Advanced Diagnostics Management


The best choice of test at the right cost at the point of service

Molecular and genetic tests are changing what’s possible in medicine. Diseases may now be diagnosed far earlier. Consumers may understand health risks years before they develop symptoms. And targeted, often expensive, sometimes risky drugs may be prescribed more appropriately. This field is in its infancy, growing fast, and visibility into test selection and effectiveness is frighteningly low. McKesson Advanced Diagnostics Management is healthcare’s shared framework to dramatically improve point of care clinical and financial decision making. In turn transforming traditional benefit management and reducing the total cost of care.

Advanced Diagnostics Management helps plans manage molecular diagnostics (MDx) by giving physicians and clinical labs intelligent, automated decision support tools at the point of decision that enable transparent, immediate access to coverage, network and utilization rules. The result: better control of MDx medical spend

For health plans, ADM offers a comprehensive step-by-step program comprised of intelligent, automated tools, content and services, to drive effective use of molecular diagnostics (MDx) and lower medical spend. Advanced Diagnostics Management can help to deliver a significant return on your investment with these key components:

  • Measure volumes and cost through retrospective analysis & benchmarking, with on-going data collection
  • Define & codify relevant medical, benefit, network & payment policy
  • Manage testing spend by influencing behavior at point-of-care using real-time, intelligent notification, authorization & ordering tools – including Clear Coverage™ and evidence-based InterQual® CriteriaExtend program to additional workflows, markets, specialties, etc.

Advanced Diagnostics Management combines decision support technology, InterQual® evidence-based content and analytics services to support a comprehensive medical and network management program that drives effective use of MDx and minimizes medical spend. Our underlying IT platform is hosted and web services-based, dramatically reducing implementation, operating, and maintenance costs and shortening time-to-value.



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For Clinical Labs

Find out how Clear Orders can help ensure that everything required for reimbursement is in place before an expensive advanced test is performed.



Interviews:

Dr. Emad Rizk,
Dr. Douglas Moeller,
Mr. Matthew Zubiller:

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