Solutions for Health Plans

Build and grow high-performing provider networks

Earn members for life with provider networks and products they can count on.

Reimagine your provider networks.

Build and optimize your network around the highest performing providers that deliver the greatest value and member outcomes.

“Clarify provided comprehensive provider insights in a single integrated platform for us to compare our plans to our competitors and see what network changes we needed to be competitive and ensure high-quality member care.”

Senior Director, Network Analytics

National MA Plan

Unparalleled data and insights, including network rates, give you a competitive edge in network design and performance.

Build smarter networks

Design, manage, and optimize provider networks that are good for your business and even better for members.

Contact sales

Accelerate time to market

Improve competitor overlap

Negotiate the best rates with value in mind

70%

competitive overlap for 900+ MA Networks

faster new market launch for 12 plans

$285M

clinical variation identified

Scale your network design process

Ashley shares three tips to help you design high-performing and market-competitive networks efficiently and at scale.

Navigating health plan price transparency

Niall Brennan discusses what to expect from health plan price transparency data.

On-demand market, network, and physician insights

Improve network performance, marketability, and adequacy with our cloud-based analytics software.

Clarify provided comprehensive provider insights in a single integrated platform for us to compare our plans to our competitors and see what network changes we needed to be competitive and ensure high-quality member care.”

Austin Scott

Senior Director, Network Analytics

National MA Plan

A very useful platform for identifying opportunities to grow more competitive within our service area – Clarify illustrates for our network and contracting teams the health systems and provider groups that our top competitors have in-network and a path for building more competitive networks.”

Read on G2

With Clarify’s hospital rate data, our team can now leverage the combined power of Clarify’s provider quality performance insights in tandem with rate insights to fully assess provider performance and help our members get the higher quality outcomes they deserve at an affordable price.”

Jim Brown

VP, Market and Provider Analytics

National Health Plan

Insights for Payers

Build and grow high-performing provider networks

Reimagine your provider networks.

Unparalleled data and insights, including network rates, give you a competitive edge in network design and performance.

Scale your network design process

Navigating health plan price transparency

On-demand market, network, and physician insights

3 Tough Questions with Keith Florance

How to scale your network design process

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

Three growth strategies for success in value-based arrangements

Clarify Health Named to the New York Digital Health 100 for Third Consecutive Year

Redesigning Provider Incentives to Influence Practice Patterns and Performance

Clarify Health Recognized in 2023 Gartner® Market Guide for Provider Network Management

Driving Provider Engagement in Value-Based Care

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

Why Our Healthcare Economic Models Need an Intermediary

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

Key steps to successful value transformation

Clarify Health Launches No-Code Query Engine for Faster Access to Price Transparency Intelligence

The transformative potential of AI in healthcare part I: opportunities and challenges for payers

Networks Analysis Medicare Advantage Sample

Prior Authorization in the Age of AI: How Automation is Driving Efficiency for Payers

How to scale your network design process

Stephanie Finch shares four key considerations when shifting from fee-for-service to value-based arrangements

How price transparency is changing healthcare

End-to-end Value Solution

Fireside chat with Mercer on driving higher-value provider networks

Q&A: How micro-incentives are helping to advance value-based care

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

National Health Plan Optimizes 900+ Networks, Contributing to $500M Net New Medicare Advantage Revenue in One Year

Micro-Incentives and AI Inject Fresh Energy Into Value-Based Healthcare

Clarify Health Launches Clarify Advance, a Micro-targeted Provider Incentive Solution Proven to Drive Higher Value Decisions

Network Builders: How provider “networks” are becoming ubiquitous

The promise of payer transparency

2023 Networks Playbook for Health Plans

Next-gen applications of SDoH insights for health plans

Guide for Health Plans Addressing COVID-19: Business impact scenario-modeling to thrive in uncertain times

Guidance for health plans considering next-gen analytics technology

The Technology and Teams Driving Value-Based Transformation.mp4

The Future of Healthcare’s Price Transparency Is Here. Now What?

Changemakers, let’s work together