Dallas Scrip draws on decades of experience in the TPA and healthcare space to show how actionable insight—not just transparency—drives smarter decisions, lower costs, and lasting impact.
At ViVE, Claritev’s Vice President of Partnerships and Channel Development, Claritev, Bill Morgan joined a live panel discussion focused on modernizing the prior authorization process. The conversation explored how interoperability and smarter workflow design are essential to enabling seamless data exchange between providers and payers—and unlocking real improvements in efficiency.
Discover how Claritev is bending the healthcare cost curve by leveraging data analytics, technology, and industry experts to improve care value and combat rising healthcare expenses.
Claritev's PHCS Network is the largest independent, nationwide primary preferred provider organization (PPO). It is the preferred choice for health plans wanting a provider network with flexibility to meet their unique needs. Plans get administrative ease without sacrificing provider access, savings, and quality for health plan members.
As we look forward to the new year, we will see payors, providers, and consumers collaborating to improve the healthcare experience. One thing is a sure bet, healthcare will remain a dynamic industry with creative solutions emerging throughout 2023 and beyond.
In 2022, MultiPlan’s PHCS Network, the largest primary PPO in the nation, received its 11th consecutive Accreditation in Credentialing from the National Committee for Quality Assurance (NCQA), a private nonprofit organization dedicated to improving health care quality. The PHCS Network is the only national independently contracted primary PPO with NCQA accreditation, demonstrating its unique commitment to the accurate and efficient credentialing of health care professionals.
Healthcare costs in the U.S. are rising to $4 trillion annually, accounting for 17% of the economy. The increased pace towards a value-based care system could be a crucial step to rein in the rising cost of healthcare. This trend accelerates the need for collaboration between payors, providers, employers and health plan members.
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.
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]