MCG Health and Casenet Integrate Updated Solutions to Expedite Prior Authorization Decisions

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Casenet’s TruCare ProAuth™ platform will leverage MCG’s evidence-based solution to promote seamless authorization determinations

MCG clinical guidance is used by nine of the largest U.S. health plans and nearly 2,000 hospitals.

“Casenet’s integration with [MCG] Cite AutoAuth solves the back-and-forth requests for information that hinder the authorization process,” - Peter Masanotti, CEO of Casenet

MCG Health, part of the Hearst Health network and a leading provider of informed care strategies, announces the certified integration of its MCG Cite AutoAuth solution with Casenet, LLC’s latest release of the TruCare ProAuth™ platform. This extended partnership will help promote seamless payer-provider prior author determinations by combining the robust evidence base of MCG care guidelines, the customizable decision tree logic of Cite AutoAuth, and Casenet’s innovative digital authorization tool. The trifecta of these powerful solutions enables providers to process authorization requests more quickly and easily while simultaneously reducing administrative burdens associated with the request for information (RFI) process.

The value for both providers and payers using Cite AutoAuth within TruCare ProAuth™ is the reduction of cumbersome phone and fax authorization requests, as well as the opportunity to base authorization decisions on a common, evidence-based language. MCG care guidelines are already licensed by nine of the largest health plans and nearly 2,000 U.S. hospitals which is a strong sign of their trusted reputation across the entire healthcare industry. Casenet, well known for innovation, implementation, and client service, was ranked Best in KLAS in 2017, 2018, and 2019.

“Casenet’s integration with Cite AutoAuth solves the back-and-forth requests for information that hinder the authorization process,” said Peter Masanotti, CEO of Casenet. “It enables efficiency, accuracy, and transparency in prior authorization processes through automation, allowing providers and payers to spend more time on valuable work and improving the provider and patient experience.”

MCG President and CEO, Jon Shreve, added, “MCG and Casenet have been working together for years, and this new integration will further enhance the combined value we bring to both payer and provider clients and ultimately, to the patient.”

Inquiries for more information on leveraging MCG and Casenet solutions can be submitted at https://www.mcg.com/contact-us/sales-inquiry/.

About Casenet, LLC
Casenet provides a comprehensive suite of enterprise care management software and services solutions for commercial, Medicaid, Medicare, TPA, provider/ACO, and specialty provider organizations that have multiple lines of business and that require comprehensive configurations for each member population. Healthcare organizations rely on Casenet’s population health management solutions to improve care coordination and the quality and delivery of care through enhanced case, disease, utilization, and home and community-based services management. Casenet solutions enable organizations to adapt quickly to changing market and regulatory dynamics, and to identify and target populations having unique risk characteristics with specific care management programs— taking the first step toward better individual health and total population health management. For more information, visit http://www.casenetllc.com.

About MCG Health
MCG, part of the Hearst Health network, helps healthcare organizations implement informed care strategies that proactively and efficiently move people toward health. MCG’s transparent assessment of the latest research and scholarly articles, along with our own data analysis, gives patients, providers, and payers the vetted information they need to feel confident in every care decision, in every moment. For more information visit http://www.mcg.com or follow our Twitter handle at @MCG_Health.

About Hearst Health
The mission of Hearst Health is to help guide the most important care moments by delivering vital information into the hands of everyone who touches a person’s health journey. Each year in the U.S., care guidance from Hearst Health reaches 85 percent of discharged patients, 205 million insured individuals, 99 million home health visits and 3.2 billion dispensed prescriptions. The Hearst Health network includes FDB (First Databank), Zynx Health, MCG, Homecare Homebase, MHK (formerly MedHOK—Medical House of Knowledge) and Hearst Health Ventures (http://www.hearsthealth.com). Hearst also holds a minority interest in the precision medicine and oncology analytics company M2Gen. Follow Hearst Health on Twitter @HearstHealth or LinkedIn @Hearst-Health.

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Arri Burgess
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