{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"Ep 43: When Payers Own the Data: What the CAQH Rebrand Means for Providers","description":" In this solo episode, Rachel Harrison takes a break from her usual guest conversations to address something that has been generating a lot of discussion in the mental health community this week: the rebranding of CAQH as DataSpring.  If you have been in mental health practice for any amount of time, you know CAQH. It is the credentialing portal most clinicians and practice owners have relied on for years to maintain licensing, training history, liability insurance, and practice information for insurance credentialing \u2014 a system designed so that providers enter their data once and it flows out to multiple payers rather than filling out the same paperwork over and over again for each insurance company.  But CAQH is no longer the nonprofit utility it once was. In January 2026, the organization converted from a nonprofit and became owned by a consortium of 12 of the nation's largest health plans, including UnitedHealth Group, Cigna, Aetna, Humana, Centene, Elevance Health, and several Blue Cross Blue Shield plans. And this past week, the organization rebranded as DataSpring, powered by CAQH \u2014 a change timed to coincide with the AHIP 2026 conference, a major gathering for health insurance executives.  Rachel walks through what the rebrand actually means, why the ownership shift matters, and what questions every clinician and practice owner should be asking right now. She covers the concerns being raised in the field \u2014 including whether payers will use this platform in ways that benefit their own administrative processes at the expense of providers, whether incomplete data could be used to slow credentialing or delay directory listings, and what oversight exists when the governing board is made up of representatives from the very insurers pulling the data.  She is also clear about what we do not yet know: this is a developing situation, independent reporting has not fully caught up, and there is no confirmed evidence yet that providers are being harmed. But the structural shift is significant, and Rachel makes the case that awareness matters even when we do not have all the answers.  Resources Mentioned  CAQH Rebrands as DataSpring to Power the Next Era of Healthcare Data \u2014 Globe Newswire:  https:\/\/finance.yahoo.com\/sectors\/healthcare\/articles\/caqh-rebrands-dataspring-power-next-110700451.html  Leading Health Plans Become CAQH Owners to Shape the Future of Healthcare Data \u2014 Becker's Payer Issues:  https:\/\/www.beckerspayer.com\/m-and-a\/major-insurers-take-ownership-of-former-nonprofit-healthcare-data-organization\/  Insurer-Owned CAQH Rebrands to DataSpring \u2014 Becker's Payer Issues:  https:\/\/www.beckerspayer.com\/leadership\/insurer-owned-caqh-rebrands-to-dataspring\/ When Payers Own the Data: What CAQH's New Structure Means for Provider Revenue and Credentialing \u2014 Ventra Health (private company blog; read with that context in mind):  https:\/\/ventrahealth.com\/blog\/when-payers-own-the-data-what-caqhs-new-structure-means-for-provider-revenue-credentialing\/   Connect with The Mental Health Evolution   Website:  https:\/\/www.traumaspecialiststraining.com\/mental-health-evolution-podcast  Instagram: \/thementalhealthevolution\/  LinkedIn: \/the-mental-health-evolution  Facebook: \/TheMentalHealthEvolution  Music by Zach Harrison ","author_name":"The Mental Health Evolution","author_url":"https:\/\/sites.libsyn.com\/501993","html":"<iframe title=\"Libsyn Player\" style=\"border: none\" src=\"\/\/html5-player.libsyn.com\/embed\/episode\/id\/41648010\/height\/90\/theme\/custom\/thumbnail\/yes\/direction\/forward\/render-playlist\/no\/custom-color\/88AA3C\/\" height=\"90\" width=\"600\" scrolling=\"no\"  allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen><\/iframe>","thumbnail_url":"https:\/\/assets.libsyn.com\/secure\/item\/41648010"}