Webinar recap: How Cigna is Innovating their Network Design Process

  On December 16th, we hosted an AHIP webinar discussion about how Cigna is innovating their network design process for market expansion. Health plan experts from Clarify Health, Dr. Jegar Jasani and Chuck Feerick, interviewed two leaders from Cigna, Austin Scott and Blake Amos. Austin has spent the last eight years [...]

2021-01-22T10:40:58-08:00January 22nd, 2021|

New Research: Telehealth Trends Among the Commercially Insured

Much like how many consumers are turning to Amazon or Instacart delivery instead of in-store shopping during the pandemic, early data suggests that large swaths of the US population are choosing telehealth encounters instead of in-person visits with their healthcare providers. However, a key difference between the virtualization of services [...]

2021-01-15T17:19:14-08:00January 19th, 2021|

Executives define ‘healthy data’ in 2020 and beyond

  Executives from across the industry joined conversations on the topic of "healthy data" at this year's HLTH VRTL conference. Leaders from Horizon BlueCross BlueShield of New Jersey, Abbvie, Kaweah Delta, and Clarify Health hosted a series of table talk discussions to unpack the concept of healthy data and to [...]

2020-11-19T13:03:21-08:00November 19th, 2020|

Perspectives from a registered nurse on data-driven approaches to case management assessments

  This week, October 11-17, is National Case Management Week 2020 (NCMW2020). To all the amazing case managers: your hard work and dedication to patients deserve to be formally recognized. Thank you for your contributions and tiresome work assessing, planning, facilitating, care coordinating, evaluating, and advocating on behalf of patients [...]

2020-10-14T11:00:11-08:00October 14th, 2020|

Three Steps to Hitting Your MLR Targets in 2021 

  With Q3 seemingly speeding to a close and rebates due at the end of September, MLR targets are top of mind for many health plans. While many plans did not meet their minimum medical loss ratio for 2020, in three steps, payers can better position themselves to meet these [...]

2020-08-26T08:18:15-08:00August 26th, 2020|