Solution: N/A

  • Image of mobile phone, patient holding it, and doctor on screen with x-ray and test results

    Claritev Surveys Reveal Mixed Outlook on Telehealth

    Claritev survey findings highlight a mixed outlook on telehealth as the healthcare industry evolves beyond the pandemic. While many stakeholders recognize telehealth’s convenience and potential for expanded access, challenges related to cost, utilization, and long-term sustainability continue to shape how payors and providers view its future role.

  • Man with glasses on right looking at laptop intently

    How healthcare payors can be proactive in a pandemic

    The COVID-19 pandemic has created volatile claim trends for healthcare payors, with declines in elective care offset by sharp increases in telehealth and COVID-related claims. Payors can respond proactively by leveraging data analytics, technology and agile strategies to manage costs, adapt to rapid changes and integrate telehealth into long-term care models.

  • Top view of woman sitting on the floor reviewing medical bills

    COVID-19 Crisis Creates Environment for Inaccurate Billing

    The COVID-19 crisis created rapid changes in healthcare delivery and billing practices, increasing the risk of inaccuracies and inefficiencies. As new treatment protocols, coding updates, and regulatory shifts emerged, healthcare payors faced heightened pressure to detect errors, maintain compliance, and ensure payment accuracy in an evolving environment.

  • Top view of people putting their hands together in circle formation

    These Three Attributes Help Healthcare Payors Manage Costs

    Healthcare payers face constant pressure to control costs in an increasingly complex and fast-moving environment. Success depends on three critical attributes: customization, flexibility, and speed to market. By tailoring solutions to unique organizational needs, remaining agile in response to change, and rapidly deploying effective strategies, payers can better manage costs while maintaining accuracy, efficiency, and member satisfaction. [claritev.com]

  • Looking over women's shoulder as she is signing into her laptop on a desk with plant behind computer

    Technology Tools That Simplify Work During a Complicated Time

    Technology has played a critical role in helping organizations maintain operations during challenging times. From enabling remote work for the majority of employees to supporting telemedicine growth and enhancing provider communication through digital portals, these tools have simplified complex workflows, improved access to care, and ensured business continuity in a rapidly changing healthcare environment.

  • Pink and blue background with wooden building blocks set upon background in a stepped up formation, hand adding final block

    Building Blocks to Help Healthcare Payors Thrive in Our New Normal

    Healthcare payors are navigating uncertainty in the “new normal,” facing challenges like shifting claim volumes, cost pressures, and limited resources. By leveraging flexible, customizable building blocks—such as network-based, analytics-driven, and payment integrity solutions—organizations can adapt to change, maintain financial control, and strike a balance between cost savings, provider relationships, and member satisfaction. [claritev.com]