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August 30, 2015 8:46 PM ET

Health Care Technology

Company Overview of McKesson Health Solutions LLC

Company Overview

McKesson Health Solutions LLC provides solutions for integrated care management that enable payers, providers, and patients to transform the business and process of care. The company’s medical management solutions include InterQual, an evidence-based clinical decision support application; CareEnhance Care Management Workflow Software, a workflow solution for allocating resources, coordinating care, integrating data, and planning interventions; care management services; nurse advise services; Clear Coverage, a point-of-care utilization management, coverage determination, and network compliance platform; Clear Orders, an application that aggregates orders and performs required medical necessit...

275 Grove Street

Suite 1-110

Newton, MA 02466

United States

Founded in 2000

Key Executives for McKesson Health Solutions LLC

Age: 53
Chief Financial Officer
Senior Vice President of Products Division
Senior Vice President of Product Generation & Strategy
Senior Vice President and General Manager for Decision Management
Compensation as of Fiscal Year 2015.

McKesson Health Solutions LLC Key Developments

McKesson Health Solutions' New McKesson Benchmark Analytics Service Gives Payers Actionable Insights into Claims Performance

McKesson Health Solutions introduced McKesson Benchmark Analytics(TM), a new service that helps health plans compare their performance to industry peers and use outlier analysis to discover ways to optimize performance. Payers can see how their performance compares to peers with respect to provider outliers, facility-based spend and service cost. The breadth and reach of the data allows plans to discover insights beyond their own claims data that might otherwise be missed. The McKesson Benchmark Analytics' dataset is updated every quarter and is HIPAA and HITECH compliant. It includes multiple claim types (professional, outpatient and inpatient facility) and aggregates statistically significant data sampling distributions across all four regions of the United States, as well as across commercial, Medicare and Medicaid lines of business. Payers can choose any one or all of three available benchmarking packages: Provider Outlier Analytics(TM), Facility Outlier Analytics(TM) and Service Outlier Analytics(TM). Every package includes analysis from McKesson experts and dashboard-style reports on a regular basis (quarterly or annual) as needed. McKesson Benchmark Analytics are available to all health plans regardless of whether or not they license McKesson payment integrity software solutions such as ClaimCheck(R) or ClaimsXten(TM).

McKesson Network Management Suite Engineered for HIX Era

McKesson Health Solution's new release of its Network Management suite is designed to help plans thrive in a post-reform world. By integrating key aspects of provider information management, network design, contracting, and reimbursement, McKesson gives payers the first strategic platform for tackling value-based reimbursement and managing costs in a competitive and uncertain market. As many as 30 million new members from Medicare and health insurance exchanges are projected to enter the market, creating intense demand for new payment strategies, care delivery models, and benefit designs. Payers are under pressure to make network management a strategic asset for tackling value-based reimbursement and managing cost. And those who do will get a single source of truth that helps them design the right networks to support the right products, and speed those products to market faster than competitors. McKesson's Network Management solution suite combines McKesson Provider Manager(TM), McKesson Reimbursement Manager(TM) and McKesson Contract Manager(TM) into a cohesive modular platform. Each solution can be deployed individually and can feed other systems, so health plans can phase implementations and, ultimately, orchestrate value-based reimbursement from start to finish: McKesson Contract Manager minimizes the financial risk associated with the complex contract terms in new care delivery and reimbursement strategies. It allows for a rules-driven contract process that reduces errors, time and administrative costs. McKesson Provider Manager provides a single source of truth to manage the complexities of networks, provider information, and affiliations. It integrates all aspects of provider data, from demographic profiles to affiliations and contract details; to serve as a means to inform provider contracting, utilization management, and authorization and provider pick processes. McKesson Reimbursement Manager helps automate and connect the entire reimbursement lifecycle, associating the right fee schedule with the right provider in real time. When connected with McKesson's ClaimsXten(TM) and Provider Gateway, complex claims editing, provider and contract selection, and claims pricing functions are centrally handled.

McKesson Health Solutions LLC Appoints Ian Gordon as Senior Vice President and General Manager for Decision Management

McKesson Health Solutions (MHS) announced that Ian Gordon, former president and CEO of Topaz Shared Services, has joined the company's executive team as senior vice president and general manager for Decision Management. In his new role, Mr. Gordon will head the Decision Management business for MHS and will help lead the evolution of the company's innovative payer-provider collaboration agenda and technologies. Mr. Gordon will report to Emad Rizk, M.D., president of McKesson Health Solutions, replacing Matthew Zubiller, who has been promoted to vice president of Strategy and Corporate Development. Prior to his tenure at Topaz Shared Services, Mr. Gordon served as COO of BlueCross BlueShield of North Carolina and president and COO of Meritain Health.

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