| Alt: | Logo of CAQH |
| Caption: | Streamlining the business of healthcare. |
| Status: | non-profit mutual benefit corporation[1] Council for Affordable Quality Healthcare, Inc |
| Purpose: | Health care, information technology |
| Headquarters: | Washington, D.C. |
| Services: | CAQH CORE, CAQH Solutions, CAQH Insights |
| Leader Title: | CEO |
| Leader Name: | Sarah Ahmad[2] |
| Council for Affordable Quality Healthcare | |
| Abbreviation: | CAQH |
| Assets: | $42.2 million (2017) |
| Founded: | [3] |
The Council for Affordable Quality Healthcare, Inc. (CAQH) is a non-profit organization[4] incorporated in California as a mutual benefit corporation. It was first incorporated under the name Coalition for Affordable, Quality Healthcare, Inc., and then renamed the Council for Affordable Quality Healthcare, Inc. on August 8, 2002. It is based in Washington, D.C.[3] Previously a 501(c)(6) tax-exempt organization, CAQH changed its tax status in 2016, although it remains a non-profit.
CAQH was formed by a number of the nation's largest health insurance companies with the goal of creating a forum for healthcare industry stakeholders to discuss administrative burdens for physicians, patients, and payers.[5]
CAQH is a group of health insurance companies that sets rules and coordinates information for physicians and other providers.
CAQH has created a number of initiatives with the goal of streamlining the business of healthcare: CAQH CORE, CAQH Solutions, and CAQH Insights. CAQH Solutions include CAQH Provider Data and Credentialing, Directory Management, Sanctions Monitoring, and Coordination of Benefits. CAQH Insights, the research arm of CAQH, produces the CAQH Index and other healthcare industry analyses.
Members include Aetna, Anthem, America's Health Insurance Plans, AultCare, the BlueCross BlueShield Association, Blue Cross Blue Shield of Michigan, BlueCross BlueShield of North Carolina, BlueCross BlueShield of Tennessee, CareFirst BlueCross BlueShield, Centene Corporation, Cigna, Horizon Blue Cross Blue Shield of New Jersey, Humana, Kaiser Permanente and UnitedHealth Group.