Bringing the astronomical amount of healthcare data together can be challenging, but as panelists at the recent Payer + Provider Summit, hosted by Xtelligent Healthcare discussed, collaboration is key to overcoming these barriers. During the panel, our Chief Growth Officer, Kristina Rollings, highlighted the critical role of data standardization in addressing health disparities. Kristina shared: 👉“When I think about data standardization efforts and population health, you have to ensure that the health data that's collected is consistent across diverse populations and that we can better identify disparities in care delivery, health outcomes, and access to resources.” Dr. Sheila Sudhakar MD, FACHE from Cigna Healthcare and experts from the NCQA also agreed that aligning stakeholders is essential to achieving meaningful progress in value-based care. 📖 Read the article from TechTarget News to learn more about the discussion and how collaboration is driving solutions: https://lnkd.in/enP-dedP 💡 Follow CAQH to see how we’re working to make healthcare work better for everyone through collaboration and innovation. #ValueBasedCare #DataStandardization #Collaboration #HealthcareInnovation
CAQH
Data Infrastructure and Analytics
Washington, District of Columbia 11,433 followers
CAQH delivers technology-enabled solutions, operating rules and research to the healthcare industry.
About us
CAQH offers the most comprehensive provider and member data in the US and is trusted by stakeholders from across the healthcare ecosystem to make healthcare work better. We connect 1,000 health plans and over 4 million providers to reduce administrative burden with one-stop for managing the provider data lifecycle, making it easier to share information and work efficiently. By reducing administrative burdens and enhancing efficiency, we help healthcare professionals and organizations share essential information with ease. Our data-driven solutions support key functions like credentialing, directory management, and coordination of benefits, driving better business practices so providers can focus on what matters most: patient care. With advanced analytics and automation, CAQH brings time-saving, cost-cutting efficiencies that simplify healthcare administration—allowing everyone to concentrate more fully on improving health outcomes. Visit www.caqh.org to learn more. View current openings for CAQH Careers at www.caqh.org/about/careers
- Website
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https://www.caqh.org
External link for CAQH
- Industry
- Data Infrastructure and Analytics
- Company size
- 51-200 employees
- Headquarters
- Washington, District of Columbia
- Type
- Nonprofit
- Founded
- 1998
- Specialties
- Information Technology, Healthcare, Nonprofit, Credentialing, Operating Rules, Provider Data, Electronic Transactions, Business Development, Marketing and Communications, and Member Data
Locations
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Primary
2020 K St NW
Washington, District of Columbia 20006, US
Employees at CAQH
Updates
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🔗 Webinar: https://lnkd.in/erXYkxvR Are healthcare inefficiencies costing your organization time and money? Discover how leaders are tackling the $400 billion problem of administrative complexity in the U.S. healthcare system. Join us for an engaging conversation with: 🩺 Meredith Williams MD MBA, Vice President of Clinical Affairs at Oscar Health 💻 Patrick Murta, Vice President of IT, Clinical Product and Platform Architecture at Centene Corporation 🤝 Katie Davis, MS, RN, AGACNP-BC, Vice President of Provider Relations at CAQH Together, they’ll unpack the root causes of inefficiencies and share actionable strategies to simplify healthcare administration and drive progress. 👉 Register now to join the conversation: https://lnkd.in/erXYkxvR #Healthcare #AdministrativeSimplification #Innovation #CAQH #AHIP
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As we reflect on this season of gratitude, we at CAQH are reminded of how much we have to be thankful for. We’re thankful for our customers and partners who trust us to make healthcare work better. Together, we’re driving meaningful change. But most of all, we’re grateful for our incredible team. It’s their passion, creativity, and dedication that power our mission every day. To our employees: thank you for everything you do to improve healthcare for all. Wishing everyone a safe and happy Thanksgiving! 🦃🍂
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Advancing value-based care is a shared responsibility. This article from AJMC - The American Journal of Managed Care highlights a dynamic discussion on patient-focused strategies to improve care delivery and health outcomes. A special thank you to Todd Couts (Centers for Medicare & Medicaid Services), Michael Westover (Providence Saint Joseph Medical Center ), and Amal Agarwal, DO MBA (Monogram Health) for their insightful contributions. And a big thank you to our own Kristine Burnaska, PhD Burnaska (CAQH) for moderating this important conversation. At CAQH, we are proud to collaborate with leaders across the healthcare ecosystem to tackle systemic challenges and drive the transition to value-based care. Read more about how collaboration is shaping the future of healthcare: https://lnkd.in/eufjQB_R #ValueBasedCare #PatientCare #HealthcareCollaboration
Health Care Leaders Highlight Collaborative, Patient-Focused Strategies for Advancing Value-Based Care
ajmc.com
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🔗 https://lnkd.in/erXYkxvR 🏈As Shane Falco said in The Replacements, "You’ve got to have fun. That’s why it’s called the fundamentals." It’s time to revisit the fundamentals in healthcare—because getting them right isn’t just essential, it’s transformative. From improving billing transparency to streamlining appointment scheduling, small operational wins can lead to big impacts for patients, providers, and health plans. 🙌 Join Meredith Williams MD MBA, Vice President of Clinical Affairs at Oscar Health and Patrick Murta, Chief Technology Officer at RealizedCare for a candid conversation with CAQH's Katie Davis, MS, RN, AGACNP-BC, VP of Provider Relations for an honest discussion about the roots of these inefficiencies. They will explore the challenges and opportunities to drive real progress. 👉 Register now to join the conversation https://lnkd.in/erXYkxvR
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If you missed the live webinar, don’t worry—we’ve got you covered! Our Chief Growth Officer, Kristina Rollings, joined an incredible panel with Rachel Harrington, PhD and Sheila Sudhakar MD, FACHE to explore one of healthcare’s toughest challenges: how to use better data to improve population health. From the importance of data standards to actionable steps for making them work in real-world strategies, Kristina and her fellow panelists tackled the big questions. Catch the recording here: https://lnkd.in/gx92C8ir —it’s worth a watch!
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Webinar 🔗: https://lnkd.in/eV2Cum8Q Ghost networks have impacted patients’ access to care for years. Recent studies have shown this issue has escalated from a persistent challenge to a public health emergency. However, advancements in AI technology now offer new solutions to eliminate ghost networks. Join CAQH CEO Sarah Ahmad, with HiLabs CEO Amit Garg and Christopher Gengo, VP of Operations at CareSource as they discuss the many facets of the issue, the impact on patients, and how technology can offer novel solutions to help the entire industry.
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At the Becker's Healthcare CEO + CFO Roundtable in Chicago? Swing by Booth #212 to learn how CAQH is transforming provider data into a strategic asset for healthcare organizations. Meet CAQH leaders - Kim Koebel, Chris Schaefer, Katie Davis, MS, RN, AGACNP-BC, and Michael Moody - and discover how we’re helping organizations move beyond basic compliance to true data-driven efficiency. With partnerships across 1,000+ health plans, CAQH is redefining how healthcare organizations approach data: not just to comply, but to excel. Explore more on our site caqh.org and follow us here for real-time updates and insights.
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Happening Today: Stay up to date with CORE at our Q4 Town Hall! Join us this afternoon for exclusive insights: ▪ Learn about the rule package recently submitted to NCVHS for federal mandate consideration ▪ Hear the latest from our eligibility & benefits operating rule development initiative ▪ Preview CORE’s 2025 focus areas, including upcoming claim status and value-based care initiatives Featured speakers: Rachel Goldstein, Michael Phillips, Taha Anjarwalla & Peter Benziger Register now to secure your spot: https://lnkd.in/ek_5Tbmd Can’t make it? Register to receive a link to the slide deck and recording after the session.
CORE Q4 Town Hall
caqh.org
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Introducing the CAQH and HiLabs Partnership: Simplifying Provider Data Like Never Before! CAQH has joined forces with HiLabs to give healthcare organizations a seamless option for acquiring clean, high-quality provider data. The partnership combines HiLabs' advanced MCheck platform, which uses artificial intelligence to cleanse and improve data across a variety of use cases, reducing errors and inconsistencies commonly found in provider directories, rosters, contracts, and more. By joining forces with CAQH’s extensive provider-attested data, a combined solution will make it easier for healthcare organizations to get accurate, real-time provider data. This creates significant operational efficiencies and unlocks the value of this data for additional strategic uses. Discover how this partnership can benefit your organization: https://lnkd.in/ejhsRE_H #healthcaredata #providerdata #healthtech #AI
CAQH and HiLabs Partner to Deliver Industry Leading Provider Data Solutions
caqh.org