Change Healthcare today introduced Dx Gap Advisor, a new automated analytics solution on the company’s Intelligent Healthcare Network that helps health plans and their providers ensure complete, accurate, and compliant risk adjustment data capture. Dx Gap Advisor automatically identifies possible undocumented diagnosis codes and alerts providers to appropriately address the identified risk adjustment gaps. As a result, health plans can avoid manual chart reviews, ensure accurate and complete
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Change Healthcare, TIBCO Collab to Bring Blockchain-Powered Smart Contracts to Healthcare
Change Healthcare and TIBCO Software, today announced a collaboration to build the first blockchain-powered smart contract system for healthcare to enable payers to automate processes across the healthcare transaction lifecycle. Using the Change Healthcare Intelligent Healthcare Network blockchain technology and TIBCO's smart contract developer project, Project Dovetail automates events across the healthcare transaction processing lifecycle.Benefits of Blockchain-Powered Smart Contracts in
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Value-Based Care in Action: BCBS AZ Shared Savings Program Outperforms Cohorts Across Cost & Quality Measures
BCBS AZ’s value-based care program outperformed cohort across cost and quality measures, underscoring program’s effectiveness at improving population health.Change Healthcare and ACO Partner released the results for the first complete plan year of its novel shared value-based care savings program with Blue Cross Blue Shield of Arizona (BCBS AZ). More than 600 in-network primary care providers treated over 41,500 patients through 2017 leading to the program remitting a total of $1 million to 603
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Change Healthcare, Amazon Partner to Build Claims & Payment Network
Change Healthcare, today announced that its Intelligent Healthcare Network will now be complemented with a cloud-based network built on Amazon Web Services (AWS). The new cloud-based network infrastructure to promote more efficient, transparent, and secure administrative and financial transactions.As the first stage of a collaborative initiative working with stakeholders across the healthcare ecosystem, the company will deploy this network on Amazon Web Services (AWS). The network will allow the
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Change Healthcare Unveils AI Solution for Medicare Advantage Dual Eligibility and Enrollment
Change Healthcare's new solution uses artificial intelligence and behavioral science to help Medicare Advantage plans precisely identify and increase chances for enrollment of dual-eligible membersChange Healthcare, today unveiled Dual Enrollment Advocate, the first solution to blend artificial intelligence and behavioral science to help solve the challenge of Medicare Advantage (MA) dual-eligibility identification and enrollment. This new technology helps health plans more accurately identify,
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Change Healthcare Rolls Out “Kill Switch” for HealthQX Value-based Care Analytics Suite
Change Healthcare Intelligent Healthcare Network, today unveiled “BYOK” and “kill switch” technology to help payers and providers control security and respond to threats quickly and decisively. The new BYOK service ncludes an innovative “Bring Your Own Key” (BYOK) service now offered as part of the company’s cloud-based HealthQx® value-based care analytics suite.Prior to today’s release of this new Change Healthcare Security Management BYOK service, cloud encryption keys in healthcare were
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Change Healthcare Launches Front-End Denials Management Tool for Providers
Change Healthcare today unveiled a new technology that helps providers reduce one of the leading causes of claim denials. Assurance Attach Assist™, a module of Change Healthcare Assurance Reimbursement Management™, now anticipates what documentation a payer—including Medi-Cal and seven other payers—may require to help prevent the denial of a claim due to lack of documentation. The result: Providers can now use Assurance Attach Assist’s automation as a tool to proactively decrease
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5 Telltale Signs Your Revenue Cycle Management May Need Outside Help
David Gallegos from Change Healthcare discusses 5 signs an organization should consider partnering with an outside partner to support their revenue cycle management (RCM). Are your revenue cycle management (RCM) staff and resources being stretched with the day-to-day challenges required to orchestrate claims, stay on top of regulatory changes and track payments? Are you trying to communicate more meaningfully with patients and collaborate with payers in ways you’ve never had to be
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The State of Value-based Care in 2018: 10 Key Trends to Know
Value-based care is bending the healthcare cost curve, reducing unnecessary medical costs 5.6% on average while improving care quality and patient engagement—effectively starting to achieve the long-sought triple aim. Despite easing or ending of federal mandates, commercial lines of business are investing in value-based innovation, accelerating the decline of pure fee-for-service faster than previously projected levels. Indeed, today nearly two-thirds of payment are now based on value.These
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HGE Health, Change Healthcare Partner on Value-based COPD Care Transformation
HGE Health, a healthcare technology company that works worldwide with pulmonary surgeons, physicians and patients, is joining with healthcare information technology giant Change Healthcare to rapidly accelerate the industry’s evolution to value-based care for COPD, pulmonary issues and a host of other critical diseases. The alliance, which is already underway, is expected to help Change Healthcare expand their capabilities in population healthcare management, close communications gaps between
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