Montana-Based Quality Improvement And Utilization Review Organization Expands Use Of InterQual Evidence-Based Criteria With Behavioral Health

Montana-Based Quality Improvement and Utilization Review Organization Expands Use of InterQual Evidence-Based Criteria with Behavioral Health

  • November 14, 2017

Mountain-Pacific Quality Health (Mountain-Pacific) has been a long-time user of InterQual® Criteria, including the Level of Care and Care Planning Criteria suites. Now, in a move to expand its offerings, the Montana-based organization has added InterQual Behavioral Health Criteria for Medicaid utilization reviews. For more than two decades, Mountain-Pacific clinicians have combined clinical knowledge and experience, documented clinical evidence, and utilized InterQual Criteria to make appropriate medical necessity and utilization decisions for hospital admissions. The addition of Behavioral Health will enable them to widen their offerings even further, as Mountain-Pacific uses InterQual inpatient behavioral health criteria for the utilization review…

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Payers: Participate In The 8th Annual Industry Pulse Study

Payers: Participate in the 8th Annual Industry Pulse Study

  • October 17, 2017

The 8th Annual Industry Pulse Survey is now open! Payers: This is your chance to share your views on the state of the industry in this annual research, which identifies the hottest issues and trends in healthcare from health plans' perspectives. The HealthCare Executive Group (HCEG) and Change Healthcare collaborate to develop the survey, analyze the research, and share the results with the industry. But we can't do it without you. Your insights fuel the Industry Pulse study results. By participating, you'll be among the first to receive the study results, hot off the presses, when published in January. You'll also…

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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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Watch Neil De Crescenzo Unveil Blockchain For Healthcare

Watch Neil De Crescenzo Unveil Blockchain for Healthcare

  • September 25, 2017

There's no shortage of buzz around blockchain, a disruptive technology with the potential to dramatically improve digital transactions. In healthcare, much of that buzz centers on the innovation, investment, and collaboration Change Healthcare is marshaling so payers, providers, and consumers can benefit from blockchain. A pivotal moment in blockchain's history occurred when Change Healthcare CEO Neil De Crescenzo announced the launch of the first major blockchain solution for healthcare at the Distributed: Health 2017 Conference in Nashville. Watch Neil's keynote to get all the details. In a nutshell, the Change Healthcare Intelligent Healthcare Network™ will support blockchain transactions by the…

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