UPD STATS AT A GLANCE
UPD is the industry utility for self-reported provider data collection. On average, 7,000 providers join the service each month.
Totals as of December 6, 2012:
Providers Using UPD to Reduce Administrative Costs:
Annual Provider Administrative Savings:
$147 million (4.9 million hours)
Paper Applications Eliminated Since Service Inception:
Estimated 129 million pieces of paper or 15,500 trees
NEW UPD PARTICIPANTS
Adena Health System
Agewell New York, LLC/ Parker
Alliance Behavioral Healthcare
Apple Care Medical Management
Athena Health System
Bronx United IPA
East Carolina Behavioral Health
Eye Associates Network
Healthcare Partners of California
Heritage Vision Plan
Holzer Health System
Mercy Care Plan
Mercy Physicians Medical Group
MetroPlus Health Plan
NYU Langone Medical Center
Occupational Managed Care
Old Pueblo Medical Management
Phoenix Health Plan/Abrazo
PIPN Personal Injury Provider
Primary Care Associates Medical
Primary Partner Care Network
PrimeCare Medical Network, Inc
Professional Health Choice
Smoky Mountain Center
St Mary's of Michigan PHO
Steward Medical Group
Sunflower State Health Plan
Western Highlands Network
Launched in 2002 by CAQH, the Universal Provider Datasource® (UPD®) is achieving its vision of simplified credentialing by reducing paperwork and millions of dollars of annual administrative costs for more than one million providers and over 650 health plans and hospitals across the United States.
Provider Data Workgroup Update
The Summit on the Future of Provider Data was hosted by CAQH and convened healthcare stakeholders to discuss the challenges and opportunities associated with administrative provider data. CAQH followed up on recommendations shared during the Summit by organizing a Provider Data Workgroup and leading research activities to identify provider data related efforts across the healthcare landscape. The research reaffirms that there is very little coordination among provider data efforts across the industry, which results in duplicative service offerings and minimum leveraging of data format standards.
In the coming weeks CAQH will release a whitepaper summarizing current industry work on administrative provider data. A catalogue of efforts representing numerous use cases will be included.
The Provider Data Workgroup will review the research to assess how the industry can better collaborate in the collection, maintenance and distribution of common data with the intent of eliminating redundant efforts that add unnecessary cost and complexity. Looking at the amassed databases and data standards, the Workgroup will be tasked with determining:
- Where do redundancies exist among industry efforts?
- Which data collection models are most efficient?
- How can best practices be shared?
- How can the industry impact provider data quality and maintenance?
There is a clear opportunity to create meaningful provider data efficiencies that can be shared among stakeholders. The goal of this work is to identify solutions that can benefit the provider community, reduce costs, decrease duplicative efforts and lead to improved data quality.
Additional participation in the Provider Data Workgroup is welcome. To get involved or learn more, contact Christine Stroup.
Back to Table of Contents
Maintaining Provider Directories
In response to the growing requirement for accurate and timely provider directories, CAQH is introducing a UPD Directory Maintenance Report. Delivered weekly to all UPD participating organizations, the Report will review provider rosters and capture all changes related to directory data, such as practice locations, hospital affiliations and other pertinent information.
While the UPD Extract Data Summary will continue to provide all information changes related to the entire CAQH UPD application, the Directory Maintenance Report includes only those elements that would appear in a directory. The succinct data file highlighting these specific changes from week to week will help UPD participating organizations streamline the process for maintaining accurate and timely provider directories.
For more information on this new Report, contact Christine Stroup.
Back to Table of Contents
NeHC University Offers Education Opportunities
National eHealth Collaborative (NeHC) is a public-private partnership that accelerates secure and meaningful use of health IT through education and stakeholder engagement to advance health and transform healthcare.
Through its NeHC University online education program, its Consumer Consortium on eHealth patient engagement initiative, and its ongoing study of critical success factors for health information exchange through the HIE Learning Network, NeHC works to educate, connect and encourage healthcare stakeholders in efforts to promote the successful deployment of health IT and health information exchange nationwide.
In the coming months, NeHC will be hosting some exciting new programs through NeHC University, including classes that will explore the rapidly changing health information exchange (HIE) landscape and the resources and programs available for providers in rural and underserved communities.
On Tuesday, December 18, CAQH CORE and NeHC will offer a joint education session, "Countdown to Compliance: An In-Depth Look at the Federally Mandated Eligibility and Claim Status Operating Rules Deadline". This online event will be held 3:00 - 4:30 pm ET.
Back to Table of Contents
Catalyst is a CAQH ePublication focused on strategies
and best-practices for simplifying healthcare administration.