Amerigroup Selects McKesson Clear Coverage to Improve Care Quality, Cost Efficiency and Provider Communication

  Amerigroup Selects McKesson Clear Coverage to Improve Care Quality, Cost
  Efficiency and Provider Communication

New Contract Closely Follows Amerigroup’s Selection of InterQual as Its Single
                 Source of Clinical Decision Support Content

Business Wire

NEWTON, Mass. -- December 04, 2012

Amerigroup Corporation, a national managed care company, has selected Clear
Coverage™ from  McKesson as its point-of-care utilization management, coverage
determination and network compliance platform. This agreement follows
Amerigroup’s choice last fall to license the InterQual^® evidence-based
clinical decision support criteria suite, supporting greater consistency in
determinations of medical appropriateness while improving provider
satisfaction. Using Clear Coverage, Amerigroup will be able to share InterQual
Criteria with providers at the point of care, encouraging greater
collaboration and better decisions while containing costs.

“McKesson’s decision management solutions enable our company to excel at
establishing a common language and a common technology framework between our
members and providers for efficient workflows and optimal decisions,” said
Lisa McCormick, vice president of Health Care Programs for Amerigroup.

With InterQual as its single source of criteria, Amerigroup then opted to use
Clear Coverage, which incorporates InterQual Criteria and enables automated
medical review, authorization, notification, eligibility and direction of
members to in-network service providers. Providers have immediate access to
coverage, medical appropriateness and network rules at the point of care. This
access supports evidence-based care delivery and ultimately lower costs with
better quality. Additional reasons for the selection included the solution’s
friendly user interface and ease of customization, as well as the quality of
the McKesson project team, which created a thorough project plan that included
support in driving provider adoption.

“One of the most exciting developments in healthcare is that payers and
providers are partnering more than ever before. This partnership will
ultimately optimize the healthcare system and achieve better, more accessible
care at lower costs. Solutions such as InterQual and Clear Coverage provide
the necessary foundation for connection, communication and collaboration with
intelligent decision-making,” said Matthew Zubiller, vice president of
decision management at McKesson Health Solutions.

For more information on McKesson Health Solutions, please visit our Web site,
hear from our experts at MHSdialogue, and follow us on Twitter at
@McKesson_MHS, or join our LinkedIn group.

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About Amerigroup Corporation

Amerigroup, a Fortune 500 company, coordinates services for individuals in
publicly funded health care programs. Currently serving approximately 2.7
million members in 12 states nationwide, Amerigroup expects to expand
operations to its 13th state, Kansas, as a result of previously awarded state
contracts. Amerigroup is dedicated to offering real solutions that improve
health care access and quality for its members, while proactively working to
reduce the overall cost of care to taxpayers. Amerigroup accepts all eligible
people regardless of age, sex, race or disability. For more information,
please visit

About McKesson Corporation

McKesson Corporation, currently ranked 14th 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

Tags: McKesson, McKesson Health Solutions, Amerigroup, utilization management,
clinical criteria, clinical decision support, InterQual, Clear Coverage,
point-of-care decision support, payer-provider partnership


McKesson Health Solutions
Sandy Cummings, 617-273-2890
Public Relations
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