Decision Management

Thousands of organizations — payers, providers, government agencies — use McKesson’s Decision Management solutions and its powerful utilization management, coverage determination and network compliance tools, helping them transform traditional care management and enable consistent and optimal application of medical appropriateness criteria as well as agreed-upon coverage and network policies.

By reaching across all care events and care settings, Decision Management solutions deliver consistent organizational and provider performance data that enable organizations to remove inefficient silos, improve care coordination, determine actionable provider variance analyses, and align financial incentives.

A shared clinical language - the market-leading InterQual Criteria - and common technology platform enable transparent, evidence-based, real-time collaboration to foster optimal care and coverage decisions while building payer-provider trust and collaborative relationships.

Learn more about Decision Management solutions:

• InterQual Evidence-Based Clinical Content.
  Covering the medical and behavioral health continuums of care, InterQual products are widely used by hospitals and payers because they understand that the rigor used to develop the criteria helps to optimize quality — the right care at the right time in the right setting.
• Point-of-Care Decision Support Solutions.
  Our technology solutions help payers and providers decrease administrative costs and increase medically appropriate care decisions by enabling staff to focus on exceptions and the interventions that require their time and expertise.
• Advanced Diagnostics Solutions.
  Payers can better manage molecular diagnostics spending 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.
• Government and International Solutions.
  No matter where healthcare is delivered, the priority is the same: providing quality care as cost-effectively as possible.
• Services and Education.
  Get the support you need to realize the greatest value from your investment with our Decision Management services and educational offerings.