Change Healthcare

Current Time Inside Cache Tag Helper: 11/27/2020 9:42:37 PM and Model.VendorId = 63166

Change Healthcare's Current COVID-19 Response and Solutions

The following information was supplied by the vendor and has not been validated by KLAS.

API & Services Connection Marketplace
On-demand marketplace to discover and subscribe to Change Healthcare’s portfolio of standards-based API products

With the increased need for virtual care, providers and telehealth vendors can access API & Services Connection to discover solutions that can help them address time-to-market and scaling challenges. Change Healthcare’s API products currently enable several leading telehealth solutions to quickly and efficiently handle pre-and-post encounter financial workflows and initiate lab orders.

In light of the COVID-19 crisis, we have waived all onboarding and enrollment fees for our telehealth APIs to help expand the use of telehealth by all Americans.

Some of our offerings include:

  • Eligibility and Claims Management for Telehealth Providers
  • ePrescribing for Telehealth Providers
  • Lab orders and results for Telehealth Providers

Change Healthcare also offers a number of other solutions intended to address key COVID-19 related concerns:

  • Clinical workflow efficiency
  • Transforming care through digital health
  • Accelerating healthcare interoperability
  • Managing patient volume
  • Revenue stability
  • Helping patients with financial challenges
  • Remote resources for enterprise imaging
  • Ability to scale and adapt radiology teams

COVID-19 relevant imaging capabilities and expanded response
Empowering imaging teams with workflow prioritization, care team collaboration, high-risk patient tracking, and other COVID-19 resources

Change Healthcare offers enterprise imaging solutions for radiology, cardiology, and care team collaboration, including image management, diagnostic tools and workflow management. Native capabilities within our imaging solutions that specifically assist with COVID-19 diagnosis include remote viewing, workflow prioritization, high-risk patient tracking, and collaboration features. Through effective use of these capabilities, healthcare organizations are able to better prioritize and deliver rapid diagnosis of COVID-19 symptoms and treatment while minimizing potential exposure to the virus.

In addition to the native capabilities of our solutions, Change Healthcare is fast-tracking support efforts targeted at additional COVID19-specific imaging and workflow protocols. Free remote training is also being offered to optimize use of existing capabilities and access is being provided to resource library content relative to remote-reading support. In addition, as organizations require additional remote reading stations, IT infrastructure and remote IT staff to ensure operational continuity, Change Healthcare is ramping up our ability to meet these needs.

Longer-term efforts are already underway to offer solutions that minimize strain on on-premises IT staff and healthcare providers and deliver real-world cost savings and outcomes improvement, including the phased rollout of our cloud-native SaaS Enterprise imaging suite, Change Healthcare Enterprise Imaging Network.

Payer consulting
Remote senior-level healthcare professionals available for various consulting engagements

As a full-service consultancy, we can provide senior-level healthcare professionals that have the proven ability to work remotely, get up to speed quickly, and collaborate with staff and executives to meet your unique needs.

While every organization is different, the following areas may require the most attention in the battle against COVID-19:

  • Incident response management
  • Project management
  • Government relations and compliance
  • Vendor management/delegation oversight
  • Benefits/provider contract/claims system configuration
  • IT risk management and vCISO services
  • Interim staffing

If your organization is struggling through this time, reach out to us. We can provide the support you need so you can focus on those who need it most—your members and patients.

Various COVID-19 resources
Minimize staffing concerns, reassure members, and manage claims and payments

Minimize Staffing Concerns

Change Healthcare can minimize staffing concerns for health plans struggling with the delivery of mission critical functions due to COVID-19. We can remotely support business functions where payers have staffing shortages or vendor challenges with experienced healthcare consultants and administrative experts. This allows the health plan’s employees to focus on immediate COVID-19-related needs while increasing the ability of employees to work safely from home.

  • Advisory—Consultant Services: Below are some critical areas we support where payers may need the most attention in the battle against COVID-19:
    • Incident response management
    • Project management
    • Communications
    • Government relations and compliance
    • Vendor management/delegation oversight
    • Benefits/provider contract/claims system configuration
    • IT security assessment
    • Virtual Chief Information Security Officer (vCISO)
    • Remote temporary staffing (to support enrollment, claims, provider network management, etc.)
  • Outsourced Mailroom Services—Claims and Document Conversion Services: Reduce your dependency on internal staff to support the receipt, indexing and distribution of paper claims. Our Claims and Document Conversion Services can accept claims on behalf of a health plan, converting paper claims to electronic files to increase first-pass claim adjudication rates and help speed claims payments to providers.
  • Outsourced Print Communications: Change Healthcare can replace or supplement In-house print departments to produce and distribute transactional and marketing communications as COVID-19 staff impacts occur. Receive a “no-cost” analysis of the cost savings and risk reduction you would benefit from by outsourcing your in-house communications services.

Reassure Members

Change Healthcare is helping payers reassure members, minimize call center volume, and speed responsiveness with multi-channel print and digital COVID-19 communications on healthy practices, benefits, and online resources.

  • Smart Connect—Text, e-mail and IVR delivered COVID-19 Guidance/Resources: All health plans may not have the bandwidth for large scale COVID-19 communications. Change Healthcare can send your members SMS texts, emails, or IVR (interactive voice response) to provide COVID-19 guidance and a link or phone number to access additional information.
  • Member Communications—Print delivered COVID-19 Guidance/Resources: Health plans may struggle to produce, distribute and fund unanticipated communications regarding COVID-19 communications. Change Healthcare can quickly and cost-effectively send your members print communications and inserts containing COVID-19 educations, tips and benefit guidance. Helping you reassure members while helping direct them to online resources to minimize inbound call volumes.

Claims Management and Payment Accuracy in a Pandemic

COVID-19, changes in telehealth, and new state mandates are resulting in an overwhelming rush of new claims—many with neverseen-before nuances that must be quickly understood and addressed.

Change Healthcare is helping health plans manage policy with rapid content updates, including new codes. Our support teams are working with plans to address any content modifications needed to handle new or modified services. Where available, our Policy Management Module can support new policy development for rapid deployment within the claim workflow.

Some states are also restricting audits as a result of the pandemic, but payers still need to address improper payments. Change Healthcare can also help payers improve accuracy by enabling alerts about potentially problematic claims. We can then identify and collaborate with outliers to help drive changes in billing behavior.

  • ClaimsXtenTM Services—Claims Policy Management: Payers are seeing a deluge of claims as a result of the pandemic and these are new claims—with nuances never seen before and in an unprecedented volume. Change Healthcare can manage, update, and develop content and policy related to the pandemic quickly and effectively to support payers ensure proper payment and reduce the chance for fraud.
  • Coding Advisor—Accurate Payment without Audits that Reduce Provider Abrasion: States are mandating that payers significantly reduce audits—particularly in the inpatient/retrospective arena. It’s likely this mandate will extend to include out-patient audits. But payers still need to address improper payments and maintain savings levels. For accurate payment without audits, leverage pre-submission editing to identify potentially problematic claims before they are submitted with alerts to errors, delivered in a way that supports collaboration—and relationships with providers.

Various COVID-19 resources
Optimize revenue cycle operations, financial performance, and create an effective action plan for revenue recovery

Managing revenue stability before, during, and after the COVID-19 crisis is a crucial issue for providers. Change Healthcare is assisting with short- and long-term solutions that help providers optimize revenue cycle operations, financial performance, and ultimately create an effective action plan for revenue recovery. We have technology-enabled services for staff augmentation as well as analyticsdriven insights to uncover insurance on the front end to speed collections and cut patients’ out-of-pocket costs. Using AI, we can reduce charge leakage in real time to help drive efficiency and improve revenue.

Change Healthcare is already helping hospitals manage their overflow call volume and patient access tasks, i.e., appointment scheduling, pre-registration, nurse messaging and triage, etc. We can quickly deploy Call Center support, including multi-lingual representatives, for health organizations that are not set up to work remotely helping to facilitate call overflow and activate COVID-19 pre-screening lines and follow-up care coordination.

Our Patient Engagement Solutions can help alleviate the burden of normal Patient Access operations as we automate patient activities such as price delivery, payment collection and more or quickly deliver important information about COVID-19 through customized messaging on patient statements or auto-delivery of digital communications.

Change Healthcare also offers a number of other solutions intended to address key COVID-19 related concerns:

  • Virtual care enablement
  • Clinical workflow efficiency
  • Transform care through digital health
  • Accelerate healthcare interoperability
  • Manage patient volume
  • Remote resources for enterprise imaging
  • Scale and adapt radiology teams

Various COVID-19 resources
Optimize revenue cycle operations, provide patient-centered access, and create an effective action plan for revenue recovery

Managing patient volume and helping patients with financial challenges as the COVID-19 crisis grows is a crucial and immediate issue for providers. Change Healthcare is assisting with short- and long-term solutions that help providers optimize revenue cycle operations and provide financial support to patients.

Change Healthcare is already helping hospitals manage their overflow call volume and patient access tasks, i.e., appointment scheduling, pre-registration, nurse messaging and triage, etc. We can quickly deploy Call Center support, including multi-lingual representatives, for health organizations that are not set up to work remotely—helping to facilitate call overflow and activate COVID-19 pre-screening lines and follow-up care coordination.

We also offer analytics-driven insights to uncover insurance on the front end to speed collections and cut patients’ out-of-pocket costs.

Our Patient Engagement Solutions can help alleviate the burden of normal Access operations as we automate patient activities such as price delivery, payment collection and more or quickly deliver important information about COVID-19 through customized messaging on patient statements or auto-delivery of digital communications.


Current Time Inside Cache Tag Helper: 11/27/2020 9:42:37 PM and Model.VendorId = 63166

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Current Time Inside Cache Tag Helper: 11/27/2020 9:42:37 PM and Model.VendorId = 63166

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