Clarify’s core philosophy is that, in order to drive improvement and push towards value, clinicians have to be central to the journey. Most clinical performance assessment approaches traditionally used by health systems to reduce cost and improve quality have failed to drive impact due to a combination of outdated information, [...]
Last Monday, CMS released the long-awaited details on its Direct Contracting program, its most advanced risk-sharing arrangement to-date. Below is an overview of Direct Contracting, it’s rationale, challenges, and what it means for the market. 1. What is Direct Contracting? CMS’ most advanced risk-sharing program yet – ACOs take risk [...]
After months of waiting, the Center for Medicare & Medicaid Innovation (CMMI) released details on the Direct Contracting Payment model options on Monday via a Request for Application. The 100-page document tells us many details about the model but leaves several key questions unanswered. Below, we share a summary and first reactions. We’ll be [...]
This month, payer solution experts from Clarify hosted a webinar to discuss the challenges of and best practices for creating and managing high-performing provider networks. Read this recap and watch the recording to learn about the three capabilities that are transforming network design in the same way predictive analytics transformed [...]
What will it take to shift the American health system from “sick care” to health care? Health services today primarily focus on disease treatment in the acute care setting, rather than on prevention. Primary care remains strapped with too few physicians and too little time. In fact, 24% of Americans [...]