News from caqh A wide array of domestic and global news stories; news topics include politics/government, business, technology, religion, sports/entertainment, science/nature, and health/lifestyle.

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Feb 18, 2020, 09:00 ET Humana Joins Industry Effort to Improve Provider Data and Directories through CAQH DirectAssure

CAQH, an industry alliance working to transform the business of healthcare, today announced that Humana Inc. (NYSE: HUM), one of the nation's leading ...


Feb 04, 2020, 10:07 ET CAQH CORE Approves Two-Day Rule to Accelerate Prior Authorization Process

CAQH CORE, a multi-stakeholder organization representing a broad spectrum of health plans, providers, vendors, and government entities, has voted to...


Jan 21, 2020, 10:29 ET CAQH 2019 Index: $13.3 Billion, 33 Percent of Healthcare Administrative Spend, can be Saved Annually Through Automation

CAQH® today released the seventh annual report measuring the progress made by the healthcare industry in reducing the costs and burden associated...


Nov 13, 2019, 11:22 ET CAQH Survey: Maintaining Provider Directories Costs U.S. Physician Practices $2.76 Billion Annually

CAQH® today released results of a survey of providers across the US that revealed the administrative burden associated with maintaining provider...


May 22, 2019, 08:05 ET Texas Health Plans Use CAQH ProView to Improve Provider Data Accuracy

Leading health plans across Texas are adopting CAQH ProView® to improve the accuracy of provider data. Participating plans in the state include...


May 15, 2019, 13:53 ET CAQH CORE Releases Operating Rules to Promote Automation for Prior Authorization

CAQH CORE today released Phase V Operating Rules approved by the CAQH CORE Board to strengthen the accuracy and consistency of the prior...


May 02, 2019, 08:05 ET CAQH CORE Study Reveals Five Opportunities to Increase Electronic Exchange of Medical Documentation

CAQH CORE today released a white paper, "CAQH CORE Report on Attachments: A Bridge to a Fully Automated Future to Share Medical Documentation" on the ...


Mar 20, 2019, 10:43 ET CAQH CORE Awards More than 350 Certifications, Demonstrating Industry Progress Toward Automation, Interoperability and Administrative Efficiency

CAQH CORE has awarded more than 350 certifications to healthcare organizations that conform to CAQH CORE Operating Rules. In becoming certified,...


Mar 14, 2019, 08:05 ET CAQH Develops Artificial Intelligence to Improve Provider Directory Accuracy

CAQH® has developed patent-pending artificial intelligence (AI) technology to identify incorrect healthcare provider data and improve the accuracy of ...


Feb 28, 2019, 08:05 ET MD-Staff, CAQH Work Together to Make Sharing Provider Data Easier and More Accurate for Groups

Applied Statistics & Management Inc. (ASM) and CAQH® today announced that they are working together to make it easier for large provider groups to...


Jan 23, 2019, 08:05 ET Leading Health Plans Adopt CAQH Solution to Streamline Provider Directories in Tennessee

Leading managed care plans in Tennessee have adopted CAQH ProViewⓇ to increase the accuracy of provider data in the state. Participating plans...


Jan 16, 2019, 10:18 ET CAQH 2018 Index: Healthcare Industry Continues Progress Automating Business Processes Amid Increase in Transaction Volume

CAQH released the 2018 Index today, which reveals that the healthcare industry continues to make progress automating business processes. Electronic...


Dec 13, 2018, 13:46 ET CAQH Solution Brings Transparency to Verifying Healthcare Provider Credentials

CAQH today announced upcoming advanced new functionality for VeriFideTM, the automated solution that authenticates the accuracy and completeness of...


Oct 04, 2018, 11:43 ET CAQH ProView Streamlines Data Sharing Between Delegated Groups and Plans

CAQH has launched CAQH ProView for Groups, simplifying the way data is shared between delegated provider groups and health plans. This...


Sep 25, 2018, 14:25 ET Mark Pratt to Lead CAQH State and Federal Public Affairs Program

CAQH® announces Mark Pratt as the organization's Senior Vice President of Public Affairs. In this role, Pratt will lead CAQH state and federal...


Sep 10, 2018, 07:00 ET Massachusetts Health Plans Select CAQH Solution to Increase Provider Directory Accuracy

HealthCare Administrative Solutions (HCAS), a non- profit organization of Massachusetts based health plans, has selected DirectAssure®, a CAQH...


Aug 13, 2018, 06:00 ET Medicaid Can Save More than $4.8 Billion by Moving to Fully Electronic Transactions

CAQH CORE® today announced that state agencies and health plans covering 44 percent of all Medicaid enrollees have achieved some level of CORE...


Jul 26, 2018, 07:00 ET CAQH CORE Urges Industry Wide Collaboration, Immediate Measures to Improve Prior Authorization Process

The Board of CAQH CORE®, a collaboration of more than 130 public and private entities across the healthcare industry, today released an open letter...


Jun 18, 2018, 08:05 ET CAQH Achieves HITRUST CSF Certification to Further Mitigate Risk in Third Party Privacy, Security and Compliance

CAQH®, a nonprofit alliance focused on simplifying the business of healthcare, today announced that the stated portfolio of CAQH Solutions® has...


Jun 14, 2018, 07:00 ET Increasing Automation of Claims-Related Business Transactions Would Save Healthcare $11.1 Billion Annually

The U.S. healthcare industry made a modest amount of progress in automating claims-related business processes, but a significant opportunity to save...


May 30, 2018, 08:00 ET New Industry Roadmap Lays Path to Address Provider Data Inaccuracies in Healthcare

A diverse cross-section of healthcare leaders today released recommendations to develop an efficient, sustainable system for accurate provider data....


Mar 28, 2018, 08:00 ET New CAQH CORE Research: Streamlining Adoption of Value-Based Payments

New research from CAQH CORE®, released today, analyzes operational challenges that may slow or add costs to the implementation of value-based payment....


Dec 07, 2017, 09:45 ET CAQH CORE Opens Phase IV Certification for Prior Authorization and Other Electronic Healthcare Transactions

Today, CAQH CORE announced the launch of Phase IV Operating Rules Certification testing. Organizations can now verify that they are following these...


Nov 01, 2017, 12:23 ET More than 1 Million Federal Employees Now Covered by CAQH CORE-Certified FEHB Plans

CAQH CORE®, a collaboration of more than 130 public and private entities across the healthcare industry, has announced that three Federal Employees...


Jun 30, 2017, 15:40 ET CAQH Again Recognized as One of Best Places to Work in Healthcare

CAQH has been named one of the Best Places to Work in Healthcare in 2017 by Modern Healthcare magazine. The organization achieved this honor for the...