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Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
Insights
Insights

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Categories

Solutions

Description

Product Description:
One of the first, most important decisions your staff can make occurs early in the patient assessment process: Should care be provided at the observation or inpatient level? This “fork in the road” decision can have significant consequences, as incorrect choices can lead to misuse of limited resources and costly denials. Unfortunately, recruiting knowledgeable, experienced staff to guide these decisions can be a challenge. Utilization Management Services help to ensure patients receive the most appropriate level of care while helping to reduce medical necessity denials. Our expert staff provides initial/prospective reviews on admission to determine the appropriate care setting. These include: • Placement-status reviews using InterQual or another evidenced-based, clinical decision-making tool • Concurrent authorization services for admissions • Additional scrutiny when decision-support tools conflict with a physician’s clinical judgement, with additional documentation for medical necessity of care We function as an extension of your Case Management or Utilization Review department, working in your unique environment and using your technologies and tools. Our remote support allows your onsite staff to expand the number of cases you review and to focus on length of stay and highly complex cases that need specific clinical expertise. Business Insights Drive Continuous Improvement: We use reporting and analytics to keep you informed of performance so you can track the return on investment. Our reports include: • Trending on Level of Care denials • Percentage of daily reviews completed concurrently at the time of admission • Percentage of accounts requiring authorization completed • QA scores that reflect how accurately your nursing staff is applying decision-support technology and how consistently they are documenting it in your system • Percentage of clinical submissions that meet payer and timing requirements versus those that miss filing deadlines and are returned as concurrent denials A Flexible Resource: You can engage our services to augment your existing staff or use our team as a complete solution. We can also provide a bridge to in-sourcing by educating and training your team, helping you to build a strong internal prospective review program.
About Change Healthcare:
Change Healthcare is inspiring a better healthcare system. We are a leading independent healthcare company that provides data and analytics-driven solutions to improve clinical, financial and patient engagement outcomes in the U.S. healthcare system. Our comprehensive suite of software, analytics, technology-enabled services and network solutions take costs out of the healthcare system by driving improved results in the complex workflows of payers and providers by enhancing clinical decision-making and simplifying billing, collection and payment processes, and enabling a better patient experience. We are creating a stronger and more efficient healthcare system that enables better patient care, choice, and outcomes at scale.
Product Description:

Leverage system-wide dashboards to understand ordering behaviors, reduce care variability, and better manage patient risk.

With Insights, teams can view actionable insights, cost analyses, and order switches to further drive informed decision-making.

About Arrive Health (RxRevu):

Arrive Health is a healthcare technology company dedicated to putting the needs of patients and providers first. We improve access to the most affordable, quality care by delivering accurate, patient-specific cost and coverage data to providers, care teams, and patients. Collaborating with premier health systems, pharmacy benefit managers, payers, and healthcare IT vendors, Arrive Health is clearing the way for better health by reducing friction in care workflows and enabling meaningful conversations about access to care. To learn more, please visit ArriveHealth.com.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

Description:
- Measure prescribing behavior at the system, department, or provider level to increase evidence-based prescribing practices and reduce variability - Reduce administrative costs by improving adherence to the patient’s plan coverage and formulary - Demystify outpatient prescribing, allowing health systems to better manage value-based contracts and provider incentives
Pediatric use cases:

None provided

Users:
Care team managers and leaders can access Insights dashboards and reporting.

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Other

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, athena

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app)

Client Types

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

Arrive Health is the only vendor connecting Real-Time Prescription Benefit transaction data with medication ordering data, allowing us to develop an end-to-end understanding of prescribing behavior and inform teams about opportunities to save time and money. 

Differentiators vs Competitors:

Arrive Health is the only vendor connecting Real-Time Prescription Benefit transaction data with medication ordering data, allowing us to develop an end-to-end understanding of prescribing behavior and inform teams about opportunities to save time and money. 

Keywords

Images

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Videos

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Downloads

No content provided

Alternatives

Company Details

Founded in 2007

Founded in 2013

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