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The healthcare industry is experiencing an unprecedented period of change driven by the growth of individual insurance markets, the shift to value based healthcare, the digitization of health information and a dynamic regulatory environment.  To capitalize on the opportunities created by these and other marketplace changes, payers need new and strengthened capabilities that better engage members, optimize risk adjustment and quality, make transactions more efficient, prevent fraud waste and abuse, and reduce both medical and administrative costs.

Solutions Overview

At Change Healthcare, we have developed a powerful and innovative payer solution portfolio to help payers obtain these and other important capabilities. Our payer solutions are strengthened by our Intelligent Healthcare Network™, the single largest financial and administrative network in the United States, that reaches approximately 750,000 physicians, 105,000 dentists, 60,000 pharmacies, 5,000 hospitals, 600 vendors, 450 laboratories and 1,200 government and commercial payers, allowing us to bring actionable data, analytics and insights to the healthcare ecosystem.  Our Intelligent Healthcare Network™ not only powers our solution portfolio today, but also serves as a foundational platform for ongoing innovation and enhancing value we can create for our payer customers in the future.

Our integrated capabilities enable our payer customers to obtain actionable insights, exchange mission-critical information, optimize revenue opportunities, control costs, increase cash flow and efficiently manage complex workflows.