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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. to 30% of the time.

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Colombian healthcare reform aims to upend insurance and shift focus to primary care

Pharmaceutical Technology

After months of speculation, Colombia’s government has finally presented a long-awaited draft healthcare reform to congress. It includes a radical overhaul of the public healthcare insurance sector, doing away with the role of the Health Promoting Entities (Entidades Promotoras de Salud, EPS) as intermediaries.

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Value-based healthcare can help reduce costs

World of DTC Marketing

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. Why haven’t more employers addressed the rising costs of employee healthcare with value-based care? employers during June and July 2021.

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Powering network negotiations with on-demand rate intelligence for providers

Clarify Health

2021 launched a new era for healthcare price transparency. 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.

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Amazon’s big gamble

World of DTC Marketing

2wo: One of the continued challenges for healthcare is coordinating tests such as MRIs and blood work. Many patients are frustrated with securing timely appointments and ensuring that the results from those consultations are shared among the patient’s healthcare providersnetwork.

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How payers can use outcomes data to enhance care and member experience

Clarify Health

This data can help payers identify high-performing providers, allocate resources more effectively, and ultimately improve the overall health and satisfaction of their members while controlling costs. Provider network management Outcomes data also empowers health plans to build and maintain a network of high-quality providers.

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Utilization Management as a Value-Based Care Strategy

Penrod

Understanding Value-Based Care Value-based care is a healthcare framework that focuses on providing high-quality treatment to patients while improving their results. In this model, healthcare providers are compensated based on the quality of treatment rather than the volume of services they offer.