Change Healthcare

Change Healthcare (known as Emdeon before rebranding in 2015, which followed the purchase of a pre-existing company called Change Healthcare) is a provider of revenue and payment cycle management and clinical information exchange solutions, connecting payers, providers, and patients in 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.[1]

Change Healthcare
Public
Traded asNASDAQ: CHNG
Russell 1000 Index component
IndustryHealthcare
Founded2005 (2005)
HeadquartersNashville, Tennessee, U.S.
Key people
Neil E. de Crescenzo, President and CEO
Number of employees
15000+
Websitechangehealthcare.com

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

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.

Corporate history

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.[2][3]

In September 2013, Emdeon was named as part of the InformationWeek 500 2013, a list of the Top Technology Innovators across the United States.[4]

On November 9, 2015, the company and its associated business units officially rebranded as Change Healthcare.

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.[5]

In October 2018, it was reported that Change Healthcare Corporation hired underwriters and investment banks for a 2018/2019 time-frame initial public offering.[6] 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.[7]

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

Acquisitions

In 2004, the company acquired Dakota Imaging, Inc. and ViPS, Inc.[8] In May 2009, the company acquired The Sentinel Group, a vendor of software and investigational services to combat health care fraud.[9] 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.[10] In March 2010, the company acquired Healthcare Technology Management Services, Inc. (HTMS), a management consulting company focused primarily on the healthcare payer market.[11] In June 2010, the company acquired Chapin Revenue Cycle Management, LLC (Chapin), a technology-enabled provider of accounts receivable denial and recovery services.[12] In October 2010, the company acquired Chamberlin Edmonds & Associates, Inc. (CEA), a technology-enabled provider of government program eligibility and enrollment services.[13] In May 2011, the company acquired EquiClaim, a provider of healthcare audit and recovery services for commercial and government payers, from MultiPlan, Inc.[14] In May 2012, the company acquired TC3 Health, a provider of cost containment solutions, including payment integrity and out-of-network claims cost management, to U.S. healthcare payers.[15] 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.[16] 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.[17] On November 25, 2014, Emdeon acquired Change Healthcare Corporation, a consumer healthcare engagement and transparency company, for $135 million.[18] 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 solutions.[18] 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.[19] In December 2018, Change Healthcare acquired the intellectual property and other key assets, including employees, of Charleston-based health care IT startup PokitDok.[20]

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[21] across the United States. The company was founded by Christopher Parks[22] 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,[23] former president of CVS Caremark, came out of retirement to lead Change Healthcare as chairman and CEO. Doug Ghertner[24] 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.[25] In July 2013, Change Healthcare was also named one of Modern Healthcare’s “100 Best Places to Work in Healthcare."[26]

In November 2014, Change Healthcare was acquired by Emdeon for $135 million.[27] In November 2015 Emdeon officially rebranded to take the Change Healthcare name.

Certifications and Honors
  • May 2011: Emdeon was awarded a five-year United States General Services Administration (GSA) Schedule 70 Contract.[28]
  • June 2011 and 2012: Emdeon Assistant, Emdeon Claim Master and Emdeon Payment Integrity Services earned the Peer Reviewed designation of the Healthcare Financial Management Association (HFMA).[29][30]
  • December 2011: the company partnered with the U.S. Department of Health and Human Services for an initiative providing electronic health record services to physicians in underserved New Jersey communities.[31]
  • December 2011: the company became certified as a Health Data Intermediary by the Minnesota Department of Health.[32]
  • January 2013: Healthcare Technology Management Services (HTMS) was selected by the Colorado Health Insurance Cooperative to provide strategic planning for the development of a consumer-owned health insurance plan.[33]
  • March 2013: Emdeon was ranked first in overall vendor preference for interoperability, integration and connectivity in the Black Book Rankings 2013 State of Electronic Prescribing Industry. It also ranked first in the Black Book Rankings 2013 Overall Best EHR Functionality Performance.[34]
  • October 2013: subsidiary Chamberlin Edmonds was named a Certified Application Counselor Designated Organization by the Centers for Medicare and Medicaid Services.[35]
  • February 2015: Chamberlin Edmonds was designated as a Category Leader for Eligibility and Enrollment Services in the 2014 Best in KLAS awards.[36]

Blackstone/Emdeon buyout

In August 2011, Emdeon Inc. was taken private for $3 Billion by Blackstone Group.[37]

Blackstone's offer of $19 per Emdeon share was backed by committed financing from Bank of America Merrill Lynch, Barclays Capital and Citigroup.[38]

Emdeon shares jumped 13.6% the morning after the acquisition. Shares had risen 31% over the previous year until the announcement.[39]

References
  1. "Emdeon Corporate Profile and Information". Archived from the original on 28 November 2011. Retrieved 20 November 2011.
  2. Pasiuk, Laurie, ed. (2006). Vault Guide to the Top Internet Industry Employers. Vault Inc. p. 237. ISBN 9781581313840.
  3. "WEBMD Corporation to Be Renamed EMDEON Corporation". Archived from the original on 2012-06-07. Healthcare Information and Management Systems, August 4, 2005.
  4. "2013 InformationWeek 500". InformationWeek, 2013.
  5. De Lombaerde, Geert (June 28, 2016). "Change, McKesson division joining forces". Nashville Post.
  6. "McKesson's Change Healthcare hires IPO underwriters: sources". 3 October 2018 – via www.reuters.com.
  7. https://www.bizjournals.com/nashville/news/2019/06/27/change-healthcares-shares-debut-below-target.html
  8. Lee, In (2009). Emergent Strategies for E-business Processes, Services, and Implications: Advancing Corporate Frameworks. IGI Global Snippet. ISBN 9781605661551.
  9. "Health IT Business News Roundup for the Week of May 8, 2009". Archived from the original on 2012-05-24. IHealthBeat, May 8, 2009.
  10. "Emdeon buys FutureVision, expects electronic billing boost". January 26, 2010. Nashville Business Journal, January 26, 2010.
  11. "Emdeon health care payment co to buy consultancy". Archived from the original on 2015-02-13. Bloomberg Businessweek, March 16, 2010.
  12. "Emdeon acquires Chapin, better addressing hospital-based claims and payment recovery". HealthcareITNews, June 24, 2010
  13. "Emdeon acquires Chamberlin Edmonds". News Medical, October 4, 2010
  14. "Emdeon Acquires EquiClaim to Expand Its Suite of Payment Integrity Solutions". Bloomberg. Bloomberg, May 3, 2011.
  15. "TC3 Health acquired by Emdeon". Modern Healthcare, May 7, 2012.
  16. "Emdeon Acquires Goold Health Systems". Archived from the original on 2013-10-11.
  17. "Emdeon to Acquire Capario to Enhance Its Revenue Management Platform". www.prnewswire.com. Retrieved 2015-11-08.
  18. "Emdeon buys payment platform from Alegeus". The Tennessean. Retrieved 2015-11-08.
  19. "Emdeon to Acquire Altegra Health". www.prnewswire.com. Retrieved 2015-11-08.
  20. "Change Healthcare buys PokitDok assets". Nashville Post.
  21. McGee, Jamie (April 14, 2014). "Change Healthcare Offers Tools for Making Wiser Choices". The Tennessean.
  22. Bryant, Linda (November 10, 2013). "Guardian of the Culture". Nashville Post.
  23. "Former CVS/Caremark Leader to Be CEO of Brentwood Firm". Nashville Post. May 3, 2011.
  24. "Executive Profile: Douglas Ghertner". Nashville Business Journal. June 1, 2012.
  25. "Change Healthcare Announces $15 Million in Funding for Personalized Healthcare Information Business". Philanthropy News Digest. August 19, 2013.
  26. "Modern Healthcare's 2013 Best Places to Work in Healthcare". Modern Healthcare (August 14, 2013).
  27. Holly Fletcher (December 15, 2014). "Emdeon buys payment platform from Alegeus". Tennessean. Retrieved 2017-10-24.
  28. "Emdeon Awarded Five-Year IT Schedule 70 GSA Contract" (press release). PR Newswire. May 17, 2011.
  29. "Three Emdeon Revenue Cycle Management Solutions Achieve HFMA Peer Reviewed Designation" (press release). PR Newswire. June 24, 2011.
  30. "Three Emdeon Revenue Cycle Management Solutions Achieve HFMA Peer Reviewed Designation" (press release). PR Newswire. June 22, 2012.
  31. "HHS and Emdeon Announce Initiative to Provide Electronic Health Record Services to Physicians in Underserved New Jersey Communities". Archived from the original on 2013-05-26. Retrieved 2018-04-19. U.S. Department of Health & Human Services, Office of Minority Health, December 13, 2011
  32. "Emdeon Certified As A Health Data Intermediary By The Minnesota Department Of Health". Archived from the original on 2016-09-11. Retrieved 2018-04-19. The Street, December 21, 2011.
  33. "HTMS, an Emdeon Company, Selected by Colorado Health Insurance Cooperative to Provide Strategic Planning and Operational Roadmap" (press release). PR Newswire. January 15, 2013.
  34. "Emdeon Ranked First in Electronic Prescribing Interoperability and EHR Vendor Support for CPOE; Prepares for Stage 2 Meaningful Use". EMR Daily News, March 4, 2013.
  35. "Chamberlin Edmonds, an Emdeon Company, Named a Certified Application Counselor Designated Organization by CMS". Archived from the original on 2013-11-18. Yahoo Finance, October 7, 2013.
  36. "KLAS Names Chamberlin Edmonds, an Emdeon company, the Category Leader for Eligibility and Enrollment Services" (press release). www.prnewswire.com. Retrieved 2015-11-08.
  37. Nussbaum, Alex; Kelly, Jason (August 4, 2011). "Blackstone Group Agrees to Acquire Medical-Biller Emdeon for $3 Billion". Bloomberg. Bloomberg, August 4, 2011
  38. "Blackstone to take Emdeon private for $3 billion". Reuters. August 4, 2011. Reuters, August 4, 2011
  39. "Blackstone to buy Emdeon for $3 Billion". The New York Times. August 4, 2011. DealBook, August 4, 2011.
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