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How payers can use healthcare data to enhance network adequacy

Clarify Health

Designing and maintaining a healthcare network is no simple task—especially when it comes to meeting the needs for accessibility, quality, and cost across a diverse pool of members. Beyond supporting the health and well-being of its members, provider network adequacy is essential to a plan’s financial health and performance.

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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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How TPAs Can Use Network Design as a Competitive Advantage

Clarify Health

Finding and maintaining affordable healthcare plans is challenging for businesses that lack the expertise and resources to navigate a complicated landscape. That’s why organizations are turning to third-party administrators (TPAs), licensed entities that help administer healthcare benefits for self-funded plans.

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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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Harnessing the Power of Data and Analytics to Improve the Cost and Quality of Provider Networks

Clarify Health

With soaring healthcare spending and poor health outcomes posing significant challenges, the healthcare industry is crying out for higher-value care. Health plans can utilize these resources to navigate the turbulent waters of healthcare cost and quality, ultimately enhancing overall outcomes. What is it?

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Streamlining Center of Excellence Provider Network Development in Record Time

Clarify Health

With an eye toward curbing healthcare costs while improving quality, many organizations are investing in Centers of Excellence (CoEs). Healthcare Centers of Excellence are recognized for their commitment to quality, expertise, and the pursuit of the best possible outcomes for patients. Feeling inspired?

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Revolutionizing Healthcare Recruitment: The Role of Medical Staffing Agencies in Talent Acquisition

Rep-Lite

In today’s competitive healthcare landscape, the role of medical staffing agencies stands as a critical force in sourcing and securing top-tier talent for crucial roles such as healthcare and medical sales representatives, along with medical device specialists. In this guide, we explore their role more extensively.