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Change Healthcare's Business Segments
Change Healthcare's reported revenue by business segment and by geographic region, quarterly and annual, normalized against the consolidated income statement. Free below: the top 3 rows per table, this quarter and this fiscal year. Subscriber access adds the full segment history and operating income by segment.
Segment Data As of FY
Reportable Segments
-
Largest Segment
-
Total Revenue
$ 884
Regions Reported
-
Change Healthcare does not report a distinct business-segment axis in its filings - its disaggregated revenue is disclosed by product and service category instead. See the Product & Service breakdown below.
Revenue by Product & Service Category - FY
- Solutions94%
- Postage6%
Revenue by Product & Service Category - FY
| Category | Revenue (Millions) | % of Total |
|---|---|---|
| Solutions | $ 831 | 94% |
| Postage | $ 53 | 6% |
Product and service categories are a supplemental disclosure and are not required to sum to consolidated revenue or to the reportable segments above.
Description of Change Healthcare
Change Healthcare Inc. is a healthcare information technology company that provides technology-enabled services and solutions to healthcare providers, payers, and consumers. The company was founded in 2007 and is headquartered in Nashville, Tennessee.
Change Healthcare's products and services are designed to improve the cost, quality, and efficiency of healthcare. The company offers a wide range of solutions including revenue cycle management, electronic health records, population health management, and data analytics.
One of the company's flagship solutions is the Intelligent Healthcare NetworkTM, which is one of the largest healthcare information networks in the United States. The network connects more than 2,200 payers and over 1 million providers, processing over 14 billion transactions annually. The network is designed to streamline processes, reduce costs, and improve the quality of care for patients.
Change Healthcare's revenue cycle management solutions help healthcare providers improve their financial management by automating billing, coding, and claims submissions. The company's electronic health record solutions enable providers to streamline clinical workflows, improve patient engagement, and enhance clinical decision-making.
The company's population health management solutions enable payers and providers to manage the health of patient populations more effectively. Change Healthcare's data analytics solutions provide actionable insights into healthcare utilization, quality, and outcomes, enabling stakeholders to make informed decisions.
Change Healthcare has a strong presence in the healthcare industry, with partnerships with major healthcare organizations such as the American Hospital Association, McKesson Corporation, and Optum. The company is also a member of several industry organizations, including the Healthcare Information and Management Systems Society and the National Association of Accountable Care Organizations.
Change Healthcare has been recognized as one of the best places to work in healthcare by Modern Healthcare magazine, and the company has won numerous awards for its innovative solutions and industry leadership.
Change Healthcare's products and services are designed to improve the cost, quality, and efficiency of healthcare. The company offers a wide range of solutions including revenue cycle management, electronic health records, population health management, and data analytics.
One of the company's flagship solutions is the Intelligent Healthcare NetworkTM, which is one of the largest healthcare information networks in the United States. The network connects more than 2,200 payers and over 1 million providers, processing over 14 billion transactions annually. The network is designed to streamline processes, reduce costs, and improve the quality of care for patients.
Change Healthcare's revenue cycle management solutions help healthcare providers improve their financial management by automating billing, coding, and claims submissions. The company's electronic health record solutions enable providers to streamline clinical workflows, improve patient engagement, and enhance clinical decision-making.
The company's population health management solutions enable payers and providers to manage the health of patient populations more effectively. Change Healthcare's data analytics solutions provide actionable insights into healthcare utilization, quality, and outcomes, enabling stakeholders to make informed decisions.
Change Healthcare has a strong presence in the healthcare industry, with partnerships with major healthcare organizations such as the American Hospital Association, McKesson Corporation, and Optum. The company is also a member of several industry organizations, including the Healthcare Information and Management Systems Society and the National Association of Accountable Care Organizations.
Change Healthcare has been recognized as one of the best places to work in healthcare by Modern Healthcare magazine, and the company has won numerous awards for its innovative solutions and industry leadership.
Change Healthcare Inc. is a premier provider of innovative healthcare solutions, delivering a comprehensive suite of products and services designed to meet the diverse requirements of healthcare organizations, payers, providers, and patients. Below is an extensive overview of the key segments, products, and services offered by Change Healthcare Inc.:
1. Revenue Cycle Management (RCM) Services
Change Healthcare provides a complete suite of RCM services designed to optimize the financial processes of healthcare providers. This includes:
- Medical Billing and Coding: Automated solutions ensure accurate coding for billing, minimizing errors and reducing delays in reimbursement.
- Claim Management: Services to manage the lifecycle of claims from submission to payment, enhancing the efficiency of revenue collection.
- Denial Management: Tools and strategies to identify and rectify issues causing claim denials, thereby improving the overall claim approval rate.
- Analytics for RCM: Analytical tools that provide insights into financial performance, helping organizations optimize revenue cycles and adjust strategies accordingly.
- Consulting Services: Expert guidance on best practices in billing and revenue cycle management to help organizations refine their processes.
Data Analytics and Insights
Change Healthcare offers sophisticated analytics tools that enable healthcare entities to glean actionable insights from their data. These include:
- Predictive Analytics: Solutions that forecast healthcare trends, patient populations, and potential outcomes based on historical data.
- Clinical Analytics: Analytics focused on improving patient outcomes by analyzing treatment effectiveness and care patterns.
- Operational Analytics: Tools designed to optimize operational efficiencies, reducing costs, and improving service delivery.
- Population Health Management: Comprehensive analytics solutions that allow providers to manage patient populations effectively, enhancing care coordination and outcomes.
Payment Integrity
This segment focuses on comprehensive cost containment for healthcare payers, emphasizing:
- Fraud Detection: Advanced algorithms and analytics to identify potentially fraudulent claims and reduce financial losses.
- Overpayment Recovery: Services designed to identify and recover overpayments made on claims, ensuring financial integrity for payers.
- Compliance Monitoring: Tools that assist organizations in adhering to regulatory requirements, minimizing the risk of penalties.
Pharmacy Services
Change Healthcare provides various services to enhance pharmacy operations, including:
- Electronic Prescription Management: Streamlined processes for the submission and management of electronic prescriptions, ensuring safe and efficient medication dispensing.
- Claims Processing Solutions: Tools that facilitate the timely and accurate processing of pharmacy claims, improving cash flow for pharmacies.
- Formulary Management: Solutions to manage drug lists effectively, ensuring compliance with insurance requirements and enhancing patient access to medications.
- Medication Adherence Programs: Tools designed to improve patient adherence to prescribed therapy regimens through reminders and monitoring.
Imaging and Workflow Solutions
Change Healthcare offers advanced imaging solutions aimed at enhancing clinical workflows and patient care:
- Picture Archiving and Communication Systems (PACS): Systems that enable the storage, retrieval, and sharing of images efficiently.
- Radiology Information Systems (RIS): Comprehensive solutions for managing patient data and workflow in radiology departments.
- Imaging Analytics: Tools to analyze imaging data for improved diagnostic accuracy and decision-making.
- Workflow Optimization Tools: Solutions designed to streamline clinical workflows, reducing bottlenecks and enhancing provider efficiency.
Consumer Engagement Solutions
To improve patient engagement and enhance health outcomes, Change Healthcare offers a variety of digital tools:
- Telehealth Services: Platforms that support remote consultations between patients and healthcare professionals.
- Patient Portals: User-friendly portals for patients to access their medical records, test results, and manage appointments.
- Mobile Applications: Applications designed to facilitate patient communication, appointment scheduling, and health management.
- Remote Monitoring Solutions: Technologies that allow providers to monitor patients’ health metrics from afar, facilitating proactive care management.
Network Solutions
Change Healthcare’s network solutions include:
- Electronic Data Interchange (EDI): Solutions to automate the exchange of healthcare data between payers and providers, ensuring efficient transactions.
- EHR Interfaces: Tools that enable seamless integration between electronic health records and other healthcare systems, facilitating data sharing.
- Transaction Processing Services: Solutions that streamline administrative transactions, reducing costs and improving accuracy in communications between stakeholders.
Conclusion
Change Healthcare Inc. is committed to delivering a broad range of innovative products and services that address the challenges faced by the healthcare industry. From optimizing revenue cycles and enhancing data analytics capabilities to improving patient engagement and streamlining operational workflows, Change Healthcare continues to foster advancements and efficiencies within the healthcare landscape. As the healthcare environment evolves, the services offered by Change Healthcare are designed to support organizations in navigating complexities while enhancing patient care and outcomes.
1. Revenue Cycle Management (RCM) Services
Change Healthcare provides a complete suite of RCM services designed to optimize the financial processes of healthcare providers. This includes:
- Medical Billing and Coding: Automated solutions ensure accurate coding for billing, minimizing errors and reducing delays in reimbursement.
- Claim Management: Services to manage the lifecycle of claims from submission to payment, enhancing the efficiency of revenue collection.
- Denial Management: Tools and strategies to identify and rectify issues causing claim denials, thereby improving the overall claim approval rate.
- Analytics for RCM: Analytical tools that provide insights into financial performance, helping organizations optimize revenue cycles and adjust strategies accordingly.
- Consulting Services: Expert guidance on best practices in billing and revenue cycle management to help organizations refine their processes.
Data Analytics and Insights
Change Healthcare offers sophisticated analytics tools that enable healthcare entities to glean actionable insights from their data. These include:
- Predictive Analytics: Solutions that forecast healthcare trends, patient populations, and potential outcomes based on historical data.
- Clinical Analytics: Analytics focused on improving patient outcomes by analyzing treatment effectiveness and care patterns.
- Operational Analytics: Tools designed to optimize operational efficiencies, reducing costs, and improving service delivery.
- Population Health Management: Comprehensive analytics solutions that allow providers to manage patient populations effectively, enhancing care coordination and outcomes.
Payment Integrity
This segment focuses on comprehensive cost containment for healthcare payers, emphasizing:
- Fraud Detection: Advanced algorithms and analytics to identify potentially fraudulent claims and reduce financial losses.
- Overpayment Recovery: Services designed to identify and recover overpayments made on claims, ensuring financial integrity for payers.
- Compliance Monitoring: Tools that assist organizations in adhering to regulatory requirements, minimizing the risk of penalties.
Pharmacy Services
Change Healthcare provides various services to enhance pharmacy operations, including:
- Electronic Prescription Management: Streamlined processes for the submission and management of electronic prescriptions, ensuring safe and efficient medication dispensing.
- Claims Processing Solutions: Tools that facilitate the timely and accurate processing of pharmacy claims, improving cash flow for pharmacies.
- Formulary Management: Solutions to manage drug lists effectively, ensuring compliance with insurance requirements and enhancing patient access to medications.
- Medication Adherence Programs: Tools designed to improve patient adherence to prescribed therapy regimens through reminders and monitoring.
Imaging and Workflow Solutions
Change Healthcare offers advanced imaging solutions aimed at enhancing clinical workflows and patient care:
- Picture Archiving and Communication Systems (PACS): Systems that enable the storage, retrieval, and sharing of images efficiently.
- Radiology Information Systems (RIS): Comprehensive solutions for managing patient data and workflow in radiology departments.
- Imaging Analytics: Tools to analyze imaging data for improved diagnostic accuracy and decision-making.
- Workflow Optimization Tools: Solutions designed to streamline clinical workflows, reducing bottlenecks and enhancing provider efficiency.
Consumer Engagement Solutions
To improve patient engagement and enhance health outcomes, Change Healthcare offers a variety of digital tools:
- Telehealth Services: Platforms that support remote consultations between patients and healthcare professionals.
- Patient Portals: User-friendly portals for patients to access their medical records, test results, and manage appointments.
- Mobile Applications: Applications designed to facilitate patient communication, appointment scheduling, and health management.
- Remote Monitoring Solutions: Technologies that allow providers to monitor patients’ health metrics from afar, facilitating proactive care management.
Network Solutions
Change Healthcare’s network solutions include:
- Electronic Data Interchange (EDI): Solutions to automate the exchange of healthcare data between payers and providers, ensuring efficient transactions.
- EHR Interfaces: Tools that enable seamless integration between electronic health records and other healthcare systems, facilitating data sharing.
- Transaction Processing Services: Solutions that streamline administrative transactions, reducing costs and improving accuracy in communications between stakeholders.
Conclusion
Change Healthcare Inc. is committed to delivering a broad range of innovative products and services that address the challenges faced by the healthcare industry. From optimizing revenue cycles and enhancing data analytics capabilities to improving patient engagement and streamlining operational workflows, Change Healthcare continues to foster advancements and efficiencies within the healthcare landscape. As the healthcare environment evolves, the services offered by Change Healthcare are designed to support organizations in navigating complexities while enhancing patient care and outcomes.