Clarify Health and Ideon Partner to Build Stronger, More Competitive Health Plan Networks
Ideon will power Clarify Networks’ competitive intelligence software module with national insurance network data across commercial, Affordable Care Act (ACA), and Medicare Advantage (MA) markets to empower health plans to gain valuable insights into their competitors’ networks. By integrating Ideon’s provider-network database into its software, Clarify will enable health plans to swiftly assess their rivals’ performance in terms of efficiency, quality, referral patterns, and their contracted providers by national provider identifiers (NPI). Health plans can use this intelligence to expedite their decision-making processes for network modeling and optimization.
Robust competition exists among health insurance providers and the health plans they offer. Insurers must ensure access to high-performing providers that deliver high-quality, affordable healthcare to compete on value. Yet, many have limited visibility into how their performance measures against industry benchmarks and thus, have an incomplete picture of the needs of their patient population.
“Our health plan customers trust us to deliver the necessary insights to build and manage high-performing networks that meet the needs of their patient population,” said
The integration of Ideon’s industry-leading provider-network database and Clarify’s provider networks analytics software will provide health plans access to the industry’s most precise case-mix adjusted provider performance benchmarks. With actionable insights into individual provider performance on cost, quality, referral patterns and utilization across specialties, health plans can design and optimize their networks for market success.
“We pride ourselves on having the most accurate and comprehensive provider-network dataset in the industry,” said
About
About Ideon
Ideon is the way health insurance carriers and employee benefits providers connect with technology partners to deliver seamless consumer experiences at every stage of the member journey. Ideon is not the websites or apps one uses to choose a plan or find a doctor. It is the infrastructure, the ‘pipes,’ that simplify the complex exchange of quoting, enrollment, and eligibility data between carriers and the technology partners so that they can, in turn, deliver health and employee benefits to hundreds of millions of Americans every day. Ideon’s APIs transmit billions of data points between InsurTechs and insurance carriers, powering an amazing benefits experience for all. Faster. Better. Awesomely. To learn more, please visit: www.ideonapi.com
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Director of
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Ideon
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