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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. to 30% of the time.

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How health plans can leverage competitive intelligence data today to drive impact in 2024

Clarify Health

The strategic use of competitive intelligence data is increasingly becoming a crucial factor for healthcare payers looking to make informed decisions around strategic market expansion and strengthen their market position.

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Powering network negotiations with on-demand rate intelligence for providers

Clarify Health

2021 launched a new era for healthcare price transparency. In January 2021, the Healthcare Price Transparency Act went into effect, requiring hospitals to publish their cash pay rates and rates negotiated with health insurance companies.

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How payers can use outcomes data to enhance care and member experience

Clarify Health

This data can help payers identify high-performing providers, allocate resources more effectively, and ultimately improve the overall health and satisfaction of their members while controlling costs. Provider network management Outcomes data also empowers health plans to build and maintain a network of high-quality providers.

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Navigating the requirements of the No Surprises Act: A guide for payers

Clarify Health

The rule aims to protect patients by establishing rules for out-of-network care and promoting transparency in healthcare pricing. Its provisions are designed to prevent patients from being caught off guard by exorbitant bills and provide avenues for resolving billing disputes. In the U.S., To help remedy this problem, the U.S.

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Five IDNs to watch in 2023

Clarivate

In a fiercely competitive U.S. healthcare provision landscape, integrated delivery networks, or IDNs, are differentiating their offerings by adding outpatient treatment centers, pursuing National Cancer Institute designations and investing in value-based care. Christopher Silva, Senior Healthcare Research Analyst.

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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.