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. to 30% of the time.

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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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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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Pharma Marketing Network

OCTOBER 13, 2020

Mark Bard: I think the most challenging aspect of the current situation is the inability of anyone – patient, physician, payor, or pharma – to truly predict how long it will take for various parts of the system to get to what becomes the steady state – a new way of operating, the new normal. How does the situation impact pharma?

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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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Pharma Marketing Network

MARCH 3, 2021

In the initial flurry of adapting, brands quickly augmented their plans to drive large-scale messages to patients and prospects: how to access telehealth, insurance coverage, and more. The post Understanding and Adapting to the New Patient Journey appeared first on Pharma Marketing Network. Reassess the Patient Journey.

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Clarify Health

FEBRUARY 13, 2023

As a physician, I believe now is the time for providers and provider groups to embrace VBC. Depending on the contract, a provider might share the financial risk with a health insurance company. So, why aren’t more providers and provider organizations switching from fee-for-service (FFS) to VBC? Then, analyze your intended outcomes.

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Clarify Health

DECEMBER 22, 2020

On December 3, 2020, Clarify Health’s CEO, Jean Drouin, MD , sat down with a panel of senior leaders from Horizon Blue Cross Blue Shield of New Jersey , C olorado Permanente Medical Group, and Mercer to discuss how the most innovative payers, providers, and employers are putting physician performance analytics into practice.

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Healthcare Success

MAY 24, 2022

As more healthcare professionals provide accessible online services and shorten the red tape between physician-patient communications, consumers no longer feel the need to visit the closest option. Providers are no longer accepting their healthcare insurance. Limited or no access to direct communication with their physician.

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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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Nixon Gwilt Law

APRIL 28, 2022

I’ve helped to launch and grow hundreds of virtual care companies, working with founders and their teams to build partnerships, clinician networks, and revenue models. Companies in the platform-only space sometimes launch with this model as they build out their affiliate clinician network.

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Clarify Health

JULY 21, 2022

Have the right network in place for your patients The first and most important part of this process is that you have the right network in place to serve the patients you have now. One way to better understand your network is to analyze your referral patterns. Here are five strategies to future-proof your health system.

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Clarify Health

JULY 21, 2022

Have the right network in place for your patients. The first and most important part of this process is that you have the right network in place to serve the patients you have now. One way to better understand your network is to analyze your referral patterns. Here are five strategies to future-proof your health system.

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Evolve Your Success

AUGUST 16, 2022

Justin also talks about the specific services they offer to physicians, surgeons, and other healthcare practitioners. To take everything you said and dial it down to one sentence, you guys work on getting in front of physicians to help them reach patients through social media. They have weighed against insurance.

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Referral MD

APRIL 20, 2022

One study looked at the workflows around physician referrals and found: Just over one-third of patients fail to follow up on the referral you provide them, which could indicate they are missing the critical care they need. The study showed: 43% of referrals go to doctors that the referring physician does not know well.

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Clarify Health

APRIL 22, 2020

Chuck Feerick, Director of Payer Solutions, and Jegar Jasani, MD, Vice President of Payer Solutions, presented a webinar on April 15, 2020 to discuss the impact of the COVID-19 pandemic on health plans and the actions that insurers can take to adapt and thrive in uncertain times. million requiring hospitalization (of which 1.3

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Clarify Health

DECEMBER 21, 2021

No surprise billing: A breakdown of the key requirements and deadlines in the No Surprises Act The No Surprises Act aims to protect patients from receiving “surprise” (or unexpected) medical bills from a healthcare provider or facility after inadvertently receiving care from an out-of-network provider.

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Penrod

MARCH 7, 2024

This approach enables physicians to focus on patient outcomes, efficiently coordinate treatment, and manage population health, resulting in better results and reduced costs. This assessment is crucial for insurance claims, ensuring appropriate compensation, and challenging claim denials.

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Clarify Health

MARCH 17, 2023

Taking raw claims data and enriching it enables Clarify to pinpoint the quality of care and the cost efficiency of facilities within your SNF network. If there’s something that your health system wants to focus on when analyzing your SNF network, we likely can do it. Which facilities should I include in my network?

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PM360

APRIL 22, 2024

From important changes to engaging physicians to finding out how new technologies will help address HCPs education needs, hear what our specialist had to say. What do you think are the most important changes to engaging physicians our industry needs to keep in mind now? The first being more message volume and less relevance.

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Clarivate

DECEMBER 14, 2021

2021 surveys of patients and physicians in the United States conducted by Clarivate show that: Much of care delivery has gone virtual. Three in five physicians in the United States (60%) report having conducted virtual consultations, as do 35% of patients. physicians; Source: Clarivate, Taking the Pulse(R) U.S.

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MedReps

MAY 9, 2022

When new drugs are developed, tested, and placed on the open market, it becomes the job of a medical sales representative to get knowledge of those medications into the hands of physicians. When the physicians begin doing so, this is the perfect situation that all medical sales reps want because it means that their influence paid off.

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Clarify Health

OCTOBER 12, 2023

Similarly, the largest commercial health insurers are investing in value-based programs to lower care costs and improve population health. Further, health insurers can provide predictive analytics to help providers identify high-risk patients, allowing for early interventions and personalized care plans.

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Medico Reach

AUGUST 28, 2024

It is found to reduce administrative work, help in diagnosis, aid in insurance claims and more. Lets look at the different ways it is used by private payers, hospitals and physician groups. Assistants for Medical Guidance With LLM backing, physicians are using Gen AI as healthcare assistants.

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Referral MD

DECEMBER 6, 2024

They may be limited to providers within their insurance network or unsure about the costs of treatments until after the fact. From online scheduling and public physician reviews to digital access to medical records, tools that improve patient access transform the healthcare experience for patients and providers.

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Clarivate

DECEMBER 6, 2022

healthcare provision landscape, integrated delivery networks, or IDNs, are differentiating their offerings by adding outpatient treatment centers, pursuing National Cancer Institute designations and investing in value-based care. In a fiercely competitive U.S. Christopher Silva, Senior Healthcare Research Analyst.

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Clarify Health

OCTOBER 3, 2022

Healthcare providers and insurers are now required to publicly disclose what they pay hospitals, doctors, and other medical providers. Her research at RAND focused on insurance benefit design, health insurance markets, provider payment, and the care use and needs of the elderly. “Is it a good or bad thing?

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Clarify Health

OCTOBER 3, 2022

Healthcare providers and insurers are now required to publicly disclose what they pay hospitals, doctors, and other medical providers. Her research at RAND focused on insurance benefit design, health insurance markets, provider payment, and the care use and needs of the elderly. “Is it a good or bad thing?

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Nixon Gwilt Law

MARCH 3, 2022

This article outlines the basics of the model and considerations for those contemplating building a virtual care network. The Three Primary Participants in an MSO-Friendly PC Model The MSO-Friendly PC Model has three primary participants: the MSO, the Physician Owner or Physician Executive, and the “Friendly” professional corporation (PC).

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PM360

NOVEMBER 21, 2022

That includes first searching for an in-network physician online, then scheduling an appointment online, and then filling out patient intake forms digitally prior to their appointment. This enables physicians to treat low-risk populations fully asynchronously and prioritize patients when a protocol identifies risk factors.

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Healthcare Success

NOVEMBER 1, 2024

I've got great insurance. So that's also something which could provide you an opportunity to cross network with primary care providers or look to more difficult cases that they could then prefer out to you. They're also passing insurance. in the Southern California market. Many people are also opting for online therapy.

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Healthcare Success

DECEMBER 16, 2024

Collaborating with the right experts and crafting a powerful network of insights can pave the way for lasting brand awareness, credibility, trust, and sustainable growth. So, everyone's familiar with health insurance where I moved to with Forcura. What does it really take to stay ahead in healthcare? The answer is thought leadership.

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Salesforce

DECEMBER 2, 2021

The cloud, however, allows data to live on a global network of secure data centers. App libraries provide tailored solutions to help solve different healthcare business needs, like verifying patient medical insurance. The cloud acts as a place where you can securely store your data and access it from anywhere. Engage anywhere.

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PM360

JULY 13, 2023

However, these adherence programs are not a catchall solution, leaving gaps for patients under 65, on commercial insurance, and with other conditions. Older adults with five or more chronic conditions see 14 different physicians, 12 and the average American patient sees an average of 18.7 different doctors during their lives.

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Salesforce

NOVEMBER 21, 2022

For physicians, it’s easy to build a direct, personal connection when they meet with a patient in person. When it comes to referrals, everything can come to a grinding halt if a patient calls to schedule an appointment with the specialist physician and the facility doesn’t know who they are. Unify data sources to get a complete view.

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PM360

AUGUST 9, 2022

The combined solution enables health plans and self-insured employers to realize immediate pharmacy cost savings and near-term medical cost reductions by integrating Levrx’s plan-specific and real-time prescription insights into the Adhere Platform medication optimization offerings. Chief Marketing Officer, AdhereHealth. CareTrack Health.

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Pharma Marketing Network

OCTOBER 11, 2021

Quickly adapting to a new reality due to the COVID-19 pandemic was a theme throughout this year’s Pharma Marketing Network Innovation Summit 2021, linking all three panels: “ Telehealth: Past. In addition, if the patient lives in another state than their clinician some insurances may not allow that.

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