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The  No Surprises Act of 2021 takes another step toward mandating that health plans improve the accuracy of their provider directories. The Act includes specific requirements health plans must meet by January 2022. Are you ready? Download the brief to …

CAQH has released the ninth annual report measuring the progress healthcare payers and providers are making to use electronic business processes. Every year, the CAQH Index tracks automation, spending and savings opportunities for administrative …

Dental provider credentialing, a process most often associated with a dentist contracting with an insurance carrier, can be cumbersome for both dentists and dental plans. One reason is related to slow adoption of automated solutions resulting in continued …

Automated credentialing, a process in which a provider completes a plan enrollment application electronically, has seen slower adoption in the dental industry. Today, many dental practices are still completing paper-based credentialing applications and …

According to a recent CAQH ProView® provider data analysis, dentists who share their professional and practice information with multiple plans using a single platform are far more likely to keep their information updated than those who use multiple …

Patients rely on a variety of sources to find the care they need from the clinicians they prefer. These include search engines, doctor rating sites and referrals. Among the more common resources that patients use are health plan provider directories …

CAQH CORE has announced five new Board members to help advance CORE’s mission to drive the creation and adoption of healthcare operating rules, accelerate interoperability and align administrative and clinical activities. Please join CAQH CORE in …

On May 1, 2020, the Centers for Medicare and Medicaid Services (CMS) released the Interoperability and Patient Access final rule, with the goal of giving patients better access to their health information. Great progress has been made since the rule was …

Value-based payment (VBP) models pay providers based on the outcomes of the care they deliver, not the volume. VBP models are recognized for their potential to lower costs, increase quality, and promote equity. Almost 60% of healthcare payments are tied …

Customization is often seen as a luxury--a product or solution that is tailor-made to fit one's exact needs. When it comes to customization in the business of healthcare, customization can be counterproductive. This is because, on average, physician …