Council for Affordable Quality Healthcare

From WikiMD's Wellness Encyclopedia

Caqh logo.png
Council for Affordable Quality Healthcare
[[File:|250px|alt=]]
Formation 2000
Type Non-profit organization
Headquarters Washington, D.C., United States
Membership N/A
Language N/A
Leader title N/A
Leader name N/A
Website www.caqh.org


The Council for Affordable Quality Healthcare (CAQH) is a non-profit alliance of health plans and trade associations that aims to streamline healthcare administration and promote quality healthcare. Founded in 2000, CAQH develops and implements initiatives to simplify healthcare administration, reduce costs, and improve healthcare quality.

History[edit | edit source]

CAQH was established in 2000 with the goal of improving the efficiency and quality of healthcare delivery in the United States. It was formed by a coalition of health plans and trade associations that recognized the need for a unified approach to address administrative challenges in healthcare.

Mission and Objectives[edit | edit source]

The mission of CAQH is to facilitate the transformation of business processes in healthcare through collaboration and innovation. The organization focuses on:

  • Reducing administrative burdens for healthcare providers and payers.
  • Enhancing the quality of healthcare services.
  • Promoting the adoption of electronic solutions to streamline healthcare operations.

Key Initiatives[edit | edit source]

CAQH has developed several key initiatives to achieve its mission:

CAQH ProView[edit | edit source]

CAQH ProView is an online platform that allows healthcare providers to submit and maintain their professional and practice information in a single, secure location. This information can be accessed by health plans and other organizations to streamline the credentialing process.

CAQH CORE[edit | edit source]

CAQH CORE (Committee on Operating Rules for Information Exchange) is an initiative that develops and implements operating rules to standardize electronic healthcare transactions. These rules aim to improve the efficiency and accuracy of data exchange between healthcare providers and payers.

CAQH EnrollHub[edit | edit source]

CAQH EnrollHub is a centralized electronic enrollment solution that simplifies the process for healthcare providers to enroll in electronic funds transfer (EFT) and electronic remittance advice (ERA) with multiple health plans.

CAQH Index[edit | edit source]

The CAQH Index is an annual report that measures the progress of the healthcare industry in adopting electronic administrative transactions. It provides insights into the cost savings and efficiency gains achieved through electronic transactions.

Impact[edit | edit source]

CAQH has had a significant impact on the healthcare industry by reducing administrative costs and improving the efficiency of healthcare operations. Its initiatives have facilitated the adoption of electronic solutions, leading to faster and more accurate data exchange between healthcare providers and payers.

Governance[edit | edit source]

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 activities.

Also see[edit | edit source]

References[edit | edit source]

Template:Non-profit organizations in the United States

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