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.

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.

Initial Insights is the first tier offering of the NICUtrition® platform. It provides the ability for a hospital to track key performance measures across the neonatal intensive care unit in a retrospective or prospective report. With a one-time data extract from a hospital’s EMR, including (up to) 5 years of historical information around feeding, growth and diagnoses, our Initial Insights reports will show milestones with 'smart' growth charts and z-scores and an outcomes analysis for the feeding and growth data collected at the individual patient and unit levels. Additionally, with EMR integration, Initial Insights is provided to the hospital via real-time access for ongoing analytics.

Setting the course for better health begins at the core. As a precision-care solution provider, Astarte Medical helps neonatal care professionals improve patient outcomes in the first 1,000 days of life by leveraging the power of automated software and predictive analytics to deliver personalized nutritional care to preterm and critically-ill infants in the NICU. We are initially focused on developing digital tools designed to standardize feeding and optimize nutrition for preterm infants, particularly for those born before 34 weeks gestational age. Astarte Medical was founded in 2016, when serial entrepreneurs and venture investors partnered with a clinical scientist and other nutrition thought leaders. The company has seen 100% growth since 2019 and currently operates with $8.5M raised from top venture financing firms and 12 FTEs. NICUtrition® by Astarte Medical, is the first real-time, nutrition management support solution, designed to standardize feeding and optimize nutrition to improve outcomes specifically for preterm infants. It allows neonatology specialists, nursing professionals, dietiitans and department heads to effectively automate their health system’s feeding protocols, simplify workflows & measure compliance for more consistent quality care delivery, while leveraging predictive analytics to support data-enabled clinical decision-making for improved patient outcomes.

EMRs were built as billing support tools and evolved into medical data repositories. Nuanced data of clinical importance can be difficult to access and currently requires dedicated technical personnel with specific skills to partner with clinical staff in a laborious approach to extract specific data. In particular, flow sheets utilized in an intensive care setting, such as the NICU, are particularly challenging to access and review in a structured format.

NICUtrition Initial Insights was built to liberate NICU feeding, growth and diagnosis data from EMRs and provide robust visualizations showing patient milestones and outcomes metrics.

NICUtrition is fully integrated with the EMR, enabling real-time access of granular, clinical data and the ability to deliver high quality support within existing workflow. We have developed properietary tools to augment EHR integration, supporting overtaxed IT groups within hospitals to get up and running and deliver value and return on investment in months.