Overview
The 2024 Review Work Group (RWG) will review and refine the updated draft Eligibility & Benefits Operating Rule requirements. Review of the draft rule by the RWG is a critical step in the CORE Voting Process and requires a formal ballot with a quorum of 60% of participating organizations and a simple majority approval.
Announcements
No announcements for this work group
Staff
Taha Anjarwalla
CAQH CORE
Bob Bowman
CAQH CORE
Pete Benziger
CAQH CORE
Co-Chairs
Donna Campbell
Health Care Service Corporation
Margaret Schuler
Aspen Dental
Members
Matt Louden
HIVE Strategy
Catherine Chen
HIVE
matt louden
HIVE Strategy
Donna Campbell
Health Care Service Corporation
Susan Langford
BlueCross BlueShield of Tennessee
Bob Bowman
CAQH CORE
Sudheer Tummala
Blue Cross and Blue Shield of North Carolina
Margaret Weiker
National Council for Prescription Drug Programs (NCPDP)
Margaret Brown
Healthedge Software Inc
Taha Anjarwalla
CAQH CORE
Althea Robinson
TCS
Tammy Vicari
TCS
Kristina Steece
Ameritas
Maria Lagoutis
Unitedhealthcare
Leah Barber
Availity
Charles Hawley
National Association of Health Data Organizations (NAHDO)
Pete Benziger
CAQH CORE
Olga Khabinskay
Healthcare Business Management Association
Margaret Schuler
Aspen Dental
Meredith Ray
Cigna
C Veverka
Michigan Department of Community Health
Noah Mastel
Ameritas
Shannon Kennedy
Sekhmet Advisors
Emma Andelson
American Medical Association
Amy King
BCBSMI
Nancy Hyde
Michigan Medicaid
Lorna Bradley
Sekhmet Advisors
Paul Chupp
Ameritas
Rebekah Fiehn
ADA
Jason Large
UHC
Simha Gandhi
Lassie
Paula Smith
CMS
Naomi Miao
athenahealth
Suzanne Droste
Mayo Clinic
Evi Russo
athenahealth
Ana Isabella
Cigna
Kristin Tahai
Cigna
Marina Collins
Optum
Kimberly Konyshak
Availity
Sharon Nichols
Availity
BreAnne Davenport
DaVita
Kristin Leasiolagi
DaVita
Rachel Gold
Golds Health
RJ Rodriguez
Hive Strategy
Meredith Ray
Cigna
Calendar
- Discuss results of Straw Poll #3 on Bundled Payments and Contractual "Carve-outs"
- Level set on draft rule requirements
- Introduce Use Case #4: value-based care
Upcoming Events
No events are scheduled at this time. Please check back later.
Past Events
09/05/2024 6:00 - 7:00 pm ET
CORE Eligibility & Benefits Task Group Call #5
Topic: CORE Eligibility & Benefits Task Group Call #5
- Discuss results of Straw Poll #3 on Bundled Payments and Contractual "Carve-outs"
- Level set on draft rule requirements
08/01/2024 6:00 - 7:00 pm ET
EBTG Call #4
Topic: CORE Eligibility & Benefits Task Group Call #4
- Introduce Use Case #4: value-based care
07/11/2024 6:00 - 7:30 pm ET
EBTG Call #3
Review and discussion of EBTG Straw Poll #1 on medication covered by the medical benefit and EBTG Straw Poll #2 on dental benefits results.
Event
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