We provide actionable, data-driven insights to power higher value care.
Clarify’s Care Prism analytics support Network and Clinical Transformation teams to precisely understand performance to curate high-performance networks, contract and incentivize providers better, identify network steerage and leakage, and inform provider engagement efforts. Diagnose network performance by physician, facility, therapeutic area, and service line. Engage providers with the personal incentives, benchmarks, and insights that achieve action. Full case-mix adjustment and relevant benchmarks ensure a precise definition of “high performance.”
CARE VALUE OPTIMIZATION
We support clinical transformation and medical management teams to rapidly quantify extractable clinical waste and understand the root-causes. Medical management teams can increase productivity by quickly understanding provider practice patterns to standardize high-value care, align with clinical guidelines, and map members to highest-value clinical interventions. We enable medical directors to precisely benchmark case-mix adjusted utilization and care journeys, quickly identifying outlier requests. Progressive payers may seek to partner on exception-based clinical pathways informed by AI-driven care personalization.