Navigation Links
IPRO QIO Uses Milliman Care Guidelines(R) for Medicare Reviews in New York State
Date:3/5/2009

SEATTLE, March 5 /PRNewswire/ -- IPRO, one of the nation's leading Quality Improvement Organizations (QIOs), has signed a five-year licensing agreement with Milliman Care Guidelines, LLC, A Milliman Company, to use the Care Guidelines for Medicare utilization and quality reviews in the state of New York.

IPRO will use all Care Guidelines products -- Ambulatory Care, Inpatient and Surgical Care, General Recovery Guidelines, Recovery Facility Care, Home Care, Chronic Care Guidelines and Behavioral Health Guidelines -- through Web software to support appropriate quality of clinical care for Medicare beneficiaries.

The Centers for Medicare & Medicaid Services (CMS) contracts with QIOs in each state to conduct Medicare reviews and quality initiatives across a variety of healthcare settings. It does not mandate or endorse the use of any specific criteria set by QIOs.

The Care Guidelines promote quality care by providing healthcare professionals with access to best practice based on annually updated evidence. The Care Guidelines also display Quality Measures approved by CMS, and each inpatient topic includes care planning information highlighting interventions that lead to improved outcomes. Designed for prospective, concurrent, and retrospective reviews, the Care Guidelines enable informed and consistent clinical care decisions, and support the best possible care management using the most current evidence-based medicine.

"The Care Guidelines incorporate CMS Hospital Quality Initiative Core Measures," said Scott Harris, Milliman Care Guidelines Senior Vice President of Sales and Marketing. "Access to evidence-based clinical tools that improve quality of care enables QIOs to effectively manage their review processes and quality initiatives."

About IPRO

Incorporated as an independent not-for-profit organization in 1983, IPRO (www.ipro.org) is one of the largest and most experienced healthcare quality review and improvement organizations in the nation. With annual revenues of more than $50 million, IPRO's clients include federal and state governments as well as municipalities. IPRO's affiliate, Logiqual (www.logiqual.com), conducts quality-of-care audits on behalf of individual managed care plans.

About Milliman Care Guidelines

Milliman Care Guidelines LLC, A Milliman Company, is located in Seattle, and independently develops and produces evidence-based clinical guidelines and a variety of software options that are used by more than 1,000 clients nationally and support the care of almost two-thirds of US health plan members. Covering the continuum of care, the seven-product Care Guidelines series is updated annually by an experienced team of clinicians. For more information, visit www.careguidelines.com.

About Milliman

Milliman Care Guidelines is a wholly owned subsidiary of Milliman, Inc., which is among the world's largest independent actuarial and consulting firms. Founded in Seattle in 1947 as Milliman & Robertson, the company now has 49 offices in key locations worldwide. Milliman employs more than 2,000 people, with a professional staff of more than 1,000 qualified consultants and actuaries, including specialists ranging from clinicians to economists. The firm has consulting practices in healthcare, employee benefits, property and casualty insurance, life insurance and financial services. Milliman serves the full spectrum of business, financial, government, union, education and nonprofit organizations. For more information, visit www.milliman.com.


'/>"/>
SOURCE Milliman Care Guidelines
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. Recovery Audit Contractor HealthDataInsights Licenses Milliman Care Guidelines(R)
2. Milliman Care Guidelines(R) Replaces Multiple Guideline Sets for Wisconsin QIO
3. Milliman Survey Indicates Lower Health Insurance Rate Increases
4. ICMA-RC Announces New Service for Clients; Milliman, Inc. to Offer Actuarial Services for GASB 45 Reporting
5. Milliman Announces Encore Webinar on Practical Uses of Lifestyle-Based Analytics (LBA) in Risk Selection
6. Milliman Says 2008 Medical Cost for American Family of Four Exceeds $15,600
7. Milliman Expert Addresses Practical Applications of Lifestyle-Based Analytics in Risk Selection
8. Milliman Survey Confirms Continued Dominance of Guarantees in Variable Annuity Retirement Income Products
9. Nations RNs on the Healthcare Summit: Insurance-Based Reform Will Fail, and Undermine Public Trust, Only Medicare for All Can Achieve Administrations Goals
10. Calling Policies Unreasonable, 123 Members of Congress Press for Changes in Medicare Home Oxygen Policies for Emergency Care, Supplies and Other Obligations After 36 Months of Service
11. American College of Surgeons Supports Steps to Shore Up Medicare Payment System In Proposed Federal Budget
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/24/2017)... ... March 24, 2017 , ... As the ... create a communications platform that positions them as the go-to thought leader in ... their online publication as an always-on, always-fresh news, views and advocacy engine, called ...
(Date:3/24/2017)... (PRWEB) , ... March 24, 2017 , ... ... ( http://www.hygieacare.com ) announced their partnership to prep patients for colonoscopy at the ... Endoscopy Centers in 87th Ave., Miami, FL. , The HyGIeaCare® Prep, ...
(Date:3/24/2017)... ... 2017 , ... “Vintage and Harvest A Cultivation of Christian Love” is the ... in North Carolina with his wife, Anna Marie. He and his wife are the ... is also the author of “Shadow and Substance.” , “Love, the agape kind, is ...
(Date:3/23/2017)... Houston, Texas (PRWEB) , ... March 23, 2017 , ... ... their 3rd location in the greater Houston Area. The new location is located at ... St. Luke’s Hospital in Springwoods Village. This newest location will provide patients living in ...
(Date:3/23/2017)... New Holland, PA and Grimsby, Ontario (PRWEB) , ... March 23, 2017 , ... The ... to the modular industry or whose acts have had a significant impact on the careers ... of Sales and Marketing with NRB Inc. was inducted into the MBI’s Hall of Fame. ...
Breaking Medicine News(10 mins):
(Date:3/24/2017)... 23, 2017  HealthMine surveys with 9,250 insured consumers ... health plan members want help from their plans in ... in their health, 2) help closing gaps in care, ... health and 5) relevant, real-time guidance. Meeting these needs ... costs. A Reason to Stay ...
(Date:3/23/2017)... , Mar 23, 2017 Research and Markets ... & Trends - Industry Forecast to 2025" report to their ... The ... around 6.9% over the next decade to reach approximately $3.5 billion ... and forecasts for all the given segments on global as well ...
(Date:3/23/2017)... LONDON , March 23, 2017 ... comprehensive research report created through extensive primary research ... research, the report aims to present the analysis ... basis of Procedure (Replacement and Repair); Replacement Procedure ... (TAVR)), Repair By Technique (Surgical Devices, Balloon Valvuloplasty, ...
Breaking Medicine Technology: