Healthcare Segment: Payers

  • Female doctor sitting at desk speaking on video call

    Caring for your providers during clinical audits

    For today’s health plans, clinical audits play a critical role in payment accuracy and ensuring the financial health of the organization. They can help a plan control costs, comply with government regulations, and meet financial requirements. Transparent communication and education are key to positively impacting the provider experience during clinical audits.

  • Woman reading on a tablet and smiling

    eBook: The modern guide to Coordination of Benefits (COB)

    This comprehensive ebook explores the fundamentals of coordination of benefits (COB) and how health plans can optimize processes to reduce costs and improve payment accuracy. Learn best practices, common challenges, and actionable strategies to streamline claims coordination and enhance financial performance.

  • Man at top of stairs looking at sky

    Vistara Will Be an Attractive Option Post-Pandemic

    With vaccines offering hope that we’ll put the COVID-19 pandemic behind us sooner rather than later, employers are beginning to think about how they can dramatically reduce the cost of healthcare benefits while keeping employees happy. Claritev’s Vistara offers an attractive option.

  • A small plant growing out of a pile of coins

    Enhancing premium restoration in four steps

    Ensuring accurate premium payments for your Medicare Advantage members requires the right people, processes, and technology. Find out which four steps you can take to capture underpaid Medicare Secondary Payer(MSP) & End-Stage Renal Disease (ESRD) premiums and ensure accurate premium payments going forward for your Medicare Advantage members.

  • (NYSE:MPLN) MultiPlan Announces

    MultiPlan Corporation to Acquire Discovery Health Partners

    January 21, 2021 – MultiPlan Corporation (“MultiPlan” or the “Company”) (NYSE: MPLN), a leading value-added provider of data analytics and technology-enabled end-to-end cost management solutions to the U.S. healthcare industry, today announced an agreement to acquire Discovery Health Partners (Discovery), an analytics and technology company offering healthcare revenue and payment integrity services, for about $155 million plus transaction costs.