Change Healthcare

Nashville, Tennessee, U.S.  All United States companies → — Founded 1995
Healthcare Analytics / BI Healthcare Conglomerate Revenue Cycle / Billing
Acquired (by Optum/UnitedHealth Group in 2022)

Products

Change Healthcare Anatomical AI
Change Healthcare
Radiology & Imaging AI
Change Healthcare Anatomical AI is an FDA-cleared AI tool that analyzes CT and MR images to create comprehensive anatomical descriptors, streamlining radiology workflows and improving diagnostic efficiency by rapidly identifying relevant studies.

See all 1 product →

About Change Healthcare

Change Healthcare, a subsidiary of Optum (which is part of UnitedHealth Group), is a prominent healthcare technology company that offers a comprehensive suite of solutions for healthcare providers, payers, and pharmacies. The company focuses on leveraging software and analytics, network solutions, and technology-enabled services to enhance efficiency, reduce costs, increase cash flow, and manage complex workflows within the healthcare system. Their offerings are designed to help customers gain actionable insights, exchange critical information, and navigate the shift towards value-based healthcare.

For physicians, Change Healthcare’s platform provides tools aimed at optimizing financial performance, supporting clinical decision-making, facilitating value-based payment models, streamlining clinical workflows, and improving patient engagement. Their Intelligent Healthcare Network connects a vast ecosystem of healthcare participants, including approximately 800,000 physicians, 117,000 dentists, 60,000 pharmacies, and 5,500 hospitals, as well as nearly all government and commercial payers. The company’s solutions are interoperable and AI-driven, spanning across various clinical market segments to address issues such as patient information access, claims management, payment accuracy, and network management.

Change Healthcare also offers consulting services to guide organizations through strategic planning and digital transformation, aligning operations with value-based care and regulatory demands. Their data and analytics capabilities provide real-time data and predictive modeling for population health analytics, real-world evidence for drug development, and clinical decision support. Financial solutions are designed to optimize revenue cycles and automate financial processes for hospitals, clinics, and physician practices, ultimately reducing costs and accelerating payments.

Focus Areas

Revenue Cycle Management Payment Processing Health Information Exchange Data Analytics Artificial Intelligence & Machine Learning Patient Engagement Clinical Decision Support

Business Intelligence

TechnologyCloud-native (leveraging Amazon Web Services), AI-driven, Intelligent Healthcare Network

What Physicians Need to Know

Revenue Cycle Management (RCM)
Change Healthcare offers comprehensive RCM solutions that help healthcare organizations optimize collections, reduce insurance claim denials, and expedite explanation of benefits. Their tools integrate with practice management software and EHRs, providing real-time electronic data interchange (EDI) and clearinghouse services. They also offer advisory services to help maximize the power of their RCM solutions, including patient access, reimbursement management, and revenue cycle analytics.
Payment Processing
Change Healthcare provides fast, secure, and automated electronic funds transfer (EFT) via ACH, streamlining financial operations and cutting out the need for paper checks. Their payment delivery solutions aim to transform claims processing, offering speed, security, and cost savings by encouraging electronic payment adoption and using advanced fraud prevention technology.
Health Information Exchange (HIE)
Change Healthcare operates one of the largest health information exchange platforms in the U.S., processing billions of healthcare transactions annually. This network facilitates the routing of eligibility checks, prior authorizations, claims, and payments between providers, payers, and pharmacies.
Data Analytics
Change Healthcare's data and analytics services are designed to boost RCM, population health, and other areas. Their Acuity Revenue Cycle Analytics platform allows users to track and gather data across the entire revenue cycle continuum, providing customizable dashboards for viewing historical and near real-time performance data.
Artificial Intelligence & Machine Learning (AI/ML)
Change Healthcare leverages AI and machine learning to advance value-based care, improve payer-provider communications, and reduce administrative burdens. Their AI models, trained by expert physicians, can extract diagnostic information from EHR text, automating medical necessity reviews and reducing the time case managers spend on these tasks. AI is also central to their offerings for analytics and operational efficiency.
Patient Engagement
Change Healthcare offers a Patient Engagement suite, developed with Luma Health, to help patients navigate the care continuum and improve revenue cycle management for providers. These tools aim to improve communication between patients and providers, boost patient volumes, increase customer loyalty, and reduce administrative burdens by speeding prior authorization and eligibility verification.
Clinical Decision Support (CDS)
Change Healthcare's CDS solutions, including InterQual and CareSelect, provide evidence-based guidelines to aid providers and payers in decision-making. Powered by predictive analytics, machine learning, robotic process automation, and natural language processing, their CDS leverages AI to validate care appropriateness, drive cost-optimized clinical decisions, and streamline care decision workflows. InterQual 2022, their latest edition, includes new criteria for emergent trends, restructured and interactive criteria, and AI to drive proactive insights.
Physician Tip

Change Healthcare's solutions aim to reduce administrative burdens, such as medical necessity reviews and claims processing, freeing up physicians to focus more on patient care. Their clinical decision support tools provide evidence-based insights at the point of care, helping physicians make informed decisions and streamline workflows. The patient engagement tools can also improve communication with patients and potentially reduce no-shows and cancellations. However, physicians should be aware of the importance of robust cybersecurity measures, especially given past incidents, to protect patient data and maintain operational stability.

Change Healthcare's solutions are designed for interoperability and integrate with existing electronic health records (EHRs) and practice management software. They connect to a vast network of providers, payers, and pharmacies, facilitating seamless healthcare transactions and data exchange. This connectivity is crucial for streamlining workflows and optimizing various aspects of healthcare operations.

Products by Change Healthcare

1 product in the directory

Change Healthcare Anatomical AI
Change Healthcare
Radiology & Imaging AI
Change Healthcare Anatomical AI is an FDA-cleared AI tool that analyzes CT and MR images to create comprehensive anatomical descriptors, streamlining radiology workflows and improving diagnostic efficiency by rapidly identifying relevant studies.

What the Web Says

Change Healthcare offers a comprehensive suite of software, analytics, technology-enabled services, and network solutions to healthcare organizations, aiming to optimize efficiency, improve patient satisfaction, and reduce costs. Users generally praise the ease of use and integration capabilities of their products, particularly for streamlining claims submission and patient data management. However, the company has faced significant challenges, including a major ransomware attack in early 2024 that severely disrupted the US healthcare system and exposed data from up to 100 million people. This incident highlighted the company's critical role as a "bridge" for many healthcare transactions and led to widespread payment delays for providers. Employer reviews are mixed, with some employees appreciating the team environment and remote work options, while others express concerns about management, job security, and the impact of mergers and acquisitions.

Overall: Mixed

Strengths

  • Ease of use and integration capabilities for products.
  • Streamlines processes like claims submission and patient data management.
  • Intuitive interface.
  • Support for healthcare optimization.
  • Good team environment and remote work options (according to some employees).
  • Excellent PTO and other benefits (according to some employees).

Limitations

  • Shortages on products leading to long waiting periods.
  • Multiple mergers and acquisitions have negatively impacted the company culture and leadership.
  • Executive and senior leadership are perceived as out of touch with job realities.
  • Hiring process can be slow, though some Reddit users reported unusually fast offers which raised scam concerns.
  • Major ransomware attack in 2024 caused widespread disruption and data breaches.
  • Concerns about job security and layoffs.

Based on reviews from: G2, Glassdoor, Reddit, Indeed.com, Trustpilot

Last updated: 2026-10-20

Videos

News, demos, and interviews about Change Healthcare.

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Press & Coverage

Hyperproof Team
Understanding the Change Healthcare Breach and Its Impact on Security Compliance
This article, updated in August 2026, details the Change Healthcare cyberattack by the ALPHV/BlackCat ransomware gang in February 2024, which disrupted operations, stole sensitive data, and led to significant financial and operational challenges for healthcare providers nationwide.
2026-08
American Hospital Association (AHA)
Change Healthcare Cyberattack Updates | AHA - American Hospital Association
The AHA provides ongoing updates regarding the Change Healthcare cyberattack, including the impact on hospitals, CMS guidance for interim Medicaid payments, and calls for government assistance.
2024-03
Nixon Peabody LLP
Change Healthcare cyber breach - Nixon Peabody LLP
This article from November 2025 summarizes the Change Healthcare breach and its operational, financial, and legal consequences for healthcare providers, also outlining the pending litigation.
2025-11
Healthcare IT News
A year since the Change Healthcare breach, what have we learned?
Published in February 2025, this article reflects on the Change Healthcare breach, emphasizing the need for stronger cross-industry collaboration, advanced security measures, and robust employee education programs.
2025-02
JAMA Health Forum
Lessons From the Change Healthcare Ransomware Attack
This Viewpoint from September 2024 discusses responses to the Change Healthcare cyberattack, raising concerns about healthcare company consolidations and the need to clarify cybersecurity priorities.
2024-09
HHS.gov
Change Healthcare Cybersecurity Incident Frequently Asked Questions - HHS.gov
The U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) provides FAQs regarding the Change Healthcare cybersecurity incident, confirming an ongoing investigation into HIPAA compliance.
2025-08
New York State Governor's Press Office
Gov. Hochul on CHANGE Healthcare – Allocating $500M for hospitals
Governor Hochul announced new protocols and allocated $500 million to help hospitals enhance their systems and safety protocols following the Change Healthcare cyberattack in February 2024.
2024-03
Change Healthcare
Change Healthcare Launches Temporary Programs in Relation to Ongoing Cyberattack
In March 2024, Change Healthcare announced a 'Temporary Funding Assistance Program' and a new instance of its Rx ePrescribing service to aid customers affected by the ongoing cyberattack.
2024-03

Frequently Asked Questions

Change Healthcare's RCM suite offers robust integration capabilities with various EHR systems, often leveraging APIs and industry standards to ensure seamless data flow. Key features designed to tackle denied claims and underpayments include predictive analytics for claim scrubbing, automated prior authorization workflows, and advanced denial management tools that identify root causes and facilitate appeals.
Change Healthcare provides comprehensive payment processing solutions that streamline patient collections through features like online payment portals, flexible payment plans, and automated payment posting. These solutions enhance security through encryption and compliance with industry standards, ultimately reducing administrative burden by automating reconciliation and improving the patient financial experience.
Change Healthcare facilitates HIE through a secure network that enables the seamless and compliant exchange of patient data across diverse healthcare organizations. This improves interoperability by breaking down data silos, leading to enhanced care coordination, reduced redundant testing, and more informed clinical decision-making across the care continuum.
Change Healthcare utilizes Data Analytics, AI, and Machine Learning to transform raw healthcare data into actionable insights. These technologies power predictive models for identifying at-risk patients, optimizing operational workflows, forecasting financial trends, and uncovering opportunities for cost savings and revenue growth.
Change Healthcare offers patient engagement tools such as patient portals, appointment reminders, and educational resources to empower patients in managing their health. Their Clinical Decision Support solutions provide providers with evidence-based insights and alerts at the point of care, aiding in diagnosis, treatment planning, and adherence to best practices, ultimately enhancing shared decision-making.
Following the recent cyberattack, Change Healthcare has implemented enhanced cybersecurity protocols, including advanced threat detection, multi-factor authentication, and increased network segmentation, to safeguard sensitive health information. They have also focused on strengthening their infrastructure for improved resilience and stability, providing regular updates on their security posture.
Change Healthcare's pricing structure typically varies based on the specific solutions adopted, the scale of implementation, and the client's unique needs, often involving subscription-based models or transaction-based fees. Clients can expect comprehensive support including dedicated account management, technical assistance, and professional services for implementation, training, and ongoing optimization.

Investors

Who's funded Change Healthcare.

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