Workflow Software |
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Utilization management: Our workflow tool supports utilization management to allow precertifications, and concurrent and retrospective reviews. This helps payers evaluate the use of healthcare services and ensures members receive the right care at the right time. Using InterQual criteria with CCMS adds evidenced-based medical reviews to the process. 
Disease management: Our chronic care management platform help members better communicate with providers and learn new, effective ways to manage chronic illnesses. We offer personalized, nurse-directed interventions that help manage the total person, seamless co-morbidity management and counseling from registered nurses, and regular communication with a member’s physicians. These services are designed to help payers meet NCQA and HEDIS® requirements. Chronic care management is also offered as services. Case management: Our services improve coordination of a member’s treatment plan to ensure optimal care. Managers coordinate multiple treatment plans to reduce fragmented care; refer members to appropriate local and community services, including behavioral health programs and home health agencies; and identify and manage “critical pathways” of key care plan events to achieve the desired outcome. Case management is available as services as well.
To learn more about McKesson Care Management solutions or any McKesson Health Solutions products and services, email us at MHS@McKesson.com, call 800.782.1334 or contact your Sales Representative. Follow us on Twitter: @McKesson_MHS |
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