Insights for Providers
Sep 21, 2023
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 online retail.
Tips from the webinar:
Clarify’s payer solutions are powered by a dataset representing 220+ million lives across Medicare, Medicaid, and commercial populations. We combine this rich dataset with best-in-class data science and machine learning techniques to create “Expected Values” for each patient-provider interaction across a vast library of metrics. For every provider, provider group, hospital, health system, and downstream provider, we calculate observed performance on any given metric and compare it to how they were expected to perform based on factors unique to that provider. This allows for fair comparisons across providers, incorporating over 300 different patient and clinical factors, from HCC risk scores to social behavioral determinants of health. By giving customers transparency into cost, quality and utilization, and provider referral patterns from day one, Clarify makes building a new provider network as easy as shopping online, all while ensuring that your members receive the high-value clinical care they need.