The Clarify Health Blog | Clarify Health

CMS TEAM

Building the Future of Healthcare: Reflections from Clarify’s Co-founder & President, Todd Gottula

Physician Incentives

How hospitals can best prepare for CMS TEAM

Healthcare Analytics

Choosing the right track for CMS TEAM: Why it matters

Healthcare Insights

Why hospitals need episode-based intelligence to prepare for CMS’s TEAM Model

Healthcare Analytics

Effective referral management is a financial imperative—here’s how to get it right

Healthcare Analytics

Executive Order on Price Transparency

Payer: Employer Insights

How to improve MLR performance with healthcare data analytics

Payer: Health Plan Insights

How health plan cost containment benefits from price transparency

Provider: Health System Insights

How technology vendor consolidation impacts hospital cost savings and efficiency

Provider: Health System Insights

How data-driven healthcare strategy transforms payer negotiations for multi-hospital systems

Provider: Health System Insights

How data-driven strategies can help improve patient retention

Healthcare Insights

Driving growth, equity, and excellence: Insights from Jesse Longoria, VP of strategy at OhioHealth

Payer: Health Plan Insights

Leveraging healthcare data analytics for smarter benefits planning

Provider: Health System Insights

Leveraging price transparency for margin improvement in health systems

Payer: Health Plan Insights

Optimizing specialty care costs through effective referral management

Payer Insights

Value propositions of vendor consolidation – an alternative to point solutions

Healthcare Analytics

Leveraging healthcare data analytics to ensure provider quality and profitability

Demand Forecasting

How Healthcare data analytics drives revenue growth for rural hospitals

Demand Forecasting

Maximizing the utilization of high-margin services through demand forecasting

Healthcare Analytics

Understanding how analytics can drive PCP growth strategy with Memorial Hermann Health System and Clarify Health

Provider Insights

Enhancing patient retention through predictive analytics

Payer Insights

How price transparency tools for payers can help drive success

Provider Insights

Demand forecasting holds the key to a winning healthcare growth strategy

Provider Insights

How expanded data coverage drives success for healthcare providers

Provider Insights

Leveraging patient journeys and data analytics for strategic growth

Payer Insights

How value-based care for specialty populations can help reduce claims spend

Provider Insights

Is building in-house healthcare analytics infrastructure worth the cost

Provider Insights

Using performance analytics to drive growth and enhance patient outcomes

Payer Insights

Leveraging telemedicine for enhanced healthcare network efficiency

Provider Insights

How healthcare data analytics can mitigate financial challenges in provider systems

Payer Insights

The role of data analytics in alternative payment models 

Healthcare Analytics

How engaging providers enhances value-based care

Provider Insights

How to increase specialist engagement in accountable care organizations

Payer Insights

The role of healthcare data in increasing health plan network efficiency

Provider Insights

How AI can help healthcare providers with patient care management

Provider Insights

Leveraging predictive analytics to uncover new revenue streams in healthcare

Payer Insights

Unlocking the potential of healthcare claims data Part III: Improving patient satisfaction

Payer Insights

Unlocking the potential of healthcare claims data Part II: Optimizing network performance

Payer Insights

Unlocking the potential of healthcare claims data Part I: Identifying cost-saving opportunities

Healthcare Analytics

Three ways improved healthcare data interoperability can help health plans grow

Price Transparency

Five ways ASCs can use price transparency to strengthen their market position

Company Updates

Clarify announces Negotiation Opportunity tool to enhance price transparency solution

Provider Insights

How provider organizations can use data analytics to increase physician engagement

Payer: Health Plan Insights

Three strategies for health plans to leverage price transparency data in 2024

Demand Forecasting

The role of predictive analytics in transforming specialty and preventative care

Price Transparency

How hospital leaders can enrich price transparency data to demonstrate value

Price Transparency

How healthcare providers can address challenges with hospital price transparency data

Healthcare Analytics

Harnessing the power of data and analytics to improve the cost and quality of provider networks

Healthcare Analytics

How predictive analytics in healthcare can improve quality of care and lower care costs

Payer Insights

How payers can use healthcare data to enhance network adequacy

Provider Insights

Six ways AI can help providers drive transformation in healthcare

Provider Insights

How hospitals can enhance operational efficiency with data analytics

Payer Insights

How payers can use price transparency as a competitive advantage

Demand Forecasting

Aligning resources with needs: Enhancing hospital demand forecasting for better care

Payer: Health Plan Insights

How payers and providers can leverage data analytics to provide better care for aging populations

Payer Insights

Medicare advantage policy and regulation updates: What payers need to know in 2024 and beyond

Payer Insights

Innovative strategies for enhancing population health

Provider Insights

Using data analytics to better manage care transitions

Provider Insights

How to use predictive analytics in healthcare to better anticipate market shifts

Payer: Health Plan Insights

How TPAs can use network design as a competitive advantage

Healthcare Analytics

AI in healthcare: From buzzword to boardroom

Payer: Health Plan Insights

Three steps third-party administrators can use to help employers combat rising care costs

Provider Insights

A northeast academic medical center identifies a $2.1 million opportunity for one service line with Clarify Health’s price transparency analytics

Provider Insights

How predictive analytics can help drive revenue growth in healthcare

Company Updates

Welcome to Healthcare Unbound, powered by Clarify Health

Healthcare Analytics

The power of patterns: patient journeys, data analytics and the quest for a better healthcare system

Provider Insights

Healthcare data integration strategies for physician liaisons

Healthcare Insights

Emerging healthcare trends: Clarify Health’s predictions for 2024

Physician Incentives

A lesson in behavioral economics: Driving value-based care through physician incentives

Demand Forecasting

Leveraging demand forecasting to make smarter healthcare investment decisions

Payer Insights

Network optimization strategies for payers: A look at provider network adequacy

Payer Insights

How health plans can leverage competitive intelligence data today to drive impact in 2024

Price Transparency

Changes to hospital price transparency requirements address data availability and quality

Provider: Health System Insights

East Coast health system increases downstream revenue by $37M in one year with next-gen referral analytics

Provider: Health System Insights

The role of data analytics in patient retention strategies

Provider: Health System Insights

Do healthcare mergers and acquisitions lead to better care for patients?

Physician Incentives

Do physician incentives work to change behavior patterns?

Physician Incentives

How to influence care decisions at the point of care

Payer: Health Plan Insights

Using predictive analytics to accelerate time to market in healthcare

Payer: Health Plan Insights

Network innovations webinar with Aetna, Contigo Health, and Clarify

Provider: Health System Insights

Why patient retention is non-negotiable for hospital leaders

Payer: Health Plan Insights

Metrics that matter: Driving success in value-based payments

Provider: Health System Insights

AAPL Columbus 2023: Applying Data to Drive Effective Outreach

Payer: Health Plan Insights

How payers can use outcomes data to enhance care and member experience

Payer: Health Plan Insights

Value-based care: How payers can empower providers to deliver better outcomes

Payer Insights

Building a robust provider network with SDoH insights

Healthcare Analytics

Top healthcare digital transformation trends of 2023

Payer: Health Plan Insights

Streamlining center of excellence provider network development in record time

Provider: Health System Insights

Unleashing the power of healthcare analytics data to improve patient loyalty and referrals

Provider: Health System Insights

Clarify at SHSMD Connections 2023: Case studies on using market and patient insights to accelerate strategic growth

Payer: Health Plan Insights

Did bundled payments achieve the quadruple aim?

Payer: Health Plan Insights

Three strategies to optimize healthcare provider networks in new and existing markets

Healthcare Analytics

Prior authorization in the age of AI: How automation is driving efficiency for payers

Healthcare Analytics

Healthcare claims processing in the era of value-based care

Payer: Health Plan Insights

Alternative payment models: emerging trends and opportunities for payers

Healthcare Analytics

Ensuring data quality in healthcare for improved clinical outcomes

Price Transparency

How hospitals can use price transparency data to negotiate better contracts with payers

Price Transparency

How price transparency in healthcare will impact provider networks and patient choice

Payer: Health Plan Insights

Insights on immunization among young children from the Clarify Health Institute

Healthcare Analytics

The potential of AI in healthcare Part II: opportunities and challenges for providers

Physician Incentives

Introducing Clarify Advance, an innovative physician incentive program for health plans

Healthcare Analytics

The transformative potential of AI in healthcare Part I: Opportunities and challenges for payers

Provider: Health System Insights

Clarify at AAPL 2023: A real-world case study on strategic physician outreach

Payer: Health Plan Insights

Navigating the requirements of the No Surprises Act: A guide for payers

Healthcare Analytics

Generative AI: The new frontier in healthcare technology

Physician Incentives

Moving toward value-based care: Micro-incentives that target influenceable physician behaviors for better outcomes

Provider: MSO/ACO Insights

Effective data interoperability for enhanced performance in ACOs

Provider: Health System Insights

Health system diversification trends

Healthcare Analytics

Why healthcare organizations need business intelligence tools today

Provider: Health System Insights

Evaluating the financial impact of high-performing hospital networks

Payer: Health Plan Insights

Focus on men’s health: Key insights from medicare claims analysis

Healthcare Insights

A glimpse into public perception of mental health care in the United States

Payer: Health Plan Insights

Decoding price transparency data at HIMSS23

Payer: Health Plan Insights

Unleashing the power of healthcare data analytics in health plan network design

Payer: Health Plan Insights

Physician incentives: Reducing medical spend and boosting clinical effectiveness in value-based care

Provider: Health System Insights

The key to better patient journey mapping: Breaking down data silos

Payer: Health Plan Insights

Clarify Health Institute highlights increasing prevalence of adult mental health conditions in new analysis

Healthcare Analytics

Clarify Health, Amenities Health and Atrium Health executives discuss data analytics at HIMSS23

Physician Incentives

Designing a provider incentive program that influences practice patterns

Provider: Health System Insights

Cancer center identifies $7.5M opportunity to grow referral-related revenue in one year

Physician Incentives

What motivates providers to change their referral pattern behaviors?

Payer: Health Plan Insights

Clarify Health Institute Examines the Impact of Diabetes in America

Provider: Health System Insights

Hackensack Meridian Health modernizes approach to volume growth with next-gen referral analytics cloud software

Provider: Health System Insights

Large medical center uses on-demand patient journey insights to identify $50M opportunity to grow their oncology service line

Healthcare Analytics

Unlocking value from analytics—do you have the right fuel?

Payer: Health Plan Insights

Can price transparency improve medication adherence?

Healthcare Analytics

Why Our Healthcare Economic Models Need an Intermediary

Payer: Health Plan Insights

Three Ways to Use the Power of Data in Transforming Your Healthcare Model

Healthcare Analytics

The price is right (or is it?): decoding price transparency data

Physician Incentives

Driving Provider Engagement in Value-Based Care

Provider: Health System Insights

Midwest health system expands ambulatory services across their 45 markets

Payer: Health Plan Insights

Data from the Clarify Health Institute Underscores the Need for Kidney Disease Education

Physician Incentives

Redesigning Provider Incentives to Influence Practice Patterns and Performance

Payer: Health Plan Insights

Celebrating Healthcare Changemakers

Payer Insights

A Top 10 Blues plan utilizes care delivery insights to address $285M in unwarranted clinical variation

Payer: Health Plan Insights

How to scale your network design process

Healthcare Insights

A real-world, claims-based study on anorexia epidemiology and mortality published by Pfizer and Clarify Health

Provider: Health System Insights

A Blueprint to Help Provider Networks Become Value-based Care Organizations in 2023

Provider: Health System Insights

Three growth strategies for success in value-based arrangements

Provider: Health System Insights

What Every Physician Should Know About Value-based Care

Payer Insights

A national health plan designed and launched higher performing medicare advantage networks in 12 new markets 8X faster

Healthcare Insights

New Data Highlights the Clinical and Economic Burden of Heart Disease in the U.S.

Life Science Insights

Pfizer and Boehringer Ingelheim discuss the importance of real-world evidence

Payer: Health Plan Insights

What do we need to do to accelerate the shift to value-based care?

Payer Insights

A global health insurance company improves the precision of hospital ratings for its Centers of Excellence designations

Provider: Health System Insights

New Research from Clarify Health Institute Validates Orthopedic Surgeons with Higher Surgical Volume Deliver Better Care Outcomes at Lower Costs

Payer: Health Plan Insights

National health plan optimizes 900+ networks, contributing to $500M net new Medicare Advantage revenue in one year

Physician Incentives

Take the Guesswork Out of Value-based Care Models with a Micro-incentive Program

Life Science Insights

The Future of RWE in Clinical Trial Design and Recruitment

Healthcare Insights

Are you ready for the zombie rate apocalypse?

Payer: Health Plan Insights

How price transparency is changing healthcare

Payer: Health Plan Insights

Four key considerations when shifting from fee-for-service to value-based arrangements

Provider: Health System Insights

John Muir Health establishes centralized service coordination to increase referral alignment

Provider: Health System Insights

The importance of SDoH insights at the peak of healthcare consumerism

Healthcare Insights

Clinical Research News: Social Determinants Of Health Data Help Identify Sites For Trials

Life Science Insights

Is it enough? Pharma addresses DE&I in clinical trials

Payer: Health Plan Insights

A Q&A with Niall Brennan on the race for health plan price transparency data

Healthcare Insights

Democratizing price transparency data for better, more affordable care

Payer: Health Plan Insights

Healthcare Price Transparency is Here. Now What?

Physician Incentives

Micro Incentives: Enabling Value-Based Outcomes Outside of VBC Contracts

Provider: Health System Insights

Patient growth strategies for optimizing volume and value

Provider: Health System Insights

Health system leaders: Referral optimization needs to be part of your value strategy

Life Science Insights

Will Pharma turn to tech for faster market access reporting?

Healthcare Analytics

Top 3 plays to recession-proof your health system

Physician Incentives

Micro-targeted Provider Incentives to Reduce Total Cost of Care

Healthcare Analytics

Advancing Health Equity with Data & Analytics: A Q&A with Anikia Nelson, MD

Payer Insights

3 Ways to Engage Providers in Value-Based Care

Provider: Health System Insights

5 strategies to future-proof your health system

Payer: Health Plan Insights

Insurers: How to develop a health equity lens to address health disparities effectively

Provider: Health System Insights

Webinar Recap: John Muir Health Talks Data-Driven Strategies for Growth

Payer: Health Plan Insights

Clarify’s President, Todd Gottula, shares 5 pillars of success for value-based payments

Life Science Insights

The FDA now recommends that clinical trial sponsors submit a Race and Ethnicity Diversity Plan

Life Science Insights

Clarify publishes a study assessing differences in real-world medication adherence between Medicaid and commercial populations

Provider: Health System Insights

Is your system of intelligence ready for prime time? Clarify Health, Castell and Horizon executives talk AI/ML

Life Science Insights

Clarify publishes a real-world study on medication adherence among patients with a rare heart disease

Payer: Health Plan Insights

The key to succeeding at population health analytics

Payer: Health Plan Insights

Watch a fireside chat with Dr. Ines Vigil, co-author of the textbook ‘Population Health Analytics’

Provider: Health System Insights

A fireside chat with the co-authors of the textbook, “Population Health Analytics”

Provider: Health System Insights

Leaders from Boston Children’s Hospital, Google Cloud, MedCity News, Edgilty Inc, and Clarify Health discuss the future of AI in healthcare

Provider: Health System Insights

Fireside chat with Mercer on driving higher-value provider networks

Payer Insights

The analytics fueling the fast-growing Medicare Advantage plans

Provider: Health System Insights

Fireside chat with the Chief Strategy Officer at Memorial Hermann about using analytics for precision growth

Payer: Health Plan Insights

3 ways Blue Cross of Idaho is using data-driven strategies to scale the adoption of value-based contracts

Provider: Health System Insights

Healthcare CIO Guide to investing in a system of intelligence

Provider: Health System Insights

Top considerations for selecting and implementing grouper technology

Payer: Health Plan Insights

How health plans are leveraging rate intelligence to drive impact in 2022

Life Science Insights

Merck, Bristol-Myers Squibb, and Clarify discuss diversity in clinical trials

Provider: Health System Insights

Powering network negotiations with on-demand rate intelligence for providers

Life Science Insights

Pfizer leverages Clarify’s RWE to publish a study on diagnostic testing patterns for rare disease patients

Life Science Insights

The role of real-world evidence in the lifecycle of diagnostic, medical device, and digital therapeutic products

Payer: Health Plan Insights

Can technology accelerate the adoption of value-based contracts?

Provider: Health System Insights

Fireside chat with Horizon Healthcare Services on scaling value-based care programs

Life Science Insights

Pfizer, Novo Nordisk, Karius, and FibroGen discuss novel use cases for precision analytics

Payer: Health Plan Insights

What health plans should know about healthcare price transparency

Life Science Insights

Dr. Calum MacRae talks about health equity in pharma

Payer: Health Plan Insights

National health plan increases competitive overlap to 70% for 900+ Medicare Advantage networks in under 12 months

Payer: Health Plan Insights

Value-Based Care: The Path to Scaling Contract and Performance Management

Life Science Insights

Diversity and inclusion in oncology clinical trials

Life Science Insights

Evaluating the impact of socioeconomic disparities on vaccination rates

Payer: Health Plan Insights

What to expect in the new era of healthcare price transparency

Life Science Insights

Clarify’s CEO talks with PM360 about how pharma’s addressing health inequities with SDoH insights

Provider: Health System Insights

Modernizing provider growth strategies with next-gen referral analytics

Healthcare Analytics

What healthcare can learn from baseball’s predictive analytics

Network Design/Optimization

Innovating the network design process

Payer: Health Plan Insights

How Shared Intelligence Leads to Shared Savings

Healthcare Analytics

The future of provider benchmarking is here

Life Science Insights

The latest RWE trends from top 50 pharma

Life Science Insights

Using real-world evidence to improve commercialization strategy for rare disease drugs

Life Science Insights

Light up the patient journey with self-service analytics

Healthcare Analytics

Real-world applications of SDoH insights

Provider: MSO/ACO Insights

Geographic Direct Contracting – Is it Cancelled?

Provider: Health System Insights

The Rise of the Chief Strategy Officer in Health Systems and Hospitals

Payer Insights

3 Steps to Success for Medicare Advantage Plans

Payer: Health Plan Insights

Webinar recap: How Cigna is Innovating their Network Design Process

Healthcare Insights

New Research: Telehealth Trends Among the Commercially Insured

Life Science Insights

The analytics your BD&L team could be missing

Provider Performance

Physician performance analytics: keeping tabs or adding value?

Life Science Insights

Pharma commercial leaders talk about decoding patient journeys

Provider: Health System Insights

Executive Insight: Technology and Strategy for Improving Referral Alignment

Healthcare Analytics

Executives define ‘healthy data’ in 2020 and beyond

Life Science Insights

Clarify’s CEO talks with PM360 about pharma brand teams raising the bar

Provider: Health System Insights

BPCI-A MY4 and Mandatory Bundles – 2 Steps to Success (Part 2)

Payer: Health Plan Insights

BPCI-A Data Comes This Week from CMS – Are You Ready? (Part 1)

Payer: Health Plan Insights

Perspectives from a registered nurse on data-driven approaches to case management assessments

Payer: Health Plan Insights

Three Steps to Hitting Your MLR Targets This Year

Healthcare Analytics

The pandemic-driven momentum of technology adoption in healthcare

Life Science Insights

The traditional pharmaceutical commercialization model is outdated

Provider: Health System Insights

Patient volumes may never return to normal, NYC health leaders say

Life Science Insights

Bringing Therapies from Bench to Bedside: Navigating Challenges in the Last Mile

Provider: Health System Insights

Recover, Restore, Reimagine: three core revenue strategies for hospitals and health systems

Provider: Health System Insights

Clarify’s Philosophy: Engaging Physicians Through Trusted Performance Insights

Provider: MSO/ACO Insights

6 CMS Direct Contracting Questions Answered

Provider: MSO/ACO Insights

Direct Contracting: CMS takes its next bold step in value-based care, but the clock is ticking

Provider: Health System Insights

Webinar Recap: Three Ways to Build a Better Provider Network

Healthcare Analytics

What if building a high-performing provider network was as simple as shopping online?

Provider: Health System Insights

Using SDoH to shift from “sick” care to preventive healthcare for chronic diseases

Payer: Health Plan Insights

High-Performing Provider Networks: Don’t forget about referrals

Provider: Health System Insights

How to Break Down a Complex Patient Journey to Achieve Growth

Life Science Insights

Smarter therapy commercialization through insights leveraged by health plans and health systems

Provider: MSO/ACO Insights

Medicare ACO Payment Models: Deciding with an Edge

Provider: MSO/ACO Insights

CMS’ New Medicare Payment Models: What ACOs Need to Know

Provider: Health System Insights

Network Referral Intelligence: The Low Hanging Fruit of Provider Growth

Network Design/Optimization

How to build high performing networks

Provider: MSO/ACO Insights

Part I: CMS’ New Medicare Payment Models: The Basics

Life Science Insights

SBDoH Webinar: Separating Signals from Noise

Provider: Health System Insights

Addressing Today’s Healthcare Challenges Using Precision Analytics

Clarify Blog