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Milliman Care Guidelines

Delivering evidence-based knowledge at the point of care

Milliman Care Guidelines produces annually-updated, evidence-based clinical guidelines that span the continuum of care, including chronic care management. The Milliman Care Guidelines® provide much more than just authorization criteria, driving high quality care through such tools as care pathway tables, flagged quality measures and integrated medical evidence.

The current best evidence is optimal only when easily-used by healthcare professionals to make decisions about the care of individual patients. To that end, the Care Guidelines are incorporated into easy-to-use software. From web-based applications, to interactive software producing real-time management reports, to handheld versions, Care Guidelines software makes the current best evidence readily available for use where it matters: at the point of care.

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CareWebQI® Interactive Software

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Quality Driven

The Care Guidelines equip clients with a range of tangible tools and resources that drive quality, including:

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Recent News

RAC Connolly Healthcare Licenses Care Guidelines

New Edition Features Expanded Authorization Coverage
and More

QIOs License Care Guidelines for Use in Six More States: