Clarify Health

FEBRUARY 15, 2023

Ashley Tidd partners with payers and provider groups to help them utilize healthcare analytics to increase their competitive footprints in existing markets and expand into new markets as quickly and efficiently as possible. Video transcript: The traditional process for designing and optimizing provider networks is ripe for innovation.

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Clarify Health

JULY 8, 2021

Network design is of central importance to health plans. An efficient and effective network must be competitive to attract members and retain them by meeting their needs with high-value providers. They needed to answer these questions: How do we build geography-specific, high-performing networks at scale?

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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. payer marketplace, please visit us here.

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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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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.

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Clarify Health

JUNE 30, 2023

The rule aims to protect patients by establishing rules for out-of-network care and promoting transparency in healthcare pricing. Under the Act, patients cannot be balance billed by out-of-network providers for care they sought in an emergency. Instead, they are responsible for paying only their in-network cost-sharing amounts.

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World of DTC Marketing

APRIL 5, 2021

They said “medical claims and revenues noticeably declined among hospitals during the height of the pandemic, which has benefited health insurers. But that didn’t prevent hospitals from making a lot of money, a large chunk of which was directly subsidized by taxpayers in the form of bailout funds.

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Clarify Health

JANUARY 16, 2024

Third-party administrators (TPAs) can play an invaluable role in helping self-insured employers contain the cost of care without passing it on to their employees through increased premiums. What is typically a time-consuming process is made simpler with consolidated network and claims data, machine learning, and AI capabilities.

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Clarivate

DECEMBER 6, 2022

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. ChristianaCare, Wilmington, Delaware. IDN status: Advanced.

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Clarivate

NOVEMBER 20, 2023

Do they have a global network of vetted local agents that covers jurisdictions worldwide? Will they provide clear, transparent, and reliable pricing—and are their costs competitive? Our comprehensive liability insurance minimizes the risk of costly errors. Global agent network. Will they work with your preferred agents?

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Clarify Health

JULY 21, 2022

Have the right network in place for your patients The first and most important part of this process is that you have the right network in place to serve the patients you have now. One way to better understand your network is to analyze your referral patterns. Here are five strategies to future-proof your health system.

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Clarify Health

JULY 21, 2022

Have the right network in place for your patients. The first and most important part of this process is that you have the right network in place to serve the patients you have now. One way to better understand your network is to analyze your referral patterns. Here are five strategies to future-proof your health system.

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Clarify Health

OCTOBER 13, 2021

Healthcare price transparency continues to grow, with health insurers required to release cost-sharing estimates beginning in 2022. After decades of negotiations between health insurance companies and healthcare providers being clothed in secrecy, Americans can now access negotiated prices before receiving care.

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Clarivate

APRIL 24, 2023

Health systems will buy or establish an insurance plan to serve as an extension of their continuum of care, a means of directing referral streams to increase revenue and securing control over clinical and formulary decisions for patients. Vertical integration is common in the health systems sector.

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Clarify Health

DECEMBER 21, 2021

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.

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Contrarian Sales Techniques

FEBRUARY 29, 2024

Compensation and benefits Competitive payout but may be lower than experienced representatives : At entry-level positions, you’re generally offered a base salary, but sales incentives structures may also be implemented, which (unfortunately) can limit earning potential based on performance. Remember The job search can take time and effort.

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Clarify Health

FEBRUARY 18, 2021

While higher margins may be attractive to many insurers, succeeding in MA markets can be a challenge. ” However, if you can build high-performing provider networks from the start, it can drastically improve your odds of being successful long-term. Build or edit your provider network. Understand the market dynamics.

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Contrarian Sales Techniques

DECEMBER 19, 2023

As a Business Development Assistant Manager for a leading insurance company in the vibrant East Coast region, you'll be at the forefront of this dynamic industry, playing a pivotal role in propelling both your career and the company's success. But isn't Bancassurance all cold calls and pushy tactics? Not in this world.

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Clarivate

APRIL 18, 2024

Amazon also introduced Health Condition Programs, which partners with digital health companies such as Omada Health to connect members of health plans and employer-sponsored insurance with covered digital benefits. Humana is following a similar growth strategy as it sharpens competition with UnitedHealthcare in the Medicare Advantage sector.

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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.

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Clarivate

SEPTEMBER 26, 2023

RWD encompasses a wide range of information, including electronic health records (EHRs), insurance claims data, patient registries, wearable device data, and even social media content. In therapeutic areas where there is competition for trial participants (e.g. oncology), trial productivity is essential. Food and Drug Administration.

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MedReps

JUNE 20, 2022

As a result of being so desirable, the competition for these jobs is stiff. Ask any pharma sales veteran, and they’ll likely tell you that sales experience, networking, and persistence are the magic formula. They’ll also teach you about insurance coverage which is vital to selling any medicine.

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Clarify Health

MARCH 17, 2023

One driver of rising healthcare costs is pricing, particularly the pricing of hospital services, which have been notoriously difficult to see in advance of treatment, and even more difficult to compare across providers and networks.

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Nixon Gwilt Law

SEPTEMBER 7, 2023

Stricter privacy rules apply Healthcare data privacy standards are already complex under the Health Insurance Portability and Accountability Act (“HIPAA”), but several additional regulations come into play when working with patients under 18. does not currently have centralized insurance coverage for pediatric healthcare.

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Clarivate

OCTOBER 26, 2021

When rights are lost, the rest of the market can capitalize, stripping away years of innovation and competitive advantage – alongside the revenue associated to those rights. We provide an additional layer of assurance by providing the highest levels of liability in the industry, backed by PAMIA – the IP insurance experts.

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Medico Reach

FEBRUARY 17, 2023

The platform provides primary care, mental health, dermatology, and urgent care services around-the-clock, with certain insurance coverage options. No matter the reason for the visit, Virutwell appointments are always the same cost and accept health insurance from more than 15 carriers.

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Clarify Health

JUNE 8, 2023

Those who harness data, using the right analytics and business intelligence software, can identify the right growth opportunities, streamline revenue cycle management and improve patient experience and loyalty — all “musts” to remain competitive in an industry with shifting reimbursement patterns and a stream of new, disruptive entrants.

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Rep-Lite

NOVEMBER 14, 2023

It’s a competitive field, but for those who excel, it can be a fulfilling and financially rewarding career with uncapped commission bonus opportunities. Stay informed about industry trends, regulations, and the competitive landscape. Build a Network: Networking is crucial for gaining jobs in medical sales.

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Clarify Health

NOVEMBER 15, 2021

By 2023, available annual profit pools will range from $11 billion to $13 ­billion, making Medicare Advantage the single biggest driver of profit growth for health care insurance providers ¹. Read the full case study to learn more about their success.

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Silver Line CRM

NOVEMBER 11, 2020

But today, the need to satisfy patients, providers, payers, regulatory agencies, and shareholders alike — while staying ahead of the competition — takes the right technologies at the right time. . But as we move forward into the next decade, they’ve gone from “nice to have” options to requirements to stay competitive. Data integration.

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Celeritas

NOVEMBER 7, 2022

Getting better financial and insurance options because of more accurate and reliable animal tracking. But the rate of human information processing is far outpaced by the learning ability of AI and deep neural networks (DNNs). Checking their current physical condition. Determining which animals are high-performing. Effort Expectancy.

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PM360

APRIL 22, 2024

Using models that are confined to approved content insures regulation in our industry. Interactive social learning platforms enable HCPs to share knowledge, discuss case studies, and collaborate, thereby facilitating peer-to-peer learning and networking.

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Nixon Gwilt Law

DECEMBER 16, 2021

We also speak, network, and learn at various conferences throughout the year. Rounding it all out is our podcast on the Slice of Healthcare network called Decoding Healthcare Innovation. Rebecca is monitoring how state insurance agencies are evaluating membership-model telehealth solutions–will they increase their scrutiny?

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Clarify Health

NOVEMBER 15, 2021

By 2023, available annual profit pools will range from $11 billion to $13 ­billion, making Medicare Advantage the single biggest driver of profit growth for health care insurance providers¹. Medicare Advantage is expected to reach 40% penetration by 2025.

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Nixon Gwilt Law

APRIL 28, 2022

I’ve helped to launch and grow hundreds of virtual care companies, working with founders and their teams to build partnerships, clinician networks, and revenue models. Companies in the platform-only space sometimes launch with this model as they build out their affiliate clinician network.

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Clarify Health

FEBRUARY 6, 2024

That way, they can continue to grow membership and thrive against the competition. Network Adequacy Among Medicare Advantage enrollees, 28% live with a mental illness, according to the Commonwealth Fund. Specifically for Medicare Advantage plans, CMS proposed updating network adequacy standards for contract year 2025.

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Clarify Health

OCTOBER 3, 2022

Healthcare providers and insurers are now required to publicly disclose what they pay hospitals, doctors, and other medical providers. Her research at RAND focused on insurance benefit design, health insurance markets, provider payment, and the care use and needs of the elderly. “Is it a good or bad thing?

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