Change Healthcare Operations, LLC

Change Healthcare Operations, LLC, doing business as Change Healthcare, is a Nashville-based subsidiary of Change Healthcare Holdings, Inc. that delivers healthcare claims processing, pharmacy switching, electronic data interchange (EDI), and revenue cycle management services to federal health agencies as a prime contractor on unrestricted (full-and-open) procurements. The vendor does not compete under socioeconomic set-asides; all recent awards carry no set-aside designation.

Change Healthcare's federal footprint is heavily concentrated within the Indian Health Service, which accounts for 323 of 359 total awards (90% of recent award count) across a $11.3 million combined potential value, though the actual dollar concentration is much lower. The vendor holds a more substantial dollar relationship with the Department of Veterans Affairs, where two IDIQs and multiple delivery orders carry a combined potential value of $435.9 million. The top three customers by potential value are the VA Headquarters (2 awards, $125.5 million), VA Technology Acquisition Center Austin (13 awards, $61.1 million), and the VA overall structure ($435.9 million), reflecting Change Healthcare's anchor position on the VA's $350 million Electronic Data Interchange and paper-to-electronic (P2E) transaction services IDIQ awarded July 1, 2024, through November 30, 2033. A second VA IDIQ valued at $125.5 million also anchors the portfolio. On the IHS side, the vendor holds a $111,282.10 single-award Blanket Purchase Agreement for pharmacy claims switching services under the GSA Multiple Award Schedule, from which dozens of task orders have been issued for pharmacy switching, claims processing, insurance verification, and billing services across multiple IHS facilities and service units nationwide.

The vendor's capability portfolio centers on healthcare-specific transaction processing: pharmacy claims switching (routing and processing pharmacy claims electronically from IHS pharmacies and VA facilities to third-party payers), EDI processing and paper-to-electronic conversion (managing batch and real-time HIPAA ASC X12N transactions, converting paper healthcare claims to electronic formats, and processing millions of monthly transactions), and third-party billing and clearinghouse services for revenue cycle management. Representative prime awards include the $350 million VA EDI P2E Services IDIQ (July 2024, single-award, through November 2033), a $2.265 million VA Technology Acquisition Center delivery order for revenue transaction support services (April 2026), a $111,282.10 IHS BPA for pharmacy claims switching (March 2023, single-award, through February 2028), a $396,366.25 IHS delivery order for pharmacy claims switching across North Dakota and South Dakota IHS facilities (April 2026), and a $163,754.29 IHS purchase order for third-party revenue management cycle clearinghouse services (February 2026). Recent activity has remained relatively flat across 2022–2026, with 8 to 15 awards per year and a slight uptick to 13 awards in 2026. The vendor faces a moderate recompete cliff of $22.2 million in potential value from 18 awards completing within the next twenty-four months.

Change Healthcare operates primarily through the GSA Multiple Award Schedule (MAS), which accounts for 191 task orders and $28.3 million in combined potential value, and the GSA Information Technology Schedule 70 (79 task orders, $714 thousand). The vendor holds seats on multiple single-award IDIQs with IHS for pharmacy claims switching, clearing house services, and claims processing (three BPAs totaling roughly $486 thousand in ceiling value combined). On the VA side, the two large IDIQs ($350 million for EDI P2E and $125.5 million for associated services) are the primary vehicles, with delivery orders flowing throughout the performance periods.

Change Healthcare's federal service contract activity, as captured in the Service Contract Inventory for fiscal years 2022–2024, shows SCI-reportable invoiced revenue of $4.4 million across prime contracts ($2.1 million in FY2022, $1.3 million in FY2023, and $1 million in FY2024). The SCI dataset reflects a workforce of roughly 5.4 FTEs across 2022 and 2023, declining to 2.1 FTEs in FY2024 on prime records. On federal services contracts captured in SCI, government-paid hourly rates median around $196/hr, with a range from approximately $116/hr at the 10th percentile to $585/hr at the 90th percentile, reflecting a mix of technical and specialized healthcare IT labor. The vendor performs work directly without reliance on subcontractors across SCI-reportable prime contracts (0% average sub-hours share). Change Healthcare operates as a 100% prime contractor in recent federal awards; no sub-award activity appears in the award portfolio.