US Veterans Affairs Renews Major InterQual Contract

The U.S. Department of Veterans Affairs (VA) recently reaffirmed InterQual as its criteria of choice with a new multi-year agreement across the entire VA health system. With this new agreement, the VA will continue to use InterQual across its 18 Veterans Integrated Service Networks (VISNs), more than 150 medical facilities, and several program offices. The Veterans Health Administration (VHA) is committed to a healthcare system that treats its patient population effectively, efficiently, and appropriately. The objective of the VA’s utilization management program is to provide the right care, for the right patient, at the right time and for the right

Innovation: The Key to Fixing Prior Auth

There are few things everyone in healthcare agrees on. But there is one area where payers, providers, physicians, and patients are all on the same page: prior authorization. Nobody likes it. That ...