CAQH CORE Phase I
Measures of
Success Study
Measures of
Success Study
A recent CAQH study, conducted by IBM Global Business Services, assessed results achieved by six CORE-certified health plans representing 33 million covered lives and selected vendor and provider partners that use the Phase I rules.
The study analyzed data from the three-month period prior to health plan certification and one year later. Study results showed that CORE certification dramatically cuts administrative costs and accelerates HIT adoption by both health plans and providers.
Based on results from the study, an industry-wide implementation of the CORE Rules could yield $3 billion of savings in three years.



