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News

Encompass selects McKesson’s InterQual Criteria clinical software to manage medical outcomes

McKesson UK : 02 July, 2008  (Application Story)
McKesson’s InterQual Criteria clinical content and web-based review software has been selected by Encompass Health Management Systems to assist with the utilization management component of its medical outcomes improvement services for 44 health plans.
Encompass , an independent managed care company which is a subsidiary of IFMC, has licensed the full spectrum of InterQual clinical content and web-based review software.

“We have built our reputation on designing customised programmes for our clients, who serve over 2.4 million covered lives nationwide,” said Joyce Numedahl, RN, Encompass director of medical management services. “With clients throughout the country, we knew we needed a partner with a national footprint and wide acceptance. McKesson clearly fits the bill with its InterQual evidence-based decision support products that are recognised as the gold standard by health plans coast-to-coast.”

Encompass provides a range of integrated care management, quality management and information management solutions to self-insured employers, insurance carriers, health and welfare trusts, third-party administrators, municipalities and preferred provider organizations. It will integrate InterQual content with its own proprietary care management system to assist in evaluating medical necessity and treatment settings to improve the quality of medical care received, eliminate unnecessary treatments and decrease health care costs.

“We are very pleased to partner with Encompass to address the needs of its health plan customers for clinical decision support solutions that their stakeholders can trust,” said Tammie Phillips, vice president of InterQual for McKesson Health Solutions. “With its broad-based market acceptance among payors, providers, government agencies and health care services providers, InterQual is uniquely positioned to promote alignment of clinical decisions across the health care spectrum.”
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