Medicare Advantage Expansion Strategy
Explore a practical framework for evaluating Medicare Advantage expansion opportunities, assessing network feasibility, and making more informed go/no-go decisions.
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Rethinking Reference-Based Pricing
Reference-based pricing is evolving to meet the demands of rising healthcare costs, shifting market conditions and changing business priorities. This white paper explores how modern RBP strategies combine objective pricing, provider engagement, advanced analytics and market intelligence to help organizations make more informed reimbursement decisions while balancing cost, provider and member needs.
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Beyond Cost Containment
Learn how TPAs can improve affordability, scale efficiently, and make better decisions with connected infrastructure that drives growth, efficiency, and long-term profitability.
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The Next Evolution of Payment Integrity
Move beyond recovering payment errors after they happen. This white paper explores how connected payment integrity, powered by responsible AI and advanced analytics, helps health plans proactively prevent errors and improve financial performance.
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The Transparency Conundrum
As healthcare pricing becomes more transparent, brokers and employers face new challenges and opportunities. This white paper outlines how to turn data into decision-grade insights that support cost control, strategic planning, and better benefit outcomes.
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Detecting Infectious Disease Waste & Abuse
Claritev has identified more than $22 million in waste and abuse for clients through its proactive, data-driven approach to payment integrity. By closely analyzing infectious disease billing patterns—including rising trends in RSV and COVID‑19—Claritev helps organizations detect errors early, prevent overpayments, and strengthen protection against emerging sources of waste and abuse.
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White Paper: Optimize Your Benefits Program with Real-World Data Insights
Discover how leading employers are using Claritev’s BenInsights® to turn fragmented data into actionable strategies that improve employee health outcomes and control costs. This white paper highlights real-world success tackling high-cost conditions like ER visits, musculoskeletal care, and cancer screenings — all through data-driven decisions.
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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.
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Q&A: VDHP Guide Get Real Answers, Deliver Real Savings
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.
