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
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.
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.
Today McKesson Health Solutions announced that the Centers for Medicare & Medicaid Services (CMS) will continue their long-term use of InterQual Criteria for Medicare services auditing programs. Extending a 17-year relationship, CMS will continue to benefit from InterQual's evidence-based clinical decision support to help better manage patients as the industry transitions to value-based care. Read the news release
Today McKesson's RelayHealth Financial announced that it has teamed up with Emergency Recovery Inc. (ERI) to provide revenue recovery services for its provider customers. The service can help providers find and recover millions in otherwise unrecovered revenue, without contacting patients or charging up-front fees. Read the news release
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
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
RelayClearance Authorization now includes more than 635,000 payer-specific authorization policy screening rules from 549 commercial, managed care, and government health plans. The solution helps streamline prior authorization processes in real time. Read the article
Today RelayHealth Financial announced that its RelayClearance Authorization solution now includes more than 635,000 payer-specific authorization policy screening rules from 549 commercial, managed care, and government health plans. That means providers using RelayClearance Authorization have access to updated screening rules from payers covering more than 90% of covered lives. Read the news release
Payers and providers are connecting at the 29th annual McKesson Health Solutions Conference (MHSC) in Orlando. The week-long conference brings McKesson customers together to discuss their challenges, best practices, and strategic objectives. Marilyn Tavenner, President and CEO of America's Health Insurance Plans (AHIP), will deliver the keynote: “The Role of Health Plans in Strengthening Partnerships with Providers, Consumers, Government, and Other Essential Stakeholders.” Read the news release