Network Management |
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McKesson’s Network Management solutions empower health plans to transform the performance of their networks while significantly reducing medical, administrative and IT costs. We created these solutions based on our extensive experience working with over 30 health plans covering more than 50 million lives. The Network Management solution suite — which consists of McKesson Provider Manager™, McKesson Reimbursement Manager™ and McKesson Contract Manager — simplifies the design, management and servicing of provider networks while helping to orchestrate value-based reimbursement. McKesson Provider Manager McKesson Provider Manager helps health plans cost-effectively drive strategic care delivery and reimbursement reform initiatives such as accountable care organizations (ACOs), tailored networks and value-based products by automating the design, management and implementation of provider networks. McKesson Provider Manager helps plans:
McKesson Reimbursement Manager McKesson Reimbursement Manager helps health plans increase auto-adjudication rates and first-pass payment accuracy while implementing new reimbursement methodologies more quickly. A the same time, the solution lowers the burden on IT resources through a policy driven, automated reimbursement process that integrates complex claims editing, provider and contract selection, and advanced pricing functions. McKesson Reimbursement Manager helps plans:
McKesson Contract Manager McKesson Contract Manager™ helps you centralize and standardize provider contracts while driving significant administrative cost reductions. It helps automate the entire contract lifecycle, including authoring, offering, negotiation, review, approval and acceptance. In addition, it supports the maintenance of signed contracts, including bulk amendments and re-contracting. McKesson Contract Manager helps plans:
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