Insights
Creating clarity through solution education and thought leadership.
Strategic Guide for Responsible AI in Healthcare
The organizations that will lead in healthcare AI are not those that adopt it fastest. They are those that have built the governance foundation to scale it responsibly – to make AI not just powerful, but safe to scale.
Explore Healthcare Transparency Insights
Access objective, actionable insights that bring clarity to healthcare transparency and support more informed decisions.
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Five Medical Cost Trends to Watch in 2027
What will drive healthcare costs in 2027? Dr. Jigar Patel examines five trends reshaping the industry and explains why better data, earlier insights, and…
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Turning Transparency Data Chaos into Reimbursement Intelligence
Transparency data is transforming reimbursement strategy, but only when it can be trusted and applied effectively. Discover how Claritev turns complex pricing data into…
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Rethinking Reference-Based Pricing
Reference-based pricing is evolving to meet the demands of rising healthcare costs, shifting market conditions and changing business priorities. This white paper explores how…
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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…
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PlanOptix: Providing Innovative Healthcare Price Transparency
In the ever-evolving healthcare landscape, price transparency has emerged as a…
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Coordination of Benefits for Claims Involving Newborns Takes Special Skills for Success
Coordination of Benefits (COB) review for healthcare payors involves more investigation…
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Use of the IDR Process to Settle NSA Disputes Is Greater Than Anticipated
A little more than a year after launching the No Surprises…
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PHCS Network Brings Stability and Flexibility to an Evolving Market
Claritev’s PHCS Network is the largest independent, nationwide primary preferred provider…
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What Does the End of the Public Health Emergency Mean for Healthcare Payors?
On January 30, 2023, approximately three years after the COVID public…
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Certified IDR Entities Have Been Instructed to Hold All Payment Determinations Until Further Guidance Is Issued
CMS directed certified IDR entities to pause all payment determinations for…
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Determining Whether a Dispute Is Eligible for IDR Is Complicating the Process
More than a year after the No Surprises Act (NSA) took…
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.