The Future Of Claims Processing Is Bundled

The Future of Claims Processing is Bundled

  • February 25, 2014

"Changing the future of claims processing." That's how ACO News reported McKesson Episode Management's™ recent release of 22 new episodes based on the PROMETHEUS Payment® Evidence Informed Case Rate (ECR) definitions. The bundled payment solution is the first milestone in our agreement with the Health Care Incentives Improvement Institute (HCI3) to advance adoption of healthcare payment reform. With the initial 22 episodes, McKesson is addressing 35 percent of commercial payers’ spend. And these episodes are just the first in a planned series of PROMETHEUS ECRs intended to cover up to 80 percent of U.S. medical spend. Read the full story and the press release

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Unlocking The Human Genome: New Challenges And Opportunities For Health Plans

Unlocking the Human Genome: New Challenges and Opportunities for Health Plans

  • October 28, 2013

Molecular Diagnostics (MDx), the next wave of innovation in healthcare technology, is arriving. Exciting, challenging, transformational, hopeful, complex, alarming, terrifying and expensive are all descriptions that are being used to describe the dawn of this new world. In an earlier post, I discussed the need to build a new diagnostic testing vocabulary that can be shared across payer, provider and lab stakeholders in order to improve collaboration and processing in diagnosis and claims. Following several generations of emerging technology involving digital imaging in the ‘80’s, 90’s, and ‘00’s, Molecular Diagnostics is now arriving with an entirely new view of our genetic…

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