Blockchain: What It Is And How To Build A Business Case

Blockchain: What It Is and How to Build a Business Case

  • December 11, 2017

By Aaron Symanski, CTO, Change Healthcare As much hype as there is around blockchain and Bitcoin, as an architecture for distributed but trustworthy record-keeping, blockchain could turn out to be under-hyped in the long run. That is why major financial institutions are investigating applications of blockchain, even though it’s best known as a base technology for cryptocurrencies. In addition to financial transactions, blockchain has many other potential applications, such as enabling smart contracts in software rather than written in legalese. However, blockchain business models are still a work in progress. I've been huddling with my team to think about ways…

Read More
TIBCO And Change Healthcare Partner To Accelerate Healthcare Transformation

TIBCO and Change Healthcare Partner to Accelerate Healthcare Transformation

  • December 11, 2017

Change Healthcare and TIBCO Software Inc. today announced a partnership to help providers, payers, and pharmacies make better use of their health IT data. The venture integrates the TIBCO Connected Intelligence portfolio with Change Healthcare’s lineup of software and analytics, network solutions, and technology-enabled services. Read the news release

Read More
Leading The Way: States Driving Value-Based Reimbursement

Leading the Way: States Driving Value-Based Reimbursement

  • December 8, 2017

When the government committed to tying 90% of Medicare payments to value and 50% of payments to alternative payment models by 2018, the Centers for Medicare & Medicaid Services urged other healthcare stakeholders in the same direction. But CMS’s role in payment reform has taken a back seat to innovative efforts occurring at the state level. In this webinar, Lisa Conley, Government Affairs Specialist at Change Healthcare, discusses how she built a state-by-state look at local value-based reimbursement initiatives. Lisa is joined by Brooks Daverman, Director of Health Care Innovation at the Tennessee Division of TennCare, who shares his state’s…

Read More
Change Healthcare Value-Based Solutions Now Used By Health Plans Covering 33% Of US Commercially Insured Lives

Change Healthcare Value-Based Solutions Now Used by Health Plans Covering 33% of US Commercially Insured Lives

  • December 6, 2017

Innovative solutions from Change Healthcare are devising care episodes and operating payment programs at plans representing a commercially insured population of 94.3 million Leading health plans representing 33% of U.S. commercially insured clients are now using value-based payment solutions from Change Healthcare to design, scale, analyze, and help ensure accurate payment for innovative alternative payment programs. Change Healthcare solutions such as HealthQx and Episode Management are being used to model and analyze payment programs, scale them from pilot to nationwide deployment, and help payers continuously improve results. These payment programs include mixed- and alternative payment models, such as bundled payment,…

Read More
Change Healthcare’s Deborah Meisner Wins Multiple Awards From WEDI

Change Healthcare’s Deborah Meisner Wins Multiple Awards from WEDI

  • December 6, 2017

Deborah Meisner, VP of Regulatory Strategy at Change Healthcare, was honored with numerous awards by the Workgroup for Electronic Data Interchange (WEDI) at WEDIcon 2017, the nonprofit HIT group's annual conference. Meisner received the Chair Award, issued by the Chair of the WEDI Board to “recognize an individual who has provided significant support to the Chair and the Board in meeting the goals of the organization.” She shared the honor with Jay Eisenstock, WEDI Chair-elect. Meisner was also honored in two other categories. She received the “Outstanding Leadership Award”, which acknowledges “Workgroup/Taskforce or Subworkgroup (SWG) co-chairs who have consistently contributed…

Read More
Change Healthcare Addresses Looming Medicare Changes At WEDIcon 2017

Change Healthcare Addresses Looming Medicare Changes at WEDIcon 2017

  • December 6, 2017

One of the hot topics at WEDIcon 2017 was the CMS's New Medicare Card Project. This fraud prevention initiative removes Social Security numbers from Medicare cards to help fight identity theft. But changing these ID numbers creates new challenges for claims and reimbursement processing. The new cards will use a unique, randomly-assigned number called a Medicare Beneficiary Identifier (MBI), which will replace the Social Security-based Health Insurance Claim Number (HICN) now used on Medicare cards. The CMS will begin mailing the new cards to Medicare members in April 2018. As a result, the clock is ticking for stakeholders to update…

Read More
Transforming Bundled Payments Into Episodes Of Care Can Give Hospitals, Payers An Edge

Transforming Bundled Payments into Episodes of Care Can Give Hospitals, Payers an Edge

  • December 5, 2017

You don't often get to see how a major payer is leveraging value-based care to improve their competitive position. But Healthcare Finance Editor-in-Chief Tom Sullivan did manage to get a look into what’s happening at Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ). Sullivan spoke at length with Lili Brillstein, BCBSNJ’s Director of Episodes of Care. Brillstein shared how they’re successfully embracing bundled payment efforts, to advance a patient-centered approach with their provider partners. Noting that HealthQX value-based payment software from Change Healthcare is a key part of the effort, the story shows how others can benefit by BCBSNJ’s…

Read More
Transforming Bundled Payments Into Episodes Of Care Can Give Hospitals, Payers An Edge

Transforming Bundled Payments into Episodes of Care Can Give Hospitals, Payers an Edge

  • December 5, 2017

It’s not often that you get to look inside and see how a major payer and their provider network are innovating on the path to value-based care. But Healthcare IT News Editor-in-Chief Tom Sullivan did just that with a rare look into what’s happening at Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ). Sullivan took a deep dive, speaking at length with Lili Brillstein, BCBSNJ’s Director of Episodes of Care. Brillstein shared how they’re successfully embracing bundled payment efforts, which she prefers to call, fittingly enough, “episodes of care.” Noting that HealthQX value-based payment software from Change Healthcare is…

Read More