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Today, over 12 million individuals are enrolled in both Medicaid and Medicare. These “dual eligible” individuals typically have high rates of chronic illness, many with multiple chronic conditions and/or social risk factors.

In a recent , the Centers for Medicare and Medicaid services (CMS) outlined ten opportunities to better serve dual eligible populations.

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Change Healthcare has unveiled InterQual® 2019, the latest edition of the company’s flagship clinical decision support solution. Among the new features are support for Hospital in the Home programs, and the addition of  Episode Day One review functionality to InterQual AutoReview™. These additions complement the rigorous, ongoing review of InterQual criteria–including thousands of new content updates and enhancements.

Change Healthcare becomes the first healthcare IT company to join leading open-source consortium

Change Healthcare has become a member of the , becoming the first healthcare IT company to join the national consortium that is working to establish best practices for using open source software in the enterprise.

, a population health company, announced that it is launching an integration with Change Healthcare’s ™ that enables providers and payers to access evidence-based content to streamline authorization requests and facilitate utilization review.

Integration with InterQual Connect provides an easy,

LISTEN NOW

Today, over 12 million individuals are enrolled in both Medicaid and Medicare. These “dual eligible” individuals typically have high rates of chronic illness, many with multiple chronic conditions and/or social risk factors.

In a recent , the Centers for Medicare and Medicaid services (CMS) outlined ten opportunities to better serve dual eligible populations.

  • Change Healthcare Releases the 9th Annual Industry Pulse Survey

    Today Change Healthcare and the HealthCare Executive Group (HCEG) released the 9th Annual ...

  • Unlocking the Value in Patient Records

    It’s been more than two decades since the passing of the landmark Health Insurance ...

  • Why Customer Care Matters in Healthcare

    We are approaching a golden age in medicine, powered by hard-won advances in science and ...

  • Unlocking the Value in Patient Records

    It’s been more than two decades since the passing of the landmark Health Insurance ...

  • Why Customer Care Matters in Healthcare

    We are approaching a golden age in medicine, powered by hard-won advances in science and ...

  • Change Healthcare Makes Strategic Investment in MDsave

    Change Healthcare has made a strategic investment for a minority position in MDsave, an ...

  • Why Customer Care Matters in Healthcare

    We are approaching a golden age in medicine, powered by hard-won advances in science and ...

  • Change Healthcare Makes Strategic Investment in MDsave

    Change Healthcare has made a strategic investment for a minority position in MDsave, an ...

  • Change Healthcare Helps Health Plans Transform Their Members’ Financial Experience

    Change Healthcare has introduced Member Healthcare Payments, a consumer payment solution ...

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It’s hard to believe, but CMS’s controversial ‘Two-Midnight’ rule (2MN rule) has been in effect for more than five years. The rule was initially intended to provide a clear, time-based method to help determine whether patients should be placed in observation or inpatient status.

Although CMS has issued updates and clarifications,

Change Healthcare introduced Claims Lifecycle Artificial Intelligence, a new capability being integrated into the company’s Intelligent Healthcare Network and financial solutions, to help providers and payers optimize the entire claims processing lifecycle.

Change Healthcare and Experian Health announced a partnership to solve one of the most common challenges in healthcare today: accurate identification of patients across care settings. The two companies plan to provide an identity management solution to solve patient identification and duplication challenges.

Most physician practices would agree that denied claims are a drain on resources and have a negative impact on cash flow and revenue. What practices may not realize is just how significant that impact can be. Nearly 90% of denied claims are avoidable and 50% to 65% are never reworked,

Imaging

Cambridge University Hospitals NHS Foundation Trust Goes Live with Change Healthcare's Enterprise Imaging Solution

Healthcare Transformation

Change Healthcare Joins TODO Grou

Interoperability

Casenet Integrates with InterQual Connect

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