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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.

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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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Clarify Health Recognized in 2023 Gartner® Market Guide for Provider Network Management

Clarify Health

Gartner notes, “Provider network management (PNM) is the key to success in provider and member engagement for U.S. With the right insights, payers can improve affordability, efficiency, quality, and marketability of their networks to deliver better member outcomes. The Gartner® Market Guide for U.S. Healthcare Payers.

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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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A national health plan designed and launched higher performing medicare advantage networks in 12 new markets 8X faster

Clarify Health

They were looking for ways to launch high-performing provider networks more efficiently and needed to quickly assess provider performance in 12 new markets. Using Clarify Networks, a cloud-based software that optimizes networks for market success , this organization was ready to enter all 12 new markets in just 3 months.

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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 to scale your network design process

Clarify Health

Ashley Tidd partners with payers and provider groups to help them utilize healthcare analytics to increase their competitive footprints in existing markets and expand into new markets as quickly and efficiently as possible. Video transcript: The traditional process for designing and optimizing provider networks is ripe for innovation.