Clarify Health, a leading healthcare analytics and value-based payments platform company, today announced it has been named a Representative Vendor in the Provider Network Management Applications category in the 2023 Gartner® Market Guide for U.S. Healthcare Payers. Gartner notes, “Provider network management (PNM) is the key to success in provider and member engagement for U.S. healthcare payers.” Gartner also stated, “Furthermore, with data made available to both payers and providers in 2022 through the No Surprise Act and Transparency in Coverage deadlines, payers are moving beyond conventional PNM tools to curate health value to their purchasers and members.” Clarify’s Network Optimization solution, which includes the Clarify Networks and Clarify Rates products, enables payers to build and optimize their network around the highest-performing providers and improve affordability with granular intelligence derived from hospital and health plan price transparency data.
“Rates and performance insights are critical to assessing the value of care,” said Jean Drouin, MD, CEO, Clarify Health. “With the right insights, payers can improve affordability, efficiency, quality, and marketability of their networks to deliver better member outcomes. We are proud to be included in this report, which we believe recognizes the value and impact of our solutions in helping payers address network management challenges.”
The Gartner® Market Guide for U.S. Healthcare Payers’ Provider Network Management Applications considers the PNM application landscape and how these solutions can improve member health value, as well as numerous representative vendors within the space. The report mentions, “Payer CIOs can use this Market Guide to select the right relationship management tools to engage providers.” A key finding of the report is, “Price transparency regulations and increasing value-based care initiatives and contracting are making provider network optimization an essential PNM capability for payers.”
Clarify helps payers optimize their provider networks more efficiently and effectively by showing precise case-mix adjusted performance benchmarks for providers in any market across the country. Its Network Optimization solution allows users to model networks to instantly predict their real-world performance, view competitor networks to compare physician overlap, and assess affordability with price transparency data.