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Public Sector |
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The demands on government organizations to serve their constituents—including the Medicare population, Medicaid recipients, the armed forces and veterans—are enormous. Faced with a higher incidence of co–morbidities (coexisting medical problems that are listed as secondary diagnoses and not the main reason for admission), chronic health problems and behavioral health issues than the rest of the population, the challenge for government-sponsored plans is to provide high-quality care while managing the growing financial demands on the system. To help meet that challenge, McKesson's disease management services are employed by more Medicaid agencies than any other vendor, and our care and claims management solutions are used by the Centers for Medicare and Medicaid Services (CMS), the Department of Defense and the Veterans' Administration. Apply Evidence-Based Information Consistently Promote Appropriate Care
Improve Care Coordination and Provider Collaboration Improve Claims Performance Management
Address Fraud and Abuse |
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The Birth of InterQual
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InterQual evidence-based clinical decision support criteria have been in the forefront of care management for more than 30 years. Learn about the creation of InterQual and what accounts for its longevity and widespread use today in a