Partners
Ingenix
Ingenix, a wholly owned subsidiary of UnitedHealth Group, transforms organizations and improves health care through information and technology. Organizations rely on its innovative products, services and consulting to improve the delivery and operations of their business.
MCAP
MCAP, MCAP Clinical Review Criteria were designed in content and methodology to accurately guide patient placement decision flow across the continuum of care: from admission to discharge and recovery. MCAP was created from a totally different clinical and philosophical view point. MCAP uses medical logic, best practice data and professional consensus to help clinicians guide the case management and patient placement decision process. MCAP’s patient placement methodology is based on the foundation of the physician’s plan of care. It easily and accurately helps place patients at the level of care that will facilitate the most successful patient outcome—highest care quality, lowest cost, most expeditious flow and superior patient safety. MCAP yields both accurate and consistent results across a review team and across any care network. MCAP positively benefits patient placement, management information, and workflow.
McKesson Corporation
McKesson Corporation (NYSE:MCK), advancing the health of the health care system. McKesson’s InterQual® Criteria help payor and provider organizations make consistent, evidence-based medical necessity and authorization decisions. Recognized as the gold standard in clinical decision support, InterQual is the most widely used evidence-based clinical content by payor, provider and government markets, resulting in the alignment of care management decisions. The strength of InterQual lies in both the critical appraisal of scientific knowledge and real-world experience, backed by a panel of over 800 medical professionals with over 16,000 citations, and updated annually. CareEnhance Review Manager software automates the use of InterQual and integrates all your clinical decision support criteria (InterQual, homegrown, regional policies) into a single workflow. Using these standard-setting solutions results in decisions that are the most appropriate, consistent, defensible and transparent.
Milliman
Milliman Care Guidelines, A Milliman Company, independently develops and licenses evidence-based clinical guidelines and a variety of software options that are used to support the care of more than one in three Americans. Covering the continuum of care, the seven-product Care Guidelines series is updated annually by an experienced team of clinicians, and includes Ambulatory Care, Inpatient and Surgical Care, General Recovery Guidelines, Recovery Facility Care, Home Care, Chronic Care Guidelines and Behavioral Health Guidelines.