MedCity News

FEBRUARY 7, 2023

Virta is available this month to all Blue Shield of California members enrolled in preferred provider organization plans for individual and family, fully insured, self funded and Medicare Advantage.

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Clarify Health

JULY 8, 2021

Network design is of central importance to health plans. An efficient and effective network must be competitive to attract members and retain them by meeting their needs with high-value providers.

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Clarify Health

FEBRUARY 15, 2023

In this video, Ashley will share three tips to help you design high-performing and market-competitive networks efficiently and at scale. Video transcript: The traditional process for designing and optimizing provider networks is ripe for innovation. However, network design is of central importance to health plans.

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MedCity News

AUGUST 8, 2022

The number of in-network behavioral health providers increased by 48% in the last three years among commercial health plans. The number of in-network inpatient psychiatric hospitals rose by 40%.

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Clarify Health

JULY 8, 2021

Network design is of central importance to health plans. An efficient and effective network must be competitive to attract members and retain them by meeting their needs with high-value providers. They needed to answer these questions: How do we build geography-specific, high-performing networks at scale?

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Clarify Health

JANUARY 24, 2023

A large, global health insurance company has a Centers of Excellence (COE) program that annually evaluates its network hospitals on patient outcomes and cost efficiency. Vice President, Network Analytics Read the full case study here.

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PharmExec

MARCH 6, 2023

Pharmaceutical companies are increasingly using radio advertising, both traditional and digital.

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MedCity News

OCTOBER 5, 2023

The company connects patients to in-network therapists and helps mental health providers avoid the massive administrative burden associated with taking insurance. The round brings the New York-based startup’s valuation to $1 billion, reaching unicorn status.

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MedCity News

MARCH 3, 2023

Aledade — an independent primary care network focused on value-based care — struck a 10-year partnership with insurer Humana. Under the collaboration, Humana’s Medicare Advantage members will receive primary care from Aledade physicians using value-based arrangements.

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Clarify Health

FEBRUARY 8, 2022

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. 2021 launched a new era for healthcare price transparency.

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Clarify Health

FEBRUARY 8, 2022

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. Moreover, health plans will be utilizing the increased pricing and performance insights for network design and negotiations.

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Clarify Health

JULY 7, 2022

By: Stephanie Finch, Executive Director, Transformation & Performance, Clarify Health At the recent AHIP conference in Las Vegas, I joined thousands of payer executives, insurance industry experts, policymakers and thought leaders for three days of thought-provoking discussion around the issues and trends facing our industry.

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Clarify Health

JULY 7, 2022

At the recent AHIP conference in Las Vegas, I joined thousands of payer executives, insurance industry experts, policymakers and thought leaders for three days of thought-provoking discussion around the issues and trends facing our industry. By: Stephanie Finch, Executive Director, Transformation & Performance, Clarify Health.

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World of DTC Marketing

DECEMBER 20, 2021

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. health insurers report billions as small providers face stress in the first quarter. The answer may be in offering a value-based healthcare model.

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Clarify Health

OCTOBER 17, 2023

How health insurance companies use outcomes data Outcomes data is more than just numbers; it’s a roadmap for continuous improvement and innovation. Leveraging outcomes data for quality improvement Payers can leverage outcomes data as a valuable tool to assess the quality of care provided by healthcare providers in their network.

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Clarify Health

DECEMBER 6, 2023

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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Clarify Health

JUNE 30, 2023

The rule aims to protect patients by establishing rules for out-of-network care and promoting transparency in healthcare pricing. Under the Act, patients cannot be balance billed by out-of-network providers for care they sought in an emergency. Instead, they are responsible for paying only their in-network cost-sharing amounts.

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Clarify Health

NOVEMBER 1, 2019

Designing and maintaining a high-performing provider network is difficult; not because there is a shortage of great providers practicing medicine in caring, cost-effective, and patient-centric ways. This is akin to adding providers to your network without reliable data. Is that worth the price? Now take that same lens to providers.

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World of DTC Marketing

JULY 26, 2022

Many patients are frustrated with securing timely appointments and ensuring that the results from those consultations are shared among the patient’s healthcare providers’ network. Amazon’s purchase does not address these issues. 3hree: What does this mean for patient data?

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Clarify Health

FEBRUARY 13, 2023

Depending on the contract, a provider might share the financial risk with a health insurance company. In this model, a provider or provider organization is paid based on the health outcomes of their patients, along with the quality of services they offer.

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Clarify Health

JUNE 22, 2023

–(Business Wire)— Berkshire Hathaway Homestate Companies (BHHC), Workers Compensation, a leader in workers’ compensation insurance, and Clarify Health , a leading healthcare analytics, and value-based payments platform company, are pleased to announce a new partnership to improve quality of care and outcomes for injured workers.

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pharmaphorum

JANUARY 27, 2023

It is being supported by several patient advocacy groups, including the AIDS Institute, the National Oncology State Network, and the HIV + Hepatitis Policy Institute.

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Clarivate

APRIL 24, 2023

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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Happy Living Medical Sales

MAY 1, 2023

Do You Accept My Insurance? No matter what equipment you're buying, it's essential to know which insurance companies they accept. Medical equipment supply companies should have relationships with most major insurance companies, and knowing if your supplier is in or out of the network is very important.

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Clarify Health

JANUARY 16, 2024

Third-party administrators (TPAs) can play an invaluable role in helping self-insured employers contain the cost of care without passing it on to their employees through increased premiums. What is typically a time-consuming process is made simpler with consolidated network and claims data, machine learning, and AI capabilities.

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Clarify Health

NOVEMBER 8, 2023

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. Keith: Wonderful. Thank you very much. Elyse: Sure.

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Clarify Health

OCTOBER 13, 2021

Healthcare price transparency continues to grow, with health insurers required to release cost-sharing estimates beginning in 2022. After decades of negotiations between health insurance companies and healthcare providers being clothed in secrecy, Americans can now access negotiated prices before receiving care.

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World of DTC Marketing

APRIL 5, 2021

They said “medical claims and revenues noticeably declined among hospitals during the height of the pandemic, which has benefited health insurers. But that didn’t prevent hospitals from making a lot of money, a large chunk of which was directly subsidized by taxpayers in the form of bailout funds.

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pharmaphorum

NOVEMBER 11, 2022

Twitter’s coveted blue check mark was previously given out by the social network for free to high-profile companies and individuals as an assurance of their authenticity. The post Twitter trolls, Musk’s changes tank stocks for Lilly, other insulin makers appeared first on.

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Clarivate

DECEMBER 19, 2022

Whenever a health insurer partners with retail giant Walmart, it has the ability to shake up the market. For 2023 Medicare Advantage open enrollment, the United States’ largest retailer will begin a 10-year partnership with the nation’s largest insurer. Insurers seek scale through partnerships and acquisitions. Year effective.

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Clarify Health

OCTOBER 12, 2023

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.

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Legacy MEDSearch

DECEMBER 12, 2022

Highmark), one of America’s leading health insurance organizations and an independent licensee of the Blue Cross Blue Shield Association, will conduct a targeted Coverage with Evidence program with the goal of providing its members with affordable treatment for episodic and chronic migraine. .

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Clarivate

APRIL 18, 2024

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. health care system in history“.

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Clarify Health

JULY 21, 2022

Have the right network in place for your patients The first and most important part of this process is that you have the right network in place to serve the patients you have now. One way to better understand your network is to analyze your referral patterns. Here are five strategies to future-proof your health system.

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Clarify Health

JULY 21, 2022

Have the right network in place for your patients. The first and most important part of this process is that you have the right network in place to serve the patients you have now. One way to better understand your network is to analyze your referral patterns. Here are five strategies to future-proof your health system.

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World of DTC Marketing

MARCH 11, 2021

A recent study published in the journal JAMA Network Open found that 60 to 80 percent of patients have been less than fully forthright with their doctors at some point which can be worse with telehealth. According to a survey , close to 60% of physicians have lingering reservations about the quality of care they can provide remotely.

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Clarivate

DECEMBER 6, 2022

healthcare provision landscape, integrated delivery networks, or IDNs, are differentiating their offerings by adding outpatient treatment centers, pursuing National Cancer Institute designations and investing in value-based care. In a fiercely competitive U.S. Christopher Silva, Senior Healthcare Research Analyst.

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