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🔧 Change Healthcare (part of Optum)

Change Healthcare (part of Optum)

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Overview

Change Healthcare, now part of Optum, is a major healthcare technology company that provides a wide array of data, analytics, and connectivity solutions. They operate one of the largest clinical and financial healthcare networks in the U.S. While not a PBM itself, it provides solutions that can support rebate management processes through data exchange, analytics, and ensuring connectivity between payers, providers, and pharmacies. Their solutions are focused on improving revenue cycle management, payment accuracy, and clinical decision-making.

✨ Key Features

  • Healthcare Data and Analytics
  • Revenue Cycle Management
  • Pharmacy Network and Connectivity
  • Clinical Decision Support
  • Payment Accuracy Solutions

🎯 Key Differentiators

  • Vast healthcare network connecting payers, providers, and pharmacies
  • Rich datasets for analytics and insights
  • Integration with the broader Optum ecosystem

Unique Value: Provides unparalleled connectivity and data insights across the healthcare ecosystem, enabling more efficient and intelligent processes for everything from claims processing to payment accuracy and clinical support.

🎯 Use Cases (3)

Facilitating data exchange for rebate verification Providing analytics to optimize formulary and benefit design Streamlining payment and revenue cycle processes for pharmacies and payers

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • An employer looking to hire a full-service PBM
  • A manufacturer looking for a rebate contract management platform

🏆 Alternatives

SS&C Health Veradigm Inovalon

Instead of focusing on a single function like PBM or revenue management, Change Healthcare provides the underlying data and network infrastructure that many of these other tools and services rely on to function.

💻 Platforms

Web API

🛟 Support Options

  • ✓ Email Support
  • ✓ Phone Support
  • ✓ Dedicated Support (Enterprise tier)

🔒 Compliance & Security

✓ HIPAA ✓ BAA Available ✓ SSO

💰 Pricing

Contact for pricing
Visit Change Healthcare (part of Optum) Website →