Today, healthcare companies face industry-wide transformation and challenges, and are constantly working to adapt to a more consumer-centric, always evolving model.
We see smarter healthcare as healthcare that uses insights to work better, faster and more efficiently to deliver on the triple aim.
Through our broad portfolio of solutions, Change Healthcare is able to serve the needs for all major stakeholders in the healthcare system, including commercial and governmental payers, employers, hospitals, physicians and other providers, laboratories and consumers.
- Payers: Solutions to address payment accuracy, consumer and member engagement, network management and the transition to value-based payment
- Providers: Capabilities to help our customers manage revenue and financial risk, optimize patient access, ensure clinically appropriate care and manage claims and payments across the revenue cycle
- Consumers: Digital tools to access personal health information, engage with providers, enable electronic payments and make smart healthcare choices based on quality, cost and convenience
We help payers with end-to-end payment accuracy solutions, including pre-submission analytics, pre-pay claims auditing and post-pay audit and recovery services, serving nine of the top ten United States payers and over 175 million covered lives.
For government-sponsored and commercial payers, we offer value-based payment solutions, including member engagement, risk-adjustment, quality management and bundled payment analytics, that support more than 50 million members, including 20 of the 25 top Medicare Advantage plans and all of the top five Managed Medicaid plans.
We give hospitals and doctors the tools they need to verify patient eligibility in real-time, submit claims electronically, and automate billing systems. End-to-end revenue cycle management workflow and analytics maximize reimbursement and simplify patient collections.
The industry-leading InterQual® criteria is used by over 4,600 hospitals and facilities, covering over 100 million lives and ensuring clinically-appropriate care.
Our radiology and cardiology imaging solutions are used in over 3,300 facilities across the United States and internationally.
By working with plan sponsors, our rapidly growing consumer engagement platform helps over 20 million consumers with access to care and encourages them to take an active role in their own health. Our solutions help improve health outcomes, risk scores, quality ratings and member retention, while decreasing the cost of care to both members and health plans.
In addition to simple, smart health shopping, we offer printed, telephonic and electronic member correspondence, and omni-channel communications to maximize outreach and address community programs, and predictive modeling solutions to streamline SSI enrollment.