Competition Insurance Leads Networking 
Clarify Health
JUNE 29, 2023
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.
Clarify Health
DECEMBER 12, 2023
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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Clarify Health
SEPTEMBER 5, 2023
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.
Clarivate
DECEMBER 19, 2022
Whenever a health insurer partners with retail giant Walmart, it has the ability to shake up the market. For 2023 Medicare Advantage open enrollment, the United States’ largest retailer will begin a 10-year partnership with the nation’s largest insurer. Walmart’s footprint gives UnitedHealth an edge in the race to scale up.
Clarify Health
OCTOBER 17, 2023
How health insurance companies use outcomes data Outcomes data is more than just numbers; it’s a roadmap for continuous improvement and innovation. Leveraging outcomes data for quality improvement Payers can leverage outcomes data as a valuable tool to assess the quality of care provided by healthcare providers in their network.
Clarify Health
NOVEMBER 22, 2023
This increase can be attributed to many things, including an aging population, the increasing prevalence of chronic conditions, and greater access to care stemming from expanded insurance coverage. The diminished market competition resulting from mergers is at the forefront of those concerns.
Clarify Health
FEBRUARY 8, 2022
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. Moreover, health plans will be utilizing the increased pricing and performance insights for network design and negotiations.
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