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 Populations Product Icon

Clarify Populations

How do I determine the programs best suited for my members, based on each member’s medical and social needs?

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 Utilization

Where is there the most unwarranted utilization that is impacting my overall spend?

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 Populations

With predictive analytics that model risk based on individual-level clinical and socioeconomic factors, this population health solution identifies member risk and matches members to care management and intervention programs that are best suited to their needs. This product is part of our Value Solution for health plans.

Clarify Health Clarify Populations
Clarify Health Clarify Networks

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 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.

Clarify Rates for Payers Software Product Preview
Clarify Health Clarify Populations

Clarify Utilization

Effectively managing total cost of care requires insight into actual versus expected benchmarks and trends. Clarify’s cloud-based health plan analytics software evaluates utilization across sites of care to precisely pinpoint the best opportunities to reduce high-spend areas with unwarranted utilization.

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

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