Term: Coalition for Affordable Quality Healthcare (CAQH)

Description: The Coalition for Affordable Quality Healthcare is a nonprofit organization that strives to simplify healthcare while also lowering healthcare cost. CAQH mission is to be the “catalyst” for healthcare providers to share information and promote practices that ensure the simplification of the healthcare process while also ensuring that patients receive the current utmost care. The organization has implemented many different initiatives in the healthcare field to achieve this goal of simplification

Applications:
Initiatives
Universal Provider Datasource (UPD)
Universal Provider Datasource is one of the more popular initiatives set forth from the CAQH. UPD allows for registered physicians to obtain an online application that allows the user to enter pertinent medical information for healthcare providers. This in turn allows for real time access to reliable healthcare provider information, which in turn speeds of the claim process.

Committee on Operating Rules for Information Exchange (CORE)
Committee on Operating Rules for Information Exchange (CORE) is yet another one of CAQH launched initiatives that has a main goal of cutting down time to find important patient information which in turn cuts down on administrative costs. CORE wants to provide updated information on eligibility and benefits of patients in a fast and reliable method. CORE is made up of more than 80 industry stakeholders made up of a variety of sectors in the healthcare field. These stakeholders work in collaboration to build a consensus of rules that will “enhance interoperability between providers and payers, streamline eligibility and benefits data transactions, and reduce the amount of time and resources providers spend on administrative functions – time better spent with patients[[#_ftn1|[1]]]”.

Simplified Prescribing
This initiative provides a formulary database created by CAQH and HubRx which provides a single source of prescription information for commercially insured Americans. This initiative is part of a further goal of e-prescriptions.

Save Antibiotic Strength
This initiative by the CAQH and the CDC is working toward educating patients and doctors on the growing misuse of antibiotics the is causing the diminishing of the antibiotics power on the human body to fight off sickness.

heartBBEAT for life
Is a program promoted by the CAQH to spread the awareness of the prevention of heart attacks through taking beta-blockers.

Web Resources:
[1] http://www.caqh.org/
http://www.solutions-medical-billing.com/caqh.html

Related Terminology:
Universal Provider Datasource (UPD)
Committee on Operating Rules for Information Exchange (CORE)
Simplified Prescribing
Save Antibiotic Strength
heartBBEAT for life




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