Time For A Kinder, Smarter Utilization Management

Time for a Kinder, Smarter Utilization Management

  • June 2, 2015

Our proposal for a new utilization model continues to spark conversation. Today Healthcare Payer News featured an article by Matthew Zubiller and Tammie Phillips that paints a picture of a world where UM bridges to value-based decision support. It’s different from the UM we all know and hate. Pragmatically, however, it uses the industry’s established UM system as a “jumping off” point to align with value-based models. Zubiller and Phillips will also be presenting a session on this at AHIP's Institute this week as well. The session, “Utilization management is broken. Here's how to fix it for a value-based world,”…

Read More
AHIP 2015 And The Lighter Side Of Healthcare Reimbursement

AHIP 2015 and The Lighter Side of Healthcare Reimbursement

  • June 1, 2015

[ DOWNLOAD your free copy of the ebook now ] Here's a little something we've put together for all of our industry colleagues descending on AHIP's Institute 2015, in Nashville this week. The Lighter Side of Healthcare Reimbursement is a whimsical look at some of the challenges payers and providers face in today’s fast-moving healthcare marketplace. But make no mistake about it: These are serious challenges that we are committed to helping you solve. Visit us at booth #903 to learn how McKesson Health Solutions automates and transforms complex financial and clinical processes across healthcare to help drive down costs…

Read More
McKesson’s Zubiller And Phillips To Propose New Utilization Management Model At AHIP’s Institute 2015

McKesson’s Zubiller and Phillips to Propose New Utilization Management Model at AHIP’s Institute 2015

  • May 28, 2015

Today McKesson Health Solutions announced that Matthew Zubiller, vice president and general manager for Strategic Growth and Innovation, and Tammie Phillips RN, vice president of Business Consulting, will propose a new model for utilization management at the upcoming AHIP's Institute in Nashville, TN on June 4th. Whether you're heading to the show or not, you'll want to learn about this innovative model. Read the press release and then visit TheNewUM.com to see how the new model can help fix utilization management in the era of value-based care. Read the press release

Read More
Welcome AHIP 2015 Attendees!

Welcome AHIP 2015 attendees!

  • May 20, 2015

This year we're coming to AHIP focusing on the challenges that you told us are topping your list of priorities. In this disruptive era, the right technology is crucial to maintaining a long-term competitive advantage. You've told us you need new tools and strategies to meet these new challenges head on. We want to help.  Visit us at AHIP's Institute Booth #903 Don’t Miss Our Session on Provider Network Strategies Wednesday, June 3 • 3:15 pm – 4:00 pm • Room 205C What do consumers and networks have in common? Learn how a health plan’s network strategy can also be the cornerstone…

Read More
It’s Time For A New Value-Based Utilization Management Model

It’s Time For A New Value-Based Utilization Management Model

  • January 12, 2015

Today The Morning Consult featured Matthew Zubiller's description of a next-generation UM model that helps payers and providers collaboratively measure, manage, and refine high-quality care delivery while reducing administrative costs. Read how Zubiller's UM model works while helping balance stakeholders’ concerns

Read More
The Progression Of Value-Based Payment Models

The Progression of Value-Based Payment Models

  • September 18, 2014

To smoothly transition from volume- to value-based models in healthcare, success will require a shift in mindset, tools to support tracking and analyzing clinician behavior, and a solid infrastructure to ensure usability, according to an article on HiTech Answers. McKesson's Matthew Zubiller, Vice President, Corporate Strategy & Business Development and Andrei Gonzales, MD, Director, VBR Initiatives, both weigh in about the leading reimbursement models, the obstacles they present, and ways to overcome those challenges. Read the full article      

Read More
Can Utilization Management Work In A Value-Based World?

Can Utilization Management Work in a Value-Based World?

  • August 5, 2014

Beauty is in the eye of the beholder. And solutions to healthcare’s problems are in the eye of the stakeholder. Payers see the world one way, providers another, and patients still another. Finding solutions that balance stakeholders’ concerns isn’t easy. But it’s not impossible, if you bring the varying points of view together. I've been privileged to work with all stakeholders—payers, providers, and patients—and have heard (and hear) their problems, anxieties, and concerns. It’s from this vantage point that I've been wrestling with the problem of utilization management in a world that’s moving rapidly to value-based models. Today, prior authorization…

Read More
Rethinking Traditional Utilization Management

Rethinking Traditional Utilization Management

  • September 5, 2013

The September 2013 edition of Health Management Technology features an article by Matt Zubiller, vice president of Decision Management at McKesson Health Solutions. “Rethinking Traditional Utilization Management” contrasts the inefficiency of traditional utilization management programs with the benefits of a more automated, evidence-based utilization management approach that fosters prospective care decision-making at each point in the care continuum. Such an approach can decrease administrative burdens, improve outcomes and support cost containment while simultaneously serving as a bridge to the value-based healthcare system of the future. Read the full article.

Read More
Actionable Strategies For Value-Based Healthcare Collaborative Decision Making

Actionable Strategies for Value-Based Healthcare Collaborative Decision Making

  • July 11, 2013

Executive Insight covered this year's annual meeting for America's Health Insurance Plans (AHIP), where Matthew Zubiller, vice president of Decision Management at McKesson Health Solutions, outlined actionable strategies for payers and providers to leverage utilization management as a collaboration mechanism that can help deliver cost-effective care now and build a foundation for long-term success in a still undefined future. Read the full story.

Read More
Code Mapping: Bringing Clarity To The CPT Conundrum

Code Mapping: Bringing Clarity to the CPT Conundrum

  • July 8, 2013

A BIO-IT article examined the American Medical Association and McKesson agreement to map McKesson codes—Z-Code Identifiers to existing CPT codes.The AMA-McKesson agreement offers the first steps to a solution: clearly identify which tests are being used, so they can be evaluated for efficacy. “If you can’t understand what is happening at a granular level, if you can’t know what tests are being done and understand their clinical and financial impact, you’re essentially managing blind,” said Matthew Zubiller, VP of decision management, McKesson Health Solutions. Read the full article.

Read More