As the Centers for Medicare & Medicaid Services (CMS) mandates more bundled care programs, long-term care facilities have an opportunity to help hospitals keep costs down. It's in the best interest of long-term care facilities to take the lead in reaching out to hospitals to partner with them on cost-efficient, high-quality care. That begins with data. Read the article
McKesson Health Solutions unveiled the Intelligence Hub to improve interoperability among healthcare applications. The platform should make it easier for McKesson systems and third-party solutions to work together. Read the article
McKesson Health Solutions launched ClaimsXten Policy Management, a new clinical and payment management solution. The software allows complex policy changes to be updated in weeks instead of months, helping payers achieve ensure fast, accurate payment. Read the article
The Affordable Care Act mandated that payers experiment with value-based care models and scale up those that showed promise. That's brought the industry some promising alternative payment models that are now being successfully scaled. The American Journal of Managed Care cornered McKesson's Andrei Gonzales for his take on the ACA's present and future impact on value-based reimbursement. Watch the video
Pre-service authorization is a tedious, time consuming, and costly process for most providers. And issues related to pre-authorization are a major source of claims denials.
Those are just some of the pre-authorization pain points reported by HealthLeaders Media in a new survey of 158 senior clinical, operations, marketing, and financial leaders from non-profit and for-profit providers nationwide.
The study, commissioned by RelayHealth Financial, ranks pre-service authorization pain points and helps identify areas where improved processes and technology could help streamline payment and reduce denials.
McKesson Health Solutions launched a new clinical and payment management solution, ClaimsXten Policy Management, to help streamline and automate advanced policy rules and clinically sourced edits. The solution helps promote fast, accurate payment on the first pass, reducing the potential of retrospective recovery and third-party audits and appeals. Read the article
McKesson Health Solutions introduced ClaimsXten's Policy Management Module to help payers automate editing processes. The software enables users to layer multiple policy rules into the processing framework to streamline claims processing. Read the article
Today McKesson Health Solutions unveiled ClaimsXten Policy Management, a new clinical and payment management solution that helps payers cut costs and improve “first pass” payment accuracy by streamlining and automating advanced policy rules and clinically sourced edits. Read the news release
Prior authorizations don't have to be a costly, tedious, or manual process. What if we could automate and streamline authorizations, so clinicians could request and receive an authorization in minutes if not seconds, without touching paper, phone, or a fax machine--and without ever leaving their preferred care management platform? We can now stop asking "what if?" McKesson and ZeOmega are bringing automated authorization with medical review to the forefront, because now ZeOmega's Jiva population health platform interoperates with McKesson’s InterQual Connect. See how it works. Discover how this partnership delivers on the promise of exception-based UM. And learn why it…
Today, the editors of FierceHealthcare, FierceHealthIT, and FierceHealthPayer named McKesson’s InterQual Connect as a Fierce Innovation Award 2016 finalist in the Clinical Information Management Innovation category.The award recognizes technologies, tools and programs that are driving improvements and transforming the healthcare industry. Read the news release