Actionable Content: A Framework For Better Decision Making

Actionable Content: A Framework for Better Decision Making

  • December 20, 2017

By Nilo Mehrabian and Steve Silverstein Driven by healthcare reform and other changing market dynamics, stakeholders are at last getting down to the business of effecting true transformation. Actionable content—usable information that is understood, adopted, and embedded into workflow—is a critical tool to enable that change. Clinical information or content brings consistency, collaboration, efficiency, and quality to both the delivery of healthcare services and the business of healthcare. In its fully realized form, content is truly intelligent or “actionable.” In other words, it recognizes the context in which it is invoked and automatically delivers specific and relevant guidance to the…

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State Rep. Kay Khan Visits Change Healthcare Newton Office

State Rep. Kay Khan Visits Change Healthcare Newton Office

  • October 27, 2017

On Thursday morning, October 26th, Massachusetts State Representative Kay Khan (D-Newton) visited Change Healthcare’s Newton, Mass., office to learn more about the company and to meet with our InterQual team. A nurse by training, Rep. Khan is a 23-year veteran of the Massachusetts legislature. She works on issues related to behavioral health, domestic violence, and criminal justice reform. She also serves as the House Chair of the Joint Committee on Children, Families, and Persons with Disabilities, and is the Chair of the Mental Health Caucus. Rep. Khan joined the Newton staff for breakfast and engaged in a wide-ranging and informative…

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InterQual Connect Helps Partners Automate, Streamline Reviews For Providers

InterQual Connect Helps Partners Automate, Streamline Reviews for Providers

  • October 3, 2017

A growing number of healthcare technology vendors are streamlining preauthorizations by integrating the InterQual Connect cloud-based interactive medical review and connectivity solution into their own offerings. Most recently, InfoMC and HealthTrio both announced they are integrating InterQual Connect with their own solutions to automate exception-based utilization management for their provider customers. InfoMC, a provider of cloud-based healthcare management and care coordination solutions, has integrated InterQual Connect into its Incedo Healthcare Management System. The integration will support a more efficient, standardized clinical review process by allowing care managers to easily access care guidelines from within the Incedo decision-support workflow. HealthTrio, which…

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Reinventing Utilization Management To Bring Value To The Point Of Care

Reinventing Utilization Management to Bring Value to the Point of Care

  • June 6, 2017

How an automated exception-based approach can make UM more efficient and effective By Nilo Mehrabian How can health systems deliver the right care, at the right cost, in the right setting, without overwhelming delivery and reimbursement systems with administrative burden? The shift from volume to value-based care requires the deft combination of value-based delivery (enabled through actionable intelligence and new care delivery models) and value-based payment (enabled through select provider networks and new reimbursement models). Providers and payers must operate across a transparent, administratively simple, shared ecosystem. This giant leap from today’s world in which healthcare stakeholders currently operate might…

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New Version Of Clinical Decision Support Released

New Version of Clinical Decision Support Released

  • April 11, 2017

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  

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Short-Stay Inpatient Rate Is Zero? Time For Documentation Improvement

Short-Stay Inpatient Rate is Zero? Time for Documentation Improvement

  • May 11, 2016

Hospitals will need to reevaluate their documentation improvement programs because of revisions to the two-midnight rule, which allow for a case by case review of less-than-two-midnight stays. The quality improvement organizations have stated that the review will include InterQual screening criteria. Read the article

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