Today we announced that 622 payers and providers have chosen InterQual® Criteria in recent months to help support their care decisions. A wide array of health plans and hospitals, both public and private, are reflected in these 622 new agreements and renewals. New customers. A renewal rate that exceeds 96%. Broad market acceptance. This industry momentum is one of many reasons why we say InterQual is the leading choice for evidence-based clinical decision support. And there's more news to share with you about the momentum of our decision management solutions overall. Please read the full news release here.
With the deadline for ICD-10 compliance just over 7 months away, The Progressive Physician spoke to Josh Berman, Director of ICD-10 at Relay Health Financial, about what physician practices need to do today to be ready to implement the new code set in time. Read Josh's advice here
Transforming a practice into a PCMH -- a Patient-Centered Medical Home -- is a multi-year process that requires a change in practice philosophy and care coordination accreditation, according to an article in Medical Economics. But after three to four years of transforming, "many of the practices are only part-way there,” says McKesson VP and medical director David Nace, MD, who was interviewed for the report. That's because, among other reasons cited by Dr. Nace, our healthcare system hasn't been financed or incentivized to provide holistic whole person, coordinated care. Read all of Dr. Nace's comments in the Medical Economics article
Healthcare IT News editor Mike Miliard picked up Josh Berman's ICD10 Watch article, which discusses the need for providers to track myriad KPIs before, during, and after their ICD-10 transition. The reason: Many key performance indicators might get worse. Providers that are monitoring key KPIs will be best prepared to react and keep their business on track. Read Mike's article now
Our own Josh Berman, Director of Analytics and ICD-10 for RelayHealth Financial, is again featured in ICD10 Watch. This time Josh discusses the role of analytics and key performance indicators to drive process improvements as part of your ICD-10 readiness work. Read the article now
Dan Verel of MedCity News takes a look at the rise in autism treatments, and how InterQual's new Clinical Decision Support for Autism Spectrum Disorders can help guide care managers through the medical necessity review process. Read Dan's coverage here
Have you ever encountered the acronym "GIGO?" It stands for Garbage-In-Garbage-Out, a computer industry concept that stresses the importance of a sound end-to-end logical process. If your process is flawed, then the data that results can't be trusted. Nowhere is GIGO more appropriate than when it comes to ICD-10 testing. If your ICD-10 testing process is flawed or otherwise incomplete, what appear to be good results might actually be giving your organization a false sense of readiness. To help providers better understand their testing options, our colleagues at RelayHealth Financial produced a short video that can quickly get anyone up to speed on the ICD-10 testing scenarios being used…
Managed Healthcare Executive covers how using McKesson InterQual for clinical decision support and McKesson Benchmark Analytics for comparative claims analytics can help formularies transitioning to value-based care. Read the article here