San Francisco, CA (August 15, 2024) – Clarify Health, an award-winning healthcare data and analytics company, proudly announces its inclusion for the second consecutive year in Gartner Hype Cycle for U.S. Healthcare Payers, 2024 (July 2024) in Next-generation Value-based Payment (NGVBP) and Price Transparency Analytics categories. Both the categories received a “High” Benefit Rating from Gartner because it “enables new ways of performing horizontal or vertical processes that will result in significantly increased revenue or cost savings for an enterprise.”

Gartner analyst Connie Salgy noted, “Price transparency analytics improve healthcare organizations business outcomes. When ingested, normalized and enriched, the MRFs (machine-readable files) provide actionable insights to business stakeholders (e.g., product and provider networking and contracting teams) through analytics, reporting and dashboards. Healthcare organizations can use the data to improve their growth prospects and competitive positioning as these analytics deliver network, rate and benefit insights before provider and purchaser negotiations.”

Clarify delivers payer and hospital pricing data and easy-to-use analytics for market planning and negotiation. Pricing data is enriched with claims data from the Clarify Atlas Platform®, which maps 300M patient lives to deliver service mix and volume insights, allowing users to understand the business impact in market pricing decisions. Instead of digging through billions of rows of rates and processing terabytes of data, Clarify also flags areas of risk or opportunity by payer, hospital, and service line level for actionable insights to power rate negotiations. One health plan recently used Clarify’s price transparency capabilities to enter a new, highly competitive market in record time and contract with thousands of providers with access to market rate insights.

Advancing Cost-Effective Care with Next-generation Value-based Payment Models

Traditional value-based payment models have struggled to curb healthcare costs effectively, hindered by performance data and insufficient physician engagement for accountability. In reference to this category, Gartner states, “NGVBP models focus on paying for value rather than volume and emphasize on population health management, prioritizing preventive care, chronic disease management and care coordination.” Solutions like Clarify’s provider performance benchmarking, network optimization, and physician engagement capabilities, overcome these challenges. For example, a health plan achieved an 18% improvement in high-value specialty care referrals from PCPs through Clarify’s provider engagement program.

“We are proud to be included in Gartner’s Price Transparency Analytics and Next-generation Value-based payment categories and believe both deliver measurable outcomes that benefit patients, providers, and payers. With the largest healthcare dataset in the industry, Clarify is positioned to continuously transform how providers deliver care and how patients experience it,” said Clarify Health CEO Terry Boch. “We think being recognized by Gartner for the second time is a testament to Clarify Health’s ongoing impact in the healthcare industry.”

Clarify has been included several times in Gartner’s market analyses in the last two years. Last January, Clarify was included in the 2024 Gartner “Quick Answer: How Can U.S. Healthcare CIOs Increase Retention With Price Transparency?”

Gartner clients can read the report here: https://www.gartner.com/en/documents/5622891

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About Clarify Health

Clarify Health is an award-winning, enterprise data and analytics platform company that enables providers, payers, and other healthcare organizations to improve healthcare access, affordability, and outcomes. Clarify translates the largest healthcare datasets into actionable insights to incentivize and engage providers, optimize their performance, and contain cost. Clarify’s solutions are built on the Clarify Atlas Platform which maps 300M+ patient journeys to deliver 20 billion AI-powered predictions and surface insights with speed and precision. These insights illuminate opportunities to drive growth, optimize provider networks, guide better healthcare pathways, and maximize value-based care performance.

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