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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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Enabling the next wave of innovative drug therapies with speciality enzymes

Pharmaceutical Technology

Continuing advancements within this field deliver new hope to doctors and patients, transforming disease outcomes for previously incurable indications. For cell and gene therapy applications, you need a variety of speciality enzymes of the highest purity, specificity, and consistency. Developing best-in-class speciality enzymes.

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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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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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How TPAs Can Use Network Design as a Competitive Advantage

Clarify Health

One way they can stand out is by designing provider networks for employers that are comprehensive, high-performing , and efficient—qualities that are essential amid the increasing costs and complexities of the healthcare industry. Networks must be accessible to all employees and adequate for their needs.

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Harnessing the Power of Data and Analytics to Improve the Cost and Quality of Provider Networks

Clarify Health

At the forefront of this revolution is the rising use of various types of healthcare provider data and deep analytics to assess provider performance and build cost-effective, quality networks. Plans may have some healthcare provider data to work with for providers already in-network for some time.

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Streamlining Center of Excellence Provider Network Development in Record Time

Clarify Health

Healthcare Centers of Excellence are recognized for their commitment to quality, expertise, and the pursuit of the best possible outcomes for patients. They often play a critical role in advancing medical knowledge and improving patient care in specialized areas of healthcare. Feeling inspired?