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July 29 2019 Amrita Sehgal

Part I: CMS’ New Payment Models: The Basics

Late last year, CMS overhauled the Medicare Shared Savings Program, re-branding it as “Pathways to Success” and re-designed with a pre-determined path toward downside risk for Medicare ACOs. This spring, CMS followed by unveiling five new payment models with the most advanced opportunities for risk-sharing to date. After a long period of mostly talk, these …

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July 23 2019 Alana Titzler

Employee Spotlight: Alana Titzler

1. What is your position at Clarify and what do you do? As a Senior Data Analyst, I focus on the development, management, and delivery of Clarify’s data offerings. I work closely with many of our internal teams, diving into the nitty-gritty of our data assets to deliver insights. 2. What excites you most about …

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July 16 2019 Michelle Chiu

SBDoH Webinar: Separating Signals from Noise

Social and behavioral determinants of health (SBDoH), while not new, have recently garnered increasing media attention as being critical to the improvement of healthcare quality and outcomes. It is widely understood that SBDoH are a primary driver of health and that changes in SBDoH often precede health deterioration, yet much of the industry remains focused …

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July 02 2019 Manisha Shetty Gulati

Addressing Today’s Healthcare Challenges Using Precision Analytics

Last month Clarify Health released several new predictive analytics solutions to address the critical challenges payers and providers face as they work to optimize patient care, manage risk, and improve outcomes. Health plans today lack the necessary insights on performance to build high-performing provider networks. Currently, they rely on a small sliver of market data …

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June 19 2019 Jordan Nodal

Employee Spotlight: Chase Micciche

1. What is your position at Clarify and what do you do? I am currently on the Business Development team here at Clarify Health. My role includes educating the market and engaging with prospective clients on the power of our solutions. I love being one of the first people prospective customers speak to and on …

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May 23 2019 Amrita Sehgal, Charles Sauter, Josh Loehrer

Why every provider should apply for BPCI-A

The CMS Bundled Payments for Care Improvement (BPCI) – Advanced program offers participants the opportunity to take on episodic risk on 37 different clinical episode types. Current participants have realized tremendous value in the BPCI-A program through the potential to earn a bonus payment and the experience navigating value-based care programs. The BPCI-A program creates …

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May 10 2019 Amrita Sehgal, Charles Sauter, Josh Loehrer

TAVR Case Study: Uncovering complexities in BPCI-A rules

BPCI-A TAVR BACKGROUND: On April 24, 2019, CMS announced that it will include five new clinical episodes for BPCI-A Model Year 3: Outpatient TKA, Bariatric Surgery, Inflammatory Bowel Disease, Seizures, and TAVR. TAVR (Transcatheter Aortic Valve Replacement) is a minimally invasive procedure that replaces narrow aortic valves. Given the complexity of cardiac procedures and a recorded …

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April 30 2019 Jordan Nodal

Webinar Recap: What’s New for BPCI Advanced Model Year 3?

Last week, our BPCI Advanced team hosted a webinar covering the updates and changes included in CMS’s latest enrollment announcement. What should you know about BPCI Advanced Model Year 3? Our bundle experts, Michelle Chiu and Josh Loehrer, discuss what you need to be successful in Cohort 2. Unlike last year’s extended enrollment period, CMS …

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April 26 2019 Amrita Sehgal, Charles Sauter, Josh Loehrer

What’s New for BPCI Advanced Model Year 3?

On April 24, 2019, CMS announced the enrollment period for the next cohort of BPCI Advanced participants. CMS will be accepting applications until June 24th, 2019, and Model Year 3 will begin January 1, 2020. Our BPCI-A experts have taken some time to review the changes and implications for program participants. WHAT CHANGED: CMS will …

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April 24 2019

Employee Spotlight: Grace Wang

1. What is your position at Clarify and what do you do? As a data product manager at Clarify, I work at the intersection of Data, Product, Engineering and Commercialization. One of my key responsibilities is to work with several data teams to deliver insights early in the customer lifecycle. Another responsibility is to create …

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