MCG Health Partners with Performance Clinical Systems to Reduce Redundancy and Costs in Utilization Management Processes

MCG

Together, we can offer never-before-seen solutions that improve productivity from distributed care teams, enhance patient satisfaction, and realize a positive financial impact from overall utilization management effectiveness.

Performance Clinical Systems announced the integration of its cloud-based clinical workflow management platform, Symphony, with MCG Health‘s market-leading Cite CareWebQI solution. The hallmark of the Symphony solution is simplicity, which enables rapid implementation, adoption, and impact within an organization. Integrating Symphony with MCG enables payers to leverage the latest evidence-based care guidelines to support appropriate medical necessity determinations while taking into account the unique medical needs and optimal recovery standards based on industry best practices.

Symphony’s sophisticated, role-based hierarchy drives efficiencies across care teams by dynamically generating data and guided workflows based on the role of the user and the patient they are targeting. All of the critical functions required for a care management program are provided, including utilization management, care management, and condition management. Symphony leverages real-time information and existing health IT investments—such as claims, analytics, and electronic medical records—while allowing care managers to engage patients one-on-one in a context-sensitive way much more efficiently than traditional care management platforms.

CareWebQI allows users to capture the correct clinical documentation for medical necessity against MCG care guidelines while ensuring appropriate member care. CareWebQI helps address unnecessary variations in care and maintain compliance. Health plans enrolling members with complex – and often costly – conditions require the right tools to effectively manage these populations. MCG care guidelines offer an evidence-based approach to the most effective care and are delivered seamlessly through Symphony, allowing for easy accessibility across care team roles.

“Partnering with other companies that are committed to improving healthcare, like Performance Clinical Systems, is an important component of MCG’s goal to proactively optimize…

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