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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 …

As the current and immediate past Chairs of the CAQH CORE Board, we are excited to discuss the operating rule package currently under consideration for federal mandate. Below we will review the path to federal mandate, the proposed rules, and what to …

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 …

On December 19, 2022, the Department of Health and Human Services (HHS) issued a notice of proposed rulemaking (NPRM): Administrative Simplification: Adoption of Standards for Health Care Attachments Transactions and Electronic Signatures, and …

CAQH CORE released guidance today for how healthcare providers and plans can meet the Advanced Explanation of Benefits (EOB) requirements included in the No Surprises Act, signed into law in December 2020. To develop the guidelines , CAQH CORE convened an …

CAQH today released the ninth annual report measuring the progress healthcare payers and providers are making to use electronic business processes. The 2021 CAQH Index found that adoption of electronic administrative transactions increased on average by …