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
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.
- InterQual Government 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.