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Change Healthcare - Wikipedia
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searchaux" style="display:none">American healthcare claim processing company</div> <style data-mw-deduplicate="TemplateStyles:r1251242444">.mw-parser-output .ambox{border:1px solid #a2a9b1;border-left:10px solid #36c;background-color:#fbfbfb;box-sizing:border-box}.mw-parser-output .ambox+link+.ambox,.mw-parser-output .ambox+link+style+.ambox,.mw-parser-output .ambox+link+link+.ambox,.mw-parser-output .ambox+.mw-empty-elt+link+.ambox,.mw-parser-output .ambox+.mw-empty-elt+link+style+.ambox,.mw-parser-output .ambox+.mw-empty-elt+link+link+.ambox{margin-top:-1px}html body.mediawiki .mw-parser-output .ambox.mbox-small-left{margin:4px 1em 4px 0;overflow:hidden;width:238px;border-collapse:collapse;font-size:88%;line-height:1.25em}.mw-parser-output .ambox-speedy{border-left:10px solid #b32424;background-color:#fee7e6}.mw-parser-output .ambox-delete{border-left:10px solid #b32424}.mw-parser-output .ambox-content{border-left:10px solid #f28500}.mw-parser-output .ambox-style{border-left:10px 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title="Help:Maintenance template removal">Learn how and when to remove this message</a></small>)</i></span></div></td></tr></tbody></table> <style data-mw-deduplicate="TemplateStyles:r1257001546">.mw-parser-output .infobox-subbox{padding:0;border:none;margin:-3px;width:auto;min-width:100%;font-size:100%;clear:none;float:none;background-color:transparent}.mw-parser-output .infobox-3cols-child{margin:auto}.mw-parser-output .infobox .navbar{font-size:100%}@media screen{html.skin-theme-clientpref-night .mw-parser-output .infobox-full-data:not(.notheme)>div:not(.notheme)[style]{background:#1f1f23!important;color:#f8f9fa}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .infobox-full-data:not(.notheme) div:not(.notheme){background:#1f1f23!important;color:#f8f9fa}}@media(min-width:640px){body.skin--responsive .mw-parser-output .infobox-table{display:table!important}body.skin--responsive .mw-parser-output .infobox-table>caption{display:table-caption!important}body.skin--responsive .mw-parser-output .infobox-table>tbody{display:table-row-group}body.skin--responsive .mw-parser-output .infobox-table tr{display:table-row!important}body.skin--responsive .mw-parser-output .infobox-table th,body.skin--responsive .mw-parser-output .infobox-table td{padding-left:inherit;padding-right:inherit}}</style><style data-mw-deduplicate="TemplateStyles:r1242257876">.mw-parser-output .ib-company .infobox-label{padding-right:0.5em}.mw-parser-output .ib-company .infobox-data,.mw-parser-output .ib-company .infobox-below{line-height:1.35em}.mw-parser-output .ib-company-logo img{background-color:#f8f9fa}.mw-parser-output .ib-company-locality,.mw-parser-output .ib-company-country{display:inline}</style><table class="infobox ib-company vcard"><caption class="infobox-title fn org">Change Healthcare Inc.</caption><tbody><tr><th scope="row" class="infobox-label">Formerly</th><td class="infobox-data nickname">Emdeon</td></tr><tr><th scope="row" class="infobox-label">Company type</th><td class="infobox-data category"><a href="/wiki/Subsidiary" title="Subsidiary">Subsidiary</a></td></tr><tr><th scope="row" class="infobox-label">Industry</th><td class="infobox-data category"><a href="/wiki/Healthcare" class="mw-redirect" title="Healthcare">Healthcare</a></td></tr><tr><th scope="row" class="infobox-label">Founded</th><td class="infobox-data">2005<span class="noprint">; 19 years ago</span><span style="display:none"> (<span class="bday dtstart published updated">2005</span>)</span></td></tr><tr><th scope="row" class="infobox-label">Headquarters</th><td class="infobox-data label"><span class="nowrap"><a href="/wiki/Nashville,_Tennessee" title="Nashville, Tennessee">Nashville, Tennessee</a>, U.S.</span></td></tr><tr><th scope="row" class="infobox-label"><div style="display: inline-block; line-height: 1.2em; padding: .1em 0;">Key people</div></th><td class="infobox-data agent">Neil E. de Crescenzo (<a href="/wiki/President_(corporate_title)" title="President (corporate title)">president</a> and <a href="/wiki/Chief_executive_officer" title="Chief executive officer">CEO</a>)</td></tr><tr><th scope="row" class="infobox-label">Revenue</th><td class="infobox-data"><span class="nowrap"><span typeof="mw:File"><span title="Increase"><img alt="Increase" src="//upload.wikimedia.org/wikipedia/commons/thumb/b/b0/Increase2.svg/11px-Increase2.svg.png" decoding="async" width="11" height="11" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/b/b0/Increase2.svg/17px-Increase2.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/b/b0/Increase2.svg/22px-Increase2.svg.png 2x" data-file-width="300" data-file-height="300" /></span></span> <span style="white-space: nowrap"><a href="/wiki/United_States_dollar" title="United States dollar">US$</a>3.48 billion</span> (2022)</span></td></tr><tr><th scope="row" class="infobox-label"><div style="display: inline-block; line-height: 1.2em; padding: .1em 0;"><a href="/wiki/Earnings_before_interest_and_taxes" title="Earnings before interest and taxes">Operating income</a></div></th><td class="infobox-data"><span class="nowrap"><span typeof="mw:File"><span title="Increase"><img alt="Increase" src="//upload.wikimedia.org/wikipedia/commons/thumb/b/b0/Increase2.svg/11px-Increase2.svg.png" decoding="async" width="11" height="11" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/b/b0/Increase2.svg/17px-Increase2.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/b/b0/Increase2.svg/22px-Increase2.svg.png 2x" data-file-width="300" data-file-height="300" /></span></span> US$137 million (2022)</span></td></tr><tr><th scope="row" class="infobox-label"><div style="display: inline-block; line-height: 1.2em; padding: .1em 0;"><a href="/wiki/Net_income" title="Net income">Net income</a></div></th><td class="infobox-data"><span typeof="mw:File"><span title="Increase"><img alt="Increase" src="//upload.wikimedia.org/wikipedia/commons/thumb/b/b0/Increase2.svg/11px-Increase2.svg.png" decoding="async" width="11" height="11" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/b/b0/Increase2.svg/17px-Increase2.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/b/b0/Increase2.svg/22px-Increase2.svg.png 2x" data-file-width="300" data-file-height="300" /></span></span> US$<style data-mw-deduplicate="TemplateStyles:r1239334494">@media screen{html.skin-theme-clientpref-night .mw-parser-output div:not(.notheme)>.tmp-color,html.skin-theme-clientpref-night .mw-parser-output p>.tmp-color,html.skin-theme-clientpref-night .mw-parser-output table:not(.notheme) .tmp-color{color:inherit!important}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output div:not(.notheme)>.tmp-color,html.skin-theme-clientpref-os .mw-parser-output p>.tmp-color,html.skin-theme-clientpref-os .mw-parser-output table:not(.notheme) .tmp-color{color:inherit!important}}</style><span class="tmp-color" style="color:red">−57</span> million (2022)</td></tr><tr><th scope="row" class="infobox-label"><span class="nowrap"><a href="/wiki/Asset" title="Asset">Total assets</a></span></th><td class="infobox-data"><span typeof="mw:File"><span title="Decrease"><img alt="Decrease" src="//upload.wikimedia.org/wikipedia/commons/thumb/e/ed/Decrease2.svg/11px-Decrease2.svg.png" decoding="async" width="11" height="11" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/e/ed/Decrease2.svg/17px-Decrease2.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/e/ed/Decrease2.svg/22px-Decrease2.svg.png 2x" data-file-width="300" data-file-height="300" /></span></span> US$9.93 billion (2022)</td></tr><tr><th scope="row" class="infobox-label"><span class="nowrap"><a href="/wiki/Equity_(finance)" title="Equity (finance)">Total equity</a></span></th><td class="infobox-data"><span typeof="mw:File"><span title="Increase"><img alt="Increase" src="//upload.wikimedia.org/wikipedia/commons/thumb/b/b0/Increase2.svg/11px-Increase2.svg.png" decoding="async" width="11" height="11" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/b/b0/Increase2.svg/17px-Increase2.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/b/b0/Increase2.svg/22px-Increase2.svg.png 2x" data-file-width="300" data-file-height="300" /></span></span> US$3.28 billion (2022)</td></tr><tr><th scope="row" class="infobox-label"><div style="display: inline-block; line-height: 1.2em; padding: .1em 0;">Number of employees</div></th><td class="infobox-data"><abbr title="circa">c.</abbr><span style="white-space:nowrap;"> 14,000</span> (2022)</td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/Parent_company" class="mw-redirect" title="Parent company">Parent</a></th><td class="infobox-data"><a href="/wiki/UnitedHealth_Group" title="UnitedHealth Group">UnitedHealth Group</a></td></tr><tr><th scope="row" class="infobox-label">Website</th><td class="infobox-data"><span class="url"><a rel="nofollow" class="external text" href="http://changehealthcare.com">changehealthcare<wbr />.com</a></span></td></tr><tr><td colspan="2" class="infobox-below"><b>Footnotes / references</b><br />Financials as of March 31, 2022<sup class="plainlinks noexcerpt noprint asof-tag update" style="display:none;"><a class="external text" href="https://en.wikipedia.org/w/index.php?title=Change_Healthcare&action=edit">[update]</a></sup><sup id="cite_ref-1" class="reference"><a href="#cite_note-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup></td></tr></tbody></table> <p><b>Change Healthcare Inc.</b> (known as <b>Emdeon</b> before rebranding in 2015, which followed its acquisition of Change Healthcare) is a provider of revenue and <a href="/wiki/Payment_system" title="Payment system">payment cycle management</a> that connects payers, providers, and patients within the <a href="/wiki/Health_care_in_the_United_States" class="mw-redirect" title="Health care in the United States">U.S. healthcare system</a>. 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.<sup id="cite_ref-2" class="reference"><a href="#cite_note-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup> </p><p>The company's headquarters are in <a href="/wiki/Nashville,_Tennessee" title="Nashville, Tennessee">Nashville, Tennessee</a>, with more than 89 additional locations throughout the United States and the world, Canada, New Zealand, Israel, Taiwan, the UK, and the Philippines.<sup id="cite_ref-3" class="reference"><a href="#cite_note-3"><span class="cite-bracket">[</span>3<span class="cite-bracket">]</span></a></sup> </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="History">History</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Change_Healthcare&action=edit&section=1" title="Edit section: History"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-heading mw-heading3"><h3 id="Change_Healthcare_(2007)"><span id="Change_Healthcare_.282007.29"></span>Change Healthcare (2007)</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Change_Healthcare&action=edit&section=2" title="Edit section: Change Healthcare (2007)"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Change Healthcare was established in 2007 and based in <a href="/wiki/Brentwood,_Tennessee" title="Brentwood, Tennessee">Brentwood, Tennessee</a>. The company provided healthcare consumer engagement<sup class="noprint Inline-Template" style="margin-left:0.1em; white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Please_clarify" title="Wikipedia:Please clarify"><span title="The text near this tag may need clarification or removal of jargon. (August 2017)">clarification needed</span></a></i>]</sup> and health plan <a href="/wiki/Healthcare_prices" class="mw-redirect" title="Healthcare prices">cost transparency</a> tools to health plans and large, self-insured employers,<sup id="cite_ref-4" class="reference"><a href="#cite_note-4"><span class="cite-bracket">[</span>4<span class="cite-bracket">]</span></a></sup> across the United States. The company was founded by Christopher Parks and Robert Hendrick<sup id="cite_ref-5" class="reference"><a href="#cite_note-5"><span class="cite-bracket">[</span>5<span class="cite-bracket">]</span></a></sup> with a consumer solution called Med Bill Manager. In January 2010, the company shifted its focus to the business-to-business market and launched the Change Healthcare Engagement Platform. </p><p>In April 2011, Howard McLure,<sup id="cite_ref-6" class="reference"><a href="#cite_note-6"><span class="cite-bracket">[</span>6<span class="cite-bracket">]</span></a></sup> former president of <a href="/wiki/CVS_Caremark" title="CVS Caremark">CVS Caremark</a>, came out of retirement to lead Change Healthcare as chairman and CEO. Doug Ghertner<sup id="cite_ref-7" class="reference"><a href="#cite_note-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup> joined the company as president in July 2011; before this, he oversaw product innovation and management at CVS Caremark and was a senior vice president. </p><p>In December 2011, Change Healthcare closed a round of financing, led by Sandbox Industries, <a href="/wiki/BlueCross_BlueShield" class="mw-redirect" title="BlueCross BlueShield">BlueCross BlueShield</a> Venture Partners, and <a href="/wiki/West_Health" title="West Health">West Health</a> Investment Fund. In September 2012, Ghertner was promoted to president and CEO and McLure assumed the role of executive chairman. </p><p>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.<sup id="cite_ref-8" class="reference"><a href="#cite_note-8"><span class="cite-bracket">[</span>8<span class="cite-bracket">]</span></a></sup> In July 2013, Change Healthcare was named one of <a href="/wiki/Modern_Healthcare" title="Modern Healthcare">Modern Healthcare</a>’s “100 Best Places to Work in Healthcare."<sup id="cite_ref-9" class="reference"><a href="#cite_note-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Emdeon">Emdeon</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Change_Healthcare&action=edit&section=3" title="Edit section: Emdeon"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>In 2004, WebMD Corporation acquired Dakota Imaging, Inc. and ViPS, Inc.<sup id="cite_ref-Lee2009_10-0" class="reference"><a href="#cite_note-Lee2009-10"><span class="cite-bracket">[</span>10<span class="cite-bracket">]</span></a></sup> </p><p>Until August 2005, Emdeon operated under the name WebMD Corporation (<a href="/wiki/NASDAQ" class="mw-redirect" title="NASDAQ">NASDAQ</a>: HLTH). The name was changed to Emdeon to avoid confusion with its then subsidiary <a href="/wiki/WebMD" title="WebMD">WebMD</a>, which started public trading under stock symbol WBMD in September 2005.<sup id="cite_ref-Pasiuk2006_11-0" class="reference"><a href="#cite_note-Pasiuk2006-11"><span class="cite-bracket">[</span>11<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-12" class="reference"><a href="#cite_note-12"><span class="cite-bracket">[</span>12<span class="cite-bracket">]</span></a></sup> </p><p>In May 2009, the company acquired The Sentinel Group, a vendor of software and investigational services to combat health care fraud.<sup id="cite_ref-13" class="reference"><a href="#cite_note-13"><span class="cite-bracket">[</span>13<span class="cite-bracket">]</span></a></sup> In January 2010, the company acquired Future Vision Investment Group, L.L.C. (FVTech), a provider of outsourced services specializing in electronic data conversion and information management solutions.<sup id="cite_ref-14" class="reference"><a href="#cite_note-14"><span class="cite-bracket">[</span>14<span class="cite-bracket">]</span></a></sup> In March 2010, the company acquired Healthcare Technology Management Services, Inc. (HTMS), a management consulting company focused primarily on the healthcare payer market.<sup id="cite_ref-15" class="reference"><a href="#cite_note-15"><span class="cite-bracket">[</span>15<span class="cite-bracket">]</span></a></sup> In June 2010, the company acquired Chapin Revenue Cycle Management, LLC (Chapin), a technology-enabled provider of accounts receivable denial and recovery services.<sup id="cite_ref-16" class="reference"><a href="#cite_note-16"><span class="cite-bracket">[</span>16<span class="cite-bracket">]</span></a></sup> In August 2010, the company acquired Interactive Payer Network (IPN), a technology service provider that acts as an outsourcing partner for HIPAA-compliant healthcare electronic data interchange (EDI).<sup id="cite_ref-17" class="reference"><a href="#cite_note-17"><span class="cite-bracket">[</span>17<span class="cite-bracket">]</span></a></sup> In October 2010, the company acquired Chamberlin Edmonds & Associates, Inc. (CEA), a technology-enabled provider of government program eligibility and enrollment services.<sup id="cite_ref-18" class="reference"><a href="#cite_note-18"><span class="cite-bracket">[</span>18<span class="cite-bracket">]</span></a></sup> In May 2011, the company acquired EquiClaim, a provider of healthcare audit and recovery services for commercial and government payers, from MultiPlan, Inc.<sup id="cite_ref-19" class="reference"><a href="#cite_note-19"><span class="cite-bracket">[</span>19<span class="cite-bracket">]</span></a></sup> </p><p>In August 2011, Emdeon Inc. was taken private for $3 Billion by <a href="/wiki/Blackstone_Group" class="mw-redirect" title="Blackstone Group">Blackstone Group</a>.<sup id="cite_ref-20" class="reference"><a href="#cite_note-20"><span class="cite-bracket">[</span>20<span class="cite-bracket">]</span></a></sup> Blackstone's offer of $19 per Emdeon share was backed by committed financing from <a href="/wiki/Bank_of_America_Merrill_Lynch" class="mw-redirect" title="Bank of America Merrill Lynch">Bank of America Merrill Lynch</a>, <a href="/wiki/Barclays_Capital" class="mw-redirect" title="Barclays Capital">Barclays Capital</a> and <a href="/wiki/Citigroup" title="Citigroup">Citigroup</a>.<sup id="cite_ref-21" class="reference"><a href="#cite_note-21"><span class="cite-bracket">[</span>21<span class="cite-bracket">]</span></a></sup> Emdeon shares jumped 13.6% the morning after the acquisition. Shares had risen 31% over the year prior to the announcement.<sup id="cite_ref-22" class="reference"><a href="#cite_note-22"><span class="cite-bracket">[</span>22<span class="cite-bracket">]</span></a></sup> </p><p>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.<sup id="cite_ref-23" class="reference"><a href="#cite_note-23"><span class="cite-bracket">[</span>23<span class="cite-bracket">]</span></a></sup> In June 2013, the company acquired Gold Health Systems, a healthcare management organization that specializes in providing pharmacy benefits and related services primarily to State Medicaid agencies across the nation.<sup id="cite_ref-24" class="reference"><a href="#cite_note-24"><span class="cite-bracket">[</span>24<span class="cite-bracket">]</span></a></sup> In July 2014, the company acquired Capario, a healthcare technology provider.<sup id="cite_ref-25" class="reference"><a href="#cite_note-25"><span class="cite-bracket">[</span>25<span class="cite-bracket">]</span></a></sup> </p><p>In November 2014, Change Healthcare was acquired by Emdeon for $135 million.<sup id="cite_ref-26" class="reference"><a href="#cite_note-26"><span class="cite-bracket">[</span>26<span class="cite-bracket">]</span></a></sup> In November 2015, Emdeon officially rebranded to take the Change Healthcare name. </p><p>In December 2014, the company acquired Admini Source Communications, Inc.<sup id="cite_ref-tennesseanalegeus_27-0" class="reference"><a href="#cite_note-tennesseanalegeus-27"><span class="cite-bracket">[</span>27<span class="cite-bracket">]</span></a></sup> 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.<sup id="cite_ref-28" class="reference"><a href="#cite_note-28"><span class="cite-bracket">[</span>28<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-29" class="reference"><a href="#cite_note-29"><span class="cite-bracket">[</span>29<span class="cite-bracket">]</span></a></sup> </p><p>In June 2016, <a href="/wiki/McKesson_Corporation" title="McKesson Corporation">McKesson Corporation</a> 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 <a href="/wiki/Information_technology" title="Information technology">Information technology</a> 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.<sup id="cite_ref-30" class="reference"><a href="#cite_note-30"><span class="cite-bracket">[</span>30<span class="cite-bracket">]</span></a></sup> </p><p>In October 2018, it was reported that Change Healthcare Corporation hired underwriters and investment banks for a 2018/2019 time-frame initial public offering.<sup id="cite_ref-31" class="reference"><a href="#cite_note-31"><span class="cite-bracket">[</span>31<span class="cite-bracket">]</span></a></sup> On June 27, 2019, Change Healthcare Inc. began trading on the NASDAQ stock exchange with the stock symbol CHNG, offering up to 49.2 million shares of its stock for $13 per share and raising more than $640 million in its IPO.<sup id="cite_ref-32" class="reference"><a href="#cite_note-32"><span class="cite-bracket">[</span>32<span class="cite-bracket">]</span></a></sup> </p><p>In December 2018, Change Healthcare acquired the intellectual property and other key assets, including employees, of Charleston-based healthcare IT startup PokitDok.<sup id="cite_ref-33" class="reference"><a href="#cite_note-33"><span class="cite-bracket">[</span>33<span class="cite-bracket">]</span></a></sup> </p><p>In January 2021, <a href="/wiki/UnitedHealth_Group" title="UnitedHealth Group">UnitedHealth Group</a>'s <a href="/wiki/Optum" title="Optum">Optum Insight</a> unit agreed to acquire Change Healthcare in a deal valued at $13<span class="nowrap"> </span>billion, including assuming $5<span class="nowrap"> </span>billion of the latter's debt.<sup id="cite_ref-34" class="reference"><a href="#cite_note-34"><span class="cite-bracket">[</span>34<span class="cite-bracket">]</span></a></sup> Following delays due to regulator scrutiny,<sup id="cite_ref-35" class="reference"><a href="#cite_note-35"><span class="cite-bracket">[</span>35<span class="cite-bracket">]</span></a></sup> the acquisition closed on October 3, 2022.<sup id="cite_ref-36" class="reference"><a href="#cite_note-36"><span class="cite-bracket">[</span>36<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="2024_cyberattack">2024 cyberattack</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Change_Healthcare&action=edit&section=4" title="Edit section: 2024 cyberattack"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>On February 21, 2024, the company was hit by <a href="/wiki/2024_Change_Healthcare_ransomware_attack" class="mw-redirect" title="2024 Change Healthcare ransomware attack">a cyberattack</a> that prevented payouts to doctors on the platform.<sup id="cite_ref-37" class="reference"><a href="#cite_note-37"><span class="cite-bracket">[</span>37<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-cyberattack_38-0" class="reference"><a href="#cite_note-cyberattack-38"><span class="cite-bracket">[</span>38<span class="cite-bracket">]</span></a></sup> As a result of the attack, electronic payments and medical claims could not be processed by UnitedHealth Group, leading to widespread disruption.<sup id="cite_ref-cyberattack_38-1" class="reference"><a href="#cite_note-cyberattack-38"><span class="cite-bracket">[</span>38<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-struggle_39-0" class="reference"><a href="#cite_note-struggle-39"><span class="cite-bracket">[</span>39<span class="cite-bracket">]</span></a></sup> Patients were forced to pay for many of their medications out of pocket instead of using medication coupons or copays.<sup id="cite_ref-struggle_39-1" class="reference"><a href="#cite_note-struggle-39"><span class="cite-bracket">[</span>39<span class="cite-bracket">]</span></a></sup> Many healthcare providers claimed to lose significant revenue as a result of the disruption, up to $100 million per day,<sup id="cite_ref-40" class="reference"><a href="#cite_note-40"><span class="cite-bracket">[</span>40<span class="cite-bracket">]</span></a></sup> threatening many with insolvency.<sup id="cite_ref-41" class="reference"><a href="#cite_note-41"><span class="cite-bracket">[</span>41<span class="cite-bracket">]</span></a></sup> As a result of the cyberattack, <a href="/wiki/United_States_Department_of_Health_and_Human_Services" title="United States Department of Health and Human Services">HHS</a> opened a <a href="/wiki/Health_Insurance_Portability_and_Accountability_Act" title="Health Insurance Portability and Accountability Act">civil rights investigation with regards to patient privacy concerns</a>.<sup id="cite_ref-42" class="reference"><a href="#cite_note-42"><span class="cite-bracket">[</span>42<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-43" class="reference"><a href="#cite_note-43"><span class="cite-bracket">[</span>43<span class="cite-bracket">]</span></a></sup> </p><p>On February 22, 2024, UnitedHealth Group filed a notice to the <a href="/wiki/Securities_and_Exchange_Commission" class="mw-redirect" title="Securities and Exchange Commission">Securities and Exchange Commission</a> stating that a "suspected nation-state associated cybersecurity threat actor" gained access to Change Healthcare's information technology system. Following UnitedHealth Group's initial filing, <a href="/wiki/CVS_Health" title="CVS Health">CVS Health</a>, <a href="/wiki/Walgreens" title="Walgreens">Walgreens</a>, <a href="/wiki/Publix" title="Publix">Publix</a>, <a href="/wiki/GoodRX" class="mw-redirect" title="GoodRX">GoodRX</a>, and <a href="/wiki/Health_Care_Service_Corporation" title="Health Care Service Corporation">BlueCross BlueShield of Montana</a> reported disruptions in insurance claims.<sup id="cite_ref-44" class="reference"><a href="#cite_note-44"><span class="cite-bracket">[</span>44<span class="cite-bracket">]</span></a></sup> The cyberattack affected family-owned pharmacies and military pharmacies, including <a href="/wiki/Naval_Hospital_Camp_Pendleton" title="Naval Hospital Camp Pendleton">Naval Hospital Camp Pendleton</a>.<sup id="cite_ref-45" class="reference"><a href="#cite_note-45"><span class="cite-bracket">[</span>45<span class="cite-bracket">]</span></a></sup> Healthcare company <a href="/wiki/Athenahealth" title="Athenahealth">athenahealth</a> was affected, according to <i><a href="/wiki/Forbes" title="Forbes">Forbes</a></i>.<sup id="cite_ref-TheRegisterInfo_46-0" class="reference"><a href="#cite_note-TheRegisterInfo-46"><span class="cite-bracket">[</span>46<span class="cite-bracket">]</span></a></sup> </p><p>On February 29, 2024, UnitedHealth Group confirmed that the ransomware attack was "perpetrated by a cybercrime threat actor who...represented itself to [the company] as <a href="/wiki/BlackCat_(cyber_gang)" title="BlackCat (cyber gang)">ALPHV/Blackcat.</a>" In the same update, the company stated that it was "working closely with law enforcement and leading third-party consultants, <a href="/wiki/Mandiant" title="Mandiant">Mandiant</a> and <a href="/wiki/Palo_Alto_Networks" title="Palo Alto Networks">Palo Alto Networks</a>" to address the matter.<sup id="cite_ref-47" class="reference"><a href="#cite_note-47"><span class="cite-bracket">[</span>47<span class="cite-bracket">]</span></a></sup> </p><p>On March 4, 2024, <a href="/wiki/Reuters" title="Reuters">Reuters</a> reported that a <a href="/wiki/Bitcoin" title="Bitcoin">bitcoin</a> payment equivalent to nearly USD $22 million had been made to a <a href="/wiki/Cryptocurrency" title="Cryptocurrency">cryptocurrency</a> wallet "associated with ALPHV". United Health did not comment on the payment, instead stating that the organization was "focused on the investigation and the recovery."<sup id="cite_ref-48" class="reference"><a href="#cite_note-48"><span class="cite-bracket">[</span>48<span class="cite-bracket">]</span></a></sup> On the same day, a <a href="/wiki/Wired_(magazine)" title="Wired (magazine)">Wired</a> reporter stated that the transaction looked "very much like a large ransom payment."<sup id="cite_ref-49" class="reference"><a href="#cite_note-49"><span class="cite-bracket">[</span>49<span class="cite-bracket">]</span></a></sup> </p><p>As of March 18, 2024, UnitedHealth Group had advanced payments of over $2 billion in assistance to health care providers affected by the cybersecurity attack. In addition, some services had been restored including Change Healthcare’s payment processing platform and pharmacy network.<sup id="cite_ref-50" class="reference"><a href="#cite_note-50"><span class="cite-bracket">[</span>50<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Response">Response</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Change_Healthcare&action=edit&section=5" title="Edit section: Response"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>On March 1, 2024, UnitedHealth Group's <a href="/wiki/Optum" title="Optum">Optum</a> division launched a Temporary Funding Assistance Program to help bridge the gap in short-term cash flow needs for providers who received payments from payers that were processed by Change Healthcare.<sup id="cite_ref-51" class="reference"><a href="#cite_note-51"><span class="cite-bracket">[</span>51<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-52" class="reference"><a href="#cite_note-52"><span class="cite-bracket">[</span>52<span class="cite-bracket">]</span></a></sup> The <a href="/wiki/American_Hospital_Association" title="American Hospital Association">American Hospital Association</a> (AHA) stated that the program was "not even a band-aid" on the payment problems identified by the company, citing its "onerous" terms and conditions including Optum's ability to recoup funds "immediately and without prior notification", and to "change the agreement simply by providing notice."<sup id="cite_ref-53" class="reference"><a href="#cite_note-53"><span class="cite-bracket">[</span>53<span class="cite-bracket">]</span></a></sup> </p><p>On March 5, 2024, the <a href="/wiki/United_States_Department_of_Health_and_Human_Services" title="United States Department of Health and Human Services">U.S. Department of Health and Human Services</a> announced financial "flexibilities" for hospitals impacted by the attack.<sup id="cite_ref-54" class="reference"><a href="#cite_note-54"><span class="cite-bracket">[</span>54<span class="cite-bracket">]</span></a></sup> The American Hospital Association (AHA) was critical of these measures, stating that the proposed flexibilities were "not an adequate whole of government response."<sup id="cite_ref-55" class="reference"><a href="#cite_note-55"><span class="cite-bracket">[</span>55<span class="cite-bracket">]</span></a></sup> </p><p>On March 12, 2024, UnitedHealth CEO <a href="/wiki/Andrew_Witty" title="Andrew Witty">Andrew Witty</a> was summoned to a meeting by the Biden administration, during which HHS Secretary <a href="/wiki/Xavier_Becerra" title="Xavier Becerra">Xavier Becerra</a> and White House domestic policy chief <a href="/wiki/Neera_Tanden" title="Neera Tanden">Neera Tanden</a> urged Witty and other members of UHG leadership to increase the amount of funding available to providers who have been impacted by the protracted outage. Healthcare providers from across the sector were also in attendance and voiced their concerns about the ongoing financial and operational impacts of the Change cyberattack.<sup id="cite_ref-56" class="reference"><a href="#cite_note-56"><span class="cite-bracket">[</span>56<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-57" class="reference"><a href="#cite_note-57"><span class="cite-bracket">[</span>57<span class="cite-bracket">]</span></a></sup> </p><p>As of April 16, 2024, UnitedHealth Group had advanced payments of over $6 billion in assistance to health care providers affected by the cybersecurity attack.<sup id="cite_ref-58" class="reference"><a href="#cite_note-58"><span class="cite-bracket">[</span>58<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Change_Healthcare&action=edit&section=6" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist"> <div class="mw-references-wrap mw-references-columns"><ol class="references"> <li id="cite_note-1"><span class="mw-cite-backlink"><b><a href="#cite_ref-1">^</a></b></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.sec.gov/ix?doc=/Archives/edgar/data/1756497/000175649722000007/chng-20220331x10k.htm">"Change Healthcare Inc. 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Archived from <a rel="nofollow" class="external text" href="http://www.businessweek.com/ap/financialnews/D9EFVTNO0.htm">the original</a> on 2015-02-13.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=unknown&rft.btitle=Emdeon+health+care+payment+co+to+buy+consultancy&rft_id=http%3A%2F%2Fwww.businessweek.com%2Fap%2Ffinancialnews%2FD9EFVTNO0.htm&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChange+Healthcare" class="Z3988"></span> Bloomberg Businessweek, March 16, 2010.</span> </li> <li id="cite_note-16"><span class="mw-cite-backlink"><b><a href="#cite_ref-16">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="http://www.healthcareitnews.com/news/emdeon-acquires-chapin-better-addressing-hospital-based-claims-and-payment-recovery">"Emdeon acquires Chapin, better addressing hospital-based claims and payment recovery"</a>. 24 June 2010. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20220714155246/https://www.healthcareitnews.com/news/emdeon-acquires-chapin-better-addressing-hospital-based-claims-and-payment-recovery">Archived</a> from the original on 14 July 2022<span class="reference-accessdate">. Retrieved <span class="nowrap">19 April</span> 2018</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=unknown&rft.btitle=Emdeon+acquires+Chapin%2C+better+addressing+hospital-based+claims+and+payment+recovery&rft.date=2010-06-24&rft_id=http%3A%2F%2Fwww.healthcareitnews.com%2Fnews%2Femdeon-acquires-chapin-better-addressing-hospital-based-claims-and-payment-recovery&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChange+Healthcare" class="Z3988"></span> HealthcareITNews, June 24, 2010</span> </li> <li id="cite_note-17"><span class="mw-cite-backlink"><b><a href="#cite_ref-17">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.scott-macon.com/announcements/interactive-payer-network-is-acquired-by-emdeon/">"Emdeon acquires IPN"</a>. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20200809022427/https://www.scott-macon.com/announcements/interactive-payer-network-is-acquired-by-emdeon/">Archived</a> from the original on 2020-08-09<span class="reference-accessdate">. Retrieved <span class="nowrap">2020-12-12</span></span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=unknown&rft.btitle=Emdeon+acquires+IPN&rft_id=https%3A%2F%2Fwww.scott-macon.com%2Fannouncements%2Finteractive-payer-network-is-acquired-by-emdeon%2F&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChange+Healthcare" class="Z3988"></span>Scott-Macon’s Healthcare Industry Group, August 31, 2010</span> </li> <li id="cite_note-18"><span class="mw-cite-backlink"><b><a href="#cite_ref-18">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="http://www.news-medical.net/news/20101004/Emdeon-acquires-Chamberlin-Edmonds.aspx">"Emdeon acquires Chamberlin Edmonds"</a>. 4 October 2010. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20171025074844/https://www.news-medical.net/news/20101004/Emdeon-acquires-Chamberlin-Edmonds.aspx">Archived</a> from the original on 25 October 2017<span class="reference-accessdate">. Retrieved <span class="nowrap">19 April</span> 2018</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=unknown&rft.btitle=Emdeon+acquires+Chamberlin+Edmonds&rft.date=2010-10-04&rft_id=http%3A%2F%2Fwww.news-medical.net%2Fnews%2F20101004%2FEmdeon-acquires-Chamberlin-Edmonds.aspx&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChange+Healthcare" class="Z3988"></span> News Medical, October 4, 2010</span> </li> <li id="cite_note-19"><span class="mw-cite-backlink"><b><a href="#cite_ref-19">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation news cs1"><a rel="nofollow" class="external text" href="https://www.bloomberg.com/apps/news?pid=newsarchive&sid=agO.Bu7qGAPo">"Emdeon Acquires EquiClaim to Expand Its Suite of Payment Integrity Solutions"</a>. <i>Bloomberg</i>. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20150924173507/http://www.bloomberg.com/apps/news?pid=newsarchive&sid=agO.Bu7qGAPo">Archived</a> from the original on 2015-09-24<span class="reference-accessdate">. Retrieved <span class="nowrap">2018-04-19</span></span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=Bloomberg&rft.atitle=Emdeon+Acquires+EquiClaim+to+Expand+Its+Suite+of+Payment+Integrity+Solutions&rft_id=https%3A%2F%2Fwww.bloomberg.com%2Fapps%2Fnews%3Fpid%3Dnewsarchive%26sid%3DagO.Bu7qGAPo&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChange+Healthcare" class="Z3988"></span> Bloomberg, May 3, 2011.</span> </li> <li id="cite_note-20"><span class="mw-cite-backlink"><b><a href="#cite_ref-20">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFNussbaumKelly2011" class="citation news cs1">Nussbaum, Alex; Kelly, Jason (August 4, 2011). <a rel="nofollow" class="external text" href="https://www.bloomberg.com/news/2011-08-04/blackstone-to-buy-health-care-biller-emdeon-in-deal-valued-at-3-billion.html">"Blackstone Group Agrees to Acquire Medical-Biller Emdeon for $3 Billion"</a>. <i>Bloomberg</i>. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20150111154101/http://www.bloomberg.com/news/2011-08-04/blackstone-to-buy-health-care-biller-emdeon-in-deal-valued-at-3-billion.html">Archived</a> from the original on 2015-01-11<span class="reference-accessdate">. Retrieved <span class="nowrap">2018-04-19</span></span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=Bloomberg&rft.atitle=Blackstone+Group+Agrees+to+Acquire+Medical-Biller+Emdeon+for+%243+Billion&rft.date=2011-08-04&rft.aulast=Nussbaum&rft.aufirst=Alex&rft.au=Kelly%2C+Jason&rft_id=https%3A%2F%2Fwww.bloomberg.com%2Fnews%2F2011-08-04%2Fblackstone-to-buy-health-care-biller-emdeon-in-deal-valued-at-3-billion.html&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChange+Healthcare" class="Z3988"></span> Bloomberg, August 4, 2011</span> </li> <li id="cite_note-21"><span class="mw-cite-backlink"><b><a href="#cite_ref-21">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation news cs1"><a rel="nofollow" class="external text" href="https://www.reuters.com/article/us-emdeon-idUKTRE7733Y720110804">"Blackstone to take Emdeon private for $3 billion"</a>. <i>Reuters</i>. August 4, 2011. <a rel="nofollow" class="external text" href="https://archive.today/20120911124641/http://www.reuters.com/article/2011/08/04/us-emdeon-idUKTRE7733Y720110804">Archived</a> from the original on September 11, 2012<span class="reference-accessdate">. Retrieved <span class="nowrap">April 19,</span> 2018</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=Reuters&rft.atitle=Blackstone+to+take+Emdeon+private+for+%243+billion&rft.date=2011-08-04&rft_id=https%3A%2F%2Fwww.reuters.com%2Farticle%2Fus-emdeon-idUKTRE7733Y720110804&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChange+Healthcare" class="Z3988"></span> Reuters, August 4, 2011</span> </li> <li id="cite_note-22"><span class="mw-cite-backlink"><b><a href="#cite_ref-22">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation news cs1"><a rel="nofollow" class="external text" href="https://dealbook.nytimes.com/2011/08/04/blackstone-to-buy-emdeon-for-3-billion/">"Blackstone to buy Emdeon for $3 Billion"</a>. <i>The New York Times</i>. August 4, 2011. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20180420010716/https://dealbook.nytimes.com/2011/08/04/blackstone-to-buy-emdeon-for-3-billion/">Archived</a> from the original on April 20, 2018<span class="reference-accessdate">. Retrieved <span class="nowrap">April 19,</span> 2018</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=The+New+York+Times&rft.atitle=Blackstone+to+buy+Emdeon+for+%243+Billion&rft.date=2011-08-04&rft_id=https%3A%2F%2Fdealbook.nytimes.com%2F2011%2F08%2F04%2Fblackstone-to-buy-emdeon-for-3-billion%2F&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChange+Healthcare" class="Z3988"></span> DealBook, August 4, 2011.</span> </li> <li id="cite_note-23"><span class="mw-cite-backlink"><b><a href="#cite_ref-23">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="http://www.modernhealthcare.com/article/20120507/NEWS/305079987">"TC3 Health acquired by Emdeon"</a>. 4 October 2010. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20220714155247/https://www.modernhealthcare.com/article/20120507/NEWS/305079987/tc3-health-acquired-by-emdeon">Archived</a> from the original on 14 July 2022<span class="reference-accessdate">. Retrieved <span class="nowrap">19 April</span> 2018</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=unknown&rft.btitle=TC3+Health+acquired+by+Emdeon&rft.date=2010-10-04&rft_id=http%3A%2F%2Fwww.modernhealthcare.com%2Farticle%2F20120507%2FNEWS%2F305079987&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChange+Healthcare" class="Z3988"></span> Modern Healthcare, May 7, 2012.</span> </li> <li id="cite_note-24"><span class="mw-cite-backlink"><b><a href="#cite_ref-24">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://archive.today/20131011231839/http://investors.emdeon.com/phoenix.zhtml?c=230807&p=irol-newsArticle&id=1829401">"Emdeon Acquires Goold Health Systems"</a>. Archived from <a rel="nofollow" class="external text" href="http://investors.emdeon.com/phoenix.zhtml?c=230807&p=irol-newsArticle&id=1829401">the original</a> on 2013-10-11.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=unknown&rft.btitle=Emdeon+Acquires+Goold+Health+Systems&rft_id=http%3A%2F%2Finvestors.emdeon.com%2Fphoenix.zhtml%3Fc%3D230807%26p%3Dirol-newsArticle%26id%3D1829401&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChange+Healthcare" class="Z3988"></span></span> </li> <li id="cite_note-25"><span class="mw-cite-backlink"><b><a href="#cite_ref-25">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation pressrelease cs1"><a rel="nofollow" class="external text" href="http://www.prnewswire.com/news-releases/emdeon-to-acquire-capario-to-enhance-its-revenue-management-platform-264222901.html">"Emdeon to Acquire Capario to Enhance Its Revenue Management Platform"</a>. <i>www.prnewswire.com</i> (Press release). <a rel="nofollow" class="external text" href="https://web.archive.org/web/20160128170746/http://www.prnewswire.com/news-releases/emdeon-to-acquire-capario-to-enhance-its-revenue-management-platform-264222901.html">Archived</a> from the original on 2016-01-28<span class="reference-accessdate">. Retrieved <span class="nowrap">2015-11-08</span></span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=unknown&rft.btitle=Emdeon+to+Acquire+Capario+to+Enhance+Its+Revenue+Management+Platform&rft_id=http%3A%2F%2Fwww.prnewswire.com%2Fnews-releases%2Femdeon-to-acquire-capario-to-enhance-its-revenue-management-platform-264222901.html&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChange+Healthcare" class="Z3988"></span></span> </li> <li id="cite_note-26"><span class="mw-cite-backlink"><b><a href="#cite_ref-26">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFHolly_Fletcher2014" class="citation news cs1">Holly Fletcher (December 15, 2014). <a rel="nofollow" class="external text" href="http://www.tennessean.com/story/money/industries/health-care/2014/12/15/emdeon-buys-payment-platform-alegeus/20443465/">"Emdeon buys payment platform from Alegeus"</a>. <i>Tennessean</i>. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20220714155247/https://www.tennessean.com/story/money/industries/health-care/2014/12/15/emdeon-buys-payment-platform-alegeus/20443465/">Archived</a> from the original on 2022-07-14<span class="reference-accessdate">. Retrieved <span class="nowrap">2017-10-24</span></span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=Tennessean&rft.atitle=Emdeon+buys+payment+platform+from+Alegeus&rft.date=2014-12-15&rft.au=Holly+Fletcher&rft_id=http%3A%2F%2Fwww.tennessean.com%2Fstory%2Fmoney%2Findustries%2Fhealth-care%2F2014%2F12%2F15%2Femdeon-buys-payment-platform-alegeus%2F20443465%2F&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChange+Healthcare" class="Z3988"></span></span> </li> <li id="cite_note-tennesseanalegeus-27"><span class="mw-cite-backlink"><b><a href="#cite_ref-tennesseanalegeus_27-0">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="http://www.tennessean.com/story/money/industries/health-care/2014/12/15/emdeon-buys-payment-platform-alegeus/20443465/">"Emdeon buys payment platform from Alegeus"</a>. <i>The Tennessean</i>. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20220714155247/https://www.tennessean.com/story/money/industries/health-care/2014/12/15/emdeon-buys-payment-platform-alegeus/20443465/">Archived</a> from the original on 2022-07-14<span class="reference-accessdate">. Retrieved <span class="nowrap">2015-11-08</span></span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=The+Tennessean&rft.atitle=Emdeon+buys+payment+platform+from+Alegeus&rft_id=http%3A%2F%2Fwww.tennessean.com%2Fstory%2Fmoney%2Findustries%2Fhealth-care%2F2014%2F12%2F15%2Femdeon-buys-payment-platform-alegeus%2F20443465%2F&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChange+Healthcare" class="Z3988"></span></span> </li> <li id="cite_note-28"><span class="mw-cite-backlink"><b><a href="#cite_ref-28">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.wsj.com/articles/DJFLBO0120150706eb76lg0ty">"Emdeon to Acquire Altegra Health for $910M"</a>. <i><a href="/wiki/The_Wall_Street_Journal" title="The Wall Street Journal">The Wall Street Journal</a></i>. 2015-07-06.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=The+Wall+Street+Journal&rft.atitle=Emdeon+to+Acquire+Altegra+Health+for+%24910M&rft.date=2015-07-06&rft_id=https%3A%2F%2Fwww.wsj.com%2Farticles%2FDJFLBO0120150706eb76lg0ty&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChange+Healthcare" class="Z3988"></span></span> </li> <li id="cite_note-29"><span class="mw-cite-backlink"><b><a href="#cite_ref-29">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation pressrelease cs1"><a rel="nofollow" class="external text" href="http://www.prnewswire.com/news-releases/emdeon-to-acquire-altegra-health-300108906.html">"Emdeon to Acquire Altegra Health"</a>. <i>www.prnewswire.com</i> (Press release). <a rel="nofollow" class="external text" href="https://web.archive.org/web/20151027030154/http://www.prnewswire.com/news-releases/emdeon-to-acquire-altegra-health-300108906.html">Archived</a> from the original on 2015-10-27<span class="reference-accessdate">. Retrieved <span class="nowrap">2015-11-08</span></span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=unknown&rft.btitle=Emdeon+to+Acquire+Altegra+Health&rft_id=http%3A%2F%2Fwww.prnewswire.com%2Fnews-releases%2Femdeon-to-acquire-altegra-health-300108906.html&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChange+Healthcare" class="Z3988"></span></span> </li> <li id="cite_note-30"><span class="mw-cite-backlink"><b><a href="#cite_ref-30">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFDe_Lombaerde2016" class="citation news cs1">De Lombaerde, Geert (June 28, 2016). <a rel="nofollow" class="external text" href="https://www.nashvillepost.com/business/health-care/information-technology/article/20826776/change-mckesson-division-joining-forces">"Change, McKesson division joining forces"</a>. 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Retrieved <span class="nowrap">April 19,</span> 2018</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Change%2C+McKesson+division+joining+forces&rft.date=2016-06-28&rft.aulast=De+Lombaerde&rft.aufirst=Geert&rft_id=https%3A%2F%2Fwww.nashvillepost.com%2Fbusiness%2Fhealth-care%2Finformation-technology%2Farticle%2F20826776%2Fchange-mckesson-division-joining-forces&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChange+Healthcare" class="Z3988"></span></span> </li> <li id="cite_note-31"><span class="mw-cite-backlink"><b><a href="#cite_ref-31">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFO'Donnell2018" class="citation news cs1">O'Donnell, Carl (3 October 2018). <a rel="nofollow" class="external text" href="https://www.reuters.com/article/us-change-health-ipo-idUSKCN1MD2TJ">"McKesson's Change Healthcare hires IPO underwriters: sources"</a>. <i>Reuters</i>. <a rel="nofollow" class="external text" href="https://web.archive.org/web/20190602195156/https://www.reuters.com/article/us-change-health-ipo-idUSKCN1MD2TJ">Archived</a> from the original on 2 June 2019<span class="reference-accessdate">. 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.hlist ul{margin:0;padding:0}.mw-parser-output .hlist dd,.mw-parser-output .hlist dt,.mw-parser-output .hlist li{margin:0;display:inline}.mw-parser-output .hlist.inline,.mw-parser-output .hlist.inline dl,.mw-parser-output .hlist.inline ol,.mw-parser-output .hlist.inline ul,.mw-parser-output .hlist dl dl,.mw-parser-output .hlist dl ol,.mw-parser-output .hlist dl ul,.mw-parser-output .hlist ol dl,.mw-parser-output .hlist ol ol,.mw-parser-output .hlist ol ul,.mw-parser-output .hlist ul dl,.mw-parser-output .hlist ul ol,.mw-parser-output .hlist ul ul{display:inline}.mw-parser-output .hlist .mw-empty-li{display:none}.mw-parser-output .hlist dt::after{content:": "}.mw-parser-output .hlist dd::after,.mw-parser-output .hlist li::after{content:" · ";font-weight:bold}.mw-parser-output .hlist dd:last-child::after,.mw-parser-output .hlist dt:last-child::after,.mw-parser-output .hlist li:last-child::after{content:none}.mw-parser-output .hlist dd dd:first-child::before,.mw-parser-output .hlist dd dt:first-child::before,.mw-parser-output .hlist dd li:first-child::before,.mw-parser-output .hlist dt dd:first-child::before,.mw-parser-output .hlist dt dt:first-child::before,.mw-parser-output .hlist dt li:first-child::before,.mw-parser-output .hlist li dd:first-child::before,.mw-parser-output .hlist li dt:first-child::before,.mw-parser-output .hlist li li:first-child::before{content:" (";font-weight:normal}.mw-parser-output .hlist dd dd:last-child::after,.mw-parser-output .hlist dd dt:last-child::after,.mw-parser-output .hlist dd li:last-child::after,.mw-parser-output .hlist dt dd:last-child::after,.mw-parser-output .hlist dt dt:last-child::after,.mw-parser-output .hlist dt li:last-child::after,.mw-parser-output .hlist li dd:last-child::after,.mw-parser-output .hlist li dt:last-child::after,.mw-parser-output .hlist li li:last-child::after{content:")";font-weight:normal}.mw-parser-output .hlist ol{counter-reset:listitem}.mw-parser-output .hlist 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abbr{font-variant:small-caps;border-bottom:none;text-decoration:none;cursor:inherit}.mw-parser-output .navbar-ct-full{font-size:114%;margin:0 7em}.mw-parser-output .navbar-ct-mini{font-size:114%;margin:0 4em}html.skin-theme-clientpref-night .mw-parser-output .navbar li a abbr{color:var(--color-base)!important}@media(prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .navbar li a abbr{color:var(--color-base)!important}}@media print{.mw-parser-output .navbar{display:none!important}}</style><div class="navbar plainlinks hlist navbar-mini"><ul><li class="nv-view"><a href="/wiki/Template:Nashville_companies" title="Template:Nashville companies"><abbr title="View this template">v</abbr></a></li><li class="nv-talk"><a href="/wiki/Template_talk:Nashville_companies" title="Template talk:Nashville companies"><abbr title="Discuss this template">t</abbr></a></li><li class="nv-edit"><a href="/wiki/Special:EditPage/Template:Nashville_companies" title="Special:EditPage/Template:Nashville companies"><abbr title="Edit this template">e</abbr></a></li></ul></div><div id="Major_corporations_headquartered_in_the_Nashville_metropolitan_area" style="font-size:114%;margin:0 4em">Major corporations headquartered in the <a href="/wiki/Nashville_metropolitan_area" title="Nashville metropolitan area">Nashville metropolitan area</a></div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/New_York_Stock_Exchange" title="New York Stock Exchange">NYSE listed</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/AllianceBernstein" title="AllianceBernstein">AllianceBernstein</a></li> <li><a href="/wiki/Brookdale_Senior_Living" title="Brookdale Senior Living">Brookdale Senior Living</a></li> <li><a href="/wiki/Community_Health_Systems" title="Community Health Systems">Community Health Systems</a></li> <li><a href="/wiki/CoreCivic" title="CoreCivic">CoreCivic</a></li> <li><a href="/wiki/Delek_US" title="Delek US">Delek US</a></li> <li><a href="/wiki/Dollar_General" title="Dollar General">Dollar General</a></li> <li><a href="/wiki/Genesco" title="Genesco">Genesco</a></li> <li><a href="/wiki/HCA_Healthcare" title="HCA Healthcare">HCA Healthcare</a></li> <li><a href="/wiki/Louisiana-Pacific" title="Louisiana-Pacific">Louisiana-Pacific</a></li> <li><a href="/wiki/Ryman_Hospitality_Properties" title="Ryman Hospitality Properties">Ryman Hospitality Properties</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Nasdaq" title="Nasdaq">Nasdaq listed</a></th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Acadia_Healthcare" title="Acadia Healthcare">Acadia Healthcare</a></li> <li><a href="/wiki/Ardent_Health_Services" title="Ardent Health Services">Ardent Health Services</a></li> <li><a class="mw-selflink selflink">Change Healthcare</a></li> <li><a href="/wiki/Clover_Health" title="Clover Health">Clover Health</a></li> <li><a href="/wiki/Cracker_Barrel" title="Cracker Barrel">Cracker Barrel</a></li> <li><a href="/wiki/Harrow_Health" title="Harrow Health">Harrow Health</a></li> <li><a href="/wiki/Kaiser_Aluminum" title="Kaiser Aluminum">Kaiser Aluminum</a></li> <li><a href="/wiki/Pinnacle_Financial_Partners" title="Pinnacle Financial Partners">Pinnacle Financial Partners</a></li> <li><a href="/wiki/Tractor_Supply_Company" title="Tractor Supply Company">Tractor Supply Company</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/NYSE_American" title="NYSE American">NYSE American listed</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/National_Healthcare" title="National Healthcare">National Healthcare</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Major private companies</th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Advance_Financial" title="Advance Financial">Advance Financial</a></li> <li><a href="/wiki/Asurion" title="Asurion">Asurion</a></li> <li><a href="/wiki/CKE_Restaurants" title="CKE Restaurants">CKE Restaurants</a></li> <li><a href="/wiki/Envision_Healthcare" title="Envision Healthcare">Envision Healthcare</a></li> <li><a href="/wiki/Gibson_Brands" class="mw-redirect" title="Gibson Brands">Gibson Brands</a></li> <li><a href="/wiki/HireRight" title="HireRight">HireRight</a></li> <li><a href="/wiki/Ingram_Industries" title="Ingram Industries">Ingram Industries</a></li> <li><a href="/wiki/LifePoint_Health" title="LifePoint Health">LifePoint Health</a></li> <li><a href="/wiki/Tivity_Health" title="Tivity Health">Tivity Health</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Law firms</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Waller_Lansden_Dortch_%26_Davis" title="Waller Lansden Dortch & Davis">Waller Lansden Dortch & Davis</a></li></ul> </div></td></tr></tbody></table></div> <!-- NewPP limit report Parsed by mw‐web.codfw.main‐f69cdc8f6‐f4smn Cached time: 20241122151900 Cache expiry: 722476 Reduced expiry: true Complications: [vary‐revision‐sha1, show‐toc] CPU time usage: 0.665 seconds Real time usage: 0.768 seconds Preprocessor visited node count: 4640/1000000 Post‐expand include size: 133128/2097152 bytes Template argument size: 5407/2097152 bytes Highest expansion depth: 28/100 Expensive parser function count: 4/500 Unstrip recursion depth: 1/20 Unstrip post‐expand size: 216212/5000000 bytes Lua time usage: 0.406/10.000 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