Healthcare data privacy and security are perennial concerns. But, as predicted... Data transparency is the greater priority. And the ONC made it even clearer that #payers are a big part of this initiative with the latest proposed expansion of the #interoperability rules. The recent trend of #healthplans looking to simplify their tech stacks positions them well to take better control of - and take best advantage of - their data in this era. Opening up key benefits of data transparency: ☑️ Improved productivity ☑️ Improved quality ☑️ Reduced operating costs #PaymentIntegrity - which operates at the nexus of valuable claims data - has a strategic role to play in this conversation. By deploying integrated platforms with robust access controls and user role management, they can ensure the right teams have access to the right data - at the right time, with the right context. More on this trend-turned-best practice at https://hubs.ly/Q02GGj230 #PaymentIntegrityBestPractices #EnterpriseTechnology
ClarisHealth
Software Development
Brentwood, Tennessee 37,844 followers
Get Expert Technology to Drive Claims Payment Accuracy with Pareo®
About us
How are you addressing the annual $1 trillion in overspending on healthcare claims payments? ClarisHealth provides health plans and payers with a better way to drive claims payment accuracy. Its proprietary, A.I.-powered enterprise technology platform Pareo® enables health plans to maximize cost avoidance and recoveries at the most optimized cost for an industry-leading ROI. This return is achieved through 50% faster time to recovery, 31% more overpayments recovered, and 50% cost savings from automation. Pareo’s configurable approach to payment integrity includes solutions for claims overpayment inventory management, third-party services vendor optimization, auditor workflow and analytics, fraud case management, prepay cost avoidance, reporting and business intelligence, and provider engagement. As our client Erik Chase, director of payment integrity for L. A. Care Health Plan said, “With the clarity that Pareo® has given us, we’re able to track recoveries monthly, and we doubled our recoveries in the first year.”
- Website
-
https://www.clarishealth.com
External link for ClarisHealth
- Industry
- Software Development
- Company size
- 51-200 employees
- Headquarters
- Brentwood, Tennessee
- Type
- Privately Held
- Founded
- 2013
- Specialties
- Total Payment Integrity, Health Plan Technology, Provider Engagement, Business Partner Optimization, Payer Technology, Fraud Waste and Abuse Solution, Healthcare Cost Containment, Claim Spend Savings, Centralized Payment Integrity, Enterprise Technology, and Claims Payment Accuracy
Locations
-
Primary
7100 Commerce Way
Suite 290
Brentwood, Tennessee 37027, US
Employees at ClarisHealth
Updates
-
It's great to take the time to connect with #healthplan innovators. This time on the shores of beautiful Lake Michigan. We're proud to be a part of the annual #MAHPSummerConference this week! Our very own Jim Foley hit the links - and the sessions - to meet with this incredible community. And found individuals and organizations focused on finding a better way for #paymentintegrity. As always, we're excited for the new opportunities in this industry. Until next year! #ontheroad #healthcaretechnology
-
-
Team ClarisHealth being together is automatically a celebration. Add wine, cheese and charcuterie? Now it's a real party! 🥂🧀 We work hard serving our valued #healthplan clients. But it's worth taking the time to step back from the day-to-day for a moment and celebrate that... ☑️ We hit a big project milestone. ☑️ It's summer. ☑️ We enjoy each other's company. Want to join us for our next event? We're #nowhiring for priority positions. Find your new #career and easy apply now at: https://hubs.ly/Q02G0qFY0 #GotYourBack
-
-
-
-
-
+1
-
-
Is your #healthplan "all in" on generative A.I.? Budgets devoted to the new technology are growing exponentially across the #healthcare industry. And, according to recent research, the investment is worth it: If payers fully implemented already available generative AI and automation technologies, on average they could save 13-25% on administrative costs. #Paymentintegrity leaders are key contributors at payers that want to better use #AI technology. Organizations need these 6 elements: 1️⃣ A strategic plan 2️⃣ The right talent 3️⃣ A conducive operating model 4️⃣ Technological capabilities 5️⃣ Consumable data 6️⃣ The ability to ensure adoption and scale Learn more at https://hubs.ly/Q02FKvPf0 #PaymentIntegrityBestPractices
-
-
🎆Happy #FourthofJuly! Today, we at Team ClarisHealth celebrate the freedoms that make America truly exceptional. And look forward to the day when #freedom extends to us all. More than backyard BBQs and stunning firework displays (though we enjoy those, too!). This day is all about embracing the spirit of liberty and #independence that unites us. How do you celebrate? 📸 Share your favorite 4th of July moments with us! #IndependenceDay
-
-
Recent industry research reveals that 85% of #paymentintegrity efforts are still focused on post-pay recovery. But.. Prepay cost avoidance is accelerating 3x faster. How are #healthplans shifting from overpayment recoveries in favor of prepay cost avoidance? The answer is all in the post-pay #data. The aggregated insights from a fully covered post-pay program reveal: 🔷 Key concepts that can be shifted prepay 🔷 An ROI story for needed resources 🔷 Where providers need to be engaged for payment inaccuracy prevention Get the strategy at https://hubs.ly/Q02CT4rj0 #PaymentIntegrityBestPractices
-
-
Payment integrity is crucial in the healthcare industry - especially for healthcare providers. If you have the data insights to meaningfully engage. As one of our clients so wisely put it: "Be a village, not a high rise." With the information gathered from managing claims payment accuracy, end to end, #paymentintegrity can close the communication loop with providers. As a result: Ensuring accurate and timely payments 👉 ultimately improving financial stability for providers. Moving upstream to reduce waste 👉 leading to cost savings for both providers and payers. Identifying education opportunities 👉 promoting cleaner billing practices from the beginning. By prioritizing payment integrity, we can create a more sustainable healthcare system that benefits both providers and #healthplans. Learn more at https://hubs.ly/Q02CT6Qh0
-
-
💙 This month's #GotYourBack story is about Emily Lemmon! Here's what a fellow team member had to say about how she demonstrates #GYB. "Emily is a one-woman hat store. She wears all the hats - sometimes all at the same time! She is regularly helping support even when she's not on support, while also coding and going to meetings about future work." Want to learn more about what it's like to work with a team that takes pride in supporting each other - and our #healthplan clients? Explore our #culture at: https://hubs.ly/Q02Br1Js0
-
-
Gotta thing for adventure? Team ClarisHealth was game for Jumanji #trivia during our monthly virtual hang. And you know the rules: Once you start, you have to play through to the end. Lucky for us, we're used to seeing it through. Around here it's a real-life adventure in startup-land every day. And, though we're #remotefirst, we work together to solve #paymentintegrity challenges for our #healthplan clients. Want to join us for our next problem-solving challenge? We're #nowhiring for priority positions. Find your new #career and easy apply now at: https://hubs.ly/Q02CS6cJ0 #GotYourBack
-
The countdown continues for next year's all-new industry conference, the Power of Payment Integrity. As we build the agenda, we're focused on your important human impact ... ☄️ "Payment Integrity: It's personal." ☄️ This theme is a powerful reminder that behind every number, every transaction, and every decision, there are real people whose lives are affected. Your teams. Your providers. Your members. The leaders in our industry live out this theme every day. As one so eloquently put it at #POPConference 2024 this year: “Our advantage is human integrity. There are stories here. Stories of overpaying — of fraud — that help us communicate value.” We can't wait to explore this theme with all of you at the conference as we dive into meaningful discussions on how we can better serve our communities and stakeholders. Join the waitlist and keep up-to-date on speakers, workshops, and networking opportunities at https://hubs.ly/Q02CR-d00 #PaymentIntegrity #ItsPersonal #IndustryConference #PowerofPaymentIntegrity #Leadership #HumanImpact
-