Hospitals and Health Systems
Financial Intelligence and Technology Services that Protect and Elevate Performance
Margins are tightening and uncertainty is increasing
Hospitals and health systems are being asked to do more with less as labor costs rise, reimbursement remains unpredictable, and regulatory pressure increases.
In this environment, clarity isn’t optional. It’s strategic.
Claritev connects financial intelligence with the technology expertise healthcare organizations rely on to strengthen margins, reduce operational risk, and scale performance with confidence.
We deliver a unified view of pricing, reimbursement, market, and performance data so leaders can see their true financial position with confidence and act with precision. And, we ensure those insights translate into action with professional services that stabilize systems, support implementation, and reduce operational risk.
Revenue leakage, contract blind spots, and disconnected systems create hidden financial risk. Providers lose up to 15 cents of every revenue dollar to inefficiencies and manual workflows — eroding margins that can’t afford to shrink.
Most organizations generate vast amounts of data. Few can turn it into decisive financial direction.
Claritev connects pricing, reimbursement, and service line performance data across contracts and systems to help hospitals:
- Identify and reduce patient and revenue leakage
- Benchmark reimbursement rates with defensible market data
- Improve service line and margin performance
- Strengthen forecasting and enterprise-wide visibility
- Support local care retention and long-term growth
- Implement and optimize systems without disrupting daily operations
When reimbursement tightens and margins narrow, insight becomes leverage. That’s where Claritev comes in.
Solutions Designed for Financial Performance
Strategy & Insights
We provide advanced analysis across patient leakage, service line performance, and denials trends to uncover revenue gaps and strengthen margin performance.
With a unified view of financial data, hospitals can:
- Compare contract performance at the code level
- Identify reimbursement gaps
- Model revenue impact before decisions are made
- Negotiate with defensible, market-backed data
CompleteVue™
CompleteVue™ leverages enriched public price transparency data to benchmark rates across payers, compare contract performance, and model financial outcomes. The result: stronger pricing strategies, more competitive positioning, and improved data-backed negotiation preparation.
Revenue Optimization
We optimize revenue across low- and high-dollar facility and professional claims driving measurable financial performance and strengthening margin integrity.
Professional Services
Insight creates opportunities. Execution creates performance.
Our professional services team works alongside your leaders to ensure financial and operational systems operate securely and without disruption. From implementation to application management, and infrastructure optimization, we help stabilize legacy environments and strengthen technology performance.
The result: improved financial clarity, reduced operational risk, and sustained execution — without increasing internal burden.
API Connections
Claritev securely integrates pricing, reimbursement, and performance intelligence directly into your financial and operational systems. Automated data exchange embeds insight into daily workflows — so decisions happen faster and with greater confidence.
Healthcare organizations trust Claritev because our insight is backed by scale and investment:
1B+
claims analyzed annually
500B+
price transparency records enriched for defensible insight
200+
health systems supported nationwide
10K+
healthcare IT consultants supporting secure implementation and ongoing optimization
1.4M
providers under contract across the U.S.
$800M
invested in technology and data capabilities
This depth enables clearer benchmarking, stronger negotiation positions, and sustained financial performance.
Creating clear paths to value for hospitals and health systems
Claritev insights, resources, and case studies.
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The Connection Between Better Decision-Making and Healthcare Affordability
Healthcare affordability and access are often viewed as competing priorities—but they don’t have to be. By leveraging data-driven insights, network strategy, and greater price…
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Why Pre-payment Integrity Matters More Than Ever
Claritev’s recognition as a Leader in Everest Group’s 2026 Pre-payment Integrity Solutions PEAK Matrix® Assessment highlights its decades of expertise helping health plans improve…
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Five Considerations for Turning Transparency into Value
Learn five essential strategies for operationalizing healthcare price transparency data, from rate normalization and site-of-care insights to network optimization and affordability-focused decision-making.
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Ready to strengthen your financial performance?
Start with clarity. Claritev brings together financial intelligence with the technology expertise to help you protect margins, reduce risk, and scale performance with confidence. From reimbursement strategy to secure implementation and ongoing system optimization we help you move from insight to execution.