About National Decision Support Company
A Change Healthcare Company
Our Story
In 2012, we recognized the widespread adoption of Electronic Health Record technology and the emergence of value-based care requirements would lead to an opportunity for healthcare organizations to leverage this technology to enable clinical practice improvement.
We partnered with the ACR to launch our first product, ACR Select®, a digital version of the ACR’s Appropriateness Criteria®. Through delivery of ACR Select, we honed our ability to transform comprehensive libraries of clinical standards for delivery in EHR workflows and developed a platform to integrate these standards into the native EHR workflows at scale. These capabilities earned us the respect of EHR producers, who partnered with us to deliver evidence-based criteria into their workflows in support of their users’ needs for compliance and risk management initiatives.
We continued to work with additional content sources, including the Mayo Clinic, National Comprehensive Cancer Network, and the American College of Cardiology to enable the delivery of their clinical standards.
Now an enterprise solution, CareSelect leverages the scale of respected guideline publishers, enabling delivery of a continuously updated, comprehensive library of clinical standards.
Through CareSelect, we have enabled thousands of healthcare organizations to measure and address care gap variations and waste by using our vast library of clinical standards, analytics, and EHR delivery competence to support enterprise clinical practice improvement initiatives.

Now: A Change Healthcare Company
We share a vision and passion for improving care delivery through innovative technology and common-sense process improvements."
In January 2018, we were acquired by Change Healthcare, following a year-and-a-half-long initiative called InterQual AutoReview™ in which Change Healthcare’s InterQual team utilized CareSelect technology and guideline authoring ability to deliver the team’s clinical criteria to the point of care.
The Change Healthcare InterQual® team used the CareSelect platform to deliver industry-leading clinical criteria to the point of care, leveraging real-time access to clinical data. The goal of this initiative is to streamline utilization management and authorization processes, which today are labor-intensive, redundant, and expensive.
“We have forged a strong and complementary working relationship across our teams with a special, rarely attained energy,” said Michael Mardini, CEO, NDSC, who continues to lead the NDSC team within Change Healthcare as part of the company’s decision support portfolio. “We share a vision and passion for improving care delivery through innovative technology and common-sense process improvements. This strategic and cultural fit will accelerate the success of our combined organizations, and it expands our ability to deliver solutions that improve patient care and decrease cost across the payor and provider ecosystem.”
The Change Healthcare portfolio includes assets relevant to authorization and a footprint across the Software and Analytics division representing over 4,000 providers, 300 payors, and 2,100 payor connections. With InterQual AutoReview coupled with CareSelect EHR delivery, Change Healthcare will be uniquely positioned to re-invent a process which today is expensive, inefficient, and disjointed from the provider workflow.
Our team will operate from our offices in Madison, Wisconsin as National Decision Support Company – a Change Healthcare Company.