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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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How TPAs Can Use Network Design as a Competitive Advantage

Clarify Health

Finding and maintaining affordable healthcare plans is challenging for businesses that lack the expertise and resources to navigate a complicated landscape. That’s why organizations are turning to third-party administrators (TPAs), licensed entities that help administer healthcare benefits for self-funded plans.

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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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Network Optimization Strategies for Payers: A Look at Provider Network Adequacy

Clarify Health

A well-balanced and adequately resourced provider network is a strategic asset for payers in the highly competitive healthcare insurance market. When looking to optimize, it is critical to ensure network adequacy or the provider network’s ability to meet the healthcare needs of an insured population.

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Unleashing the Power of Healthcare Data Analytics in Health Plan Network Design

Clarify Health

The transformative capacity of data analytics is shaping the future of healthcare, driving new levels of efficiency, effectiveness, and patient-centric care. The Role of Data Analytics in Health Plan Network Design In the context of health plan network design, data analytics offers the potential for a seismic shift in our approach.

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Using Predictive Analytics to Accelerate Time to Market in Healthcare

Clarify Health

In the business of healthcare, time is of the essence. Health plans and care delivery organizations face steep competition for customers and patients, so it’s essential to move swiftly to gain customer loyalty and market share when launching a new health plan or service line. But, as the saying goes, only fools rush in.

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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.