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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. to 30% of the time.

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Value-based healthcare can help reduce costs

World of DTC Marketing

According to the Kaiser Family Foundation (KFF), in 2021, the average cost of employee health insurance premiums for family coverage increased by 4% from the previous year to $22,221. Why haven’t more employers addressed the rising costs of employee healthcare with value-based care? employers during June and July 2021.

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Powering network negotiations with on-demand rate intelligence for providers

Clarify Health

2021 launched a new era for healthcare price transparency. 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.

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Amazon’s big gamble

World of DTC Marketing

2wo: One of the continued challenges for healthcare is coordinating tests such as MRIs and blood work. Many patients are frustrated with securing timely appointments and ensuring that the results from those consultations are shared among the patient’s healthcare providersnetwork.

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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.

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How health plans can leverage competitive intelligence data today to drive impact in 2024

Clarify Health

This data-driven approach also empowers payers to more efficiently inform product development, optimize pricing strategies, identify market expansion opportunities, and enhance provider network optimization — ultimately giving insurers a competitive edge and efficient network management.

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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.