Innovative Solutions and Data-Driven Insights Built for Providers
With healthcare costs projected to rise to historic highs in 2025, Providers face pressure on two fronts—strategic pricing to protect your bottom line and employee benefit plan optimization to contain costs while keeping benefits competitive. Here’s how we can help.
CompleteVue™ is your source for revenue intelligence
Delivering data-driven financial insights, revealing your chargemaster and reimbursement benchmarks across payors with publicly available data.
See where you stand, reveal where you could be.
Need more in-depth assistance? Our Provider Analytics Support services can help you transform healthcare delivery with technology-driven insights and comprehensive analytics, using publicly available data that improves your financial outcomes while enhancing care quality.
Our team helps align provider value with market expectations so you can negotiate service rates confidently with evidence-based decisions that drive financial sustainability.
BenInsights® with Analytics Support
provides unprecedented transparency and insight into your benefit plan performance
Gain unprecedented transparency into your benefit plan performance and optimize carrier selection and plan design based on your unique employee population. Make data-informed decisions when it comes to pharmaceutical spend and high-cost claimants.
With BenInsights Analytics Support, you can reduce compliance risk with objective monitoring and stay ahead of regulatory requirements through proactive monitoring.
Risk Analytics & Insights
help you fast track risk identification and intervention for impactful outcomes
Claritev’s Risk Analytics & Insights services complement your existing actuarial-based or clinical based modeling by applying interpretable risk models early after claims adjudication. Create more precise, prioritized strategies with models that provide insight into contributing risk factors that help you understand not just what drives risk, but why.
Enable more targeted and effective intervention strategies with our advanced data science techniques that identify, rank and prescribe with high predictive power for greater accuracy and precision. They’re fully automated for specific use cases, with flexibility to meet you where you are—best of all, they continually learn over time.
Risk Analytics & Insights
Nothing contained herein constitutes, or is intended to constitute, legal advice from Claritev. Claritev does not determine benefits availability and does not exercise any discretion or control as to benefit plans’ regulatory compliance or benefit plan assets, with respect to policy, payment, interpretation, practices or procedures. Plan sponsors retain full and final authority to exercise discretion for their benefit plan designs, changes to benefit plans and their operations.