As a leading provider of healthcare technology and services, Change Healthcare bridges the payer–provider–patient gap. With innovative solutions, it integrates healthcare operations, patient care and billing efficiency. Tragically, insurance companies would not, and do not, function without platforms like Change Healthcare which enable them to optimize their claims processing, member engagement and administrative workflows.
If you would like to learn more about which insurance companies use Change Healthcare and why they choose them as their go to partner, this guide should give you all of those answers.
What Is Change Healthcare?
Change Healthcare is a prominent healthcare technology company offering advanced solutions in:
Claims management
Revenue cycle management
Data analytics
Payment processing
Interoperability services
On its platforms, these insurers and healthcare providers digitize and optimize their process and it promotes smoother communication as well as faster resolution of claims.
Why Did Insurance Companies Pick Change Healthcare?
Insurance companies leverage Change Healthcare for several key benefits:
Streamlined Claims Management: Insurers spend less time, money and effort in incident adjudication and financing.
Improved Interoperability: Change Healthcare brings together different systems to enable insurance companies to easily share data with healthcare providers.
Fraud Detection and Prevention: Advanced analytics, also known as artificial intelligence, prevent fraudulent claims by identifying such activities.
Enhanced Member Experience: Change Healthcare tools simplify benefits access, check claim status and provider information, and communicate with the insurer.
Regulatory Compliance: But the platform enables insurers to meet federal and state regulations effortlessly.
Change Health care top Insurance Companies
While the specifics of how it varies may change depending on the actual contractual agreement, many of the insurance providers across the U.S. use Change Healthcare’s solutions. They are a mix of national insurers and regional payers and specialty insurance providers.
1. UnitedHealthcare
Change Healthcare is used by UnitedHealthcare for the claims management and interoperability solutions. Through this, providers will also be coordinated and claims processed on time.
2. Aetna (a CVS Health Company)
Change Healthcare’s revenue cycle management tools are used by Aetna to reduce cost and improve efficiency of its operations and improve member engagement.
3. Blue Cross Blue Shield (BCBS)
Change Healthcare’s platforms are brought together by various BCBS affiliates to help streamline claim processing and communication with healthcare providers.
4. Cigna
Change Healthcare’s payment accuracy tools and analytics are used by Cigna to improve their claims and payment workflows.
5. Humana
Robust interoperability services offered by Change Healthcare enable Humana to exchange data with providers securely, and remain compliant.
Change Healthcare in the Specialized Insurance Providers
Change Healthcare also supports major insurers, as well as smaller, more specialized insurance companies that need their own solutions.
Workers’ Compensation Insurers: Change Healthcare is often used by many workers’ compensation insurers to automate claims and comply with state regulations.
Medicaid and Medicare Payers: For high volume claims, Change Healthcare often partners with Public Insurance Programs to help them handle them as quickly and efficiently as possible.
Change Healthcare Solutions for Insurers
1. Claims Lifecycle Management
End to end streamlining ends claims process
It reduces the errors and processing time.
Increases payment accuracy
2. Payment Integrity Services
It finds over payment and fraud.
Helps to keep health care billing codes to ensure you are getting paid for your care.
3. Healthcare Analytics
Insights on cost trends, member behavior and provider performance.
It helps insurers develop data driven strategies.
4. Member Engagement Tools
Provides online portals of claims tracking for policyholders.
It comes with real time support and payment options.
5. Network Management
Helps insurers build and maintain their provider networks
Accurately provides providers directories.
Insurance Companies Benefit their Members with Change Healthcare
Insurance companies want to give value to their policyholders. With Change Healthcare’s technology, insurers can:
Helping members get reimbursed faster by resolving claims faster.
Allow for transparent billing with peace of mind from easy to understand explanations of benefits (EOBs).
Give your 24/7 for customer care and web access to the benefits.
Reduce member frustration with improving the accuracy of pre authorizations and eligibility checks.
Challenges and Limitations
Despite its numerous advantages, Change Healthcare solutions may present some challenges:
Implementation Costs: Adopting new technology can be costly, and especially when it comes to smaller insurance providers, they may be financially limited.
Data Security Concerns: But this means that robust cybersecurity measures must be used with sensitive patient and insurer data.
Integration Issues: The old and legacy systems in older insurance companies may need serious overhaul in order for them to fully embed Change Healthcare.
However, much of the countervailing benefit that Change Healthcare offers is around the enormous operational and financial benefits they can provide.
Conclusion
Change Healthcare provides insurance companies with latest technology, operations efficiency and increased customer satisfaction. Change Healthcare’s solutions enable a diverse range of payers in the health care ecosystem, from industry giants like UnitedHealthcare and Aetna to regional and specialty insurers.
Change healthcare remains a trusted partner to insurers who seek to maintain their competitiveness in a dynamic industry by automating processes, improving interoperability and improving the member experience.
It’s pretty clear: if you’re planning to find out which insurance companies use Change Healthcare, then a number of big names are leveraging this tech to bring better outcomes to their members and providers alike.
