Join Security Health Plan, a health maintenance organization that is part of Marshfield Clinic Health System and serves more than 230,000 members in Wisconsin, as they share their CORE-certification journey to align with industry-driven operating rules for Phases I-III.
State Medicaid agencies have been developing programs to support value-based payments (VBP) and move away from volume-driven fee-for-service. Join this webinar to learn what Medicaid programs are doing to support VBP adoption at the provider level. Webinar Highlights:
Attachments link patient-specific clinical data to companion administrative transactions, supporting the adjudication of claims, prior authorizations and other interactions. The exchange of clinical information from provider to payer has become highly manual and a source of enormous administrative burden in the absence of a federal standard.
Learn about the CAQH CORE vision and approach for standardizing and automating the prior authorization (PA) process.
CAQH CORE will provide an update on its ongoing initiatives to deliver administrative efficiency and value to the healthcare industry.
In a recent milestone for the healthcare system, industry-leading providers, Medicaid programs, health plans, clearinghouses, and product vendors have achieved more than 350 CORE Certifications. Each certification demonstrates a healthcare organization’s commitment to ensuring business transactions flow seamlessly.
CAQH CORE Participating Organizations are invited to join the Phase V Co-Chairs for a review of the CAQH CORE vision and approach for prior authorization (PA). In addition, the Co-Chairs will walk through the Phase V CAQH CORE Operating Rule requirements in detail as well as the CAQH CORE voting process.
CAQH CORE Participating Organizations are invited to join CAQH CORE Board Chair Susan L. Turney (President and CEO, Marshfield Clinic Health System), Board member Jason Delimitros (Vice President, Health Plan Operations, Centene) and CAQH CORE leadership for a discussion on our 2019 goals and strategies.
CAQH CORE will update the audience on its efforts to deliver administrative efficiency and value to the healthcare industry for the benefit of patients, providers and health plans.
In value-based payment models, providers take responsibility for the care of specific patients. An ongoing challenge for providers is the lack of standard attribution methodology to help them manage the care of their patient populations, especially if they work with multiple payers.