Strong Networks Begin with Strong Healthcare Provider Relationships

As Medicare Advantage plans already know, many factors go into building a robust CMS-compliant network. One focal point should be strong provider relationships. Claritev is committed to cultivating long-lasting relationships with healthcare professionals, offices, facilities and systems. Here’s why these partnerships matter: Strong relationships don’t happen overnight. We’ve been committed to building provider relationships for…

Male patient leaning on counter in waiting area as he chats with male doctor and female receptionist on the other side

As Medicare Advantage plans already know, many factors go into building a robust CMS-compliant network. One focal point should be strong provider relationships. Claritev is committed to cultivating long-lasting relationships with healthcare professionals, offices, facilities and systems. Here’s why these partnerships matter:

  • Strong relationships don’t happen overnight. We’ve been committed to building provider relationships for 40 years. Our experience, combined with the ability to evolve in a fluctuating healthcare landscape, helps ensure we’re always bringing value to our provider relationships. Then providers bring value to the network.
  • A plan is never starting from scratch. We have contracts with more than one million providers. We begin with these practitioners when helping to build, supplement or expand a network.
  • Contracted providers can help a network go to market faster: By leveraging contracted providers, we can secure contracts quickly, efficiently and cost effectively, so your plan can get to market faster.
  • Providers know Claritev. Because so many providers already work with us, they know how we work. They also know they have broader access to health care programs, giving them the incentive to participate in a network.
  • Claritev knows providers. Just like providers know us, we know our participating practitioners. Our 130 network development professionals understand what providers want. They’re able to convey the benefits of participating in a network.
  • Contracted providers are in a better position to meet network requirements. Our contracted providers have credentials using guidelines that are prepared in consideration of the NCQA CR Standards and guidelines. They may already be compliant with Medicare Advantage requirements or may only need to amend their contracts.

A commitment to strong provider relationships is just one aspect of Claritev’s Network-Based Services for Medicare Advantage Plans. To learn more, read this white paper.

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  • Your team is great at building trust. I have had nothing but a positive and efficient experience.

    Manager

    Large Midwest health plan

  • These are really important things that we wouldn’t be able to do without a partner like Claritev because, again, we want to look at this stuff holistically across carriers. It would take me four times as long to go into every health plan and do this kind of analysis.

    Executive Vice President

    Large, regional consulting firm/insurance brokerage

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    A Major Healthcare Provider

  • The Technology Leadership Program has brought my department tremendous value. The well-structured program offers the talented hardworking associates options for their career paths, yet exposes them to high visibility initiatives. Every associate has brought a unique perspective and strong professional skills to the organization.

    Bobby Vincent

    Senior Information Technology Director

  • The Technology Leadership Program associates have a tremendous opportunity before them. To have three years to rotate through various departments within Information Technology before deciding which role/area suits them best.  Depending on their choice and interest, they become a unique blend of technologist, business expert and, eventually, corporate leader.

    Andrew George

    Senior Vice President, Information Technology

  • One of the great successes of the program has been our ability to identify and develop emerging leaders whom contribute in every facet of our business. It hasn’t been just about growing IT leaders, it’s about maturing business leaders for Claritev.

    Ed Ververs

    Senior Director, Telecom & Data Center Management

  • I had the privilege to mentor some of the Technology Leadership Program participants and was fortunate to absorb a member into my team, where he has helped tremendously with new automation techniques. Participants bring in fresh perspectives and extreme enthusiasm to IT here at Claritev. I’m looking forward to adding more.

    Vasu Raghunathan

    Senior Director of Data & Service Delivery

  • You have been a great partner from day one. You collaborate with us until we find a resolution. We look forward to a long-standing partnership.

    Payment Integrity and Performance Manager

  • The things we value most about our partnership with Claritev are not just the reliable, efficient delivery of savings through their MSP and ESRD services, but the fact that they are always willing to come to the table to discuss and collaborate on new and innovative solutions that nobody else in the industry has yet to try.

    Drew Satriano, VP of Payment Integrity

    Highmark, Inc.

  • In our experience, Claritev has been very responsive with great turnaround times and the findings they’ve presented to SIHO have been accurate and reasonable.

    Claims Department

    SIHO Insurance Services, Inc.

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