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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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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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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. Health plans need to design networks that offer members reasonable access to in-network providers to ensure the network is adequate to meet their health needs.

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Digital Health Networks’ CINEHEALTH International Film and Video Festival Unveils Judging Panel

PM360

Digital Pharma East is a leading event for the life sciences community, dedicated to advancing pharma marketing innovation. We are thrilled to partner with Digital Health Networks on the exciting launch of The CINEHEALTH Awards.

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Join Clarify Health at the AAPL Regional Network Meeting

Clarify Health

Join Clarify Health on September 29 th , 2023, at the American Association of Physician Liaisons (AAPL) regional networking meeting in Columbus, OH. The fall networking meeting is an opportunity for physician liaisons to network and gain valuable education from industry peers.

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MedTechVets Spring 2023 Networking Conference

MedTechVets

JUNE 21st – On May 23rd, MedTechVets held its Spring Networking Conference to mark the end of a successful Spring MTV Academy. Thank you to everyone who attended our Spring 2023 Networking Conference. I should be in charge of people and lead people.

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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. Payers are constantly looking to improve member outcomes while lowering costs.