The U.S. health care system continues to make progress automating business transactions, but could save an additional $9.8 billion annually if providers and health plans fully adopted certain electronic transactions, according to the latest annual CAQH Index. Based on voluntary surveys of medical and dental health plans and providers, the index measures adoption, costs and provider labor time associated with common administrative transactions conducted between health plans and providers. These include verifying a patient’s insurance coverage, obtaining authorization for care, submitting a claim and supplemental medical information, and sending and receiving payments. The health care field “made progress on many fronts this year — in adoption of electronic transactions, reductions in the volume of manual transactions and reductions in the remaining savings opportunity,” the reports states. “However, continued efforts are needed to significantly reduce the volume of expensive, time-consuming manual transactions and adapt to the changing administrative needs of the health care system.”

Related News Articles

Headline
HHS’ Health Sector Cybersecurity Coordination Center urged health care organizations to install patches to protect their Windows systems against DejaBlue.
Headline
The AHA today proposed additional actions that the Centers for Medicare…
Perspective
What do New York-Presbyterian, Henry Ford Health System of Detroit, and Children’s Hospital Los Angeles all have in common?  
Headline
Medicare fee-for-service providers can sign up to participate in a pilot program allow clinicians to access a patient’s Medicare claims data for treatment…
Headline
The Centers for Medicare & Medicaid Services late today issued a final rule updating payment rates for skilled nursing facilities for fiscal year 2020.
Insights and Analysis
Hospital and health system leaders should collaborate with radiologists to boost value through AI, said speakers at an AHA Physician Alliance webinar.