McKesson Reinventing Revenue Cycle Management for a Value-Based World

New thinking, new products, new services help providers embrace change to ensure fiscal health

McKesson Reinventing Revenue Cycle Management for a Value-Based World

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NEWTON, Mass. & ORLANDO, Fla.--()--HIMSS17 Conference & Exhibition—

This week at HIMSS17, McKesson will unveil and showcase a collection of financial, clinical, payment, and analytic solutions as part of its ongoing mission to reinvent revenue cycle management to help providers thrive in a complex value-based world.

Providers are challenged by a market where traditional fee-for-service agreements are sharing the stage with myriad alternative payment models. In fact, nearly 60% of payment will be a mix of capitation/global payment, pay-for-performance, and bundled payment in five years. Revenue cycle systems designed for fee-for-service lack the analytics, data sharing, and connectivity required to adapt to the new fiscal realities of value-based care. And that’s why McKesson, whose solutions now help thousands of organizations in a fee-for-service world, is investing to ensure its customers can thrive in the transition to value.

“We can’t continue to look at revenue cycle management the same old way in an industry rapidly moving to value,” says Rod O’Reilly, President of McKesson Health Solutions. “For example, providers cite a lack of analytics as a reason they don’t meet value-based program objectives up to 78% of the time, which is not sustainable. That’s why we’re investing in a reinvention of revenue cycle management, from financial and clinical clearance to payment integrity and analytics. And that’s why we also invested in bundled payment analytics through our recent acquisition of HealthQx. ”

Solutions, services, and new programs highlighting advancements and expertise across the provider reimbursement process will be on display at HIMSS17 at McKesson’s booth #3479, including:

Analytics: Healthy Hospital is a new program that uses advanced analytics to help providers benchmark key revenue cycle metrics, and identify areas where they can accelerate or otherwise improve financial performance. In just minutes, providers can make metrics matter by benchmarking their performance against peers nationwide and quickly identify areas where improvement could lead to revenue cycle gains.

Financial Clearance: RelayHealth Financial will be previewing an upcoming analytics solution that helps providers continuously improve patient access processes that affect insurance and consumer payments. Attendees will learn how front- and back-end data integration can help revenue cycle teams better coordinate to reduce denials and expedite accurate payments.

Also on display: RelayClearance Plus™, RelayHealth Financial’s comprehensive financial clearance and patient engagement suite. It helps providers reduce denials with complete insurance eligibility verification, automated pre-authorization screening and verification, financial responsibility estimation, point-of-service collections, ID validation, and support for patient financial assistance programs.

InterQual’s Clinical Clearance: A pre-release preview of InterQual AutoReview, the first solution to instantly complete InterQual® medical reviews with data pulled automatically from leading EHRs. Attendees can learn how this innovation can help give clinical staff more time to focus on managing patient care instead of completing medical reviews.

Payment Assurance: HealthQx® Analytics as a Service, a new data-driven consulting service that helps providers and payers collaborate to develop successful value-based strategies. Unlike traditional consulting, HealthQx puts analytics at the heart of the VBR consulting engagement, starting with the reimbursement data. McKesson experts use the data to develop and visualize the VBR strategy, including how to start, where to start, which episodes to select, which providers to engage with, and what types of value-based models to implement. McKesson’s consultants have years of experience helping health plans launch, pilot, automate, streamline, and scale value-based payment programs.

And RelayHealth Financial will also be showing RelayAssurance™ Plus, the company’s analytics-driven claims management solution that automates claims workflows and uses advanced analytics to find and fix payment obstacles that, once removed, help accelerate cash flow.

These are just the some of the new solutions, services, and expertise providers need to reinvent their revenue cycle for the VBR era that will be showcased at McKesson Health Solution’s booth #3479, at the HIMSS17 Conference & Exhibition, February 19-23 at the Orange County Convention Center in Orlando.

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
McKesson HealthQx First to be Certified on Latest Version of PROMETHEUS Care Episodes
McKesson Brings InterQual Criteria to the Cloud
RelayHealth Financial Teams with ERI for Revenue Recovery Services

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, RelayHealth Financial, HealthQx, Value-Based Reimbursement, Value-Based Care, Analytics, Bundled Payment, Patient Access, Patient Engagement, Payment Clarity, Revenue Cycle Management, HIMSS 2017, HIMSS17

Contacts

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

Release Summary

This week at HIMSS17, McKesson will unveil and showcase a collection of financial, clinical, payment, and analytic solutions as part of its ongoing mission to reinvent revenue cycle management.

Contacts

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