At Claritev, we see bending the healthcare cost curve as not only identifying medical savings to lower costs across the healthcare ecosystem, but also supporting the value of care for patients. Our role reaches far beyond just saving dollars and cents—everything we do supports the long-term goal of enabling affordable care for all.
With costs continually rising across the board—healthcare costs are projected to grow as much as 8% in 2025. Consumers are having difficulty paying their medical bills. Providers are pushed to seek rate hikes and higher reimbursements, and employers face a 7% increase in healthcare expenses for their employees this year. Payors combat double-digit pharmacy trends resulting from increased specialty drug use. And no one escapes the effects of inflation as it filters through the healthcare landscape.
Claritev’s suite of services leverages sophisticated technology, data analytics, and a nationwide team that strives to bend the healthcare cost curve every day. Here’s how we do it:
Analytics-Based Services
We identify and negotiate fair out-of-network provider reimbursements and help to eliminate balance bills.
Data & Decision Science Services
By delivering actionable, digestible data, we enable next best decisions to lower healthcare costs.
Network-Based Services
Claritev contracts with over 1.4 million healthcare providers and facilities to support our clients’ network-access strategy.
Payment & Revenue Integrity Services
To combat waste and abuse, we identify claims errors, improve payment accuracy and prevent overpayments.
MultiPlan Payments
Our payment solution, manages the process from start to finish, supports the 1099 lifecycle and handles EOBs and creation and distribution of ID cards.
End-to-End Surprise Billing Services
We administer the entire No Surprises Act process on your behalf, negotiating to avoid arbitration, building complementary networks or determining the appropriate payment amount.
The infographic below provides a snapshot of how Claritev’s solutions identify potential savings, lower out-of-pocket costs for members and patients, and help eliminate balance billing for millions of healthcare consumers. We walk the walk when it comes to bending the healthcare cost curve.
Ready to talk? Email us at [email protected].
