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AJMC Report: Scale proven approaches for meaningful improvement

The American Journal of Managed Care reports that the latest CAQH Index findings highlight a significant opportunity to reduce healthcare costs by addressing systemic administrative inefficiencies. Broader and more consistent use of existing electronic ...

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Most Recent Blogs

Podcast: From Fragmented Data to a More Connected Healthcare System with Sarah Ahmad

May 1, 2026

By: CAQH

Podcast: From Fragmented Data to a More Connected Healthcare System with Sarah Ahmad

CAQH Appoints Dr. Alex Ding as Chief Medical Officer

April 27, 2026

By: CAQH

CAQH Appoints Dr. Alex Ding as Chief Medical Officer

HealthLeaders Media: CAQH Data Highlights Revenue Cycle Readiness for New Regulations

April 2, 2026

By: CAQH

HealthLeaders Media: CAQH Data Highlights Revenue Cycle Readiness for New Regulations

HealthLeaders Media: How Full Automation of Administrative Workflows Could Save $21 Billion

March 26, 2026

By: CAQH

HealthLeaders Media: How Full Automation of Administrative Workflows Could Save $21 Billion

Working Smarter with the CAQH Index: Introducing Tools that Help You Move from Insight to Action

March 12, 2026

By: Erin Weber, Chief Policy and Research Officer, CAQH

Working Smarter with the CAQH Index: Introducing Tools that Help You Move from Insight to Action

Chief Healthcare Executive Interview with Erin Weber: Saving Billions with More Automation

February 24, 2026

By: CAQH

Chief Healthcare Executive Interview with Erin Weber: Saving Billions with More Automation

2025 CAQH Index Shows U.S. Healthcare Avoided $258 Billion and Accelerated Automation, Interoperability and AI Adoption

February 19, 2026

By: CAQH

2025 CAQH Index Shows U.S. Healthcare Avoided $258 Billion and Accelerated Automation, Interoperability and AI Adoption

CAQH Appoints Melissa Frieswick as Chief Commercial Officer

January 29, 2026

By: CAQH

CAQH Appoints Melissa Frieswick as Chief Commercial Officer

Leading Health Plans Become CAQH Owners to Shape the Future of Healthcare Data

January 6, 2026

By: CAQH

Leading Health Plans Become CAQH Owners to Shape the Future of Healthcare Data

December 8, 2025

By: CAQH

Sarah Ahmad Named to Modern Healthcare’s 2025 List of the 100 Most Influential People

CAQH Names Maeghan Sulham Chief Human Resources Officer as Company Builds for the Future of Healthcare Data

November 6, 2025

By: CAQH

CAQH Names Maeghan Sulham Chief Human Resources Officer as Company Builds for the Future of Healthcare Data

CAQH Board Elects New Officers: Timothy Kaja Chair, Susan Smith Vice Chair

October 2, 2025

By: CAQH

CAQH Board Elects New Officers: Timothy Kaja Chair, Susan Smith Vice Chair

Prior Authorization Reform: An Urgent Need for US Healthcare

July 2, 2025

By: Erin Weber, Chief Policy and Research Officer, CAQH

The Path Forward for Prior Authorization Reform

CAQH Comments to CMS on Health Technology Ecosystem RFI

June 24, 2025

By: CAQH

CAQH Comments to CMS on Health Technology Ecosystem RFI

CAQH CEO Sarah Ahmad Named to Becker’s “100 Women in Health IT to Know” for 2025

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

AI in Health Care: Closing the Revenue Cycle Gap

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

CAQH identifies $20B savings opportunity

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

Sarah Ahmad Chief Executive Officer CAQH

February 6, 2025

By: CAQH

The Cost of Ignoring Women’s Health Extends Beyond Finances: Sarah Ahmad

Podcast: Transforming Healthcare with CAQH - Erin Weber and Don Rucker on Data Quality and Interoperability

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

Collaboration key to using data standards for value-based care

December 4, 2024

By: CAQH

CAQH’s Kristina Rollings Talks Value-Based Care

CAQH and HiLabs, Partner to Deliver Industry Leading Provider Data Solutions

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

Empowering Women Through Menopause with Better Care That Starts with Better Data

November 4, 2024

By: Sarah Ahmad, CEO

Empowering Women Through Menopause with Better Care That Starts with Better Data

PODCAST: Using a data-driven approach to human-centered SDOH work

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

A Look at the Changes in RCM that Are Happening Now and Changes that Need to Happen

August 19, 2024

By: CAQH

A Look at the Changes in RCM that Are Happening Now and Changes that Need to Happen

How to Master Cost Avoidance: Best Practices for COB Data Automation, Ingestion, and Curation

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

5 Tips for a Successful Payment Integrity Healthcare Program

August 13, 2024

By: CAQH

5 Tips for a Successful Payment Integrity Healthcare Program

Celebrating Pride Month: Our Commitment to Diversity and Inclusive Care

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

Engaging in operating rule development and adoption amidst the era of healthcare automation

June 20, 2024

By: CAQH

From HFMA: Engaging in operating rule development and adoption amidst the era of healthcare automation

Operations Support Team assists clients in call center.

June 11, 2024

By: Charlene Harrison, Vice President of Operations, CAQH

Transforming Customer Support: The CAQH Approach to Customer Service

CAQH Welcomes Chief Financial Officer Chris Schaefer

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

Exploring the New and Updated CAQH CORE Operating Rules

April 30, 2024

By: CAQH

Exploring the New and Updated CAQH CORE Operating Rules

Administrative Transaction Costs by Provider Specialty Report

April 2, 2024

By: CAQH

New CAQH Report Reveals Significant Differences in Administrative Costs

HHS Recommends CAQH CORE Operating Rules for federal adoption

March 4, 2024

By: CORE Team

HHS Recommends CAQH CORE Operating Rules for federal adoption

Woman sitting at desk looking at computer screen

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

National Committee on Vital and Health Statistics

July 11, 2023

By: CAQH

National Committee on Vital and Health Statistics (NCVHS) Recommends HHS Adopt CAQH CORE Operating Rules

A Message from the CAQH CORE Value-based Payment Co-chairs: Early Progress and Directions

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

Breaking Down Barriers: The Impact of EHR Integrations on Healthcare Efficiency and Care Delivery

June 9, 2023

By: CAQH

Breaking Down Barriers: The Impact of EHR Integrations on Healthcare Efficiency and Care Delivery

Modern Healthcare Best Places to Work 2023

June 2, 2023

By: CAQH

CAQH Recognized as Best Place to Work by Modern Healthcare

A group of healthcare workers standing in front of a building

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

Improving Price Transparency in Healthcare with the No Surprises Act and the CAQH CORE Eligibility & Benefit Operating Rules

May 10, 2023

By: CAQH

Improving Price Transparency in Healthcare with the No Surprises Act and the CAQH CORE Eligibility & Benefit Operating Rules

Three Considerations for Building a Proactive COB Program

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

Opportunity: Adopting Operating Rules with Attachment Standards

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

Performant and CAQH Announce Strategic Partnership

December 20, 2022

By: CAQH

Performant and CAQH Announce Strategic Partnership

A Message from the CAQH CORE Board Chairs: Support for the Proposed Operating Rules for Federal Mandate

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?

3 Challenges and Lessons Learned for FHIR Implementations

July 13, 2022

By: CAQH

3 Challenges and Lessons Learned for FHIR Implementations

Healthcare Leaders Join the CAQH CORE Board

June 9, 2022

By: CAQH

Healthcare Leaders Join the CAQH CORE Board

April 26, 2022

By: CAQH

CAQH CORE Awards 400th Certification

New CAQH CORE Operating Rules Improve How Plans and Providers Exchange Information Related to Eligibility and Supplemental Documentation

April 20, 2022

By: CAQH

New CAQH CORE Operating Rules Improve How Plans and Providers Exchange Information Related to Eligibility and Supplemental Documentation

Improving Health Plan Provider Directories

March 16, 2022

By: CAQH

Improving Health Plan Provider Directories

Why Automated Credentialing is Imperative for the Dental Industry

March 7, 2022

By: CAQH

Why Automated Credentialing is Imperative for the Dental Industry

How Dental Plans Can Improve Provider Data Management

March 7, 2022

By: CAQH

How Dental Plans Can Improve Provider Data Management

Alleviating the Administrative Burden of Credentialing for Dental Practices

February 15, 2022

By: CAQH

Alleviating the Administrative Burden of Credentialing for Dental Practices

2021 CAQH Index: COVID-Related Challenges Resulted in Increased Adoption of Electronic Business Processes and Greater Opportunities for Future Savings

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

CAQH Releases New Features to Streamline How Hospitals and Group Practices Manage Directory and Credentialing Information and Share It with Health Plans

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

CAQH CORE Releases Industry Guidance on Advanced Explanation of Benefits

November 9, 2021

By: CAQH

CAQH CORE Releases Industry Guidance on Advanced Explanation of Benefits

CAQH CORE Welcomes Two New Board Members

September 7, 2021

By: CAQH

CAQH CORE Welcomes Two New Board Members

CAQH Measures COVID-19 Impact on Healthcare Transaction Volumes

August 9, 2021

By: CAQH

CAQH Measures COVID-19 Impact on Healthcare Transaction Volumes

AultCare Becomes the First Organization to Earn CORE Recertification

July 29, 2021

By: CAQH

AultCare Becomes the First Organization to Earn CORE Recertification

Primary Source Verification Protects Patients

June 30, 2021

By: CAQH

Primary Source Verification Protects Patients

6 Things to Look for When Evaluating a COB Data Source

June 29, 2021

By: CAQH

6 Things to Look for When Evaluating a COB Data Source

Provider Directory Accuracy Is Critical for Patient Well Being

May 12, 2021

By: CAQH

Provider Directory Accuracy Is Critical for Patient Well Being

CAQH Launches National Directory of FHIR Endpoints and Third-Party Apps

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

CAQH CORE Launches New Participant Dashboard

February 25, 2021

By: CAQH

CAQH CORE Launches New Participant Dashboard

Efficient Credentialing Has Never Been More Important for Medicaid Plans

February 8, 2021

By: CAQH

Efficient Credentialing Has Never Been More Important for Medicaid Plans

February is National Provider Directory Data Improvement Month

February 5, 2021

By: CAQH

February is National Provider Directory Data Improvement Month

CAQH 2020 Index: Automating Healthcare Administrative Transactions Has Reduced Annual Costs by $122 Billion, $16.3 Billion More Can Be Saved Through Further Automation

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

New CAQH CORE Operating Rules Improve Connectivity and Accelerate Transition to Value-Based Payments

January 14, 2021

By: CAQH

New CAQH CORE Operating Rules Improve Connectivity and Accelerate Transition to Value-Based Payments

CAQH Previews Endpoint Directory at Virtual ONC Event

January 7, 2021

By: CAQH

CAQH Previews Endpoint Directory at Virtual ONC Event

CAQH CORE Approves Operating Rules on Value-based Payments and Interoperability

January 7, 2021

By: CAQH

CAQH CORE Approves Operating Rules on Value-based Payments and Interoperability

CAQH Releases Inaugural Pharmacy Services Index

January 7, 2021

By: CAQH

CAQH Releases Inaugural Pharmacy Services Index

April Todd Interview on Prior Authorizations is AJMC's Most Popular Podcast of 2020

January 7, 2021

By: CAQH

April Todd Interview on Prior Authorizations is AJMC's Most Popular Podcast of 2020

CAQH Study: Initial Results Show Pharmacy Administrative Transactions Are Highly Automated

December 15, 2020

By: CAQH

CAQH Study: Initial Results Show Pharmacy Administrative Transactions Are Highly Automated

New CAQH Report: Rural Providers Face Disproportionate Administrative Burdens Associated with Credentialing

November 17, 2020

By: CAQH

New CAQH Report: Rural Providers Face Disproportionate Administrative Burdens Associated with Credentialing

CAQH CORE Releases Findings from Industry Survey on Exchanging Medical Documentation

November 17, 2020

By: CAQH

CAQH CORE Releases Findings from Industry Survey on Exchanging Medical Documentation

April Todd Discusses Prior Authorization on Change Healthcare Podcast

November 17, 2020

By: CAQH

April Todd Discusses Prior Authorization on Change Healthcare Podcast

CAQH Announces Development of National Directory of FHIR Endpoints

October 8, 2020

By: CAQH

CAQH Announces Development of National Directory of FHIR Endpoints

CAQH CORE Shares Initial Findings of Prior Authorization Pilot & Measurement Initiative

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

CAQH Contributes to Industry Study on Rising Healthcare Costs

October 8, 2020

By: CAQH

CAQH Contributes to Industry Study on Rising Healthcare Costs

CAQH CORE Presents Prior Authorization Operating Rules for Federal Adoption

August 28, 2020

By: CAQH

CAQH CORE Presents Prior Authorization Operating Rules for Federal Adoption

CAQH Shares Best Practices for Managing Coordination of Benefits in a Crisis

August 28, 2020

By: CAQH

CAQH Shares Best Practices for Managing Coordination of Benefits in a Crisis

National Lieutenant Governors’ Association Passes Resolution Calling for Administrative Simplification in Healthcare

August 11, 2020

By: CAQH

National Lieutenant Governors’ Association Passes Resolution Calling for Administrative Simplification in Healthcare

CAQH Achieves HITRUST CSF Certification for Third Consecutive Year

August 4, 2020

By: CAQH

CAQH Achieves HITRUST CSF Certification for Third Consecutive Year

July 29, 2020

By: CAQH

How It All Began

An Interview with Sorin Davis, Senior Vice President, Industry Relations

July 29, 2020

By: CAQH

An Interview with Sorin Davis, Senior Vice President, Industry Relations

CAQH Recognized as Best Place to Work Five Years in a Row

July 17, 2020

By: CAQH

CAQH Recognized as Best Place to Work Five Years in a Row

SSI Group, Availity Achieve Additional CAQH CORE Certifications

June 24, 2020

By: CAQH

SSI Group, Availity Achieve Additional CAQH CORE Certifications

Re-attestation Critical as Healthcare Organizations Return to Normal

June 24, 2020

By: CAQH

Re-attestation Critical as Healthcare Organizations Return to Normal

Ensuring Accurate Coordination of Benefits During Remote Work

June 24, 2020

By: CAQH

Ensuring Accurate Coordination of Benefits During Remote Work

CAQH CORE Leads Virtual Discussions on Pressing Industry Issues

June 24, 2020

By: CAQH

CAQH CORE Leads Virtual Discussions on Pressing Industry Issues

CAQH Employees Donate iPads to Children’s National Hospital

May 12, 2020

By: CAQH

CAQH Employees Donate iPads to Children’s National Hospital

CAQH White Paper: Simplifying Provider Data Management

May 12, 2020

By: CAQH

CAQH White Paper: Simplifying Provider Data Management

CAQH CORE Welcomes Epic to Its Board of Directors

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

Streamlining the CAQH ProView Application Process

April 13, 2020

By: CAQH

Streamlining the CAQH ProView Application Process

CAQH ProView: Enhancements in Response to COVID-19

April 13, 2020

By: CAQH

CAQH ProView: Enhancements in Response to COVID-19

March 10, 2020

By: CAQH

CAQH Hosts Third COB Smart Symposium

Humana Joins Industry Effort to Improve Provider Data and Directories through CAQH DirectAssure

February 18, 2020

By: CAQH

Humana Joins Industry Effort to Improve Provider Data and Directories through CAQH DirectAssure

CAQH CORE Approves Two-Day Rule to Accelerate Prior Authorization Process

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

CAQH CORE White Paper: The Connectivity Conundrum

January 29, 2020

By: CAQH

CAQH CORE White Paper: The Connectivity Conundrum

United Healthcare and Optum Earn Phase III CAQH CORE Certification

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

CAQH 2019 Index: $13.3 Billion, 33 Percent of Healthcare Administrative Spend, can be Saved Annually Through Automation

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

CAQH White Paper: The Hidden Cause of Inaccurate Provider Directories

November 22, 2019

By: CAQH

CAQH White Paper: The Hidden Cause of Inaccurate Provider Directories

How Unclear Provider Data Contributes to Unexpected Medical Bills

November 22, 2019

By: CAQH

How Unclear Provider Data Contributes to Unexpected Medical Bills

Presentation Showcases How Medicaid Plans Can Improve Coordination of Benefits

October 28, 2019

By: CAQH

Presentation Showcases How Medicaid Plans Can Improve Coordination of Benefits

Deadline Extended: Exchanging Medical Documentation Survey

October 28, 2019

By: CAQH

Deadline Extended: Exchanging Medical Documentation Survey

Industry Collaboration Improves Provider Directories

October 28, 2019

By: CAQH

Industry Collaboration Improves Provider Directories

October 28, 2019

By: CAQH

Dental Market Expansion

Industry Progress on Improving Prior Authorizations

October 28, 2019

By: CAQH

Industry Progress on Improving Prior Authorizations

CAQH Presents to National Conference of State Legislators

September 25, 2019

By: CAQH

CAQH Presents to National Conference of State Legislators

CAQH CORE Comments on Administrative Burdens to HHS and CMS

September 25, 2019

By: CAQH

CAQH CORE Comments on Administrative Burdens to HHS and CMS

CAQH CORE and HL7 Announce Collaboration

September 25, 2019

By: CAQH

CAQH CORE and HL7 Announce Collaboration

Moving Medicaid Plans Beyond Pay and Chase

September 25, 2019

By: CAQH

Moving Medicaid Plans Beyond Pay and Chase

NCQA Finds CAQH Solutions Beneficial in Supporting Accreditation

July 31, 2019

By: CAQH

NCQA Finds CAQH Solutions Beneficial in Supporting Accreditation

New CAQH CORE White Paper on Automating Prior Authorization

July 31, 2019

By: CAQH

New CAQH CORE White Paper on Automating Prior Authorization

Leading Health Plans in Texas Adopt CAQH ProView

June 26, 2019

By: CAQH

Leading Health Plans in Texas Adopt CAQH ProView

CAQH CORE Releases Phase V Operating Rules

May 30, 2019

By: CAQH

CAQH CORE Releases Phase V Operating Rules

Easing Access to Provider Directory Data

May 30, 2019

By: CAQH

Easing Access to Provider Directory Data

May 30, 2019

By: CAQH

5 Opportunities to Fix Attachments

Participation in CAQH ProView for Groups Continues to Grow

May 30, 2019

By: CAQH

Participation in CAQH ProView for Groups Continues to Grow

Texas Health Plans Use CAQH ProView to Improve Provider Data Accuracy

May 22, 2019

By: CAQH

Texas Health Plans Use CAQH ProView to Improve Provider Data Accuracy

AI Technology is Improving Provider Directories

March 26, 2019

By: CAQH

AI Technology is Improving Provider Directories

Recommendations to the Senate HELP Committee

March 26, 2019

By: CAQH

Recommendations to the Senate HELP Committee

CAQH CORE Awards 350th CORE Certification

March 26, 2019

By: CAQH

CAQH CORE Awards 350th CORE Certification

Prior Authorization Getting Much Needed Attention

February 27, 2019

By: CAQH

Prior Authorization Getting Much Needed Attention

Verifying Provider Credentials is Easier than Ever

January 30, 2019

By: CAQH

Verifying Provider Credentials is Easier than Ever

January 30, 2019

By: CAQH

Humana Joins CAQH

Collaboration is Improving Healthcare Provider Directories

January 30, 2019

By: CAQH

Collaboration is Improving Healthcare Provider Directories

CAQH CORE Calls for Work Group Participation to Help Improve Prior Authorization Process

November 5, 2018

By: CAQH

CAQH CORE Calls for Work Group Participation to Help Improve Prior Authorization Process

CAQH Offers Solutions Suite to Improve Credentialing Process

November 5, 2018

By: CAQH

CAQH Offers Solutions Suite to Improve Credentialing Process

CAQH CORE Backs Industry Collaboration to Improve Prior Authorization Process

September 12, 2018

By: CAQH

CAQH CORE Backs Industry Collaboration to Improve Prior Authorization Process

Massachusetts Health Plans Select DirectAssure to Improve Provider Directory Accuracy

September 10, 2018

By: CAQH

Massachusetts Health Plans Select DirectAssure to Improve Provider Directory Accuracy

CAQH Earns HITRUST CSF Certification, Demonstrating Commitment to Information Security

July 17, 2018

By: CAQH

CAQH Earns HITRUST CSF Certification, Demonstrating Commitment to Information Security

CAQH Named One of the Best Places to Work in Healthcare for Third Consecutive Year

May 31, 2018

By: CAQH

CAQH Named One of the Best Places to Work in Healthcare for Third Consecutive Year

New Industry Roadmap Recommends Path Toward Sustainable Provider Data System

May 31, 2018

By: CAQH

New Industry Roadmap Recommends Path Toward Sustainable Provider Data System

CAQH CORE Report Highlights Ways to Streamline Value-based Payment Operations

March 29, 2018

By: CAQH

CAQH CORE Report Highlights Ways to Streamline Value-based Payment Operations

Data Quality Improves with CAQH Directory Management Enhancements

March 28, 2018

By: CAQH

Data Quality Improves with CAQH Directory Management Enhancements

Phase IV CAQH CORE Certification Opens for Prior Authorization and Other Electronic Transactions

December 18, 2017

By: CAQH

Phase IV CAQH CORE Certification Opens for Prior Authorization and Other Electronic Transactions

CAQH Recognized for Excellence in Health IT by WEDI

December 18, 2017

By: CAQH

CAQH Recognized for Excellence in Health IT by WEDI

Health Plan Strategies to Improve Directory Accuracy

December 18, 2017

By: CAQH

Health Plan Strategies to Improve Directory Accuracy

New On-Demand Webinar: Keys to Improving Your Credentialing Process

October 24, 2017

By: CAQH

New On-Demand Webinar: Keys to Improving Your Credentialing Process

CAQH Teams with the American Dental Association (ADA) to Simplify Credentialing Process for Dentists

October 24, 2017

By: CAQH

CAQH Teams with the American Dental Association (ADA) to Simplify Credentialing Process for Dentists

CAQH CORE Issue Brief: Why the Industry Needs to Lead the Way in Streamlining Healthcare Business Transactions

October 24, 2017

By: CAQH

CAQH CORE Issue Brief: Why the Industry Needs to Lead the Way in Streamlining Healthcare Business Transactions

Improving Provider Directory Accuracy in an Evolving Regulatory Landscape

August 16, 2017

By: CAQH

Improving Provider Directory Accuracy in an Evolving Regulatory Landscape

Lessons from UnitedHealthcare and DirectAssure on Improving Provider Directory Accuracy

August 16, 2017

By: CAQH

Lessons from UnitedHealthcare and DirectAssure on Improving Provider Directory Accuracy

CAQH ProView Updates Enhance Provider Data and Address Industry Needs

August 16, 2017

By: CAQH

CAQH ProView Updates Enhance Provider Data and Address Industry Needs

Article in Group Practice Journal Highlights Provider Benefits of CORE Certification

August 16, 2017

By: CAQH

Article in Group Practice Journal Highlights Provider Benefits of CORE Certification

Provider-Owned Health Plans Awarded CORE Certification

June 12, 2017

By: CAQH

Provider-Owned Health Plans Awarded CORE Certification

CAQH Again Named Best Place to Work in Healthcare

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

CAQH Convenes Alliance to Improve Accuracy of Healthcare Provider Data

June 12, 2017

By: CAQH

CAQH Convenes Alliance to Improve Accuracy of Healthcare Provider Data

Gwendolyn Lohse Named One of Most Powerful Women in Healthcare IT by Health Data Management

June 12, 2017

By: CAQH

Gwendolyn Lohse Named One of Most Powerful Women in Healthcare IT by Health Data Management

CORE Exceeds 300 Certifications Milestone

April 5, 2017

By: CAQH

CORE Exceeds 300 Certifications Milestone

CAQH Provider Directory Solution Demonstrates High Provider Engagement

April 5, 2017

By: CAQH

CAQH Provider Directory Solution Demonstrates High Provider Engagement

CAQH Launches New Solution to Improve the Provider Credentialing Process

April 5, 2017

By: CAQH

CAQH Launches New Solution to Improve the Provider Credentialing Process

Integrating User Feedback to Enhance CAQH ProView

January 31, 2017

By: CAQH

Integrating User Feedback to Enhance CAQH ProView

New Video Describes Value and Goals of the CORE Certification Program

January 31, 2017

By: CAQH

New Video Describes Value and Goals of the CORE Certification Program

CAQH-Convened Summit Tackles Provider Data Problems with Industry Leaders

November 2, 2016

By: CAQH

CAQH-Convened Summit Tackles Provider Data Problems with Industry Leaders

CAQH CORE Town Hall Highlights Progress of Operating Rules and Opportunities Ahead

October 26, 2016

By: CAQH

CAQH CORE Town Hall Highlights Progress of Operating Rules and Opportunities Ahead

Health Plan Business Partners Find Value in CAQH CORE Certification

August 1, 2016

By: CAQH

Health Plan Business Partners Find Value in CAQH CORE Certification

CAQH is Simplifying Provider Directory Maintenance with DirectAssure

March 8, 2016

By: CAQH

CAQH is Simplifying Provider Directory Maintenance with DirectAssure

More than 200 CORE Certifications Awarded

November 24, 2015

By: CAQH

More than 200 CORE Certifications Awarded

CAQH CORE Testifies Before HHS Review Committee on Benefits/Challenges of Operating Rules

August 18, 2015

By: CAQH

CAQH CORE Testifies Before HHS Review Committee on Benefits/Challenges of Operating Rules

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