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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ESRD Premium Restoration Can Have a Large Impact Despite Small Number of ESRD Patients
ESRD premium restoration solutions help ensure Medicare Advantage plans are properly…
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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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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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MultiPlan’s PHCS Network Receives Eleventh Consecutive NCQA Accreditation in Credentialing
In 2022, MultiPlan’s PHCS Network, the largest primary PPO in the…
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Five Healthcare Trends to Watch in 2022 that Can Rein In Skyrocketing Costs
While healthcare spending continues to soar, impacting all players in the…
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The value of machine learning in the ESRD Premium Restoration process
The value of machine learning in the ESRD Premium Restoration process…
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New technologies drive Premium Restoration innovation
Innovations in AI and machine learning unlock opportunities to eliminate waste,…
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Premium restoration in an era of Medicare Advantage growth
Expanding on one of the top payment integrity trends for 2021,…
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Success with MSP and ESRD Premium Restoration
We explain the many revenue integrity challenges health plans face and…
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.