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Streamlining Center of Excellence Provider Network Development in Record Time

Clarify Health

CoEs can be established by a variety of entities, including healthcare organizations, medical institutions, government agencies, and sometimes private entities. 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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What if Bill Clinton & Ronald Reagan Had Debates Universal Government Funded Healthcare? A Fictional Debate Portrayal.

Pharma Marketing Network

Bill Clinton: My fellow Americans, I stand here today to argue in favor of universal government-funded healthcare. Furthermore, universal government-funded healthcare would help to level the playing field for all Americans, regardless of their socioeconomic status. Ronald Reagan: My fellow Americans, I must disagree with my colleague.

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Webinar recap: How Cigna is Innovating their Network Design Process

Clarify Health

On December 16th, we hosted an AHIP webinar discussion about how Cigna is innovating their network design process for market expansion. Austin has spent the last eight years at Cigna with responsibility for medical economics and analytics, leading the transformation of data and analytics for their government business segment.

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Five Ways ASCs Can Use Price Transparency to Strengthen Their Market Position

Clarify Health

As both government and commercial payers direct a greater share of volume to out-patient facilities and patient demand for same-day service increases, opportunity and competition in the ambulatory surgical center (ASC) space are increasing.

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Health system leaders: Referral optimization needs to be part of your value strategy

Clarify Health

Health systems are increasingly being measured on quality metrics by payers seeking to tailor narrow networks and by consumer preferences driven by Leapfrog and the Centers for Medicare & Medicaid Services (CMS) Star Ratings. Network inclusion is as important as provider network integrity. Strengthening physician alignment.

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Health system leaders: Referral optimization needs to be part of your value strategy

Clarify Health

Health systems are increasingly being measured on quality metrics by payers seeking to tailor narrow networks and by consumer preferences driven by Leapfrog and the Centers for Medicare & Medicaid Services (CMS) Star Ratings.

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What health plans should know about healthcare price transparency

Clarify Health

No surprise billing: A breakdown of the key requirements and deadlines in the No Surprises Act The No Surprises Act aims to protect patients from receiving “surprise” (or unexpected) medical bills from a healthcare provider or facility after inadvertently receiving care from an out-of-network provider.