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Employers

How Claritev helps employers control costs, optimize plan performance, and improve employee outcomes.

Helping organizations reimagine healthcare ROI.

Benefits are a major expense for employers, yet healthcare complexity and fragmented data make it difficult to actually optimize value. Costs continue to rise, regulatory requirements are getting more demanding, and leadership expects measurable impact.

Claritev equips employers with unified intelligence, predictive analytics, and proven expertise to move from reactive cost management to proactive strategy.

With advanced claims intelligence solutions, network optimization tools, and data & analytics solutions, Claritev helps you:
• Control rising medical and pharmacy costs
• Optimize carrier and network performance
• Identify certain emerging risks
• Improve employee health outcomes with measurable ROI

Today’s benefits leaders need more than reports. They need clear insight, strategy, and confidence in every decision and Claritev is here to help.

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Featured Solutions

Creating strategic clarity and sustainable savings from employers’ fragmented healthcare data.

BenInsights® Performance Intelligence & Decision Support

BenInsights combines advanced analytics insight and clinical risk management to help employers proactively manage healthcare costs, support oversight of fiduciary responsibilities, and strengthen plan performance — with less administrative complexity.

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PlanOptix® Market Intelligence

PlanOptix transforms large volumes of publicly available price transparency data into clear, comparable market intelligence based on actual contracted provider rates. Employers can analyze provider rates and be better informed when benchmarking their network rates, allowing them to strengthen their negotiations and plan design strategies.

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Vistara™ Reference Based Pricing Solution

When employers need a high-impact alternative to traditional PPOs, Vistara strives to support differentiated cost-control strategies with broad provider acceptance and a strong member experience.

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Resources that help you drive value in your health plan.

Claritev insights, resources, and case studies.

  • Illustration showing a computer monitor with two gear icons on the screen and an arrow pointing toward a hand holding a star, symbolizing transforming processes or capabilities into successful outcomes. The image has a blue background and the word “ARTICLE” appears at the bottom.

    Future-State Success Depends on Present-State Stability

    During an EHR transition, the biggest risk often isn’t the future-state platform—it’s the current-state environment that continues to power patient care, clinical workflows, revenue…

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  • Discover the latest IDR trends, provider win rates, and strategies to help payers reduce risk and improve reimbursement decisions.

    The State of IDR in 2025: Trends, Market Dynamics, and Strategic Insights for Payers

    WHITE PAPER The State of IDR in 2025: Trends, Market Dynamics, and Strategic Insights for Payers Navigating rising dispute volume, provider-favored outcomes, and growing…

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  • Cover image for a Claritev white paper from Everest Group featuring a close-up of metallic chain links that appear to be breaking apart into crystalline fragments against a blue sky background. The Claritev logo and the text “An Everest Group report” appear in the upper-right corner, with “WHITE PAPER” displayed prominently at the bottom.

    The Next Evolution of Payment Integrity

    Move beyond recovering payment errors after they happen. This white paper explores how connected payment integrity, powered by responsible AI and advanced analytics, helps…

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Are you an employer looking to offer competitive, high-quality benefits without increasing costs?

Reach out to learn how Claritev’s solutions and expertise can enhance your benefits while helping control costs and improve predictability.

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