Transforming Clinical Decision Support
Bringing together the clinical and financial to drive appropriate, high-value care
78 % Shorter hospital stays for patients admitted to hospitals using InterQual® Criteria
All Clinical Decision Support Solutions
Modernize. Connected, automated, and intelligent Clinical Decision Support.
EHR-integrated Clinical Decision Support to drive effective care
CareSelect® empowers you to benchmark, analyze, and guide provider ordering so you can improve appropriateness, comply with key mandates, and facilitate data-centric utilization management that reveals how inappropriate ordering impacts patient outcomes, costs, and reimbursement.
Evidence-based criteria and technology to support appropriate clinical decisions
InterQual® provides actionable, evidence-based clinical intelligence and automated processes that enable you to more effectively support appropriate care, align payers and providers, and optimize resources. Our Clinical Decision Support system—including medical review automation—transforms utilization management to be efficient, proactive, and connected.
Automate the prior authorization process to reduce administrative costs and speed care
Our integrated clinical and connectivity solution helps you automate prior authorizations—including those requiring a medical review—within existing payer and provider workflows to reduce administrative burden, speed response times, improve payer-provider collaboration, and minimize interorganizational friction.
Deliver complex care more effectively and efficiently with a personalized care plan
InterQual Coordinated Care is a cloud-based care planning tool that helps you more efficiently manage complex/high-risk cases and create personalized care plans by leveraging patented blended patient assessments that address common care barriers and merge condition components.
