Remove Healthcare Provider Remove Insurance Remove Leads Remove Networking
article thumbnail

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.

article thumbnail

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.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

Do healthcare mergers and acquisitions lead to better care for patients?

Clarify Health

Today’s healthcare providers are seeing significantly more patients than they did a decade ago – many of whom are often sicker and have more complex care needs. This limited choice can also lead to fewer choices for patients when a merger or acquisition results in there being a dominant provider in a region.

Leads 52
article thumbnail

Powering network negotiations with on-demand rate intelligence for providers

Clarify Health

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.

article thumbnail

Value-Based Care: How Payers Can Empower Providers to Deliver Better Outcomes

Clarify Health

Similarly, the largest commercial health insurers are investing in value-based programs to lower care costs and improve population health. Collaboration between health plans and healthcare providers is crucial in achieving better outcomes.

article thumbnail

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.

article thumbnail

Berkshire Hathaway Homestate Companies (BHHC), Workers Compensation Division Partners with Clarify Health to Enhance Care for Injured Workers through Data-Driven Approach

Clarify Health

–(Business Wire)— Berkshire Hathaway Homestate Companies (BHHC), Workers Compensation, a leader in workers’ compensation insurance, and Clarify Health , a leading healthcare analytics, and value-based payments platform company, are pleased to announce a new partnership to improve quality of care and outcomes for injured workers.