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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Tackling Out-of-Network Medical Bills with Data iSight
To tackle the problem of out-of-network charges, Claritev developed our Data…
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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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No Surprises Act Update: IDR Entities May Resume Issuing All Payment Determinations
IDR entities can once again issue payment determinations for No Surprises…
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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…
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Texas Medical Association Wins Its Second Suit Challenging the NSA’s IDR Process
On February 6, 2023, a federal judge in Texas ruled in…
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The Texas Medical Association Challenges the IDR Fee and Batching Rule in Its Fourth NSA Lawsuit
MultiPlan summarizes the Texas Medical Association’s fourth NSA lawsuit, challenging the…
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Dynamic Negotiation Offer: Leveraging Machine Learning in the Toughest and Easiest Negotiations
Claritev is using machine learning in its toughest and easiest negotiations
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Initial IDR Report Released Per No Surprises Act Requirement
The first federal report on the No Surprises Act’s Independent Dispute…
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