The beginning of the COVID-19 pandemic in 2020 gave rise to a new way in which payors, providers, employers, and employees look at healthcare. New questions emerged regarding the affordability of provider services, equality of access to healthcare services, and the overall model of how employers can offset organizational healthcare costs while ensuring affordable healthcare for their employees.
HST has completed two new agreements with Cancer Treatment Centers of America, a national oncology network and Franciscan Missionaries of Our Lady Health System.
While healthcare spending continues to soar, impacting all players in the healthcare ecosystem, Claritev understands it will take a combination of forces chipping away at the margins to make healthcare more affordable. Here are five trends we’re watching in 2022 with the potential to lower costs, improve outcomes, and make our health system more sustainable over time.
As employers navigate the challenges of the Great Resignation, offering high-quality benefits has become a critical strategy for attracting and retaining talent. By focusing on value-driven healthcare benefits and improved employee experiences, organizations can strengthen workforce engagement while managing costs more effectively.
In November of 2020, Claritev acquired HST. We sat down with HST’s president, Ryan Day, to learn about HST’s past and plans for the future.
With vaccines offering hope that we’ll put the COVID-19 pandemic behind us sooner rather than later, employers are beginning to think about how they can dramatically reduce the cost of healthcare benefits while keeping employees happy. Claritev’s Vistara offers an attractive option.
What roles are necessary in your healthcare organization for successful application of your data analytics? Whatever the size, culture, and maturity level of your company, there are five key functions your organization needs to develop models that can help drive claims analytics solutions to address real-world problems.
The COVID-19 pandemic has created volatile claim trends for healthcare payors, with declines in elective care offset by sharp increases in telehealth and COVID-related claims. Payors can respond proactively by leveraging data analytics, technology and agile strategies to manage costs, adapt to rapid changes and integrate telehealth into long-term care models.
Healthcare payers face constant pressure to control costs in an increasingly complex and fast-moving environment. Success depends on three critical attributes: customization, flexibility, and speed to market. By tailoring solutions to unique organizational needs, remaining agile in response to change, and rapidly deploying effective strategies, payers can better manage costs while maintaining accuracy, efficiency, and member satisfaction. [claritev.com]
Healthcare payors are navigating uncertainty in the “new normal,” facing challenges like shifting claim volumes, cost pressures, and limited resources. By leveraging flexible, customizable building blocks—such as network-based, analytics-driven, and payment integrity solutions—organizations can adapt to change, maintain financial control, and strike a balance between cost savings, provider relationships, and member satisfaction. [claritev.com]