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How TPAs Can Use Network Design as a Competitive Advantage

Clarify Health

One way they can stand out is by designing provider networks for employers that are comprehensive, high-performing , and efficient—qualities that are essential amid the increasing costs and complexities of the healthcare industry. Networks must be accessible to all employees and adequate for their needs.

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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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Professional Networking Tips for Medical Sales Reps

MedReps

This rings true in most industries, but especially in more competitive fields like medical sales. According to research by Team Stage , 75% of all people surveyed, whether they’re seeking a job or not, spend some time networking. To help, here are MedReps ‘ top professional networking tips for medical sales reps.

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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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How to scale your network design process

Clarify Health

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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How payers can use price transparency as a competitive advantage 

Clarify Health

This blog explores the transformative potential of price transparency, illustrating how it can transition from a regulatory requirement to a formidable competitive advantage, yielding substantial benefits for health plans and their members. Knowing the benchmarking against the competition and market allows them to realign their rates.