ZeOmega Integrating McKesson InterQual Connect into Jiva
Now health plans and ACOs that use Jiva can expand automated authorization to include requests requiring a medical review, without leaving their Jiva system. They can use InterQual Connect’s secure connectivity to receive the InterQual medical review along with the authorization request from network providers and, in most cases, automatically return the authorization determination without manual intervention. By eliminating duplicative reviews and manual work, health plans can reduce administrative costs and speed authorizations while ensuring appropriate care.
“Prior authorization can be a costly burden for payers and providers alike, and can slow care delivery,” said Nilo Mehrabian, vice president of product management, Decision Management, at McKesson Health Solutions. “Bringing InterQual Connect to Jiva means ZeOmega’s customers can streamline their workflow with the integrated medical review and enhanced automated authorization. Making utilization management (UM) more efficient is crucial for a world increasingly moving to value-based care.”
InterQual Connect is part of the InterQual product line, McKesson's flagship decision support solution. InterQual Criteria help payers and providers ensure appropriate care across the medical and behavioral health continuums of care, which helps improve quality and reduce unnecessary cost. The InterQual clinical development team synthesizes the current, best evidence into a fully referenced decision support tool that is reviewed and updated annually. InterQual's development process, honed over nearly 40 years, is founded on rigorous review of the literature, and includes extensive peer review by practicing clinical experts across the United States.
McKesson Corporation, currently ranked 11th on the FORTUNE 500, is a healthcare services and information technology company dedicated to making the business of healthcare run better. We partner with payers, hospitals, physician offices, pharmacies, pharmaceutical companies and others across the spectrum of care to build healthier organizations that deliver better care to patients in every setting. McKesson helps its customers improve their financial, operational and clinical performance with solutions that include pharmaceutical and medical-surgical supply management, healthcare information technology and business and clinical services. For more information, visit us at www.mckesson.com.