From Silos To Services For Value-Based Care

From Silos to Services for Value-Based Care

  • January 1, 2017

Even though healthcare has spent decades automating processes and digitizing information, both remain remain largely locked in IT silos. There are impenetrable system boundaries between payers, providers, and vendors that reduce efficiency, increase costs, and resist automation. In other words, true interoperability is sorely lacking. From Silos to Services for Value-Based Care reviews the history of interoperability in healthcare and makes a case for how we can unlock the silos, bring information together, and align processes to improve clinical and financial outcomes. Read now or download and read later

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The Interoperability Imperative

The Interoperability Imperative

  • January 1, 2017

Interoperability in healthcare is not just about moving financial and clinical data between payer or provider or moving clinical data from one application to another. True interoperability allows enterprise applications to "talk" and collaborate in a smart, open, and agile manner. The Interoperability Imperative explains what this means; how and why interoperability is necessary to scale complex value-based reimbursement models; and how payers, providers, and vendors can get started. Read now or download and read later

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Clinical And Payment Option Released

Clinical and Payment Option Released

  • October 25, 2016

McKesson Health Solutions launched ClaimsXten Policy Management, a new clinical and payment management solution.  The software allows complex policy changes to be updated in weeks instead of months, helping payers achieve ensure fast, accurate payment. Read the article

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McKesson Health Solutions Unveils ClaimsXten Policy Management

McKesson Health Solutions Unveils ClaimsXten Policy Management

  • October 17, 2016

McKesson Health Solutions launched a new clinical and payment management solution, ClaimsXten Policy Management, to help streamline and automate advanced policy rules and clinically sourced edits. The solution helps promote fast, accurate payment on the first pass, reducing the potential of retrospective recovery and third-party audits and appeals. Read the article

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Celebrating National Health IT Week

Celebrating National Health IT Week

  • September 26, 2016

In recognition of National Health IT Week, we've collected some of our most popular articles on healthcare payment innovation topics for you. Health IT innovation isn't just about technology. No matter how inventive a new technology is, it's only as effective as the people, processes, and policies that surround it. Technology alone doesn't solve problems. The people who use it do. For example, when reading From Silos to Services for Value-Based Care, you'll see how the technology itself wasn't particularly innovative -- it was "just" a database -- but the way the hospital's team designed and used it required breakthrough…

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IT Challenges Await Bundled Payment Approaches

IT Challenges Await Bundled Payment Approaches

  • August 16, 2016

The Centers for Medicare and Medicaid Services is laying the groundwork for new Medicare payment models for cardiac procedures. But providers are struggling to execute bundled payments. Post-acute care providers, in particular, face health information technology challenges. Read the article

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McKesson And TriZetto Collaborate To Improve Claims Payment Accuracy

McKesson and TriZetto Collaborate to Improve Claims Payment Accuracy

  • May 17, 2016

McKesson Health Solutions has joined forces with TriZetto to help payers manage complex clinical and reimbursement claims. The companies will collaborate to integrate McKesson's ClaimsXten and ClaimsXten Select claims auditing solutions with TriZetto QNXT enterprise core administration system. Read the article

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McKesson, TriZetto To Integrate ClaimsXten, QNXT Systems

McKesson, TriZetto to Integrate ClaimsXten, QNXT Systems

  • May 16, 2016

A new partnership between McKesson Health Solutions and TriZetto will help health plans scale mixed fee-for-service and value-based models to operational levels. The partnership will see McKesson’s ClaimsXten and ClaimsXten Select claims auditing solutions integrated with TriZetto’s QNXT enterprise core administration system. Read the article

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