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The Employer Health Plan Status Quo is Breaking
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.
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On-Demand Webinar: From Compliance to Strategy Pricing Insights
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.
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On-Demand Webinar: Alternative Health Plan Designs
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.
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Separating Fact From Fiction: The Truth About Alternative Health Plan Designs
Learn how Value-Driven Health Plan (VDHP) Services empower employers and brokers with transparency, provider collaboration and smarter healthcare choices.
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What Property and Casualty Payors Need to Know About Out-of-Network Solutions
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.
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Claritev’s Balance Bill Protection™ Service Can Help Alleviate the Stress of Unexpected Charges
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.
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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 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.
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MedCity News: The Promise of Healthcare Pricing Transparency
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.
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Payment Matters Podcast: Price transparency and the relationship between price, quality and healthcare
Ryan Day breaks down the current healthcare benefits landscape on the Payment Matters podcast with Jeff. Lin. Listen to learn how reference-based pricing as part of a value-driven health plan services gives employers the power to control rising employee healthcare costs.
Category: Reference-Based Pricing
