MedCity News

OCTOBER 5, 2023

The company connects patients to in-network therapists and helps mental health providers avoid the massive administrative burden associated with taking insurance. The round brings the New York-based startup’s valuation to $1 billion, reaching unicorn status.

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World of DTC Marketing

AUGUST 7, 2022

First, the health insurance companies are making a lot of money while burying doctors in paperwork and limiting treatment options. The insurance companies get to dictate medical care and go out of their way to deny medications, surgery, or treatments with no repercussions. Health insurance policies are stressing many physicians out.

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World of DTC Marketing

DECEMBER 20, 2021

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. health insurers report billions as small providers face stress in the first quarter. The answer may be in offering a value-based healthcare model.

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World of DTC Marketing

JULY 26, 2022

Many patients are frustrated with securing timely appointments and ensuring that the results from those consultations are shared among the patient’s healthcare providers’ network. Amazon’s purchase does not address these issues. 3hree: What does this mean for patient data?

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Clarify Health

DECEMBER 12, 2023

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

JULY 8, 2021

Network design is of central importance to health plans. An efficient and effective network must be competitive to attract members and retain them by meeting their needs with high-value providers.

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Clarify Health

JULY 8, 2021

Network design is of central importance to health plans. An efficient and effective network must be competitive to attract members and retain them by meeting their needs with high-value providers. They needed to answer these questions: How do we build geography-specific, high-performing networks at scale?

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PharmExec

MARCH 6, 2023

Pharmaceutical companies are increasingly using radio advertising, both traditional and digital.

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PM360

DECEMBER 20, 2024

Rising medical debt and high out-of-pocket expensesdriven in part by pharmaceutical price hikes, limited insurance coverage, shifts to high-deductible health plans, and the growing complexity of treatmentsplace an unprecedented burden on patients and providers.

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Clarify Health

JUNE 29, 2023

Clarify Health is leveraging Ideon, the industry’s most accurate and comprehensive provider-network data solution, to improve health plan management, lower costs and promote high-quality healthcare. Health plans can use this intelligence to expedite their decision-making processes for network modeling and optimization.

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World of DTC Marketing

APRIL 5, 2021

They said “medical claims and revenues noticeably declined among hospitals during the height of the pandemic, which has benefited health insurers. But that didn’t prevent hospitals from making a lot of money, a large chunk of which was directly subsidized by taxpayers in the form of bailout funds.

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Clarify Health

SEPTEMBER 5, 2023

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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Clarify Health

NOVEMBER 15, 2021

By 2023, available annual profit pools will range from $11 billion to $13 ­billion, making Medicare Advantage the single biggest driver of profit growth for health care insurance providers ¹. Read the full case study to learn more about their success.

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Clarify Health

FEBRUARY 15, 2023

In this video, Ashley will share three tips to help you design high-performing and market-competitive networks efficiently and at scale. Video transcript: The traditional process for designing and optimizing provider networks is ripe for innovation. However, network design is of central importance to health plans.

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Clarify Health

JANUARY 24, 2023

A large, global health insurance company has a Centers of Excellence (COE) program that annually evaluates its network hospitals on patient outcomes and cost efficiency. Vice President, Network Analytics Read the full case study here.

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Clarivate

MAY 13, 2024

The United States health insurance market is seeing some of the largest enrollment changes ever, resulting in significant disruption in medical and drug coverage for millions of Americans. Medicaid and health insurance exchange enrollment is shifting dramatically across the U.S. to about 2.5

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Pharmaceutical Technology

FEBRUARY 24, 2023

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. Often, the only way people can access the health network is by going to a hospital emergency room, typically once they are already sick.

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Pharma Marketing Network

MARCH 11, 2025

Adhering to the Health Insurance Portability and Accountability Act (HIPAA) ensures that all marketing activities respect patient privacy. Organizations like Pharma Marketing Network offer in-depth articles that help marketers tailor their strategies to real patient needs. Join the Pharma Marketing Network community on Linkedin.

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Clarify Health

JANUARY 23, 2024

With deep expertise in the healthcare and insurance fields and in-depth knowledge of industry standards, laws, and regulations, they can help businesses plan health benefits, streamline processes, and manage costs. Networks must be accessible to all employees and adequate for their needs. Healthcare isn’t one size fits all.

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World of DTC Marketing

MARCH 11, 2021

A recent study published in the journal JAMA Network Open found that 60 to 80 percent of patients have been less than fully forthright with their doctors at some point which can be worse with telehealth. According to a survey , close to 60% of physicians have lingering reservations about the quality of care they can provide remotely.

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Clarify Health

FEBRUARY 8, 2022

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. 2021 launched a new era for healthcare price transparency.

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Clarify Health

NOVEMBER 1, 2019

Designing and maintaining a high-performing provider network is difficult; not because there is a shortage of great providers practicing medicine in caring, cost-effective, and patient-centric ways. This is akin to adding providers to your network without reliable data. Is that worth the price? Now take that same lens to providers.

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Clarify Health

NOVEMBER 8, 2023

Healthcare strategy and innovation leaders from Aetna, Contigo Health, and Clarify recently hosted a webinar discussion about innovations in provider network design and management to drive higher-value, more affordable, and more accessible care for members. Keith: Wonderful. Thank you very much. Elyse: Sure.

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Clarify Health

FEBRUARY 8, 2022

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. Moreover, health plans will be utilizing the increased pricing and performance insights for network design and negotiations.

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Clarify Health

JULY 7, 2022

By: Stephanie Finch, Executive Director, Transformation & Performance, Clarify Health At the recent AHIP conference in Las Vegas, I joined thousands of payer executives, insurance industry experts, policymakers and thought leaders for three days of thought-provoking discussion around the issues and trends facing our industry.

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Clarify Health

JULY 7, 2022

At the recent AHIP conference in Las Vegas, I joined thousands of payer executives, insurance industry experts, policymakers and thought leaders for three days of thought-provoking discussion around the issues and trends facing our industry. By: Stephanie Finch, Executive Director, Transformation & Performance, Clarify Health.

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pharmaphorum

JANUARY 27, 2023

It is being supported by several patient advocacy groups, including the AIDS Institute, the National Oncology State Network, and the HIV + Hepatitis Policy Institute.

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Healthcare Success

DECEMBER 10, 2024

Understand that traditional SEO tools often fail to capture user intent accurately, requiring marketers to look beyond surface-level categorizations, such as classifying "insurance" searches as informational, to grasp the deeper concerns and needs of searchers. the user was like wait is it auto insurance or car insurance?

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Clarify Health

NOVEMBER 15, 2021

By 2023, available annual profit pools will range from $11 billion to $13 ­billion, making Medicare Advantage the single biggest driver of profit growth for health care insurance providers¹. Medicare Advantage is expected to reach 40% penetration by 2025.

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pharmaphorum

NOVEMBER 11, 2022

Twitter’s coveted blue check mark was previously given out by the social network for free to high-profile companies and individuals as an assurance of their authenticity. The post Twitter trolls, Musk’s changes tank stocks for Lilly, other insulin makers appeared first on.

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Clarify Health

OCTOBER 17, 2023

How health insurance companies use outcomes data Outcomes data is more than just numbers; it’s a roadmap for continuous improvement and innovation. Leveraging outcomes data for quality improvement Payers can leverage outcomes data as a valuable tool to assess the quality of care provided by healthcare providers in their network.

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Clarivate

APRIL 24, 2023

Health systems will buy or establish an insurance plan to serve as an extension of their continuum of care, a means of directing referral streams to increase revenue and securing control over clinical and formulary decisions for patients. Vertical integration is common in the health systems sector.

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Clarify Health

JUNE 30, 2023

The rule aims to protect patients by establishing rules for out-of-network care and promoting transparency in healthcare pricing. Under the Act, patients cannot be balance billed by out-of-network providers for care they sought in an emergency. Instead, they are responsible for paying only their in-network cost-sharing amounts.

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Healthcare Success

SEPTEMBER 12, 2024

As businesses acclimated to these changes, an insurance firm, for example, might have had a page for “auto insurance” and another for “car insurance” to ensure they weren’t losing search traffic. car insurance and auto insurance), expanding your content’s reach. What’s Next for Search?

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Clarify Health

DECEMBER 6, 2023

This data-driven approach also empowers payers to more efficiently inform product development, optimize pricing strategies, identify market expansion opportunities, and enhance provider network optimization — ultimately giving insurers a competitive edge and efficient network management.

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Healthcare Success

OCTOBER 17, 2024

HELPCare, LLC delivers affordable, direct primary care by eliminating insurance payments, offering ample appointment time, and focusing on personalized, preventive care. When we launched Mayo Clinic’s social media network and podcast, I used what I like to call the ‘proceed until apprehended’ model of innovation.

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Clarify Health

FEBRUARY 13, 2023

Depending on the contract, a provider might share the financial risk with a health insurance company. In this model, a provider or provider organization is paid based on the health outcomes of their patients, along with the quality of services they offer.

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