McKesson rolls out tool to help insurers manage value-based pricing

McKesson Health Solutions rolled out a new rate pricing tool that it says will help insurers automate, execute and scale complex mixes of value-based and fee-for-service reimbursement strategies. The news comes as more health plans move from broad networks and straightforward reimbursement approaches to narrow networks and value-based payments. The McKesson Reimbursement Manager 3.0 automates network pricing strategies yet gives flexibility for health plans to configure their own payment methodologies, the company claims.

It helps payers determine the contract amount based on claim and non-claim related data elements, products and programs, as well as service lines and groups, McKesson said. The new tool also clarifies the calculation behind the prices insurers pay healthcare providers, while giving insurers information they can use in their payment audits to ensure claims are being paid correctly.