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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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Unlocking the Potential of Healthcare Claims Data Part II: Optimizing Network Performance

Clarify Health

This is part two of our three-part series about how health plan leaders can leverage healthcare claims data to reduce costs , strategically grow their networks , provide best-in-class member services , and enhance outcomes for their members. Rewarding superior service fosters a competitive, quality-driven environment.

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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.

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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. These patients have evolving and growing needs and expectations for the quality of care delivered and overall patient experience.

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Beyond the Pill: Creating Value with Patient-Centric Pharmaceutical Marketing

Pharma Marketing Network

In order to succeed in this challenging environment, pharmaceutical companies need to adopt a patient-centric approach to marketing. Patient-centric pharmaceutical marketing is based on the understanding that patients are more than just consumers of drugs. One way is to use patient-generated content (PGC).

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Innovative Strategies for Enhancing Population Health

Clarify Health

By leveraging data analytics, payers can pinpoint high-risk populations, streamline care coordination, and optimize healthcare networks , facilitating more efficient allocation of resources and personalized health interventions. The benefits of leveraging predictive analytics are manifold.

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The role of data analytics in patient retention strategies 

Clarify Health

When patients seek healthcare services outside of a hospital’s network, it leads to a direct loss of revenue for that hospital. Hospitals depend on a consistent patient flow for financial sustainability, and patient leakage can disrupt this flow.