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MedHOK Integrates InterQual Connect™ into Population Health Platform

MedHOK Integrates InterQual Connect™ Into Population Health Platform

MedHOK’s Unified Payer Platform to deliver seamless, interactive medical reviews and enable automated authorizations through integration of InterQual Connect from Change Healthcare

TAMPA, Fla. – December 21, 2017 – MedHOK, recognized by Inc. magazine and Deloitte as one of the fastest growing healthcare SaaS companies and the secure platform of choice for the nation’s top rated and largest healthcare organizations, is integrating InterQual Connect, from Change Healthcare, into its industry leading, secure SaaS platform. With InterQual Connect, the first cloud-based interactive medical review and connectivity solution, MedHOK will continue to help transform utilization management from manual and inefficient, to integrated, automated, collaborative and informed by clinical data.

“We are excited to offer our customers the full capabilities of InterQual Connect within our Unified Payer Platform,” said Anil Kottoor, MedHOK chief executive officer. “With this partnership, our customers will be able to automate routine prior-authorization requests, using a combination of clinical and business rules, allowing them to reduce their administrative expenses and collaborate with their providers on the exceptions.”

The MedHOK platform is built on a foundation of compliance and quality. The InterQual Connect Medical Review Service seamlessly integrates with MedHOK’s Utilization Management and Provider Portal solutions to allow payers and providers to conduct an InterQual medical review within their existing MedHOK workflow. With Change Healthcare’s authorization connectivity, MedHOK customers will be able to receive electronic prior-authorization requests from connected providers, and deliver an automated response. Customers have total control of their data, business rules, and all aspects of transactions, improving efficiency, ensuring compliance with all timeliness requirements, and minimizing administrative costs.

“We are excited to deepen our relationship with MedHOK by integrating InterQual Connect into their Unified Payer Platform,” said Nilo Mehrabian, Vice President of Product Management, Decision Support, at Change Healthcare. “This partnership represents our commitment to expanding the InterQual Connect ecosystem, making utilization management more collaborative, connected, and efficient.”

About MedHOK

MedHOK, the platform of choice for the nation’s top rated and largest healthcare organizations, enables healthcare payers to ensure regulatory compliance and succeed in the emerging value-based care model. Out-of-the-box compliant and proactively updated for Medicare, Medicaid, and Affordable Care Act regulations, MedHOK is a compliance powerhouse. Our secure SaaS-based software platform unifies pharmacy and medical care into one platform, creating a 360° view of the member, allowing payers to identify and target health risks, intelligently trigger workflow interventions, and improve quality of care across the care continuum.

Managing more than 50 million lives, MedHOK holds NCQA® certifications for HEDIS®, Pay for Performance and Disease Management, and has fully integrated Pharmacy Quality Alliance (PQA) drug measures. Deloitte, Inc. Magazine and the Tampa Bay Business Journal have all recognized MedHOK for innovation, growth and vision.

Visit www.MedHOK.com or call (888) 9MEDHOK.

Media contact:
Suzanne Janczak, Sr Director Marketing

sjanczak@medhok.com

InterQual Connect™ is a trademark of Change Healthcare LLC and/or one of its subsidiaries.

Marc Ryan

Marc S. Ryan serves as MedHOK’s Chief Strategy and Compliance Officer. During his career, Marc has served a number of health plans in executive-level regulatory, compliance, business development, and operations roles. He has launched and operated plans with Medicare, Medicaid, Commercial and Exchange lines of business. Marc was the Secretary of Policy and Management and State Budget Director of Connecticut, where he oversaw all aspects of state budgeting and management. In this role, Marc created the state’s Medicaid and SCHIP managed care programs and oversaw its state employee and retiree health plans. He also created the state’s long-term care continuum program. Marc was nominated by then HHS Secretary Tommy Thompson to serve on a panel of state program experts to advise CMS on aspects of Medicare Part D implementation. He also was nominated by Florida’s Medicaid Secretary to serve on the state’s Medicaid Reform advisory panel.

Marc graduated cum laude from the Edmund A. Walsh School of Foreign Service at Georgetown University with a Bachelor of Science in Foreign Service. He received a Master of Public Administration, specializing in local government management and managed healthcare, from the University of New Haven. He was inducted into Sigma Beta Delta, a national honor society for business, management, and administration.

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