-
-
Claritev Cares Opens Rural Health Grants, Continuing Three Decades of Investment in Underserved Communities
Expanding Access to Healthcare and Strengthen Community Impact
-
Infographic: Showing Up for Our Communities—Together | 2025 Highlights
Discover how Claritev made a meaningful difference in 2025 through community giving, hands‑on volunteerism, and global outreach. This infographic highlights our associates’ impact—from sponsoring service dogs and assembling essential hygiene kits to supporting hunger‑relief efforts locally and worldwide. Explore the key moments that reflect our commitment to showing up for our communities—together.
-
What “True” Surgical Costs Reveal About Healthcare Affordability
Understanding the true cost of surgery is essential to improving healthcare affordability. Our analysis of six common procedures shows how full‑episode measurement—rather than single claim lines—reveals clearer insights into variability, site‑of‑care differences, and geographic trends. Better transparency leads to more meaningful opportunities to improve cost without compromising quality.
-
-
ON-DEMAND WEBINAR: Addressing Pricing Transparency in Rural Health Systems
On-demand webinar featuring Claritev and Carlinville Hospital leaders on pricing transparency in rural health systems.
-
Stop Overpaying on Hospital Claims: IBR Delivers 15% Average Savings
Stop overpaying on hospital claims. Our Itemized Bill Review (IBR) process uncovers billing errors on 98% of claims reviewed, delivering an average of 15% savings per claim. By identifying duplicate charges, non-covered services, and other discrepancies, IBR helps healthcare payors reduce costs and stay compliant with confidence.
-
ESRD Premium Restoration Can Have a Large Impact Despite Small Number of ESRD Patients
ESRD premium restoration solutions help ensure Medicare Advantage plans are properly reimbursed for ESRD patients by identifying members with missing ESRD statuses and restoring the premiums. However, because of the low number of ESRD patients, small healthplans often underestimate the potential impact of using an ESRD premium restoration solution and decide against using one. This article explains why they should reconsider.
-
The Role of Artificial Intelligence in Payment Integrity
The future of healthcare payment integrity is here, and it’s powered by AI and machine learning. From detecting fraud to streamlining claims processing, these technologies are transforming how payors reduce costs and improve accuracy.
-
Top 5 Payment Integrity Challenges Payors Face Today
Payors face increasing complexities in healthcare claims. This blog explores the top five payment integrity challenges and offers strategies for overcoming them, enabling payors to improve financial outcomes and provider relationships.
Category: Uncategorized
