Keyword: Council for Affordable Quality Healthcare
A commonly used format for formulary submissions has been updated to enable drug companies to share information with payers on unapproved products.
The cost of prior authorization requirements on physician practices has continued to increase—up 60% in 2019 to manually generate a request.
How can health plans more effectively trim administrative costs without sacrificing member or provider satisfaction? Here are three steps to consider.
Keeping up with maintenance on directories costs providers nearly $1,000 a month, a survey finds.
HL7 and CAQH CORE are collaborating to move the industry toward end-to-end automation of the prior authorization process.
Payers have made strides digitizing and automating many core processes, yet prior authorization remains a largely manual, cumbersome process.
Better industry collaboration could accelerate progress toward value-based care, according to a new report.
In its provider data roadmap, CAQH calls for support from industry leaders and gradual approach to overhauling systems and standards.