Transforming Care Delivery

Access expert guidance to help improve clinical data, analytics, and workflow to help ensure clinically appropriate care and optimal patient outcomes. 

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Article

We Follow the Science—and Defend Against Bias

Article

We Follow the Science—and Defend Against Bias

See how we follow the science where it leads, validating the research we find to uphold the unmatched clinical integrity of the InterQual content.

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Latest On-Demand Webinars & Videos

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On-demand Webinar

What is the Future of Enterprise Imaging?

On-demand Webinar

What is the Future of Enterprise Imaging?

Hear from technology leaders from Change Healthcare, Google Cloud’s Healthcare and Life Sciences Team, and health systems that have already begun their cloud transitions. What, why, how, and when?

Watch Video
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On-demand Webinar

Leveraging Robotic Process Automation and AI in Utilization Management

On-demand Webinar

Leveraging Robotic Process Automation and AI in Utilization Management

Conducting medical necessity reviews is a manual task—but it doesn’t have to be. The InterQual AutoReview™ solution uses AI to eliminate 75% of this administrative burden.

Watch Video

On-demand Webinar

Reinventing ED Case Management with Automation

On-demand Webinar

Reinventing ED Case Management with Automation

Learn how automating the InterQual medical review can lead to earlier identification of potential denials and quicker review of admission appropriateness.

Watch Video
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Infographic

Infographic: Provider Communication Service

Infographic

Infographic: Provider Communication Service

Reaching the right care provider in a timely manner is often difficult and time-consuming. We can help.

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The Change Healthcare Podcast

Podcast

The Outlook on Electronic Prior Authorization, with special guest April Todd of CAQH

Podcast

The Outlook on Electronic Prior Authorization, with special guest April Todd of CAQH

Learn about the challenges, benefits, and outlook on transitioning to fully electronic prior authorization, with panelists Andrew Johnson and April Todd.

Play Podcast

Podcast

Bringing Clinical Decision Support to Imaging to Assure PAMA Compliance

Podcast

Bringing Clinical Decision Support to Imaging to Assure PAMA Compliance

Hear the case study of how St. Charles Health System implemented imaging Clinical Decision Support (CDS), including goals, challenges, approach, and results.

Play Podcast

Explore all podcast episodes →

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White Paper

Align Lab and the Hospital’s Strategic Priorities

White Paper

Align Lab and the Hospital’s Strategic Priorities

Read perspective from Mayo Clinic Laboratory experts & physicians & dive into proof points from hospital labs that have implemented third-party decision support.

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Explore All Care Delivery Insights

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Case Study

Bring Dual-Eligible Special Needs Program In-house

Case Study

Bring Dual-Eligible Special Needs Program In-house

See how our expert consultants helped this payer insource D-SNP operations and establish all necessary supports within a very short timeframe.

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957120618 healthy senior couple relaxing seats on the bench in the park

Case Study

Ensuring CMS Compliance for Medicare Advantage Plans

Case Study

Ensuring CMS Compliance for Medicare Advantage Plans

Discover why health plans often choose our consultants to ensure all delegated operations for MA plans meet CMS oversight and compliance requirements.

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Business woman working on computer in office

Article

We Follow the Science—and Defend Against Bias

Article

We Follow the Science—and Defend Against Bias

See how we follow the science where it leads, validating the research we find to uphold the unmatched clinical integrity of the InterQual content.

Learn More

Podcast

The Outlook on Electronic Prior Authorization, with special guest April Todd of CAQH

Podcast

The Outlook on Electronic Prior Authorization, with special guest April Todd of CAQH

Learn about the challenges, benefits, and outlook on transitioning to fully electronic prior authorization, with panelists Andrew Johnson and April Todd.

Learn More

Podcast

Bringing Clinical Decision Support to Imaging to Assure PAMA Compliance

Podcast

Bringing Clinical Decision Support to Imaging to Assure PAMA Compliance

Hear the case study of how St. Charles Health System implemented imaging Clinical Decision Support (CDS), including goals, challenges, approach, and results.

Learn More
463028467

Podcast

Clock Ticks for Hospitals to Provide Price Transparency

Podcast

Clock Ticks for Hospitals to Provide Price Transparency

Understand the AHA’s latest dispute against the CMS’s Price Transparency Final Rule and hear what’s next for providers come the Jan 1, 2021 compliance deadline.

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More Insights To Explore

Dig deeper into the trending industry topics below

Optimizing Financial Performance

Optimizing Financial Performance

Explore our insights on proven tools and techniques for maximizing your healthcare organizations revenue, efficiency, and growth opportunities.

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Enhancing Patient Experience

Enhancing Patient Experience

Explore insights on embracing the next generation of consumer engagement with retail-like experiences that boost patient satisfaction to drive business growth.

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Transforming Care Delivery

Transforming Care Delivery

Access expert guidance to help improve clinical data, analytics, and workflow to help ensure clinically appropriate care optimal patient outcomes.

Learn More

Increasing Clinical Productivity

Increasing Clinical Productivity

Explore insights into patient-centered approaches that help reduce costs, increase efficiency, reveal operational insights, and provide better care.

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Leveraging Healthcare Data

Leveraging Healthcare Data

Learn how to unlock the value of healthcare data through interoperability via open APIs and standards, and how to apply advanced analytics for market insights.

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Innovating Healthcare IT

Innovating Healthcare IT

Learn about using artificial intelligence, APIs, blockchain, interoperability & leading-edge consumer experiences to help solve healthcare’s biggest challenges.

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