Council for Affordable Quality Healthcare

Non-profit organization in the United States

Logo of the Council for Affordable Quality Healthcare

The Council for Affordable Quality Healthcare (CAQH) is a non-profit alliance of health plans and trade associations in the United States. It is dedicated to simplifying healthcare administration through the development and implementation of industry-wide initiatives that reduce administrative burdens and improve the quality of healthcare.

History

CAQH was established in 2000 with the goal of improving the efficiency and quality of healthcare delivery. The organization was formed by a coalition of health plans and trade associations that recognized the need for a unified approach to address the complexities of healthcare administration.

Mission and Objectives

The mission of CAQH is to streamline healthcare administration by developing and implementing shared initiatives that reduce costs and improve healthcare quality. The organization focuses on:

• Reducing administrative burdens for healthcare providers and payers.
• Enhancing the quality of healthcare delivery.
• Promoting the adoption of electronic solutions to improve efficiency.

Key Initiatives

CAQH has developed several key initiatives aimed at achieving its mission:

CAQH ProView

CAQH ProView is an online service that allows healthcare providers to submit and maintain their professional and practice information in a single, secure location. This service simplifies the credentialing process by enabling providers to share their information with multiple health plans and organizations.

CAQH CORE

The CAQH Committee on Operating Rules for Information Exchange (CORE) is an initiative that develops and promotes a set of operating rules to streamline electronic healthcare transactions. CAQH CORE aims to improve the efficiency of healthcare transactions by establishing consistent standards and guidelines.

CAQH EnrollHub

CAQH EnrollHub is a centralized electronic enrollment solution that simplifies the process of enrolling in electronic funds transfer (EFT) and electronic remittance advice (ERA) with multiple health plans. This initiative reduces the administrative burden on providers by eliminating the need for multiple paper forms.

Impact on Healthcare

CAQH initiatives have had a significant impact on the healthcare industry by reducing administrative costs and improving the efficiency of healthcare transactions. By promoting the adoption of electronic solutions and standardized processes, CAQH has helped to streamline operations for both providers and payers.

Governance

CAQH is governed by a board of directors composed of representatives from member organizations, including health plans and trade associations. The board provides strategic direction and oversight for the organization's initiatives and activities.

Related pages

• Health insurance in the United States
• Healthcare reform in the United States
• Electronic health record