Insights for Payers
Mar 5, 2024
A national health plan was looking to quickly expand their Medicare Advantage (MA) business into new markets. However, the data they were utilizing to optimize their networks was incomplete and siloed, making it difficult and time-consuming to get actionable insights. With Clarify’s on-demand network design software, precise provider performance benchmarks, and competitive intelligence, they were able to move faster and at scale. They designed and optimized 900+ MA networks in under a year, achieving 70% competitive overlap. This contributed to growing MA revenue by $500M in the following 12-months, of which they said $50M was a direct result of Clarify’s technology.
“In the past, it took us months to contract with separate data vendors in every state and extract competitive insights. With Clarify’s on-demand network design and competitive intelligence software, we achieved 70% competitive overlap across 900+ MA networks in under 12 months. This generated $50M of net new MA revenue—a 25X ROI.” VP, Market Expansion
