Employers
How Claritev helps employers control costs, optimize plan performance, and improve employee outcomes.
Helping organizations reimagine healthcare ROI.
Benefits are a major expense for employers, yet healthcare complexity and fragmented data make it difficult to actually optimize value. Costs continue to rise, regulatory requirements are getting more demanding, and leadership expects measurable impact.
Claritev equips employers with unified intelligence, predictive analytics, and proven expertise to move from reactive cost management to proactive strategy.
With advanced claims intelligence solutions, network optimization tools, and data & analytics solutions, Claritev helps you:
• Control rising medical and pharmacy costs
• Optimize carrier and network performance
• Identify certain emerging risks
• Improve employee health outcomes with measurable ROI
Today’s benefits leaders need more than reports. They need clear insight, strategy, and confidence in every decision and Claritev is here to help.
Featured Solutions
Creating strategic clarity and sustainable savings from employers’ fragmented healthcare data.
BenInsights® Performance Intelligence & Decision Support
BenInsights combines advanced analytics insight and clinical risk management to help employers proactively manage healthcare costs, support oversight of fiduciary responsibilities, and strengthen plan performance — with less administrative complexity.
PlanOptix® Market Intelligence
PlanOptix transforms large volumes of publicly available price transparency data into clear, comparable market intelligence based on actual contracted provider rates. Employers can analyze provider rates and be better informed when benchmarking their network rates, allowing them to strengthen their negotiations and plan design strategies.
Vistara™ Reference Based Pricing Solution
When employers need a high-impact alternative to traditional PPOs, Vistara strives to support differentiated cost-control strategies with broad provider acceptance and a strong member experience.
Resources that help you drive value in your health plan.
Claritev insights, resources, and case studies.
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On-Demand Webinar: Beyond Recovery: Designing the Next Generation Payment Integrity Program
Recoveries have long defined payment integrity success—but they only tell part of the story. This webinar challenges the traditional recovery-focused approach and introduces a…
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The No Surprises Act at a Crossroads: From Protection to Performance
No Surprises Act independent dispute resolution (IDR) volume is driving healthcare administrative costs—it’s time to shift from policy execution to system optimization. Explore how leaders…
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On-Demand Webinar: Final Rule – Navigating NSA Independent Dispute Resolution Operations
CMS’s latest IDR Operations Final Rule brings important changes to the No Surprises Act dispute process. This webinar highlights key updates, workflow impacts, and…
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Are you an employer looking to offer competitive, high-quality benefits without increasing costs?
Reach out to learn how Claritev’s solutions and expertise can enhance your benefits while helping control costs and improve predictability.