Change healthcare medical network

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In fact, consulting firm McKinsey estimates that U. Change Healthcare wants to play a leading role in this transformation, by extending its Intelligent Healthcare Network with blockchain technology to provide a faster, better experience for all. When company executives heard about blockchain, they wondered if it could help.

For several years, various teams discussed blockchain and created proofs of concept. Then they decided to see if a healthcare blockchain could run at true production speed. His team started with an existing network linking providers to payers. That system did far more than simply store and forward claims. For example, both providers and payers could edit claims.

Payers could approve some faster than others to help manage their revenue cycles. The entire workflow helps both sides run more efficiently. And far beyond a sketch on a whiteboard, that system was already in production serving many thousands of users.

So instead of building from the ground up, his team wanted to model their existing system with a blockchain and then see if it could stand up to real-world traffic. His team determined that for a blockchain to be successful the platform had to be really, really scalable, so it could handle millions of transactions between providers and payers every day. And Change Healthcare could foresee one more big issue: Getting buy-in from thousands of different players, many of them competitors committed to different IT vendors.

Hyperledger Fabric met all those requirements for a blockchain platform. The only question mark was how scalable they could make it. In late , as his team worked to build the blockchain system and link it to their existing network, they found the open source code efficient to work with.

The new system makes all claims transparent to authorized users via APIs. Such a trusted source shared among participants saves a lot of effort that used to be sunk into submitting, verifying, and reconciling data between companies. And it gives everyone the same view of every claim. Thirty different types of events can be written to the blockchain for any claim. Change Healthcare created an API that network members can use to query the blockchain about any of their claims in process.

This provides real-time transparency into any claim, which can potentially lower overhead, reduce duplication and errors, and cut costs. Emily Bailey is the blockchain product development director with Change Healthcare whose team built and tested the system. The key question: Could blockchain and Hyperledger Fabric keep up with the high throughput that the system demanded?

For example, AWS recently announced Amazon Managed Blockchain, a managed service that supports Hyperledger Fabric to build scalable blockchains in the cloud. As Change Healthcare continues to explore how to modernize healthcare, the company has other blockchain projects underway on various technologies. Their ultimate vision somewhere in the future is a healthcare network open to patients, doctors, payers, and every other stakeholder in the system.

We believe our market is going to be disrupted by blockchain. Change Healthcare is one of the largest independent healthcare technology companies in the United States. The company provides software and analytics, network solutions, and technology-enabled services that help customers obtain actionable insights, exchange mission-critical information, control costs, optimize revenue opportunities, increase cash flow, and effectively navigate the shift to value-based healthcare.

In May , the company acquired The Sentinel Group, a vendor of software and investigational services to combat health care fraud. FVTech , a provider of outsourced services specializing in electronic data conversion and information management solutions. HTMS , a management consulting company focused primarily on the healthcare payer market. CEA , a technology-enabled provider of government program eligibility and enrollment services. In August , Emdeon Inc. In May , the company acquired TC3 Health, a cost containment provider, including payment integrity and out-of-network claims cost management, to U.

The new company continues to be called Change Healthcare. In December , Change Healthcare acquired the intellectual property and other key assets, including employees, of Charleston-based health care IT startup PokitDok. As of October , the company's health information network reached approximately 1, government and commercial payers, , providers, 5, hospitals, , dentists, 60, pharmacies, vendor partners, and labs.

In , Emdeon processed over 8. As of April [update] , the Management team included:. From Wikipedia, the free encyclopedia. American healthcare company. This article contains wording that promotes the subject in a subjective manner without imparting real information.

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Traded as. Operating income. Net income. Annual Report Form K ". Securities and Exchange Commission. Archived from the original on 28 November Retrieved 20 November The Tennessean. Archived from the original on July 14, Retrieved July 27, Nashville Post. Archived from the original on March 27, May 3, Nashville Business Journal.

June 1, Philanthropy News Digest. August 19, Modern Healthcare. August 14, IGI Global Snippet. ISBN Vault Inc. Archived from the original on Healthcare Information and Management Systems, August 4, IHealthBeat, May 8, January 26,

Opinion submit claims to carefirst opinion only

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Change Healthcare's nationwide network of registered nurses, certified coders and medical professionals work to acquire, audit, and analyze data for healthcare organizations. Joining our Talent Network will enhance your job search and application process. Whether you choose to apply or just leave your information, we look forward to staying connected with you.

Discover our vision, browse our solutions, or access support for your existing products and services. This site requires JavaScript to work correctly. Please, activate it in the options of your browser. Jobs and Careers at Change Healthcare. Change Healthcare provides end-to-end solutions to help improve payment integrity data to support accreditation programs, and meet regulatory requirements.

Change Healthcare's nationwide network of registered nurses, certified coders and medical professionals work to acquire, audit, and analyze data for healthcare organizations. Joining our Talent Network will enhance your job search and application process. Whether you choose to apply or just leave your information, we look forward to staying connected with you.

Discover our vision, browse our solutions, or access support for your existing products and services. This site requires JavaScript to work correctly.

Please, activate it in the options of your browser.