Change Healthcare
Change Healthcare provides a comprehensive suite of technological solutions to optimize pharmacy operations, improve patient care, and streamline payment processes.
Pharmacy Management Solutions
Change Healthcare provides a comprehensive suite of technological pharmacy solutions aimed at optimizing operations and improving outcomes. These solutions include tools for pharmacy management, revenue cycle and billing, business intelligence, and network solutions. The offerings help streamline drug dispensing and work to optimize revenues while reducing direct and indirect remuneration fees (DIR). Specific services include third-party submission and reconciliation and outsourced 'chasing claims,' making the entire process more efficient and reliable.
Pharmacy Claims Management Services
Change Healthcare offers a wide range of pharmacy claims management solutions designed to facilitate better claims handling and streamline operations. Notable solutions include Rx Assist, Rx CardFinder™ Services, Rx Connect™ Solution, Rx Edit, and DIR Advisor. These tools enable pharmacies to handle contract management, appeal submission, and tracking services effectively, ensuring more accurate and timely claims processing.
Healthcare Interoperability
Change Healthcare provides platforms designed for healthcare interoperability, maximizing inter-office communication and eliminating delays, costs, and errors associated with manual retrieval and transmission. Clinical interoperability solutions include Clinical Document Collector API, Connectivity Gateway, Clinical Exchange Orders & Results, and Clinical Exchange ePrescribe. These solutions significantly reduce response times for medical record requests, transforming a process that once took days into one completed in moments.
Patient Engagement and Payment Solutions
Change Healthcare offers a range of solutions to streamline the engagement, care, and payment experience, improving the overall patient journey. These tools help patients schedule appointments, verify coverage and pre-authorization, share medical records, and understand payments. Additionally, the solutions facilitate prompt claims payment and collections, enhancing patient relationships while optimizing the revenue cycle with advanced analytics and AI-powered technologies.
Value-Based Care Solutions
Change Healthcare provides value-based care enablement solutions designed to improve cost-efficiency and patient outcomes. The company offers analytic solutions and transition services to guide healthcare providers through every step of the value-based care process. These tools help accelerate the shift to value-based reimbursement by implementing simpler, smarter payment controls, thereby promoting better financial outcomes and higher quality care.