McKesson Technology Solutions and Change Healthcare have merged to create a new healthcare information technology company. The new Change Healthcare includes all of Change Healthcare's businesses and the majority of McKesson Technology Solutions, and will employ about 15,000 people. Read the article
Revenue cycle management is top-of-mind among healthcare professionals in today’s fast-moving environment, as a recent round table discussion covered by Becker’s Hospital CFO revealed. Reporter Mackenzie Bean noted some of the highlights of the discussion, including the struggles of hospitals getting proper reimbursement for rendered care, and how analytics can play a bigger role in the overall revenue cycle. Read the article
by Steven Silverstein, MD Recent articles in the Journal of the American Medical Association (here1 and here2) reported on the use and misuse of clinical practice guidelines, and the need to avoid hedging and equivocation when writing them. These articles also discussed the differences inherent in targeting individual physician decision support versus more general purposes, as well as issues related to lack of adherence to guideline development standards published by the Institute of Medicine3. A related issue is that it is not uncommon for guidelines developed by different specialty societies to advocate different approaches to a given clinical situation. This…
Why are payers ahead of providers in the use of value-based reimbursement? One reason is that they're better positioned to offer incentives to implement value-based payment structures, according to a survey of providers and payers. The report also found that bundled payment is the fastest growing value-based model. Read the article
Every provider would like prior auths to be faster and easier, so they can focus on delivering appropriate patient care instead of pushing paper. Now ZeOmega, developer of the Jiva population health management platform, has integrated InterQual Connect to help make automated authorizations a reality. In this new webinar, ZeOmega demonstrates how Jiva and InterQual Connect work together to streamline and automate auth requests, making exception-based UM a reality.
The prior-auth process has always been a challenge for providers: How to get approvals faster, so better care can go forward. Healthcare SaaS solutions innovator HealthTrio has integrated InterQual Connect into its Smart Connect portal to automate prior-authorization, resulting in faster auths and patient treatment. In this new webinar, see how nonprofit health plan CareOregon is using the solution to reduce manual work and speed appropriate patient care.
Everyone in healthcare can agree that, used properly, data is invaluable. But as Jason Williams, VP at Change Healthcare aptly points out in Becker’s Health IT & CIO Review, “The important thing is not the data, it’s about the objectives we’re trying to accomplish.” Read the article
How did Palmetto manage to find $16 million a month in savings in its molecular diagnostics program? Learn their secret in this fascinating case study. Read the Case Study
The American Case Management Association's annual conference, ACMA 2017, gets underway in Washington this week, and attendees looking to gear their case management programs for the industry shift to value should be sure to attend the “Blueprint for Case Management Optimization” presentation. That's where Change Healthcare’s Carol Everhart will share nine best practices to help assess the health of a case management program. Read the News Release
McKnight's covered the launch of InterQual 2017, the latest version of the evidence-based clinical decision support solution. McKnight's reports this new release includes more than 120 new criteria and enhancements that help enable faster, safer, and better clinical decisions at the point of care. Read the Article