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Change Healthcare Data & Analytics Solutions

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User industry
  1. Healthcare and life sciences
  2. Public sector and nonprofit organizations
  3. Banking and insurance

What is Change Healthcare Data & Analytics Solutions

Change Healthcare Data & Analytics Solutions is a set of healthcare analytics and data products used to analyze claims, payment, and clinical/administrative data for operational and financial decision-making. It is used by health plans, providers, and other healthcare organizations for use cases such as revenue cycle performance monitoring, payment integrity, utilization analysis, and benchmarking. The offering is closely tied to Change Healthcare’s transaction, claims, and payment workflows, which can simplify analytics for organizations already using related Change Healthcare capabilities. It is delivered as vendor-managed solutions and data services rather than a general-purpose analytics platform.

pros

Deep claims and payment context

The product is designed around healthcare claims, eligibility, and payment workflows, which supports analytics that align with real operational processes. This can reduce the effort required to translate raw claims fields into business-ready measures for finance and operations teams. Organizations that already use Change Healthcare connectivity and transaction services can often leverage existing data flows. This positioning fits common payer/provider analytics needs such as denial trends, reimbursement variance, and utilization patterns.

Operationally oriented analytics use cases

The solution set focuses on applied analytics for healthcare operations, including revenue cycle and payment-related performance monitoring. It supports stakeholders beyond data teams, such as revenue cycle leaders, managed care, and operational analysts. Compared with general data platforms, the emphasis is on predefined healthcare workflows and metrics. This can accelerate time-to-value when the organization’s needs match the supported use cases.

Enterprise healthcare data services

Change Healthcare provides data and analytics as managed services and packaged solutions, which can reduce internal burden for data sourcing and normalization. The approach can be useful for organizations that lack a mature data engineering function. It also supports cross-organizational reporting where consistent definitions and governance are required. This model aligns with buyers seeking a vendor-supported analytics program rather than building and maintaining a full stack internally.

cons

Less flexible than open platforms

Because the offering is packaged around specific healthcare operational analytics, it may not provide the same flexibility as a general-purpose analytics or data platform for custom modeling. Organizations with advanced data science requirements may still need separate tooling for bespoke pipelines and experimentation. Extending beyond supported domains can require additional services or integration work. This can increase total effort for teams pursuing broad enterprise analytics standardization.

Integration and data dependency risk

Value often depends on access to specific claims/payment data sources and the organization’s ability to integrate them with internal clinical and financial systems. If a buyer’s data landscape differs from the expected workflows, implementation can involve significant mapping and reconciliation. Data latency and completeness can also affect the reliability of operational dashboards. These dependencies can complicate rollouts across multiple facilities or lines of business.

Vendor transition uncertainty

Change Healthcare is part of UnitedHealth Group through Optum, which can introduce product roadmap and contracting changes over time. Some buyers may have governance or procurement constraints when sourcing analytics from an entity affiliated with a large payer organization. This can affect long-term planning, especially for organizations that require strict vendor neutrality. Due diligence on data use terms and separation controls may be necessary.

Plan & Pricing

Plan Price Key features & notes
Change Healthcare / Optum Data & Analytics (enterprise modules: Crimson AI, Symmetry suite, Market Clarity, Health Care Performance Analytics, etc.) Custom / Not published — contact sales Enterprise analytics and managed services. Official site directs buyers to "Contact our sales team" or "Request more information"; no public list prices found. cite
Change Healthcare APIs (select developer/marketplace APIs - e.g., Enhanced Eligibility API sandbox) Free sandbox / trial available for selected APIs Some API sandboxes/free trials are explicitly offered (request sandbox access); production/API commercial pricing is not publicly listed and requires contacting sales. cite

Seller details

Optum, Inc. (UnitedHealth Group) — Change Healthcare business
Eden Prairie, Minnesota, USA
1972
Subsidiary
https://www.optum.com/
https://x.com/optum
https://www.linkedin.com/company/optum/

Tools by Optum, Inc. (UnitedHealth Group) — Change Healthcare business

Interqual
Change Healthcare Data & Analytics Solutions
Change Healthcare Revenue Cycle Management
Change Healthcare Clinical Network Solutions
Change Healthcare Prior Authorization
InterQual AutoReview
Change Healthcare Provider Manager
Optum Provider Data Solutions
Optum Financial HSA
Change Healthcare Cardiology Cath
Change Healthcare
Change Healthcare Compliant and Audit Services
Change Healthcare Image Repository
Change Payment Accuracy
Optum Collaborate
Optum Interactive Platform
Optum Lifestyle Spending Account

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