McKesson HealthQx First to be Certified on Latest Version of PROMETHEUS Care Episodes

Healthcare analytics solution helps payers and providers quickly devise and scale bundled payment arrangements, including new behavioral health and oncology episodes

Research finds healthcare closing in on full VBR, bundled payment growing fastest, network strategies changing, but many payers and hospitals struggling to scale. These insights and more are revealed in Journey to Value: The State of Value-Based Reimbursement in 2016, a new national study of 465 payers and hospitals conducted by ORC International and commissioned by McKesson.

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NEWTON, Mass. & DALLAS--()--HFMA National Payment Innovation Summit—Today McKesson Health Solutions announced that HealthQx® is the first healthcare analytics platform to achieve Claims and Provider Analysis Certification for all 97 episode-of-care definitions in the PROMETHEUS Analytics® model. The testing was performed and certification provided by Altarum Institute’s Center for Payment Innovation.

“This certification reflects our commitment to ensure our customers can keep pace with healthcare’s rapid transition to value by supporting the latest industry standards, including PROMETHEUS,” said Mark McAdoo, vice president of Value-Based Payments at McKesson Health Solutions. “Bundled payment is the industry’s fastest growing payment model, projected to account for 17% of medical spend by 20201. Payers and providers want episode definitions they can trust and that focus on care quality, so they can accelerate negotiations as well as operationalize and automate these complex models. That’s what we’re giving them today.”

HealthQx integrates the latest PROMETHEUS Analytics (version 5.4) episode of care definitions. All are ICD-10 compliant, including six new episodes for behavioral health and oncology. By using these independently developed and clinically vetted episodes, concerns over definitions that could favor a payer or provider are reduced or eliminated. This helps payers engage providers more easily and transparently in discussions about value-based programs, and move from negotiation to agreement to implementation faster. HealthQx’s certification by Altarum Institute reflects the use of the most up-to-date episode definitions that are best for the patient while helping to bend the cost curve.

Provided as an on-demand software service, McKesson’s HealthQx helps payers and providers simplify and automate the design, deployment, and monitoring of complex mixed and alternative payment models such as bundled payments, Accountable Care Organizations, and other at-risk arrangements. Its at-a-glance dashboards and easy-to-use data exploration and visualization capabilities empower data analysts, actuarial teams, and payment innovation leaders to quickly bring healthcare business intelligence to light, enhance provider engagement, and improve transparency during contract negotiations.

McKesson HealthQx™ is part of McKesson’s Network and Financial Management portfolio, which offers health plans a complete portfolio of solutions that analyze, automate, and streamline medical policy, payment policy, value-based reimbursement models, provider management, and contract management. The portfolio also includes McKesson Episode Management™, McKesson ClaimsXten™, McKesson Reimbursement Manager™, McKesson Contract Manager™, McKesson Provider Manager™, and McKesson Payer Connectivity Services.

For more information on McKesson Health Solutions, please visit our website, hear from our experts at MHSdialogue, Follow us on Twitter, Like us on Facebook, and network with us on LinkedIn.

Related McKesson Health Solutions News
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New McKesson ClaimsXten Solutions Help Payers of all Sizes Streamline, Automate, and Scale Value-Based Reimbursement

About McKesson
McKesson Corporation, currently ranked 5th on the FORTUNE 500, is a healthcare services and information technology company dedicated to making the business of healthcare run better. McKesson partners 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 www.mckesson.com.

Tags: McKesson, McKesson Health Solutions, Value-Based Reimbursement, Value-Based Care, HealthQX, HCI3, Health Care Incentives Improvement Institute, Inc., Prometheus

1 McKesson Research, Journey to Value: The State of Value-Based Reimbursement in 2016, http://mhsvbrstudy.com

Contacts

General and Business Press
McKesson Health Solutions
Amy Valli, 610-205-5581
Public Relations
amy.valli@mckesson.com

Release Summary

McKesson announced HealthQx is the first healthcare analytics platform to achieve Claims and Provider Analysis Certification for all 97 episode-of-care definitions in the PROMETHEUS Analytics model.

Contacts

General and Business Press
McKesson Health Solutions
Amy Valli, 610-205-5581
Public Relations
amy.valli@mckesson.com