Change Healthcare Operations and Technology solutions empower healthcare organizations to transform with cutting-edge technology, modernized platforms, and unmatched expertise.
Providers, payers, and pharmacies can streamline operations, enhance patient care, and achieve sustainable growth using these tools.
This guide walks organizations through practical applications of Change Healthcare services with enthusiasm and even provides information on how to access them using the Change Healthcare provider login portal.
Change Healthcare Operations And Technology Solutions
Healthcare operations can feel like juggling flaming torches while riding a unicycle. Change healthcare operations and technology solutions make it manageable by integrating technology and platforms for seamless care delivery. These customizable tools help organizations tackle challenges proactively and achieve measurable results.
- Enhance patient experience: Streamlined scheduling and communication boost satisfaction.
- Ease administrative burdens: Automation reduces repetitive tasks, freeing staff for patient-focused work.
- Leverage data insights: Analytics drive value-based care models for informed decision-making.
- Boost quality metrics: Tools target CMS Star Ratings, HEDIS® measures, and NPS® to elevate performance.
- Lower costs: Efficiencies minimize waste while maintaining care quality.
- Enable sustainable growth: Scalable solutions adapt to growing needs.
With these tools, organizations can transform chaos into order. Start with revenue cycle management for quick efficiency gains, it’s like swapping a paper map for GPS navigation.
Clinical Decision Support Solution:
Clinical and financial teams often seem to speak different languages, creating friction. Change Healthcare clinical decision support solutions bridge this gap, ensuring appropriate care and high-value care. These tools empower evidence-based decisions at the point of care, streamlining processes.
- CareSelect: Guides appropriate test ordering to reduce unnecessary costs.
- Case Advisor: Combines AI and evidence-based content for efficient utilization management (UM) workflows.
- InterQual: Supports consistent, data-driven decisions for payers and providers.
- Clinical Assistant: Delivers EHR-integrated, patient-specific medication recommendations.
Integrating Clinical Assistant into EHR systems provides real-time guidance, like a digital expert on call. Organizations can start seeing improved decision-making immediately.
Clinical Operations Services:
Balancing clinical excellence with financial viability is no small feat. Change Healthcare clinical operations solutions connect these aspects to deliver effective patient care and cost-efficient care. Real-time documentation and process improvements enhance case management and clinician engagement.
- Real-time documentation: Tools like Hospital Case Management Optimization improve processes during patient stays.
- Predictable processes: Standardized workflows enhance care quality and efficiency.
- Clinician engagement: Solutions like Practice Extend support value-based care initiatives.
These solutions create a harmonious workflow, like a well-orchestrated symphony. Adopt Hospital Case Management Managed Service to blend technology and expertise for optimal performance.
Transformative Utilization Management solutions:
Utilization management (UM) can be a bottleneck with resource shortages and fragmented workflows. Change Healthcare transformative UM solutions offer flexible options to transform processes, outsource entirely, or adopt a hybrid approach. These solutions tackle UM challenges head-on.
- Transform processes: Advanced technology streamlines UM, reducing manual effort.
- Outsource UM: Expert teams handle reviews, freeing staff for patient care.
- Hybrid approach: Combines in-house efforts with technology for optimal results.
The InterQual Coordinated Care solution, being cloud-based, can halve UM turnaround times. It’s a game-changer for organizations looking to simplify complex care management.
Enterprise Imaging Solutions:
Clunky imaging systems can slow down care delivery, frustrating clinicians and patients alike. Change Healthcare enterprise imaging solutions, like Change Healthcare Stratus Imaging, leverage cloud technology for 14x faster image retrieval, boosting patient outcomes. These tools transform imaging workflows.
- Improve care coordination: Instant image access across specialties enhances collaboration.
- Streamline workflows: Change Healthcare Radiology Solutions integrates AI for prioritized analysis.
- Support cardiology: Change Healthcare Cardiology Solutions provides a single-database CVIS.
The following table shows the different Enterprise Imagin solutions with their key benefits:
| Solution | Key Benefit | Best For |
|---|---|---|
| Stratus Imaging | Cloud-based, secure imaging data | Scalability-focused organizations |
| Radiology Solutions | AI-enabled, streamlined workflows | Radiologists prioritizing urgent studies |
| Cardiology Solutions | Single-database CVIS | Multi-facility cardiology departments |
Transition to Stratus Imaging for scalable, cloud-based imaging that reduces IT complexity. It’s like upgrading from a flip phone to a smartphone—efficiency soars.
Network Connectivity Solutions:
Interoperability is the heartbeat of efficient care delivery, but poor connectivity can stall progress. Change Healthcare network connectivity solutions ensure fast, secure data exchanges across providers, payers, and pharmacies. These tools keep systems running smoothly.
- Speed: Instant eligibility checks and rapid claims processing.
- Quality: Robust data validation for accuracy.
- Reliability: Modern infrastructure ensures consistent uptime.
Use Medical Network Solutions to streamline eligibility verification and claims processing. It transforms data flow into a high-speed highway, saving time and reducing errors.
Pharmacy Technology Solutions:
Pharmacies juggle complex claims processes daily, which can be a headache. Change Healthcare pharmacy technology solutions support the entire claims lifecycle, enhancing efficiency, reducing costs, and improving patient engagement. These tools are designed for pharmacy success.
- Streamline claims: Pharmacy Network Solutions expedite editing and adjudication.
- Boost engagement: Pharmacy Management Software Solutions promote medication adherence.
- Analyze performance: Pharmacy Business Intelligence Solutions provide real-time insights.
Implement Pharmacy Revenue Cycle and Billing Solutions to reduce DIR fees and boost revenue. It’s like finding a hidden revenue stream in existing operations.
Program Operations Solutions:
State governments managing Medicaid programs need modern, intuitive solutions. Change Healthcare program operations solutions transform operations with technology and services that lower costs and enhance user adoption. These tools simplify complex state processes.
- Lower costs: Configurable solutions reduce the total cost of ownership.
- Enhance adoption: Mobile-first, human-centered design improves usability.
- Streamline processes: Tools like One Assist and Preadjudication Suite simplify operations.
Use Provider Management Services to improve Medicaid provider relationships, streamlining administrative tasks. Change Healthcare Health benefits solutions enhance benefits administration, ensuring efficient and equitable access to care. It’s a step toward a more efficient state system.
Revenue Cycle Management:
Revenue cycle management (RCM) is the financial lifeline of healthcare organizations, but denials can drain resources. Change Healthcare revenue cycle management solutions identify $1.1M in unbilled revenue per client annually, driving excellence across the cycle. These tools optimize financial performance.
- Optimize cash flow: Ambulatory Revenue Cycle Technology automates workflows for faster payments.
- Improve accuracy: Medical Coding and Documentation Services reduce errors.
- Engage patients: Patient Access and Patient Payments enhance satisfaction.
Use Acuity Revenue Cycle Analytics™ to track performance and prevent denials. Change Healthcare medical billing solutions enhance accuracy and efficiency, reducing denials and improving financial outcomes. It acts like a financial watchdog, ensuring no opportunity is missed.
| Metric | Impact |
|---|---|
| Unbilled Revenue Identified | $1.1M per client/year |
| Cost Avoidance (Denial Prevention) | $4.3M average |
| Net Patient Revenue Managed | ~$75B |
Risk Adjustment, Quality, and Engagement Solutions:
Financial risk management is only half the battle—health outcomes matter too. Change Healthcare risk adjustment, quality, and engagement solutions improve member satisfaction and health through analytics and targeted programs. These tools go beyond risk adjustment.
- Analytics Consulting: Leverages large care databases for actionable insights.
- Quality Solutions: Enhances HEDIS® performance with innovative approaches.
- Member Engagement Solutions: Targets the right members for efficient programs.
Use Risk Analytics to drive sustained financial risk management, ensuring long-term stability. It’s a proactive approach to better outcomes.
Market Performance Partnership Solutions:
Strategic partnerships can transform health systems, and the Change Healthcare Market Performance Partnership accelerates performance and mission achievement. By aligning mission, culture, and outcomes, these partnerships drive innovation and growth.
- Reduce costs: Streamlined operations lower administrative expenses.
- Improve revenue: Enhanced processes boost financial performance.
- Community investment: Partnerships preserve local talent and create opportunities.
Engage in long-term partnerships, like Bassett Healthcare Network’s, to drive quality care and innovation. It’s a blueprint for sustainable success.
Payment Integrity Ensuring Solutions:
Controlling medical costs without friction is a delicate balance. Change Healthcare payment integrity solutions achieve 8-10% medical cost savings annually while improving accuracy. These tools minimize provider and member abrasion.
- Prevent errors: Coding Advisor educates providers to reduce billing mistakes.
- Streamline pricing: Claim Pricing Solutions ensure accurate payments.
- Minimize denials: Claims Edit System catches issues in real-time.
The AI and human expertise combo acts like a precision tool, saving costs with minimal disruption. Start with Claims Edit System for cleaner claims and immediate savings.
Conclusion
Change Healthcare Operations and Technology solutions, from clinical decision support to payment integrity, offer a comprehensive toolkit for healthcare organizations.
Identify a primary challenge and adopt a targeted solution, scaling as needed. Visit the Change Healthcare website to explore tools, view demos, or connect with experts for a transformative journey toward efficiency and elevated care.
