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How TPAs Can Use Network Design as a Competitive Advantage

Clarify Health

from 2023 to 2032 , highlighting a growing demand in today’s business landscape—but also underscoring the need for TPAs in healthcare to distinguish themselves from competitors to attract clients and ensure their ongoing success. Networks must be accessible to all employees and adequate for their needs.

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Clarify Health and Ideon Partner to Build Stronger, More Competitive Health Plan Networks

Clarify Health

Clarify Health is leveraging Ideon, the industry’s most accurate and comprehensive provider-network data solution, to improve health plan management, lower costs and promote high-quality healthcare. Health plans can use this intelligence to expedite their decision-making processes for network modeling and optimization.

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Three Strategies to Optimize Healthcare Provider Networks in New and Existing Markets

Clarify Health

Optimizing provider networks is the number one way to do so. Provider networks are the primary tool for health plans to attract and retain new members while optimizing returns. This makes network design a key factor in any member retention strategy. Payers are constantly looking to improve member outcomes while lowering costs.

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Streamlining Center of Excellence Provider Network Development in Record Time

Clarify Health

According to a 2023 Business Group on Health report , one of the top healthcare benefit investment areas for employers is around centers of excellence. Behind the benefits administrator’s comprehensive CoE experience for each patient is extensive research to identify and understand the clinical quality of providers in their network.

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Goodbye 2023, Hello 2024!

Contrarian Sales Techniques

Reflecting on 2023 2023 has been a year like no other. Highlights of the Year 2023 has been a transformative year in the world of sales, marked by significant advancements and innovations. The Power of Adaptability : If there's one thing 2023 has taught us, it's the importance of adaptability in sales.

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Nine for 2023, part three: thriving or surviving?

pharmaphorum

In this final instalment of IQVIA EMEA Thought Leadership’s Nine for 2023 three-part series, focusing on issues that will change the direction of healthcare and the pharmaceutical industry this year, three key competitive issues for pharmaceutical companies in 2023 are assessed.

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UnitedHealth-Walmart partnership heats up U.S. Medicare provider competition

Clarivate

For 2023 Medicare Advantage open enrollment, the United States’ largest retailer will begin a 10-year partnership with the nation’s largest insurer. The partnership dovetails with Walmart Health’s plans for 15 new Florida clinics across the Jacksonville, Orlando and Tampa markets by the end of 2023.