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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details
InterQual Connect™
InterQual Connect™

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Categories

Solutions

Description

Product Description:
With InterQual Connect™, payers can easily automate all authorization requests, even those requiring medical review, within their existing systems. Providers receive quicker authorization approvals for most requests and payers only need to touch the exceptions that can’t be approved automatically—no more duplicative medical reviews or wasting precious staff time on routine authorizations. - InterQual Medical Review & Authorization: InterQual Connect is a flexible SaaS solution, integrated into payer and provider health information systems. It pairs the leading InterQual® Criteria, now available as a web service, with proven and secure connectivity. - A Unique Solution: The only integrated solution to enable full auto authorization, including medical review. - Uses Existing IT Infrastructure: No new hardware, software or IT staff required. - Easy to Implement: Time to value can be as little as 60 days when using a certified Change Healthcare Alliance Partner. - Provides Fast, Secure Connectivity: Uses the proven authorization gateway. - Keeps Users in Existing Workflows: Providers submit an authorization request, and payers receive the request and medical review from within their current UM/CM workflow. - Delivers Real-time InterQual Access: Just-in-time content from our cloud platform helps ensure you get the latest version, but you can choose when to make the switch. - Aligns with InterQual Hospitals: Payers benefit from the shared clinical language with thousands of InterQual hospitals plus a direct connection to those hospitals already on the InterQual Connect cloud. - Supports Payer/Provider Collaboration: Helps reduce the costs and hassle of prior authorization, while providing full transparency of payer criteria to providers. - Medical Review Service: Optimized for integration, this web service delivers seamless access to the InterQual medical review within your UM/CM system or payer’s provider portal. You get the same leading evidence-based InterQual Criteria combined with our modern, user-friendly interface. The SaaS platform helps you reduce your IT burden, providing realtime access to content. You receive software and content upgrades automatically without waiting for installation and validation, but still maintain control of when to switch to the newer content. You also gain the freedom to make the Medical Review Service available throughout a networked system, such as a multi-hospital and outpatient network or multi-location payer. The Medical Review Service works with any modern browser. - Secure Authorization Connectivity: Our cloud platform and authorization gateway enable the creation of a secure network of connected payers and providers by providing a common language, standard API protocols, access controls and routing rules. Providers transmit an authorization request, complete with an InterQual medical review, through the gateway directly to a payer. The payer system then applies business rules and the InterQual Criteria to this request, and instantly delivers the authorization status back through the gateway to the provider. The gateway has been deployed as part of our cloud solutions, and currently supports thousands of authorization transactions per week between connected payers and providers. It is optimized for our interoperable (XML) medical review format, and can also support the HIPAA X12 278 transaction standards.
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:

Clinicians can order, deliver, and monitor care from one unified platform within their current workflow. These include everything from connected devices to services including meal delivery and transportation, from patient education to surveys and PROs. Looking to alleviate the disparity in healthcare delivery while recognizing common technologies most people share, Xealth helps health systems make digital health a competitive asset.

Xealth enables healthcare teams to order digital content and services as easily as they do medications today. Patients can then access these digital health prescriptions from the provider's portal, so that they can actively manage their health.

About Xealth:

Xealth enables healthcare teams to order digital content and services as easily as they do orders and medications today. Patients can then access these digital health prescriptions from the provider's portal, so that they can actively manage their health. 

Compatibility level

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Clients

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Product Capabilities

Once digital tools are ordered, Xealth can manage all elements of delivery and enrollment, either by sending them directly via email or SMS or via the patient portal (stock or custom-built). As patients use these programs, Xealth tracks engagement and can send reminder notifications.

Tthe Xealth platform has successfully deployed a wide variety of connected device solutions within its digital health formulary across the client base. Remote Patient Monitoring solutions deployed include both broad-based RPM such as VitalTech and Harmonize, and also focused RPM solutions such as Babyscripts, Force Therapeutics, Glooko, and Rimidi. Xealth enhances the native capabilities of each of these RPM solutions through its unique integration within the EHR, allowing for the ordering and monitoring of the RPM solution based on configurable use cases. This integration creates a seamless experience for both patients and clinicians. Xealth’s proprietary dashboard provides insights to the impact of digital solutions, allowing for health systems to gain a better understanding if the solutions they have deployed are having the intended impact.

Xealth brings data and real-time monitoring information back into the health system so care teams can follow the patient’s progress or drive interventions. Digital Care embeds third-party dashboards inside the EHR, making it easy for clinicians to see their patient’s progress without leaving the patient record. Discrete patient data, like PHQ9 scores or blood pressure readings, can be written into the chart and stored alongside similar data. Downstream workflows like notifications, best practice alerts, and patient flags can also be generated within the record.

Xealth’s platform aggregates and organizes digital health tools and related data within the EHR for easy deployment and oversight. Xealth’s core platform is the Digital Care SMART on FHIR app, which can be downloaded from Epic App Market (formerly App Orchard) or Cerner Code Gallery and configured by the health system team to launch directly in the provider’s charting workflow. Xealth’s clinical decision support rules engine can automatically distribute tools, assets, and program enrollment information to patients, as well as present relevant solutions within the patient record in the EHR for manual prescribing. Xealth brings monitoring information back into the health system so care teams can follow the patient’s progress or drive interventions. Digital Care embeds third-party dashboards inside the EHR, making it easy for clinicians to see their patient’s progress without leaving the patient record. Discrete patient data, like PHQ9 scores or blood pressure readings, can be written into the chart and stored alongside similar data. Downstream workflows like notifications, best practice alerts, and patient flags can also be generated within the record.

Xealth streamlines and enables dynamic control of data captured and collected by third party vendors. As organizations use Xealth to connect patients with Apps and RPM tools to collect and monitor patients, Xealth's integrated infrastructure enables the health system to have complete access to that data in a variety of manners. Xealth embeds third-party dashboards inside the EHR, making it easy for clinicians to see their patient’s progress without leaving the patient record. Discrete patient data, like PHQ9 scores or blood pressure readings, can be written into the chart and stored alongside similar data. Downstream workflows like notifications, best practice alerts, and patient flags can also be generated within the record.

Xealth’s platform aggregates and organizes digital health tools and related data within the EHR for easy deployment and oversight. Xealth’s core platform is the Digital Care SMART on FHIR app, which can be downloaded from Epic App Market (formerly App Orchard) or Cerner Code Gallery and configured by the health system team to launch directly in the provider’s charting workflow. Xealth enhances the native capabilities of each digital vendor through its unique integration within the EHR, allowing for the ordering and monitoring of the RPM solution based on configurable use cases. This integration creates a seamless experience for both patients and clinicians. Xealth’s proprietary dashboard provides insights to the impact of digital solutions, allowing for health systems to gain a better understanding if the solutions they have deployed are having the intended impact. Through its extensive Vendor Ecosystem, Xealth has worked collaboratively with over 40 industry recognized providers of digital health applications, clinical content, RPM and others. Maintaining excellent working relationships with vendors embedded in Xealth use cases is part of Xealth’s foundational model for achieving success across the client community.

Xealth’s Digital Command Center provides engagement data for digital tools and content deployed through Xealth. Health systems can see how many patients open an email/text message, click on a card in digital care, and watch or view content. This allows the health system to see if content is being used by patients. Health systems can change the time of deployment of a solution (send sooner or later) and/or send reminders, when there is a lower level of engagement than expected. Xealth’s monitor tab, which is integrated into Epic, displays third party application dashboards within Epic, providing a seamless experience for the clinician. The clinician is also able to see engagement data for content, such as videos/pdfs.

Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Epic, Cerner

Hardware Compatibility:

Not applicable

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:
  • Streamline digital vendor integration
  • Reduce IT/IS resources for use case deployment
  • Provide single UI for all disparate digital tools
  • Manage and control data integration into EHR
Differentiators vs Competitors:
  • Digital app library
  • Advanced EHR integration
  • Smart recommendation triggers
  • Integrated clinical workflows
  • Patient portal integration

Keywords

Images

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Videos

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What is Xealth?

Downloads

No content provided

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Alternatives

Company Details

Founded in 2007

Founded in 2014

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