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Unlocking the Potential of Healthcare Claims Data Part II: Optimizing Network Performance

Clarify Health

This is part two of our three-part series about how health plan leaders can leverage healthcare claims data to reduce costs , strategically grow their networks , provide best-in-class member services , and enhance outcomes for their members. And a reputation for excellence perennially appeals to current and prospective members.

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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. Beyond supporting the health and well-being of its members, provider network adequacy is essential to a plan’s financial health and performance.

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What Is Cloud-Based Healthcare?

Salesforce

Most healthcare organizations still rely on EHR (electronic health records) to manage clinical data. In other words, patients are forced to manage their own healthcare. It starts with cloud-based healthcare. What is cloud-based healthcare? The cloud, however, allows data to live on a global network of secure data centers.

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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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U.S. market access landscape: A push for control is erasing the boundary between payers and providers in U.S. healthcare

Clarivate

healthcare payers and providers are consolidating at a dizzying clip as they seek to gain market share, increase access to care and secure clinical control to improve health outcomes. CVS’ bid for Oak Street is in keeping with nearly two decades of evolution toward becoming an integrated payer and provider.

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New partnership to aid supply of Ga-68-based radiopharmaceuticals

European Pharmaceutical Review

US radiopharmacy network RLS Radiopharmacies is expanding its radiopharmaceutical contract development and manufacturing (rCDMO) capabilities by establishing a partnership with global isotope technology company Eckert & Ziegler.

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Three Ways Improved Healthcare Data Interoperability Can Help Health Plans Grow

Clarify Health

Imagine a future where healthcare networks communicate seamlessly, exchanging healthcare data efficiently and effectively. Healthcare data interoperability can be defined as the ability of discrete information technology systems and software applications to communicate with each other, enabling the seamless exchange of data.