Beyond Analytics: How to Optimize Your Benefits Program with Data-Driven Insights
For self-insured employers, the real value in data comes from turning those insights into action that optimizes your benefits program.
Creating Clarity From Chaos
Healthcare data will always be complex. But with our proprietary AI engine and data analytics, Claritev is quickly delivering the people-first insights that organizations need to move forward with confidence.
Transforming How Quickly Smart Healthcare Decisions Are Made
Claritev provides tech-enabled solutions and services fueled by multiple publicly available data sources plus over 40 years of claims repricing experience. Today, we utilize world-class technology and AI solutions to power a robust enterprise platform that delivers meaningful insights to drive affordability in healthcare, brings price transparency and optimizes networks and benefit plan design.
Our Solutions
Your Bridge Between Data and Actions
BenInsights®
For Brokers and Employers
Design smarter benefit structures with real-time analytics and customizable reports that enhance the value to employees while controlling costs.
PlanOptix®
For Brokerages and Advisors
Design smarter benefit structures with real-time analytics and customizable reports that enhance the value to employees while controlling costs.
CompleteVue®
For Providers
Improve operational efficiency and decision-making with automated risk assessment and insights for corrective action.
Value-Driven Health Plan Designs
For Brokers and Employers
Lower healthcare costs and improve member support by innovatively integrating reference-based pricing with custom provider networks.
Payment & Revenue Integrity Solutions
Complementary to Lines of Business
Optimize billing accuracy and reduce waste and abuse in the system to lower overall cost of care.
Analytics-Based Solutions
For Patients & Consumers
Reduce medical cost using services that negotiate or determine a fair reimbursement – when a patient seeks care from an Out-of-Network provider
Network-Based Solutions
For Patients & Consumers
Provide access to a network of 1.4M credentialed providers, who have contracted to reduce fees with no balance billing.
THE DATA | THE INSIGHTS | THE NETWORKS | THE PEOPLE
Customers Count on Clarity
With a Net Promoter Score of 73, Claritev stands out as a trusted partner in healthcare analytics. Our client roster includes industry leaders who rely on our spirited collaboration and innovative solutions.
Contracted Providers Within our Propriety Provider Network
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M+
Consumers with Access to Our Services Through Their Health Plans
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M+
Client Retention in 2023
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%
Payor Client Customers
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+
Claritev Contracts with Six Out of the Top Ten Carries
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/10
Our Top 10 Customers have been Clients for an average of 20+ years
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Blue Cross Blue Shield Plans
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Employers
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All of the healthcare payors per market share*
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Client Reviews
We’ve built enduring relationships with our valued clients over the last 40 years. Their feedback and testimonials reflect our continued dedication to improving the way healthcare is managed and delivered. Because behind every data point is a person.
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See What Claritev Can Do
On a mission to improve affordability, transparency and quality in and across the U.S. healthcare system.
Increasing Affordability
Our team brings payment and pricing insights into focus for payers, providers, employers and patients. We’ve identified billions of dollars in potential operational savings, helped lower out-of-pocket costs for millions of patients, and eliminated balance billing on millions of claims.
Prioritizing Transparency
A journey toward a better healthcare experience begins by improving transparency. WIth tech-enabled solutions, proprietary data, and unmatched expertise, we are able to shine a light on pricing, performance, and resources to optimize efficiency and access.
Elevating Quality
Integrate clinical and financial data for a comprehensive view of provider performance. Our customizable reports empower brokers and employers to make informed, data-backed choices to positively impact outcomes.
Blog
Latest Insights and Trends
See what we’re seeing. Stay updated with our latest healthcare insights.
Webinar: Alternative Health Plan Designs
Watch our informative webinar featuring industry experts as they discuss the significant role brokers can play in helping clients proactively explore alternative health plan design solutions.
