Be part of the 2025 Index
Why participate? In addition to supporting the industry-wide effort to accelerate healthcare transformation, each participating organization receives a benchmark report highlighting how it performs compared to others in the industry in key areas. This report provides a roadmap for investment considerations to drive greater impact.
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2024 CAQH Index Findings
Three Calls to Action for Healthcare Leaders
Automate Key
Transactions
Opportunity:
Fully automate two transactions with the highest cost-savings opportunities highlighted in the CAQH Index to achieve substantial savings.
Action:
Implement electronic standards and operating rules to support all eligibility and benefit verifications ad claim status inquiries to eliminate time-consuming manual tasks.
Impact:
Save over $15 billion annually across the healthcare industry, improve transparency, and deliver critical information to patients and providers faster.
Transform Prior
Authorization Workflows
Opportunity:
Reduce prior authorization delays and administrative burden for patients and providers.
Action:
Exceed baseline CMS Interoperability & Prior Authorization Rule compliance by adopting API-based solutions alongside enhanced workflows.
Impact:
Save the industry $515 million annually and medical providers and staff 14 minutes per authorization by adopting the electronic standard.
Improve Provider and
Patient Experience
Opportunity:
Streamline administrative processes to free up valuable time.
Action:
Transition to fully electronic workflows to eliminate time-consuming manual tasks, allowing medical staff to dedicate more attention to patient needs and reducing barriers to care.
Impact:
Save medical providers and staff up to 18 minutes, on average, per patient visit, by automating claim status inquiries. This cuts down on phone calls and makes the healthcare experience better for everyone.