Clarify Advance icon

Clarify Advance

How do I motivate providers to refer patients to higher-value sites of care?

Clarify Care for Payers

Clarify Care

How do I drive improvements across quality and utilization with my provider partners?

Clarify Contracts

How do I scale adoption of value-based contract models and improve their success?

Clarify Networks Product Icon

Clarify Networks

How do I precisely and efficiently optimize the performance of my provider networks?

Clarify Rates

How can I quantitatively prove my value to payers to validate my rates?

Clarify drives demonstrable impact

10%

Identified unwarranted clinical variation at a large Blues plan

2%

Reduction in forecasted medical cost at national plan

$4-10K

Savings PMPY for high-risk patients at large capitated physician group

Integrated and scalable product suite

Clarify Access

Clarify Advance

This cloud-based software delivers a micro-incentive program that enables health plans to identify cost-saving opportunities for their in-network providers and drive behavior change. Using advanced behavioral science and evidence-based design, Clarify Advance is a highly effective and personalized program that builds greater levels of trust with provider partners and is proven to increase their use of high value options by 20%.

Clarify Care

By delivering the most actionable case-mix adjusted insights into facility, service line, or individual physician performance, this product helps drive real improvements with strong clinical buy-in. This product is part of our Value Solution for health plans.

Clarify Care Clarify Care
Clarify Health Clarify Contracts

Clarify Contracts

Enabling shared savings and risk contracts as well as capitation, this product is the simplest way to scale adoption of alternative payment models. Achieve your clinical and financial goals faster by aligning payer and provider incentives from design to settlement. This product is part of our end-to-end Value Solution for health plans.

Clarify Networks

Whether you are designing a new high-performing network, modifying an existing network, or managing ongoing performance, Clarify Networks offers the most efficient and precise way to optimize your clinical networks. This health plan analytics software product allows you to dynamically select and modify geographic parameters, PCPs, specialists, and facilities, and instantly predict real-world performance.

Clarify Health Clarify Networks
Clarify Rates for Payers Software Product Preview

Clarify Rates

Ensure your rates are competitive in the market with full transparency into negotiated rates. This cloud-software lets you instantly access validated rate intelligence and compare rates at the market, payer, provider, and DRG and CPT code levels to help you stay financially competitive and strengthen negotiating power.

Highmark Health is delivering higher-value care with Clarify’s analytics

Resources

Case Study

Improved Care Through the Accurate Prediction of Clinical Events

For Health Plans

Case Study

Driving Provider Performance in Value-Based Contracts

For Health Plans

Let’s work together