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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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Network Innovations Webinar with Aetna, Contigo Health, and Clarify

Clarify Health

Healthcare strategy and innovation leaders from Aetna, Contigo Health, and Clarify recently hosted a webinar discussion about innovations in provider network design and management to drive higher-value, more affordable, and more accessible care for members. I’m with Aetna, a CVS Health company. Keith: Wonderful. Thank you very much.

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A Blueprint to Help Provider Networks Become Value-based Care Organizations in 2023

Clarify Health

As a physician, I believe now is the time for providers and provider groups to embrace VBC. Depending on the contract, a provider might share the financial risk with a health insurance company. Now is the time to learn about VBC, population health, and how getting a grip on patient data can lead to better outcomes.

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U.S. market access landscape: A push for control is erasing the boundary between payers and providers in U.S. healthcare

Clarivate

Health systems will buy or establish an insurance plan to serve as an extension of their continuum of care, a means of directing referral streams to increase revenue and securing control over clinical and formulary decisions for patients. Vertical integration is common in the health systems sector.

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HCP Engagement & Education

PM360

From important changes to engaging physicians to finding out how new technologies will help address HCPs education needs, hear what our specialist had to say. What do you think are the most important changes to engaging physicians our industry needs to keep in mind now? The first being more message volume and less relevance.

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How retailers and “payviders” are disrupting U.S. healthcare in 2024

Clarivate

Amazon also introduced Health Condition Programs, which partners with digital health companies such as Omada Health to connect members of health plans and employer-sponsored insurance with covered digital benefits. Humana is also on track to add 30 to 50 new senior-focused primary-care centers each year through 2025.

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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. Further, health insurers can provide predictive analytics to help providers identify high-risk patients, allowing for early interventions and personalized care plans.