8 Best Change Healthcare Alternatives

Revenue cycle management (RCM) platforms provide healthcare organizations with automated tools to manage patient revenue, detect underpayments, and verify benefits eligibility. Change Healthcare is a leading provider of RCM systems, providing powerful tools to ease administrative burdens and reduce revenue leakage. However, Change Healthcare isn’t a perfect fit for every organization. If your practice seeks an alternative to Change Healthcare, you may be interested in one of the software platforms below. 

What is Change Healthcare and what do they do?

Change Healthcare leverages technology to enhance the efficiency of healthcare operations and improve patient care. It was founded in 2007 but has undergone various transformations, mergers, and acquisitions over the years. Most recently, in 2017, Change Healthcare merged with McKesson Technology Solutions to create a new healthcare technology company.

Their services and features include: 

• Care Cost Estimator API: This tool provides patients with cost estimates for healthcare services. By giving patients a clear understanding of the expected costs before receiving care, it helps them make informed decisions and manage their healthcare expenses.
• Financial Clearance: This solution helps ensure patients are financially cleared for procedures and services. By verifying insurance coverage and managing authorizations, Financial Clearance helps to reduce financial risks for both patients and healthcare providers.
• Revenue Cycle Analytics: This RCM function uses data analytics to improve revenue cycle performance by identifying trends, patterns, and areas of concern that may impact revenue. Through timely insights, healthcare providers can diagnose problems, benchmark performance, and prioritize opportunities that enhance productivity and financial performance. 
• Claims and Denials Management: Change Healthcare integrates claims management to automate workflows, prevent denials, and accelerate cash flow. Their Assurance Reimbursement Management improves the reimbursement process by ensuring that claims are submitted accurately and efficiently. It helps identify and correct errors before submission, in addition to tracking and managing claims through to payment.

List of Top Change Healthcare Alternatives

Here is a list of the most popular Change Healthcare competitors:

• MD Clarity
• Infinx
• TriZetto
• Dentrix
• TruBridge
• DrChrono
• Waystar
• StrataPT

Top 8 Alternatives & Competitors to Change Healthcare

MD Clarity

Description

MD Clarity provides innovative technology solutions to the healthcare industry. By focusing on streamlining operations and improving financial performance, MD Clarity empowers healthcare providers to offer better services to their patients. MD Clarity gives providers and patients decision-making power by providing the information and tools they need.

Features in common with Change Healthcare

MD Clarity offers many of the same features as Change Healthcare. Here’s a closer look at their solutions: 

• Clarity Flow: Clarity Flow is a patient cost estimate software that offers healthcare practices an automated way to provide accurate and convenient patient cost estimates, which helps in compliance with the No Surprises Act. This software is similar to Change Healthcare’s Care Cost Estimator and enables patients to make upfront payments and choose payment plans online. It also projects out-of-pocket costs, including deductibles, copays, and coinsurance. Clarity Flow helps healthcare practices to automate eligibility verification, reducing administrative costs and bad debt while increasing patient collections and improving patient experience.
• RevFind: RevFind is an underpayment detection software that automatically detects, corrects, and appeals claim underpayments and denials from payers, much like Change Healthcare’s Assurance Reimbursement Management. It helps healthcare providers distinguish between denials and true underpayments based on negotiated rates, track underpayments down to the procedure level, and digitize and consolidate contracts for easy comparison. 
• Contract Analytics: Contract Analytics provides the same functions as Change Healthcare’s Financial Clearance. It offers a proactive approach to financial management by providing insights into the healthcare organization's current and future performance and analyzing the impact of payer-related elements on margins. It models key performance indicators, including calculation accuracy rate, error rate, contract current rate, and payment accuracy rate. These indicators help in setting targets, evaluating processes, and making better decisions.

Infinx

Description

Infinx develops an intelligent payment lifecycle system that automates and streamlines preauthorization workflows for hospitals, clinics, imaging centers, and laboratories. By doing so, it enhances the revenue cycle workflow and offers management solutions for various specialties. This enables healthcare professionals to increase revenue and improve patient satisfaction

Features in common with Change Healthcare

Infinx provides the following solutions that are similar to Change Healthcare’s: 

• Medical Coding Solutions: Infinx offers medical coding solutions to boost bottom-line revenue by investigating and preventing coding denials. Similarly, Change Healthcare offers coding solutions that improve the accuracy and efficiency of medical coding, which leads to fewer denials and increased revenue.
• Prior Authorization Solutions and Financial Clearance: Infinx has tools that streamline the patient access workflow by accelerating approvals. These tools can be used for benefit checks, eligibility verifications, insurance discovery, CDSM consults, and patient out-of-pocket estimations. Change Healthcare also offers prior authorization solutions that streamline the process of obtaining necessary approvals for medical procedures, ensuring that patients are financially cleared for services.
• Accounts Receivable Optimization (ARO): Infinx offers the Account Receivable Optimizer (AROS), which uses artificial intelligence and automation to reduce future denials and maximize reimbursements from denied claims and accounts receivable. Similarly, Change Healthcare offers accounts receivable management solutions that optimize the collection process by identifying and resolving issues that can lead to denials, thereby improving cash flow.
• Artificial Intelligence and Automation: Both Infinx and Change Healthcare use artificial intelligence and automation in their RCM solutions. Infinx uses AI in its Account Receivable Optimizer to reduce denials, while Change Healthcare uses AI to improve various aspects of the revenue cycle, including claims management and patient access.

Ratings

Infinx has a score of 90.6 on KLAS Research.

TriZetto Provider Solutions

Description

TriZetto Provider Solutions is a healthcare technology company specializing in information technology solutions for the healthcare industry. The company provides many services, including patient engagement, claims management, denials and contract management, billing and coding services, and credentialing. Additionally, TriZetto offers revenue cycle management, practice management, and payer solutions to healthcare providers, insurance companies, and patients. 

Features in common with Change Healthcare

TriZetto Provider Solutions and Change Healthcare share several features in common, including: 

• Revenue Cycle Management: Both TriZetto Provider Solutions and Change Healthcare offer revenue cycle management services. These financial processes facilitate the management of patient registration, insurance and benefit verification, billing, and collections.
• Claims Management: TriZetto Provider Solutions provides claims management as one of its solutions. Similarly, Change Healthcare offers healthcare claims and denial management solutions, which are part of managing the revenue cycle.
• Patient Engagement: Like Change Healthcare, TriZetto Provider Solutions offers patient engagement solutions, such as appointment scheduling, reminders, and patient portals.

Ratings

TriZetto has a rating of 4.3/5 stars on G2.

Dentrix

Description

Dentrix is a popular practice management software that dental professionals use to streamline their operations. Developed by Henry Schein, Dentrix helps dentists manage appointments, patient records, billing, insurance claims, and clinical charting. The software facilitates efficient communication among staff members, and its reporting features allow practitioners to analyze and optimize the performance of their practice.

Features in common with Change Healthcare

Although aimed at a narrower audience — dentists as opposed to all healthcare providers — Dentrix shares several features with Change Healthcare, including: 

• Appointment Scheduling: Dentrix's appointment book feature allows users to schedule, move, and track patient appointments. It also allows for the customization of appointment lengths, types, and color codes based on the procedure.
• Patient Records Management: Like Change Healthcare, Dentrix allows dental professionals to manage patient information, including contact details, medical history, and insurance data. It also offers clinical charting features.
• Billing and Insurance Claims: Dentrix facilitates billing by providing tools for creating and managing invoices, processing payments, and handling insurance claims. It also offers reporting features to track financial performance, similar to Change Healthcare. 

Ratings

Dentrix has a rating of 4/5 stars on G2.

TruBridge

Description

TruBridge is a company that specializes in providing revenue cycle management and other related services to healthcare organizations. The company focuses on helping healthcare facilities of all sizes to streamline their revenue cycle, improve efficiency, and manage their financial and administrative processes more effectively. TruBridge's services include a range of solutions, from billing and consulting to managed IT services and electronic health records (EHR) systems.

Features in common with Change Healthcare

Like Change Healthcare, TruBridge offers the following solutions: 

• Revenue Cycle Management Services: Both TruBridge and Change Healthcare provide RCM services, which include billing, coding, claims processing, and payment collection. These services help healthcare organizations maximize their revenue while ensuring compliance with regulations.
• Clinical Data Exchange and Interoperability: They both facilitate the exchange of clinical data between different healthcare systems. This ensures that patient information is accurate, up-to-date, and easily accessible for healthcare providers, contributing to improved patient care.
• Electronic Health Records Systems: TruBridge and Change Healthcare offer EHR systems that help healthcare providers store and manage patient information digitally. These systems are critical for reducing paperwork, improving the accuracy of patient records, and streamlining clinical workflows.
• Financial and Administrative Consulting: TruBridge and Change Healthcare offer consulting services that assist healthcare organizations in optimizing their financial and administrative processes. This includes advising on billing practices, regulatory compliance, and operational efficiency.

Ratings

TruBridge has a rating of 3.4/5 on G2.

DrChrono

Description

DrChrono is a healthcare technology company that provides a suite of EHR software and practice management solutions to medical practices. It modernizes the healthcare industry by offering integrated, cloud-based solutions that streamline clinical workflows, improve patient care, and optimize revenue cycles. DrChrono's platform is known for its flexibility and customization features, allowing medical practices to tailor the software to meet their needs.

Features in common with Change Healthcare

DrChrono and Change Healthcare both offer the following features: 

• Practice Management Solutions: Both DrChrono and Change Healthcare offer practice management solutions that assist healthcare providers in running their practices more efficiently. These solutions encompass scheduling, billing, reporting, and other administrative tasks.
• Medical Billing Services: DrChrono and Change Healthcare offer medical billing services that help healthcare practices manage and streamline their billing processes. This includes claim submission, coding, collections, and compliance with regulations.
• Healthcare API and Integration: Both DrChrono and Change Healthcare offer robust APIs that allow third-party integrations. This enables healthcare practices to connect EHR systems with other software, creating a more integrated and efficient healthcare technology ecosystem.

Ratings

DrChrono has a rating of 3.6/5 stars on G2.

Waystar

Description

Waystar’s platform simplifies and automates the end-to-end revenue cycle, from patient access to claims processing and collections. Through its technology, Waystar aims to help healthcare providers enhance their financial performance, reduce administrative burdens, and improve patient experiences.

Features in common with Change Healthcare

Like Change Healthcare, Waystar offers various features and services for the healthcare sector, including:

• Claims Management and Processing: Both Waystar and Change Healthcare provide robust claims management and processing solutions that enable healthcare organizations to submit claims accurately and efficiently, ensuring timely reimbursements.
• Patient Access and Eligibility Verification: Waystar and Change Healthcare offer solutions for patient access, including eligibility verification. These tools help confirm a patient’s insurance coverage and benefits before services are rendered, which is critical for revenue cycle efficiency.
• Data Analytics and Reporting: Both Waystar and Change Healthcare offer data analytics and reporting tools that enable healthcare organizations to analyze financial and operational data. 

Ratings

Waystar has a rating of 4.5/5 stars on G2.

StrataPT

Description

StrataPT is a healthcare technology company that specializes in providing software and revenue cycle management solutions for physical therapy and occupational therapy practices. Its integrated platform is specifically tailored to meet the needs of outpatient rehabilitation therapy providers. 

Features in common with Change Healthcare

StrataPT and Change Healthcare share several features and services that cater to healthcare providers, including: 

• Practice Management Solutions: Both companies offer practice management solutions to help healthcare providers manage the administrative aspects of their practices, including scheduling, reporting, and staff management.
• Patient Scheduling and Appointment Management: StrataPT and Change Healthcare provide solutions for scheduling and managing patient appointments. These tools help in optimizing schedules, reducing no-shows, and improving patient satisfaction.
• Compliance and Regulatory Support: Both companies offer support and solutions for compliance with healthcare regulations, such as HIPAA and Medicare requirements. This ensures that healthcare providers can focus on patient care without worrying about regulatory issues.

Ratings

StrataPT has a rating of 4/5 stars on Software Advice.

See the best competitor in action

If you’re looking for an alternative to Change Healthcare, look into MD Clarity. With RevFind, Clarity Flow, and Contract Analytics, you’ll have all the tools you need to effectively manage your revenue cycle, increase your profitability, and improve patient care. Reach out to request a personalized demo today. 

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