Humana Joins CAQH and the National Effort to Streamline Healthcare Business Practices and Improve Provider Data

WASHINGTON, DC - 11/14/18––CAQH®, an industry alliance working to transform the business of healthcare, today announced that Humana has joined the organization and will serve on the CAQH board of directors.

“We are thrilled that Humana is joining CAQH and will help lead the effort to improve healthcare business processes,” said Robin Thomashauer, President of CAQH. “Humana’s engagement will further advance our mission to make information sharing across the industry more accurate and efficient.”

CAQH is a collaboration of health plans, associations, and other stakeholders working together to streamline the business of healthcare. Advanced technology solutions created by CAQH -- CAQH ProView®, DirectAssure®, VeriFide™, SanctionsTrack®, EnrollHub®and COB Smart® -- enable nearly 1,000 health plans and more than 1.4 million healthcare providers to exchange information needed for provider directories, credentialing, claims processing, quality assurance and member services accurately, efficiently and securely. CAQH CORE participating organizations write operating rules that allow administrative information to be exchanged seamlessly between payers, providers, vendors and clearinghouses.

Based in Louisville, KY, Humana's diverse lines of business serve 16.5 million consumers, including families, seniors, military members and self-employed individuals. Humana has participated in CAQH Solutions for many years and is now strengthening its commitment by becoming a member.

“Solving significant challenges, such as provider directory accuracy, require the industry to work together,” said Alan Wheatley, Retail Segment President at Humana. “We are pleased to be joining CAQH to collaborate with other stakeholders and make a difference for plans, providers and, of greatest importance, members.”

To learn more about how CAQH is streamlining the business of healthcare, visit www.caqh.org.

About CAQH

CAQH is the leader in creating initiatives to streamline the business of healthcare. Through collaboration and innovation, CAQH accelerates the transformation of business processes, delivering value to providers, patients and health plans. Visit www.caqh.org and follow us on Twitter: @caqh.

Around the web

The tirzepatide shortage that first began in 2022 has been resolved. Drug companies distributing compounded versions of the popular drug now have two to three more months to distribute their remaining supply.

The 24 members of the House Task Force on AI—12 reps from each party—have posted a 253-page report detailing their bipartisan vision for encouraging innovation while minimizing risks. 

Merck sent Hansoh Pharma, a Chinese biopharmaceutical company, an upfront payment of $112 million to license a new investigational GLP-1 receptor agonist. There could be many more payments to come if certain milestones are met.