Patient Healthcare Journey

Overview

Pre-Visit

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Post-Visit

Technology Solutions Across the Patient Journey

The patient journey is intertwined with clinical, financial, and engagement journeys, all of which can be improved by innovative IT solutions. Providers, payers, and other stakeholders are ALSO on a journey—one that influences their patients’ and members’ experiences and outcomes, and all aspects of healthcare. See how Change Healthcare can help you unleash the value of innovation to inspire a better healthcare system.

Helping patients find, schedule, and pay for care

A healthcare consumer is shopping for care, and books an appointment with a local provider online. The provider must verify her insurance, access her medical records, and help her understand her financial responsibility.

Facilitating financial and clinical care

Change Healthcare offers technologies, tools, and consulting services that help providers engage consumers effectively with solutions covering eligibility and enrollment, transparency and provider search, consumer payments and communications, member outreach and education, and more.

Schedule Appointment

Ensure Coverage/ Pre-Authorization

Share Medical Record

Understand Payments

Improving care quality and lowering costs

Once the patient is financially cleared, the provider must ensure she meets with a clinician with minimal wait time, verify medical necessity of her treatment, conduct any required tests, and facilitate collaborative care.

Workflows optimized for better care outcomes and operational efficiency

Change Healthcare innovations help providers improve efficiency, care quality, and patient satisfaction with streamlined operational and financial workflows.

Provide Financial Clearance

Conduct Imaging

Ensure Medical Necessity

Driving revenue and patient engagement

Our healthcare consumer’s clinical encounter is over, but the need to keep her engaged continues. Providers need to ensure prompt claims payment and collections, while preserving the quality of the patient relationship.

Innovations to enrich the post-visit process

Change Healthcare technologies and services help providers put their data to work to make revenue cycle management smarter, faster, and more effective. AI-infused solutions and behavioral science help improve engagement, revenue growth, and clean claims.

Engage Patient

Process Claims & Remittance

Payments

Innovative Solutions to Healthcare's Biggest Problems

At every step of the patient journey, Change Healthcare is inspiring a better healthcare system with innovative clinical, financial, and engagement solutions to help improve the consumer experience, operational efficiency, decision making, regulatory compliance, and patient outcomes. Unleash the value of innovation.

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Do Not Sell My Personal Information

Privacy

Follow the Journey

Appointment Scheduled

Connecting patients with the care they need Today’s patients have higher financial responsibility and more choices for care options, making them true healthcare consumers. Providers must engage them with convenient appointment scheduling, price transparency, and personalized follow-up. Consumer-centric engagement across the care continuum Change Healthcare offers solutions to orchestrate and personalize patient communications and supporting workflows to enhance the patient experience. We help you drive better outcomes through tools for appointment scheduling and reminders; automated incidental findings follow-up; and patient experience measurement campaigns.

Digital Patient Experience Manager

MedRx™ Network

Smart Connect & Appointment Scheduling

Clearance Authorization

Patient Access Center Services

Coverage Insight™

Ensure Coverage/Pre-Authorization

Ensuring coverage & securing pre-authorization Ensuring coverage and automating authorization workflows help providers reduce denials and bad debt risk, and increase efficiency while improving patient satisfaction. Real-time eligibility checks, fast authorization We help providers create exceptional patient experiences that support improved satisfaction, reduced revenue leakage, and sustained growth. Our solutions help reduce cancellations, rescheduling, patient complaints, and no-shows; identify undisclosed coverage for self-pay or underinsured patients; and automate the pre-authorization process.

API & Services Connection™

Interoperability

CommonWell Health Alliance® Services

SHARE MEDICAL RECORDS

Supporting national health information exchange Healthcare organizations are burdened with creating numerous costly, point-to-point interfaces between organizations. Patients, meanwhile, see many providers over a lifetime, each with their own EHR. Patients need better access and control of their medical information, and providers need point-to-point interoperability to better manage care. Infrastructure and services to support access Change Healthcare is paving the way for health IT interoperability that helps to reduce cost barriers, support compliance with federally-mandated requirements, and set the stage for new innovations to better address value-based payment and evolving consumer needs. We aim to achieve patient-centered, universal interoperability by providing clinical data interoperability services for the healthcare industry.

Shop, Book and Pay™

Clearance Estimator

UNDERSTAND PAYMENTS

Helping to provide accurate, transparent pricing Healthcare pricing transparency affects how consumers shop for, receive, and pay for healthcare services. Price transparency can help foster an improved patient/provider relationship and reduce financial risk for both. Helping patients understand their responsibility Change Healthcare offers solutions to help providers create a retail-like shopping experience for tests and procedures––the first step in instilling patient satisfaction. Ensuring that estimates for services are both accurate and timely, and communicated to patients, can help reduce post-procedure self-pay, which can help lower the risk of bad debt.

Clearance Patient Access Suite

Provide Financial Clearance

Financially clearing the patient Validating a patient’s eligibility and identity data sets the stage for successful downstream processes and helps reduce denials and rework. Increased registration data accuracy, the identification of missed coverage, and the verification of patients’ ability and inclination to pay can all improve patient engagement by setting financial expectations. Verify patient eligibility, coverage and identity We offer software and services for providers that want to improve patient access workflows, accelerate reimbursement, reduce denials, and increase collections early in the revenue cycle. These solutions verify patient eligibility, identify coverage, confirm patient identity, and help find appropriate third-party or unidentified coverage.

Change Healthcare Radiology Solutions™

Change Healthcare Image Repository™

Enterprise Medical Imaging Solutions

Conduct Imaging

Improve clinical care with advanced imaging Providers require imaging solutions that work across the enterprise to help them focus on improving patient outcomes. Communicate, consolidate & collaborate Change Healthcare Imaging Solutions take a patient-centric approach to help you reduce costs, increase efficiency, uncover operational insights, realize better outcomes, and deliver better care.

InterQual®

Clearance Patient Access Suite

Ensure Medical Necessity

Help reduce downstream denials and ensure appropriate care Many medical claims are denied because they do not meet medical necessity. To ensure appropriate care and utilization, and reduce the chances of claim denials, providers need to streamline medical reviews and necessity checking. Automate medical reviews and necessity checking Change Healthcare solutions help reduce losses due to write-offs by automating medical necessity checking as part of registration, and by performing clinical-code auditing for Medicare outpatient services. We offer automation solutions for providers/care managers that want to leverage their EHR to complete medical reviews automatically, instantly, and accurately.

Medical Claim Attachments

Charge Capture Advisor

Assurance Reimbursement Management™

Improve reimbursement with intelligent claims management Analytics-driven claims and remittance management ensures clean claims, speeds decision making, and supports patient engagement goals. Analytics-driven claims & remittance management Change Healthcare offers analytics-driven claims and remittance management to help providers automate workflows, improve resource utilization, prevent denials, and accelerate cash flow. We empower providers to use AI to proactively ID missing charges, and leverage advanced analytics for a cross-functional view to support timely decisions.

Process Claims & Remittance

Acuity Revenue Cycle Analytics™

Clinical Exchange Orders & Results

Patient Billing & Statements

Member Premium Payments

Member Payments

Facilitating patient payment It’s been proven that the financial experience is often as important as the clinical experience to driving patient satisfaction. So it’s important for both providers and payers to not only help consumers understand their financial obligations, but make it easy and convenient for them to pay. Transform the patient financial experience For payers and providers that want to facilitate consumer healthcare payments to one or multiple providers, Change Healthcare offers multi-channel payment solutions that are convenient, and that help demystify the financial experience for members/patients.

Payments

SmartPay™

Digital Patient Experience Manager

Patient Billing & Statements

Improve the patient experience Engagement doesn’t end at the conclusion of the office visit. Timely and targeted follow-up, ongoing communications, and understandable statements go a long way toward promoting patient satisfaction. Orchestrate and personalize patient communications Providers can enhance the patient experience and drive outcomes with a unified platform that provides multi-channel patient communications and supporting workflow. We also offer research-based, consumer-tested billing statements customized to patient audiences to drive improved engagement and collections.

Engage Patient

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Pre-Visit

Overview