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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.

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

PM360

CINEHEALTH works to bring the community together through patient and HCP engagement using innovative storytelling. Digital Pharma East is a leading event for the life sciences community, dedicated to advancing pharma marketing innovation. The festival is an international film festival focusing exclusively on health and wellness.

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How price transparency in healthcare will impact provider networks and patient choice

Clarify Health

Varied health plan contracts and coverage made it nearly impossible for patients to know ahead of time what they’d be charged for a given service. They must take strategy a step further to consider and address how price transparency will change physician referral patterns and patient choice. One challenge is in the file format itself.

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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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Leading patient adherence pharmaceutical companies

Pharmaceutical Technology

Failing to adhere to prescribed medication regimens is one of the prime reasons for poor patient health outcomes. Pharmaceutical and healthcare companies are working continuously to improve patient adherence, which also impacts disease control and pharmaceutical industry revenues directly. Patient adherence.

Leads 52
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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.

Leads 52