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|

The pandemic-driven momentum of technology adoption in healthcare

Healthcare is notoriously conservative in its adoption of technology. Yet, telehealth use skyrocketed because of the COVID-19 pandemic. With the sudden physical distance between patients and healthcare facilities imposed by the lockdown, providers proved they could transition to virtual care instantly. Could this be the example the industry needs to [...]

2020-08-12T12:18:27-08:00July 27th, 2020|

59% of healthcare professionals believe that COVID-19 will put tailwinds behind adoption of value-based arrangements

  Clarify Health recently hosted a virtual roundtable with industry thought leaders to get the health plan perspective on value-based contracting in a COVID-19 era. Vijay Venkatesan, Vice President and Chief Analytics Officer, Horizon Blue Cross Blue Shield of New Jersey, Stephen Carrier, Senior Vice President, Network and Provider Partnerships, Blue [...]

2020-06-10T15:55:05-08:00June 8th, 2020|

What if building a high-performing provider network was as simple as shopping online?

Finding high-value providers is hard. Building a high-value provider network is even harder. It’s not because there is a shortage of great providers practicing medicine in caring, cost-effective, and patient-centric ways. Rather, it’s a lack of clear visibility into provider performance and an ever-changing definition of “high value.” Vast amounts [...]

2020-01-13T12:36:26-08:00November 1st, 2019|