Canjin Kiwon Lafiya

**Canjin Kiwon Lafiya** (wanda aka sani da **Emdeon** kafin sake fasalinsa a cikin 2015, wanda ya biyo bayan sayen Canjin Kiwan Lafiya) mai ba da kudaden shiga ne da kuma gudanar da tsarin biyan kuɗi wanda ke haɗa masu biyan kuɗi, masu ba da sabis, da marasa lafiya a cikin Tsarin kiwon lafiya na Amurka. Sunan kuma yana nufin kamfani da aka kafa a 2007 wanda daga baya ya zama wani ɓangare na ƙungiyar yanzu. Kamfanin yana gudanar da musayar bayanai mafi girma na kudi da gudanarwa a Amurka.

Kamfanin yana da hedkwata a Nashville, Tennessee, tare da ƙarin wurare sama da 89 a duk faɗin Amurka, Kanada, New Zealand, Isra'ila, Taiwan, Burtaniya, da Philippines.

## Tarihi

### Canjin Kiwon Lafiya (2007)
An kafa kamfani mai suna Change Healthcare a cikin 2007 kuma yana zaune a Brentwood, Tennessee. Kamfanin ya ba da haɗin gwiwar masu amfani da kiwon lafiya [yana buƙatar bayani] da kuma tsarin kiwon lafiya yana da kayan aiki na gaskiya ga tsare-tsaren kiwon lafiya da manyan ma'aikata masu inshora,  a duk faɗin Amurka.  Christopher Parks da Robert Hendrick ne suka kafa kamfanin  tare da mafita mai amfani da ake kira MedBillManager . A watan Janairun shekara ta 2010, kamfanin ya mayar da hankali ga kasuwar kasuwanci zuwa kasuwanci kuma ya ƙaddamar da Tsarin Zaɓin Kiwon Lafiya.

A watan Afrilu na shekara ta 2011, Howard McLure,  tsohon shugaban CVS Caremark, ya fito daga ritaya don jagorantar Change Healthcare a matsayin shugaban da Shugaba. Doug Ghertner  ya shiga kamfanin a matsayin shugaban kasa a watan Yulin 2011; kafin wannan, ya kula da sabbin kayayyaki da gudanarwa a CVS Caremark kuma ya kasance babban mataimakin shugaban kasa.

A watan Disamba na shekara ta 2011, Change Healthcare ta rufe zagaye na kudi, karkashin jagorancin Sandbox Industries, BlueCross BlueShield Venture Partners, da Asusun Zuba Jari na Lafiya ta Yamma. A watan Satumbar 2012, an kara Ghertner zuwa shugaban kasa da Shugaba, kuma McLure ya ɗauki matsayin shugaban zartarwa.

A watan Yulin 2013, Change Healthcare ya rufe a zagaye na Series D tallafi. HLM Venture Partners ne suka jagoranta, kuma sun hada da sabon mai saka hannun jari Noro-Moseley Partners, sun ba da dala miliyan 15 a cikin kamfanin. A watan Yulin 2013, an kira Canjin Kiwon Lafiya daya daga cikin "100 Mafi Kyawun Wuraren Aiki a Kiwon Lafiyar."

### Emdeon
Har zuwa watan Agustan shekara ta 2005, Emdeon ta yi aiki a karkashin sunan Kamfanin WebMD (NASDAQ: HLTH). An canza sunan zuwa Emdeon don kauce wa rikicewa tare da mataimakinsa na WebMD, wanda ya fara ciniki na jama'a a ƙarƙashin alamar WBMD a watan Satumbar 2005. 

A watan Mayu na shekara ta 2009, kamfanin ya sami The Sentinel Group, mai sayar da software da ayyukan bincike don yaki da zamba na kiwon lafiya. A watan Janairun 2010, kamfanin ya sami FutureVision Investment Group, LLC (FVTech), mai ba da sabis na waje wanda ke ƙwarewa a cikin jujjuyawar bayanai na lantarki da mafita na sarrafa bayanai. A watan Maris na shekara ta 2010, kamfanin ya sami sabis na kula da fasahar kiwon lafiya, Inc. (HTMS), kamfani mai ba da shawara kan gudanarwa wanda ya fi mayar da hankali kan kasuwar masu biyan kiwon lafiya. A watan Yunin 2010, kamfanin ya sami Chapin Revenue Cycle Management, LLC (Chapin), mai ba da damar fasaha na asusun da za a iya karɓa da sabis na dawowa. A watan Agustan shekara ta 2010, kamfanin ya sami Interactive Payer Network (IPN), mai ba da sabis na fasaha wanda ke aiki a matsayin abokin tarayya na waje don musayar bayanan lantarki na kiwon lafiya na HIPAA (EDI).  A watan Oktoba na shekara ta 2010, kamfanin ya sami Chamberlin Edmonds & Associates, Inc. (CEA), mai ba da damar fasaha na cancantar shirin gwamnati da ayyukan rajista. A watan Mayu na shekara ta 2011, kamfanin ya sami EquiClaim, mai ba da binciken kiwon lafiya da sabis na farfadowa ga masu biyan kuɗi na kasuwanci da na gwamnati, daga MultiPlan, Inc.

A watan Agustan shekara ta 2011, Kungiyar Blackstone Group ta dauki Emdeon Inc. mai zaman kanta don dala biliyan 3.  Kyautar Blackstone na $ 19 a kowace hannun jari ta Emdeon ta goyi bayan kudade daga Bankin Amurka Merrill Lynch, Barclays Capital da Citigroup. Kasuwancin Emdeon ya tsallake 13.6% da safe bayan sayen. Kasuwanci ya karu da kashi 31% a cikin shekara kafin sanarwar.

A watan Mayu na shekara ta 2012, kamfanin ya sami TC3 Health, mai ba da ƙuntata farashin, gami da amincin biyan kuɗi da kuma kula da farashin da'awar, ga masu biyan kiwon lafiya na Amurka. A watan Yunin 2013, kamfanin ya sami Gold Health Systems, ƙungiyar kula da kiwon lafiya wacce ke ƙwarewa wajen samar da fa'idar kantin magani da ayyukan da suka danganci hukumomin Medicaid na Jiha a duk faɗin ƙasar. A watan Yulin 2014, kamfanin ya sami Capario, mai ba da fasahar kiwon lafiya.

A watan Nuwamba na shekara ta 2014, Emdeon ta sayi Change Healthcare da dala miliyan 135. A watan Nuwamba 2015 Emdeon ya sake sanya shi a hukumance don ɗaukar sunan Change Healthcare.

A watan Disamba na shekara ta 2014, kamfanin ya sami AdminiSource Communications, Inc.. A watan Agustan 2015, kamfanin ya sami Altegra Health, mai ba da fasaha da dandamali na shiga tsakani waɗanda suka haɗu da tattara bayanai da nazari tare da shiga cikin memba da damar bayar da rahoto.

A watan Yunin 2016, McKesson Corporation da Change Healthcare Holdings, Inc., sun ba da sanarwar kirkirar sabon kamfanin kiwon lafiya wanda ya haɗu da duk kasuwancin Change Healthcare tare da mafi yawan sashin fasahar McKesson. McKesson ya mallaki kusan kashi 70% na sabon kamfanin, tare da sauran hannun jari da masu mallakar Change Healthcare suka riƙe. Sabon kamfanin ya ci gaba da kiransa Change Healthcare . 

A watan Oktoba na shekara ta 2018, an ruwaito cewa Kamfanin Kula da Lafiya na Canji ya hayar masu biyan kuɗi da bankunan saka hannun jari don bayar da tallace-tallace na farko na jama'a na 2018/2019. A ranar 27 ga Yuni, 2019, Change Healthcare Inc. ta fara ciniki a kan musayar hannun jari na NASDAQ tare da alamar hannun jari CHNG, tana ba da hannun jari miliyan 49.2 a farashin $ 13 a kowace hannun jari kuma tana tara fiye da dala miliyan 640 a cikin IPO.

A watan Disamba na shekara ta 2018, Change Healthcare ta sami dukiyar ilimi da sauran mahimman kadarori, gami da ma'aikata, na kula da kiwon lafiya na IT na Charleston PokitDok . 

A watan Janairun 2021, sashin OptumInsight na UnitedHealth Group ya amince da samun Change Healthcare a cikin yarjejeniyar da ta kai dala biliyan 13, gami da ɗaukar dala biliyan 5 na bashin na baya. Bayan jinkiri saboda binciken mai kula, an rufe sayen a ranar 3 ga Oktoba, 2022.

### Harin Intanet na 2024
A ranar 21 ga Fabrairu, 2024, wani hari na yanar gizo ya buge kamfanin wanda ya hana biyan kuɗi ga likitoci a dandalin. A sakamakon harin, UnitedHealth Group ba za ta iya aiwatar da biyan kuɗi na lantarki da da'awar kiwon lafiya ba, wanda ya haifar da rushewa mai yawa.[2] An tilasta wa marasa lafiya su biya yawancin magungunan su daga aljihu maimakon amfani da takardar shaidar magani ko takardar shaidarsa.[3] Yawancin masu ba da kiwon lafiya sun yi iƙirarin rasa kudaden shiga masu yawa sakamakon rushewar, har zuwa dala miliyan 100 a kowace rana,  suna barazana ga mutane da yawa da rashin biyan kuɗi. A sakamakon harin yanar gizo, HHS ta bude bincike kan kare hakkin bil'adama game da damuwa game da sirrin mai haƙuri.

A ranar 22 ga Fabrairu, 2024, UnitedHealth Group ta gabatar da sanarwa ga Hukumar Tsaro da Musayar da ke nuna cewa "wani mai ba da barazanar tsaro ta yanar gizo da ke da alaƙa da kasa" ya sami damar shiga tsarin fasahar fasahar sadarwa ta Change Healthcare. Bayan shigarwar farko ta UnitedHealth Group, CVS Health, Walgreens, Publix, GoodRX, da BlueCross BlueShield na Montana sun ba da rahoton rushewa a cikin ikirarin inshora. Harin yanar gizo ya shafi kantin magani na iyali da kantin magani da na soja, gami da Asibitin Naval Camp Pendleton .  Kamfanin kiwon lafiya na Athenahealth ya shafi, a cewar *Forbes*.

A ranar 29 ga Fabrairu, 2024, UnitedHealth Group ta tabbatar da cewa wani dan wasan barazanar aikata laifuka ne ya kai harin ransomware wanda... ya wakilci kansa ga [kamfanin] a matsayin ALPHV / Blackcat. " A cikin wannan sabuntawa, kamfanin ya bayyana cewa yana "yi aiki tare da tilasta bin doka da manyan masu ba da shawara na ɓangare na uku, Mandiant da Palo Alto Networks" don magance lamarin.

A ranar 4 ga Maris, 2024, Reuters ta ba da rahoton cewa an biya kuɗin bitcoin daidai da kusan dala miliyan 22 ga wani walat din cryptocurrency "wanda ke da alaƙa da ALPHV. " UnitedHealth ba ta yi sharhi game da biyan kuɗi ba, a maimakon haka ta bayyana cewa kungiyar "ta mai da hankali kan bincike da dawowa".  A wannan rana, Wired ta bayyana cewa ma'amala ta yi kama da "kamar babban biyan fansa". 

Ya zuwa ranar 18 ga Maris, 2024, UnitedHealth Group ta ci gaba da biyan kuɗi sama da dala biliyan 2 don taimakawa masu ba da kiwon lafiya da harin tsaro na yanar gizo ya shafa. Bugu da kari, an dawo da wasu ayyuka ciki har da dandalin sarrafa biyan kuɗi na Change Healthcare da cibiyar sadarwar kantin magani.

#### Amsa
A ranar 1 ga Maris, 2024, sashen Optum na UnitedHealth Group ya ƙaddamar da Shirin Taimako na Tattalin Arziki na Lokaci don taimakawa wajen kawar da rata a cikin buƙatun kwararar kuɗi na ɗan gajeren lokaci ga masu ba da sabis waɗanda suka karɓi biyan kuɗi daga masu biyan kuɗi waɗanda Change Healthcare ta sarrafa. Ƙungiyar Asibitocin Amirka (AHA) ta bayyana cewa shirin "ba ma taimakon band ba ne" a kan matsalolin biyan kuɗi da kamfanin ya gano, yana ambaton sharuɗɗan da sharuɗɗen da suka haɗa da ikon Optum na dawo da kudade "nan da nan kuma ba tare da sanarwa ba," da kuma "canja yarjejeniyar kawai ta hanyar bayar da sanarwa.

A ranar 5 ga Maris, 2024, Ma'aikatar Lafiya da Ayyukan Dan Adam ta Amurka ta ba da sanarwar "rashin daidaituwa" na kudi ga asibitocin da harin ya shafa. Kungiyar Asibitocin Amurka (AHA) ta soki wadannan matakan, tana mai cewa sassaucin da aka gabatar "ba isasshen martani na gwamnati ba ne".

A ranar 12 ga Maris, 2024, Shugaba na UnitedHealth Andrew Witty ya kira shi zuwa wani taro da gwamnatin Biden ta yi, a lokacin da Sakataren HHS Xavier Becerra da shugaban manufofin cikin gida na White House Neera Tanden suka bukaci Witty da sauran mambobin jagorancin UHG da su kara yawan kudaden da ke akwai ga masu samar da kudade waɗanda aka yi tasiri ta hanyar doguwar katsewa. Masu ba da kiwon lafiya daga ko'ina cikin bangaren suma sun halarci kuma sun nuna damuwarsu game da tasirin kudi da ke gudana na canjin cyberattack. 

Ya zuwa ranar 16 ga Afrilu, 2024, UnitedHealth Group ta ci gaba da biyan kuɗi sama da dala biliyan 6 don taimakawa masu ba da kiwon lafiya da harin tsaro na yanar gizo ya shafa.

## Bayanan da aka ambata