation to Help Improve Prior Authorization Process
November 5, 2018
By: CAQH
CAQH Offers Solutions Suite to Improve Credentialing Process
September 12, 2018
By: CAQH
CAQH CORE Backs Industry Collaboration to Improve Prior Authorization Process
September 10, 2018
By: CAQH
Massachusetts Health Plans Select DirectAssure to Improve Provider Directory Accuracy
July 17, 2018
By: CAQH
CAQH Earns HITRUST CSF Certification, Demonstrating Commitment to Information Security
May 31, 2018
By: CAQH
CAQH Named One of the Best Places to Work in Healthcare for Third Consecutive Year
May 31, 2018
By: CAQH
New Industry Roadmap Recommends Path Toward Sustainable Provider Data System
March 29, 2018
By: CAQH
CAQH CORE Report Highlights Ways to Streamline Value-based Payment Operations
March 28, 2018
By: CAQH
Data Quality Improves with CAQH Directory Management Enhancements
December 18, 2017
By: CAQH
Phase IV CAQH CORE Certification Opens for Prior Authorization and Other Electronic Transactions
December 18, 2017
By: CAQH
CAQH Recognized for Excellence in Health IT by WEDI
December 18, 2017
By: CAQH
Health Plan Strategies to Improve Directory Accuracy
October 24, 2017
By: CAQH
New On-Demand Webinar: Keys to Improving Your Credentialing Process
October 24, 2017
By: CAQH
CAQH Teams with the American Dental Association (ADA) to Simplify Credentialing Process for Dentists
October 24, 2017
By: CAQH
CAQH CORE Issue Brief: Why the Industry Needs to Lead the Way in Streamlining Healthcare Business Transactions
August 16, 2017
By: CAQH
Improving Provider Directory Accuracy in an Evolving Regulatory Landscape
August 16, 2017
By: CAQH
Lessons from UnitedHealthcare and DirectAssure on Improving Provider Directory Accuracy
August 16, 2017
By: CAQH
CAQH ProView Updates Enhance Provider Data and Address Industry Needs
August 16, 2017
By: CAQH
Article in Group Practice Journal Highlights Provider Benefits of CORE Certification
June 12, 2017
By: CAQH
Provider-Owned Health Plans Awarded CORE Certification
June 12, 2017
By: CAQH
CAQH Again Named Best Place to Work in Healthcare
June 12, 2017
By: CAQH
Now Online: 2016 CAQH Annual Report
June 12, 2017
By: CAQH
CAQH Convenes Alliance to Improve Accuracy of Healthcare Provider Data
June 12, 2017
By: CAQH
Gwendolyn Lohse Named One of Most Powerful Women in Healthcare IT by Health Data Management
April 5, 2017
By: CAQH
CORE Exceeds 300 Certifications Milestone
April 5, 2017
By: CAQH
CAQH Provider Directory Solution Demonstrates High Provider Engagement
April 5, 2017
By: CAQH
CAQH Launches New Solution to Improve the Provider Credentialing Process
January 31, 2017
By: CAQH
Integrating User Feedback to Enhance CAQH ProView
January 31, 2017
By: CAQH
New Video Describes Value and Goals of the CORE Certification Program
November 2, 2016
By: CAQH
CAQH-Convened Summit Tackles Provider Data Problems with Industry Leaders
October 26, 2016
By: CAQH
CAQH CORE Town Hall Highlights Progress of Operating Rules and Opportunities Ahead
August 1, 2016
By: CAQH
Health Plan Business Partners Find Value in CAQH CORE Certification
March 8, 2016
By: CAQH
CAQH is Simplifying Provider Directory Maintenance with DirectAssure
November 24, 2015
By: CAQH
More than 200 CORE Certifications Awarded
August 18, 2015
By: CAQH
CAQH CORE Testifies Before HHS Review Committee on Benefits/Challenges of Operating Rules
