Change Healthcare

Change Healthcare (known as Emdeon before rebranding in 2015, which followed the acquisition of Change Healthcare) is a provider of revenue and payment cycle management that connects payers, providers, and patients within the U.S. healthcare system. The name also refers to a company founded in 2007 which subsequently became part of the current conglomerate. The company operates the largest financial and administrative information exchange in the United States.[2]

Change Healthcare Inc.
TypeSubsidiary
Nasdaq: CHNG
IndustryHealthcare
Founded2005 (2005)
HeadquartersNashville, Tennessee, U.S.
Key people
Neil E. de Crescenzo
(President and CEO)
RevenueIncrease US$3.48 billion (2022)
Increase US$137 million (2022)
Increase US$57 million (2022)
Total assetsDecrease US$9.93 billion (2022)
Total equityIncrease US$3.28 billion (2022)
Number of employees
c.14,000 (2022)
ParentUnitedHealth Group
Websitechangehealthcare.com
Footnotes / references
Financials as of March 31, 2022[1]

The company is headquartered in Nashville, Tennessee, with more than 89 additional locations throughout the United States, Canada, New Zealand, Israel, Taiwan, the UK, and the Philippines.

History

Change Healthcare (2007)

A company called Change Healthcare was established in 2007 and based in Brentwood, Tennessee. The company provided healthcare consumer engagement and cost transparency tools to health plans and large, self-insured employers[3] across the United States. The company was founded by Christopher Parks and Robert Hendrick[4] in 2007 with a consumer solution called MedBillManager. In January 2010, the company shifted its focus to the business-to-business market and launched the Change Healthcare Engagement Platform.

In April 2011, Howard McLure,[5] former president of CVS Caremark, came out of retirement to lead Change Healthcare as chairman and CEO. Doug Ghertner[6] joined the company as president in July 2011; prior to this, he oversaw product innovation and management at CVS Caremark and was a senior vice president.

In December 2011, Change Healthcare closed a round of financing, led by Sandbox Industries, BlueCross BlueShield Venture Partners and West Health Investment Fund. In September 2012, Ghertner was promoted to president and CEO, and McLure assumed the role of executive chairman.

In July 2013, Change Healthcare closed on a round of Series D funding. It was led by HLM Venture Partners, and including new investor Noro-Moseley Partners, infused $15 million into the company.[7] In July 2013, Change Healthcare was also named one of Modern Healthcare’s “100 Best Places to Work in Healthcare."[8]

Emdeon

In 2004, WebMD Corporation acquired Dakota Imaging, Inc. and ViPS, Inc.[9]

Until August 2005, Emdeon operated under the name WebMD Corporation (NASDAQ: HLTH). The name was changed to Emdeon to avoid confusion with its then subsidiary WebMD, which started public trading under stock symbol WBMD in September 2005.[10][11]

In May 2009, the company acquired The Sentinel Group, a vendor of software and investigational services to combat health care fraud.[12] In January 2010, the company acquired FutureVision Investment Group, L.L.C. (FVTech), a provider of outsourced services specializing in electronic data conversion and information management solutions.[13] In March 2010, the company acquired Healthcare Technology Management Services, Inc. (HTMS), a management consulting company focused primarily on the healthcare payer market.[14] In June 2010, the company acquired Chapin Revenue Cycle Management, LLC (Chapin), a technology-enabled provider of accounts receivable denial and recovery services.[15] In August 2010, the company acquired Interactive Payer Network (IPN), a leading technology service provider that acts as an outsourcing partner for HIPAA-compliant healthcare electronic data interchange (EDI).[16] In October 2010, the company acquired Chamberlin Edmonds & Associates, Inc. (CEA), a technology-enabled provider of government program eligibility and enrollment services.[17] In May 2011, the company acquired EquiClaim, a provider of healthcare audit and recovery services for commercial and government payers, from MultiPlan, Inc.[18]

In August 2011, Emdeon Inc. was taken private for $3 Billion by Blackstone Group.[19] Blackstone's offer of $19 per Emdeon share was backed by committed financing from Bank of America Merrill Lynch, Barclays Capital and Citigroup.[20] Emdeon shares jumped 13.6% the morning after the acquisition. Shares had risen 31% over the previous year until the announcement.[21]

In May 2012, the company acquired TC3 Health, a cost containment provider, including payment integrity and out-of-network claims cost management, to U.S. healthcare payers.[22] In June 2013, the company acquired Goold Health Systems, a healthcare management organization that specializes in providing pharmacy benefit and related services primarily to State Medicaid agencies across the nation.[23] In July 2014, the company acquired Capario, a provider of healthcare technology solutions using a cloud-based platform that enables healthcare providers to use a real-time solution called CaparioOneSM.[24]

In November 2014, Change Healthcare was acquired by Emdeon for $135 million.[25] In November 2015 Emdeon officially rebranded to take the Change Healthcare name.

In December 2014, the company acquired AdminiSource Communications, Inc., a payment and communications solutions (PCS) business of Alegeus Technologies, LLC, a provider of consumer directed healthcare services.[26] In August 2015, the company acquired Altegra Health, a provider of technology and intervention platforms that combine data aggregation and analytics with member engagement and reporting capabilities.[27][28]

In June 2016, McKesson Corporation and Change Healthcare Holdings, Inc., announced the creation of a new healthcare company which combined substantially all of Change Healthcare's business with the majority of McKesson's Information technology unit. McKesson owns approximately 70% of the new company, with the remaining equity stake held by Change Healthcare stockholders. The new company continues to be called Change Healthcare.[29]

In October 2018, it was reported that Change Healthcare Corporation hired underwriters and investment banks for a 2018/2019 time-frame initial public offering.[30] On June 27, 2019, Change Healthcare Inc, with stock symbol CHNG, started trading on the NASDAQ stock exchange and offered as many as 49.2 million shares of its stock, at a price of $13 per share raising more than $640 million in its IPO.[31]

In December 2018, Change Healthcare acquired the intellectual property and other key assets, including employees, of Charleston-based health care IT startup PokitDok.[32]

In January 2021, UnitedHealth Group's OptumInsight unit agreed to acquire Change Healthcare in a deal valued at $13 billion, including assuming $5 billion of latter's debt.[33] Following delays due to regulator scrutiny,[34] the acquisition closed on October 3, 2022.[35]

Market segments

  • Physicians & Clinics
  • Hospitals & Health Systems
  • Payers
  • Pharmacies
  • Channel Partners
  • Dentists
  • Clinical Exchange
  • Labs
  • Government Services

As of October 2015, the company's health information network reached approximately 1,200 government and commercial payers, 700,000 providers, 5,000 hospitals, 105,000 dentists, 60,000 pharmacies, 600 vendor partners, and 150 labs.

In 2014, Emdeon processed over 8.1 billion transactions, and handles over $6.4 billion in transactions each year.

Key personnel

As of April 2018, the Management team included:

  • Neil de Crescenzo IV, Chief Executive Officer
  • Alex Choy, Chief Information Officer
  • Fredrik J. Eliasson, Chief Financial Officer

References

  1. "Change Healthcare Inc. Annual Report (Form 10-K)". U.S. Securities and Exchange Commission. 2022-05-26.
  2. "Emdeon Corporate Profile and Information". Archived from the original on 28 November 2011. Retrieved 20 November 2011.
  3. McGee, Jamie (April 14, 2014). "Change Healthcare Offers Tools for Making Wiser Choices". The Tennessean. Archived from the original on July 14, 2022. Retrieved July 27, 2014.
  4. Bryant, Linda (November 10, 2013). "Guardian of the Culture". Nashville Post. Archived from the original on March 27, 2014. Retrieved July 27, 2014.
  5. "Former CVS/Caremark Leader to Be CEO of Brentwood Firm". Nashville Post. May 3, 2011.
  6. "Executive Profile: Douglas Ghertner". Nashville Business Journal. June 1, 2012.
  7. "Change Healthcare Announces $15 Million in Funding for Personalized Healthcare Information Business". Philanthropy News Digest. August 19, 2013.
  8. "Modern Healthcare's 2013 Best Places to Work in Healthcare". Modern Healthcare. No. August 14, 2013.
  9. Lee, In (2009). Emergent Strategies for E-business Processes, Services, and Implications: Advancing Corporate Frameworks. IGI Global Snippet. ISBN 9781605661551.
  10. Pasiuk, Laurie, ed. (2006). Vault Guide to the Top Internet Industry Employers. Vault Inc. p. 237. ISBN 9781581313840.
  11. "WEBMD Corporation to Be Renamed EMDEON Corporation". Archived from the original on 2012-06-07. Healthcare Information and Management Systems, August 4, 2005.
  12. "Health IT Business News Roundup for the Week of May 8, 2009". Archived from the original on 2022-12-06. IHealthBeat, May 8, 2009.
  13. "Emdeon buys FutureVision, expects electronic billing boost". January 26, 2010. Archived from the original on July 14, 2022. Retrieved April 19, 2018. Nashville Business Journal, January 26, 2010.
  14. "Emdeon health care payment co to buy consultancy". Archived from the original on 2015-02-13. Bloomberg Businessweek, March 16, 2010.
  15. "Emdeon acquires Chapin, better addressing hospital-based claims and payment recovery". 24 June 2010. Archived from the original on 14 July 2022. Retrieved 19 April 2018. HealthcareITNews, June 24, 2010
  16. "Emdeon acquires IPN". Archived from the original on 2020-08-09. Retrieved 2020-12-12.Scott-Macon’s Healthcare Industry Group, August 31, 2010
  17. "Emdeon acquires Chamberlin Edmonds". 4 October 2010. Archived from the original on 25 October 2017. Retrieved 19 April 2018. News Medical, October 4, 2010
  18. "Emdeon Acquires EquiClaim to Expand Its Suite of Payment Integrity Solutions". Bloomberg. Archived from the original on 2015-09-24. Retrieved 2018-04-19. Bloomberg, May 3, 2011.
  19. Nussbaum, Alex; Kelly, Jason (August 4, 2011). "Blackstone Group Agrees to Acquire Medical-Biller Emdeon for $3 Billion". Bloomberg. Archived from the original on 2015-01-11. Retrieved 2018-04-19. Bloomberg, August 4, 2011
  20. "Blackstone to take Emdeon private for $3 billion". Reuters. August 4, 2011. Archived from the original on September 11, 2012. Retrieved April 19, 2018. Reuters, August 4, 2011
  21. "Blackstone to buy Emdeon for $3 Billion". The New York Times. August 4, 2011. Archived from the original on April 20, 2018. Retrieved April 19, 2018. DealBook, August 4, 2011.
  22. "TC3 Health acquired by Emdeon". 4 October 2010. Archived from the original on 14 July 2022. Retrieved 19 April 2018. Modern Healthcare, May 7, 2012.
  23. "Emdeon Acquires Goold Health Systems". Archived from the original on 2013-10-11.
  24. "Emdeon to Acquire Capario to Enhance Its Revenue Management Platform". www.prnewswire.com (Press release). Archived from the original on 2016-01-28. Retrieved 2015-11-08.
  25. Holly Fletcher (December 15, 2014). "Emdeon buys payment platform from Alegeus". Tennessean. Archived from the original on 2022-07-14. Retrieved 2017-10-24.
  26. "Emdeon buys payment platform from Alegeus". The Tennessean. Archived from the original on 2022-07-14. Retrieved 2015-11-08.
  27. "Emdeon to Acquire Altegra Health for $910M". The Wall Street Journal. 2015-07-06.
  28. "Emdeon to Acquire Altegra Health". www.prnewswire.com (Press release). Archived from the original on 2015-10-27. Retrieved 2015-11-08.
  29. De Lombaerde, Geert (June 28, 2016). "Change, McKesson division joining forces". Nashville Post. Archived from the original on March 1, 2018. Retrieved April 19, 2018.
  30. O'Donnell, Carl (3 October 2018). "McKesson's Change Healthcare hires IPO underwriters: sources". Reuters. Archived from the original on 2 June 2019. Retrieved 2 June 2019 via www.reuters.com.
  31. "Change Healthcare's shares debut below target". American City Business Journals. 2019-06-27. Archived from the original on 2020-10-01.
  32. "Change Healthcare buys PokitDok assets". Nashville Post. 19 December 2018. Archived from the original on 2018-12-19. Retrieved 2018-12-19.
  33. Tozzi, John (2021-01-06). "UnitedHealth to Purchase Change Healthcare for $8 Billion". Bloomberg News. Archived from the original on 2021-01-07.
  34. Pringle, Sarah (2022-09-19). "UnitedHealth beats Justice Dept on $13 billion merger". Axios.
  35. "UnitedHealth closes roughly $8B deal for Change Healthcare". Associated Press. 2022-10-03.
    • Historical business data for Change Healthcare Inc.:
    • SEC filings
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