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Medical Management Solutions
Our medical management solutions encompass utilization management, case management, disease management, health & wellness, diagnostics management and analytics. Our market-leading solutions are well-known for their rigorous foundations and regular updates that keep them at the front edge of important changes in the industry.
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Payment Management Solutions
Our payment management solutions help you correctly identify the clinical and contractual appropriateness of incoming claims; turn away abusive, fraudulent and wasteful claims; and automate an ever-growing proportion of adjudications.
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Network Performance Management
Our network performance management solution suite empowers health plans to transform the performance of their provider networks, while significantly reducing medical, administrative and IT costs. By leveraging our Integrated Provider Management (IPM) Platform, health plans can simplify the design, maintenance, reimbursement and performance management of provider networks, while facilitating provider-patient collaboration.
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Professional Certification
McKesson Health Solutions developed the Certified Professional in Healthcare Management (CPHM) program to help healthcare professionals make informed, proactive decisions that result in effective care management programs and strategies, improved quality and reduced costs.
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