Dynamic Negotiation Offer: Leveraging Machine Learning in the Toughest and Easiest Negotiations
Claritev is using machine learning in its toughest and easiest negotiations
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Six Common Questions About Reference-Based Pricing Answered
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.
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HST announces two new contract agreements
HST has completed two new agreements with Cancer Treatment Centers of America, a national oncology network and Franciscan Missionaries of Our Lady Health System.
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Five Healthcare Trends to Watch in 2022 that Can Rein In Skyrocketing Costs
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.
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How the No Surprises Act Changes Reimbursement
The No Surprises Act (NSA), effective January 1, 2022, changes the reimbursement process for claims identified as surprise bills. Claritev explains how.
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What Is QPA?
The Qualifying Payment Amount (QPA) is a central component of the No Surprises Act, representing the median in-network rate used by health plans to determine out-of-network reimbursement. Understanding how QPA is calculated and applied is critical for payors and providers navigating payment decisions and the IDR arbitration process.
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New technologies drive Premium Restoration innovation
Innovations in AI and machine learning unlock opportunities to eliminate waste, reduce costs, and make healthcare more affordable. Claritev offers the best of both machine power and human power to help Medicare Adavantage plans ensure the accuracy of CMS premiums.
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MultiPlan Corporation Announces Annual Meeting Results
MultiPlan announced the results of its annual meeting, including the election of directors, approval of executive compensation, and ratification of its independent auditor.
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MultiPlan Awards $36,000 to Rural Hospitals
MultiPlan awarded $36,000 in rural health grants to four hospitals, supporting innovative programs designed to improve access to care and address critical healthcare needs in underserved communities.
