Change Healthcare

Change Healthcare offers a wide range of technological pharmacy solutions designed to optimize operations and improve results. Their offerings include pharmacy management, revenue cycle and billing, business intelligence, and network solutions. They help streamline drug dispensing, optimize revenues, and reduce direct and indirect remuneration fees (DIR). The company provides tools for third-party submission and reconciliation, outsourced ‘chasing claims,’ contract management, appeal submission, and tracking services. Their pharmacy claims management solutions include Rx Assist, Rx CardFinder™ Services, Rx Connect™ Solution, Rx Edit, and DIR Advisor. In collaboration with Microsoft, they enhance security and scalability for pharmacies. Change Healthcare also provides a platform for healthcare interoperability to maximize inter-office communications and eliminate delays, costs, and errors caused by manual retrieval and transmission. Their clinical interoperability solutions include Clinical Document Collector API, Connectivity Gateway, Clinical Exchange Orders & Results, and Clinical Exchange ePrescribe, which help reduce response times for medical record requests to moments instead of days with a single secure connection. They offer solutions to streamline the engagement, care, and payment experience to improve the patient journey, including tools to help patients schedule appointments, verify coverage and pre-authorization, share medical records, and understand payments. Change Healthcare provides advanced revenue cycle analytics, AI-infused solutions, and behavioral science for claims processing and remittance, payment processing, and patient engagement. Their payment accuracy solutions improve claims adjudication, payment integrity, and payment operations. They offer solutions for coordination of benefits, audit & recovery, coding advisor, integrated repricing network, and pre-payment insight & review. The company helps increase claims payment efficiency with clinically-based claims editing and integrated analytics, and offers solutions to optimize savings with verified eligibility and fast claims repricing. Change Healthcare also provides value-based care enablement solutions to help improve cost-efficiency and patient outcomes, offering analytic solutions and transition services to guide through every step of the value-based care process. They provide tools to accelerate the shift to value-based reimbursement with simpler, smarter payment controls. Their provider payment management solutions connect to over 600,000 providers with flexible, efficient payment solutions, and they offer solutions to trim overhead by making more payments electronically and cutting distribution costs with payment analytics. Additional services include settlement advocate, payer enrollment services, and payment network advocate.