Insights
Creating clarity through solution education and thought leadership.
On-Demand Webinar
In our webinar, Final Rule — Navigating NSA Independent Dispute Resolution Operations, we break down the final rule and explore what it may mean for payers, providers, and other stakeholders involved in the IDR process…
Explore Healthcare Transparency Insights
Access objective, actionable insights that bring clarity to healthcare transparency and support more informed decisions.
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The Connection Between Better Decision-Making and Healthcare Affordability
Healthcare affordability and access are often viewed as competing priorities—but they don’t have to be. By leveraging data-driven insights, network strategy, and greater price…
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Five Considerations for Turning Transparency into Value
Learn five essential strategies for operationalizing healthcare price transparency data, from rate normalization and site-of-care insights to network optimization and affordability-focused decision-making.
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The No Surprises Act at a Crossroads: From Protection to Performance
No Surprises Act independent dispute resolution (IDR) volume is driving healthcare administrative costs—it’s time to shift from policy execution to system optimization. Explore how leaders…
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Explore All Insights
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Claritev and Law Enforcement Are On To These Healthcare Claim Schemes
As a part of Claritev’s Payment Integrity service, we review claims…
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The No Surprises Act IDR Process: Simplifying the Complex
The No Surprises Act and the IDR process present unique challenges…
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Your Infectious Disease Claims May Be Riddled with Waste and Abuse
As COVID-19, RSV and other infectious diseases have spread over the…
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Turning Data into Wisdom
Leveraging data science, Claritev is working to build intelligent processes into…
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Using a Data Mining Service on Claims Data Can Reveal Significant Overpayments
Data Mining, a post-payment payment integrity service, detects errant medical claims…
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Biden Administration Releases New Guidance on QPA Calculations and Reopens the Portal for New Disputes
Claritev summarizes the FAQ issued by the Biden administration on October…
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Two Federal Courts Make Rulings on NSA Challenges in Late August
Claritev summarizes changes to NSA regulations and guidance as a result…
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You’ll Never Believe What Our Payment Integrity Team Finds
As a part of Claritev’s Payment Integrity service, we review claims…
How can we help you simplify complexity?
Reach out to Claritev to learn how our solutions go beyond saving you money and increasing transparency to enable affordable care for all.