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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. [26] In June 2013, the company acquired Gold Health Systems, a healthcare management organization that specializes in providing pharmacy benefits and related services ...
The hack on Change Healthcare, which is owned by UnitedHealth Group, was reported on Feb. 21. The breach is delaying hundreds of millions of dollars in payments to hospitals, medical providers ...
The company processes 15 billion health care transactions annually, which include a range of services that directly affect patient care, including eligibility verifications and pharmacy operations ...
In a May announcement, the U.S. Department of Health and Human Services said healthcare providers can ask UnitedHealth to notify people impacted by the hack on their behalf.
Change, which provides healthcare billing and data systems, added that it has completed testing with vendors and multiple retail pharmacy partners for transaction types that were impacted.
EHNAC grew out of the 1993 Workgroup for Electronic Data Interchange (WEDI) meeting, sponsored by the Network Architecture and Accreditation Technical Advisory Group. The healthcare transactions industry agreed there was a need for a self-governing body to develop standards for the industry, and the Association for Electronic Health Care Transactions (AFEHCT) championed the cause by sponsoring ...
In the 1980s, as Medicaid managed care expanded across the county, safety net providers, such as Community Health Centers (CHCs) and public hospitals, feared that managed care would reduce reimbursements for Medicaid-eligible services, making it more difficult for them to provide care to the un- and under-insured, and result in a loss of Medicaid volume, as beneficiaries would choose to see ...
The Composite Health Care System (CHCS) was a medical informatics system designed by Science Applications International Corporation (SAIC) and used by all United States and OCONUS military health care centers. In 1988, SAIC won a competition for the original $1.02 billion contract to design, develop, and implement CHCS.