Discover how Claritev’s Chief AI Officer, Fernando Schwartz, is leveraging advanced AI to reduce healthcare’s administrative burden—streamlining claims processing, accelerating decisions, and cutting costs in an industry where bureaucracy accounts for 15–25% of total expenses.
Healthcare providers are facing mounting financial pressure driven by rising costs, complexity, and misaligned incentives. This blog explores how leveraging data and AI can bring greater transparency to pricing, uncover hidden opportunities, and enable smarter decisions that improve both financial performance and patient engagement.
Claritev’s PHCS Network has achieved its twelfth consecutive NCQA Accreditation in Credentialing, showcasing its commitment to healthcare excellence. With a skilled team supporting over one million practitioners, this achievement enhances quality care across the nation. Learn more in the full press release.
Discover 5 key insights from the data-driven employee wellness webinar featuring a client's success with BenInsights®. Learn how analytics improved cancer screenings, reduced ER visits by 11%, managed MSK conditions, implemented effective point solutions, and addressed rural healthcare challenges.
It’s been 3 years since the No Surprises Act (NSA) went into effect and we’re sharing key insights.
Learn how Value-Driven Health Plan (VDHP) Services empower employers and brokers with transparency, provider collaboration and smarter healthcare choices.
In this white paper, Claritev’s comprehensive surgical cost analysis provides insights to help understand and optimize healthcare expenditure through a data-driven approach.
Struggling with managing rising GLP-1 drug costs? Every company's cost drivers are different, making a one-size-fits-all approach ineffective. Learn how data-driven insights can help employers balance coverage and costs while optimizing member outcomes.
To make it easier to work with publicly available healthcare price transparency data, many technology vendors have developed tools and platforms. Those solutions, however, are only as good as the underlying data.
ESRD premium restoration solutions help ensure Medicare Advantage plans are properly reimbursed for ESRD patients by identifying members with missing ESRD statuses and restoring the premiums. However, because of the low number of ESRD patients, small healthplans often underestimate the potential impact of using an ESRD premium restoration solution and decide against using one. This article explains why they should reconsider.