CAQH CORE and X12 Webinar Series: Diving into the 270/271 Transaction, Standard & Operating Rules

Join CAQH CORE and X12 on December 1st for our second joint webinar covering the 270/271 transaction, standard, and operating rules series. The 270 transaction set is used throughout the healthcare marketplace to transmit healthcare eligibility and benefit inquiries from health care providers, insurers, clearinghouses and other healthcare adjudication processors. Meanwhile, the 271 transaction set is the appropriate response mechanism for healthcare eligibility and benefit inquiries.

CAQH CORE Industry Webinar: Preparing for NCVHS Review of Proposed Operating Rules

Join us to review the new and updated operating rule package proposed for federal mandate. The National Committee on Vital and Health Statistics (NCVHS) requested industry feedback via a Request for Comment due December 15th, 2022. Join the CAQH CORE team to learn more about the proposed rule package and the federal review process.

Industry Perspectives: Conversation with CAQH CORE Board Member Margaret Schuler

On November 3, CAQH CORE staff will host a conversation with revenue cycle expert and CAQH Board Member, Margaret Schuler, about her experience leading interoperability and revenue cycle initiatives and the value of standardization and automation. Margaret will provide insights from across the medical and dental industries and discuss why she believes operating rules are a critical tool for streamlining data exchange.

What is value-based payment?

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 to some form of value, be it through pay-for-performance incentives - such as payment add-ons for controlling chronic conditions in a patient population - or shared-risk arrangements between providers and payers, like population-health models that measure performance against a total cost of care benchmark.

CAQH CORE Price Transparency Series

Join CAQH CORE for an update on continued efforts to support industry implementation of price transparency regulations, including the Good Faith Estimate (GFE) requirements in the No Surprises Act. The GFE requirement under the No Surprises Act aims to give patients and consumers a clear sense of what upcoming health care services will cost, however has presented various operational challenges and ambiguity for stakeholders.

WEDI Spring Conference

CAQH CORE will presenting alongside other industry speakers on May 26th from 2:15-4:15pm ET.

This year's virtual conference will focus on leveraging technology to help solve the biggest issues in health care. Sessions will focus on several healthcare topics including:

  • Regulations/ Patient Enablement
  • Clinical Exchange
  • Administrative Efficiency
  • Automation
  • Health Equity
  • Privacy & Security

 

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