Change Healthcare Operations, LLC

Change Healthcare Operations, LLC Change Healthcare Division, doing business as Change Healthcare, operates as a prime contractor delivering healthcare claims processing, pharmacy switching, and electronic data interchange services to federal health agencies on a full-and-open basis across the GSA Multiple Award Schedule and single-award indefinite delivery contracts and blanket purchase agreements. The vendor is a for-profit limited liability company headquartered in Eden Prairie, Minnesota (with Nashville, Tennessee operations), and is a subsidiary of Change Healthcare Holdings, Inc., a for-profit corporate parent. Change Healthcare competes exclusively as a prime contractor (100% of recent awards) with no socioeconomic set-aside designations across its federal footprint.

Change Healthcare's concrete service portfolio centers on healthcare revenue cycle management and transaction processing. The vendor delivers pharmacy claims switching (electronic routing and processing of pharmaceutical claims through third-party drug plans), third-party billing and clearinghouse services, electronic data interchange processing compliant with HIPAA ASC X12N standards, insurance verification and eligibility determination, point-of-sale transaction processing, and related claims adjudication support. Recent representative work includes a $350 million single-award indefinite delivery contract with the Department of Veterans Affairs for Electronic Data Interchange and paper-to-electronic transaction services running through November 2033, with a $85.9 million delivery order issued July 1, 2024; a $2.27 million delivery order from the VA Technology Acquisition Center for revenue transaction support services (May 2025 award); and a $257,382 delivery order from the Indian Health Service for pharmacy claims switching at multiple IHS healthcare facilities nationwide under the GSA Multiple Award Schedule (July 2026 award).

Customer concentration is extreme. The Indian Health Service dominates by award count (325 awards of 362 total, 97% coverage), though dollar concentration differs substantially. By combined potential value, the Department of Veterans Affairs anchors the footprint with $435.9 million across two awards—chiefly the $350 million EDI P2E IDIQ—while the VA's Technology Acquisition Center contributes an additional $41.1 million across twelve delivery orders, together dwarfing the Indian Health Service's $11.6 million in combined potential value. The Indian Health Service work consists primarily of small delivery orders and BPA calls under standing multiple-award-schedule relationships, while the VA portfolio includes the massive $350 million single-award IDIQ and several $2+ million delivery orders.

Change Healthcare holds position on the GSA Multiple Award Schedule (194 task orders, $28.6 million combined potential value), Information Technology Schedule 70 (79 task orders, $714 thousand), and several IHS single-award blanket purchase agreements: one valued at $350,000 for pharmacy claims switching and claims processing (April 1, 2026 award, through January 12, 2031), one at $120,000 for Phoenix-area pharmacy switching services (January 22, 2026 award), and one at $111,282.10 for nationwide pharmacy claims switching (March 1, 2023 award, through February 29, 2028). The vendor also holds the $350 million VA EDI P2E Services indefinite delivery contract (July 1, 2024 award, through November 30, 2033).

Activity has remained relatively stable across the past five fiscal years—eleven to fifteen awards annually from 2022 through 2026—with fifteen awards in the most recent period (2026 year-to-date). Fifteen awards carrying $22.1 million in combined potential value reach ultimate completion within the next twenty-four months and face recompete exposure. SCI-reported invoiced revenue across federal service contracts above the $150,000 reporting threshold totaled $25.1 million across FY2022–FY2025, with a notably concentrated spike: FY2025 invoicing reached $20.6 million across 2.2 FTEs, compared to $1 million across 2.1 FTEs in FY2024. On SCI-reportable federal services contracts, government-paid hourly rates span a median of $196.38 per hour, with the 10th percentile at $115.75 per hour and the 90th percentile at $585.33 per hour. The vendor self-performed all SCI-reported work with zero subcontractor engagement across prime contracts.

The vendor's named work at IHS is granular and geographically distributed across multiple service units, tribal health centers, and regional facilities—including Pine Ridge, Kyle, Wanblee, and Lower Brule in South Dakota; Belcourt and other North Dakota locations; Shiprock and Zuni in New Mexico; Phoenix-area facilities in Arizona; and service units across Washington, Minnesota, Oklahoma, and Kansas—reflecting IHS's nationwide healthcare delivery footprint. This dispersed delivery model, paired with massive single-award VA contract concentration and zero visible sub-engagement, characterizes Change Healthcare as a primarily self-staffed prime contractor optimized for large federal healthcare revenue cycle and transaction processing operations.