McKesson's HealthQx became the first healthcare analytics platform to earn Claims and Provider Analysis Certification for all 97 episode-of-care definitions in the PROMETHEUS Analytics model. HealthQx was certified by Altarum Institute’s Center for Payment Innovation. Read the article
The transition to value-based care has been helpful in getting providers to examine their own performance and find ways to improve quality. It allows providers to look at care as an episode of care, which is how patients experience it, and see where they can improve their care, says Andrei Gonzales, of McKesson Health Solutions. See the video
New research found no evidence that bundled payment models increase the volume of procedures. Researchers compared major lower joint replacement rates among participants in Medicare’s Bundled Payment for Care Improvement (BPCI) program with rates of all other Medicare hospitals from 2011 through 2015. They found procedures at BPCI hospitals increased by 2.5% compared to a 9.7% increase among other hospitals. Read the article
Today McKesson Health Solutions announced that HealthQx became the first healthcare analytics platform to earn Claims and Provider Analysis Certification for all 97 episode-of-care definitions in the PROMETHEUS Analytics model. HealthQx helps health plans and health systems simplify the design, implementation, and monitoring of value-based models such as bundled care. HealthQx was certified by Altarum Institute’s Center for Payment Innovation. Read the news release
Nearly two-thirds of denials are recoverable, and almost 90% are preventable. To accomplish this, provider organizations have to focus on the front end of the revenue cycle, such as registration and pre-service issues. They also need to address pre-auth denials from a holistic, organization-wide approach that includes the intersection of financial and clinical factors. Read the article
Today McKesson announced its InterQual Coordinated Care Content has received new accreditation and vendor certification from URAC for achieving recognized standards in Case Management and Disease Management. McKesson Health Solutions also earned a three-year renewal reaccrediting CareEnhance Review Manager for Utilization Management (UM). The accreditations mark 13 years of continuous recognition by URAC, a leader in quality standards for the healthcare industry.
McKesson has announced that InterQual Criteria is now accessible through new cloud-based implementations of InterQual Online, InterQual Anonymous Review, and InterQual Transparency. The cloud access makes it easier to use the evidence-based decision making criteria—including Level of Care, Planning, and Behavioral Health criteria.
Mckesson’s InterQual Criteria can now be accessed on the cloud, making it easier and faster for customers to access objective, evidence-based medical and behavioral health clinical content. The criteria will be available through cloud-based implementations of InterQual Online, InterQual Anonymous Review, and InterQual Transparency. The secure, fast cloud access will help providers make appropriate care decisions across the medical and behavioral health levels of care.
Today we announced that InterQual Criteria is now accessible as an on demand service. Customers can access InterQual’s evidence-based clinical decision support through cloud-based implementations of InterQual Online, InterQual Anonymous Review, and InterQual Transparency. This fast and easy access will help improve clinical decision-making and management for medical and behavioral health care.