Specialty drugs will account for the majority of new drug approvals in coming years, and they will consume approximately 40 percent of a health plan’s drug spending by 2020.

PathWare™ Decision Transaction Solutions

An integrated decision support and medical transaction management solution
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Cardinal Health Specialty Solutions recognizes that soaring healthcare costs and inefficiencies in healthcare are negatively affecting payors, providers and patients alike. We work with payors to create and implement end-to-end technology solutions that help providers choose evidence–based and cost effective treatments for patients.

Our PathWare™ Decision Transaction Solutions tool provides clinical informatics, decision support trees for claims management, automates therapeautic algorithms and offers real time specialty pharmacy orders leading to seamless real time payor and provider workflow. PathWare™ Decision Transaction Solutions is a payor’s solution to manage the quality and cost of care for patients.

 

A single point from patient diagnosis to claims management

Our customized solutions to meet your business needs:

  • PathWare™ Solutions Compliance portal monitors physician compliance to Clinical Pathways.
  • PathWare™ Solutions Point of Care portal provides real time decision support in more than 1,000 specialty regimens.
  • PathWare™ Solutions Medical Transaction Management portal manages real time decision support, prior authorizations and claims adjudication capabilities.

 

PathWare™ Decision Transaction Solutions

Capabilities PathWare™ Decision Transaction Solutions Compliance PathWare™ Decision Transaction Solutions Point of Care PathWare™ Decision Transaction Solutions Medical Transaction Management
P4 Pathways, clinical pathways
Cost savings
Cost savings
Cost savings
Patient Selection / eligibility verificiation  
Cost savings
Cost savings
Real-time diagnosis decision support  
Quality
Quality
Electronic pathway regimen selection (1000 + regimens)  
Quality
Quality
Pre-certification code  
Time savings
Time savings
Real-time adjudication capability    
Time savings
Claims-based compliance monitoring
Quality
Quality
Quality
Clinical pathways
Time savings
Time savings
Time savings
Proven track record of savings
Cost savings
Cost savings
Cost savings

Quality IconQuality      Time savings IconTime savings      Cost savings IconCost savings

 

Alleviate burden

Clinical Pathways with P4 Pathways
Delivers on evidence-based treatment protocols that are designed to promote more cost-effective care and better patient outcomes.

Medical management
Provides front end decision support and reimbursement  information before treatments are prescribed.

Optimize business functions

Real-time decision support
Integrated  physician and payor web based solutions providing cost-effective and  quality patient care at the point of care.

Reduce administration cost
Reduces prior authorization requests by providing clinical protocols and reimbursement information at the point-of-care.

Partners on innovation

End to end solution
A proactive and transparent payor solution for decision support and reimbursement information.

Eliminate archaic processes
Eliminates the current archaic process of faxes, phone calls and paper for prior authorizations and claim adjudication. By consolidating information in one tool staff can reduce the amount of time dedicated to these functions.