Insights
Through research and partnerships across the industry, CAQH Insights identifies opportunities to streamline business practices and measure the impact of a more automated healthcare workflow.
The CAQH Index
The CAQH Index is the industry source for tracking health plan and provider adoption of electronic administrative transactions.
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Latest Research
CAQH periodically releases issue briefs on topics related to administrative burden and streamlining the business of healthcare. Explore recent research below.
NCPDP SCRIPT Usage
This issue brief explores an increase in provider use of electronic prescription drug prior authorizations which reflects a continued progress and commitment towards more automated workflows.
Provider Directory Accuracy
This issue brief outlines the challenges of maintaining accurate provider directories along with federal and state initiatives that are driving improvements. It also offers some innovative solutions to reduce provider burden and enhance data quality.
Communicating Patient Attribution
A roadmap for reducing administrative burdens in value-based payment initiatives.
This issue brief discusses the challenges and progress of VBP models, focusing on patient attribution processes, the mix of automated and manual data exchanges, and the need for improved communication and efficiency.
Administrative Transaction Costs by Provider Specialty
$83B is spent by the medical industry on administrative transactions and 97% is incurred by providers. This new report identifies what is driving costs up by specialty and highlights opportunities to streamline processes that will reduce administrative burden.