Rising healthcare costs are pushing employers to rethink traditional payment models. This on-demand webinar explores how reference-based pricing strategies can deliver greater transparency, control costs, and drive smarter healthcare spending without compromising quality.
Alternative health plan services often raise questions, and that’s exactly why this Q&A Guide was created. Based on real conversations with brokers and employers, it offers straightforward answers that cut through confusion and help you understand how these plans work, who they’re for, and the impact they can make.
Healthcare costs are rising, and traditional PPO plans aren't cutting it anymore. Discover how Claritev’s Value-Driven Health Plan is helping companies save 25–35% annually—while delivering clarity, control, and confidence.
Watch this on-demand webinar to learn how strategic data analytics and financial modeling empower rural providers to optimize contracts, negotiate fair rates, and improve operational efficiency.
Watch our informative webinar featuring industry experts as they discuss the significant role brokers can play in helping clients proactively explore alternative health plan design solutions.
Learn how Value-Driven Health Plan (VDHP) Services empower employers and brokers with transparency, provider collaboration and smarter healthcare choices.
In the property and casualty world, out-of-network medical bills represent a large portion of all new bills — over 50% in some states. So, property and casualty payors must take care in choosing an out-of-network solution. In this post, we list our top five considerations when choosing an out-of-network solution for your workers’ compensation or auto medical bills.
Medical bills are a top stressor among patients and most agree that dealing with them is highly stressful and inconvenient. In fact, 56% of patients report that generally medical bills are a leading source of stress. Figuring out these bills is also often hard, which leads to confusion on top of the anxiety about the cost itself. Therefore, balance bills can add another source of stress.
To tackle the problem of out-of-network charges, Claritev developed our Data iSight pricing methodology. Unlike Usual and Customary (U&C) or Medicare-based repricing solutions, our methodology recommends reductions using both a cost-up approach (for facility claims) and median reimbursement levels (for practitioner claims) to achieve maximum defensibility, wide provider acceptance, and savings of 61%-81% off billed charges.
Healthcare is a major expenditure for employers and employees, yet Americans purchase it without insight into price or quality. Medical costs contribute to 66.5% of household bankruptcies—lack of transparency is a contributing factor. Employers, payors and providers should consider alternative models of care such as value-based plans with built-in access and transparency.