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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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Electronic Health Record Messaging Patterns of Healthcare Providers

Pharmaceutical Commerce

Electronic health record messaging network found to improve communication and lead to better medication adherence.

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Building a Robust Provider Network with SDoH Insights

Clarify Health

When building provider networks, it is crucial to include providers who can assess and address social determinants to ensure that care is equitable, patient-centered, and effective in improving health outcomes and reducing healthcare disparities. Cost Savings: Addressing SDoH can lead to cost savings in the long run.

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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.

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Powering network negotiations with on-demand rate intelligence for providers

Clarify Health

These heightened reporting requirements have the potential to increase consumerism, leading to greater scrutiny from payers and group health plans on the language and structure of contracts for pricing and rates. Moreover, health plans will be utilizing the increased pricing and performance insights for network design and negotiations.

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Innovative Strategies for Enhancing Population Health

Clarify Health

The integration of technology and data analytics offers a groundbreaking avenue for healthcare payers to support this goal. Key strategies payers can leverage to enhance population health include enhancing healthcare network efficiency through data-driven insights and streamlining patient experiences to drive engagement in personal health.

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Using data analytics to better manage care transitions

Clarify Health

Poor care transition management can lead to fragmented healthcare delivery, often leading to increased patient readmissions, compromised health outcomes, and elevated costs. By actively managing transitions, hospitals can reduce the likelihood of adverse events, improve patient safety, and enhance overall healthcare quality.