Modernizing communication with providers

Modernizing communication with providers

Time to move past playing telephone with providers. Here’s a better communication strategy for health plans. 

By relying on fax machines and snail mail to communicate overpayments, underpayments, denials, and just about everything else, the payer-provider relationship sometimes looks like very dysfunctional pen pals. The cost of managing this unwieldy process is too high for both parties, but new options for electronically communicating are emerging. Here’s a candid look at how your health plan can modernize its approach to provider communication. 

What solutions have been proposed to improve payer-provider communication?

Remember the grade-school game of telephone? You sit in a circle and pass a message around by whispering it into the ear of the person next to you. Then the last person has to say to the group what they heard and often, the message varies hilariously from the original. What’s been happening between payers and providers isn’t all that different, only it’s not very funny. 

There are real costs and consequences associated with poor communication. And besides, moving away from telephone conversations is considered a first-step solution to improve provider communication. So what’s replacing phones and fax machines?

Two solutions have emerged as leaders in the effort to improve traditional communication problems: the Blue Button initiative and electronic payer-provider portals. Each is complex in its own right but are summarized below: 

    • The Blue Button initiative was introduced last year and aims to provide greater access to claims data. Several ONC/CMS proposals have been issued to promote health data sharing, more broadly, across healthcare organizations. These initiatives tend to be more focused on healthcare point-of-care decisions, though, rather than getting paid. Recently, CMS announced the Medicare Blue Button, a pilot program planned for launch next month. Other data sharing initiatives involving APIs have also been recently announced. 
    • Electronic payer-provider portals are solutions more focused on communicating about claims: overpayments, underpayments, denials, prior authorizations, medical records documentation. Last year, CMS administrator Seema Verma stated she wants physician fax machines gone by 2020, replaced by digital health information exchange. But to be effective, digital health information available via portals should be all-electronic, real-time communication in order to truly drive engagement and efficiencies.

What’s clear is that outdated methods of communicating between payers and providers will no longer suffice, either due to regulation or market demand. Furthermore, in order to meet consumer demand, payers and providers have to find a better way to share data. 

“People die because we don’t provide access to data in a real-time basis. The most important thing we can do is figure out how to coordinate that care in real-time so we can directly impact and save lives,” says a leading Blues plan president and CEO.

Where does Pareo® fit in? 

Pareo is a technology solution for health plans that fosters improved communication with providers through native, built-in tools. By automating some communication needs, streamlining others, and eliminating errant messages entirely (such as duplicate medical requests), Pareo allows health plans to make strides in digitizing health communications with providers. Importantly, a communication and engagement module like ours can serve to bridge the gap between data sharing and actually getting paid (something payers and providers alike appreciate). 

Pareo enhances Provider Communication efforts through: 

  • Faster payments with less manual intervention
  • Improving trust/NPS with providers
  • Facilitating alternative payment models
  • Growing recoveries

Payers need a way to see the bigger picture — a way to aggregate data and make informed decisions quickly. With an electronic provider communication mechanism in place (like Pareo), data sharing initiatives like Blue Button and APIs become actionable ways to move the needle and, even more importantly, save lives.

Talk to ClarisHealth about how Pareo®advanced payment integrity technology is helping health plans successfully implement their digital-first strategies. 

Prepare to Meet the Future with Data

Prepare to Meet the Future with Data

We revisit ONC’s Information Blocking Rule, recap public comments, and look at how health plans can meet data sharing  requirements.

Earlier this year, we wrote about the ONC’s proposed information blocking rule and how it serves as an opportunity for health plans. The proposed rule faced a public comment period (which closed last month) during which major industry concerns were voiced. The consensus by many seems to be that ONC’s rule lacks clarification in key areas while inadvertently increasing complexity (and cost) in others.  

But as they say, “the writing’s on the wall” for health data interoperability and broader access to electronic health information. Where does this leave health plans? A recent study by Deloitte predicts that healthcare organizations are standing at the precipice of innovation. But first, let’s look at the feedback that the proposed information blocking rule received.

Industry Response to the Information Blocking Rule

One thing we can agree on at this point: interoperability is a major objective for our industry. But those who would be affected by the Information Blocking Rule have asked the ONC to revise or even revoke the current rule. This includes the Federal Trade Commission, who despite being consulted on the proposed rule, issued a letter asking the ONC to consider refinements. Notably, eHealth Initiative (eHI) offered the following comments and concerns

Scope of “Electronic Health Information” is too broad, should be defined

Conditions and Maintenance of Certification (APIs)

      • Too complex and costly as proposed
      • Too much risk to providers and patients, specifically the proposed “Click Yes to Continue” model does not adequately portray data security risk to patient

Information Blocking

      • Healthcare actors should be defined in the final rule
      • Complex and costly documentation requirements

Greater Data Sharing is the Goal

The ONC has stated that greater interoperability is the goal of the proposed Information Blocking Rule. Improved data sharing is a worthy objective for health plans because it’s an easy effort to prove value on. Health plans have a competitive edge over their counterparts when they are more integrated with providers and members. In addition to priming plans to be compliant with whatever final rule is based, improving access to data is also key to readying for other initiatives, such as alternative payment models

Of course, we know that total healthcare data interoperability sounds like the answer to all your challenges. But once the hard work begins of solving this problem, it can feel like data sharing at the level required is next to impossible. We’re here to tell you it’s not; interoperability is a realistic goal with the right technology

Let’s frame the objective of the ONC’s Information Blocking Rule in a more approachable way: Healthcare stakeholders need real-time, accurate and contextual data access. And the real challenges? Healthcare organizations still struggle with interoperability, largely due to issues like administrative complexity. Messy (as in, unstructured) or missing data is still a problem as well. 

We know that our industry is on the precipice of innovation. The recent study from Deloitte referenced above and in our prior article posits healthcare is on the precipice of a “20 to 30 year industry transformation. The industry forces and the disruption that’s upon us are true indicators that we’re going to be going through a cycle of innovation.” Innovation made possible by radical data interoperability. 

ONC’s Information Blocking Rule has 7 exceptions. Do you know what they are?

See the official list here.

The Promise of Big Data

Improved access to data is considered a consumer-driven shift, one often compared to the Amazon experience where a consumer can have on-demand access to personal information. But getting personalized, real-time electronic health data at the click of a button is a lot more complicated than it sounds. And it requires a special relationship that has historically been difficult: high-level collaboration between payers and providers. 

Yet this demand is exactly the kind of opportunity health plans can seize upon as they search out competitive ways to utilize big data. Examples can be seen in the use of predictive analytics to mitigate risk, noted in this article as a “massive moneysaver” by one health plan who made a big IT investment. Reams of data are available to health plans — all that’s lacking is the right way to connect and analyze it. 

“Improving relationships with members and providers is already a focus for health plans, and data sharing is another way to accomplish that goal.”

Health plan of the future? It starts with data sharing.

One way of looking at the Information Blocking Rule is that it’s a proposed answer to a problem that health plans can take control of now. Improving data sharing isn’t just a proactive approach to anticipated regulation — it’s becoming an essential business function for health plans. To get started, health plans can focus on these three areas: 

Develop data analytics and predictive modeling know-how

Take advantage of opportunities to break down data silos by fostering relationships with providers, members and vendors

Look for existing technology that can support these goals: bring disparate data together, simplify data modeling, and provide a transparent communications platform

The future of data sharing is now. Pareo® is how.

Talk to ClarisHealth about how Pareo advanced payment integrity technology is helping health plans successfully implement their digital-first strategies. 

Top 10 Ways to Maximize Your Health Plan’s Recoveries

Top 10 Ways to Maximize Your Health Plan’s Recoveries

Want to maximize your health plan’s recoveries? Of course you do. Here’s how.

There’s a great deal of uncertainty in healthcare today, but one thing never changes: health plans’ desire to grow their recoveries. But, stuck dealing with insufficient technology or solutions that are siloed and not well connected, they can’t see the path to get there. We’ve written a lot of content about methods that health plans can use for growing recoveries, and summarized our findings below.

 

 

Download “Top 10 Ways to Maximize Your Health Plan’s Recoveries” infographic here.

What are the top 10 ways a health plan can maximize their recoveries?

Based on conversations with health plans across the nation, below is our roadmap to maximizing your recoveries. These ideas are likely familiar to you, even obvious. But, by leveraging the power of advanced payment integrity technology to put these solutions into play, health plans can grow their rate of recovery from an industry-average 1.2% to 7% or greater.

1. Simplify processes.

Complex administrative processes cause myriad problems for health plans. Heavy costs associated with unwieldy, manual tasks make controlling claim spend nearly impossible. The cost to coordinate benefits alone is estimated to be $800 million, leaving many health plans wondering what the answer is. Simpler, more efficient processes offer a smoother path to greater recoveries.

2. Add third-party vendors, stacked to greatest effectiveness.

Most health plans realize the benefits a third-party business partner brings to the table. The issue, however, is managing multiple vendors. With the right technology, health plans can easily onboard multiple third-party vendors and stack their focused expertise to optimize effectiveness.

 

“Pareo® makes onboarding new vendors much easier for health plans, and greatly streamlines the vendor effort needed to receive claim files, submit audits, and get real-time feedback on denials.”

3. Minimize provider abrasion.

Are you fully realizing the damage provider abrasion does to your recoveries? Problems with providers (often in the form of poor communication) can cause issues with claims resolution. Denials are costly for everyone, and new regulations aimed at interoperability are making it more important than ever to provide accurate information quickly.

4. Fast-track concept innovation.

Nearly a year ago we wrote, “health plans can maximize the value of third-party payment integrity vendors by factoring in their ability to facilitate research and development operations.” The same is true today, if not truer: concept innovation is at the core of health plan technology disruption. If that’s too edgy for your organization, scaling change across your health plan ecosystem is a very pragmatic yet proactive way to introduce concept innovation to your organization.

5. Integrate internal efforts.

Large amounts of siloed data are a natural byproduct of the digital healthcare landscape, but gone are the days when “big data” can be managed by spreadsheets alone. Now, health plans need a single source information portal to integrate payment integrity efforts across their organization. Internal efforts can be centralized to improve health plan recoveries by using an advanced technology solution like Pareo®.

6. Improve provider engagement.

Have you ever considered your net promoter score (NPS) — with your providers? How would they rank you to peers, and more pressingly, how does this affect your health plan’s ability to grow? Providers can become disengaged and disenchanted when processes (like medical records requests) are redundant or too vague. You can boost your provider NPS by focusing on improving the ways your health plan engages with health care professionals. For instance, Pareo® offers access to real-time data, allowing your plan to resolve questions with providers immediately.

 

“Health plans are increasingly interested in the Pareo® provider engagement module’s ability to streamline financial transaction management between payer and provider and significantly reduce friction inherent in traditional, paper-based methods.”

7. Expand internal capabilities.

Don’t be sold short: there’s more to payment integrity than just claims editing. The right technology solution should offer a return on investment that maximizes recovery efforts in real-time. Pareo® allows health plans and payers to expand internal capabilities, boosting ROI by eliminating unnecessary costs. For instance, reducing administrative work allows your talented staff to take on some post-pay efforts that your health plan may usually outsource.

8. Don’t overlook waste while looking for fraud and abuse.

Wasteful spending (defined by Health Affairs as “spending that could be eliminated without harming consumers or reducing quality of care that people receive”) accounts for a third of all healthcare spending in the U.S. But often, technology solutions sold to health plans only focus on fraud which, while important, is much rarer (only 7% of healthcare spending when combined with abuse). Pareo® combats fraud, waste and abuse by utilizing multiple technologies, such as, intelligent claims flagging and automated auditing workflows.

9. Focus on prevention.

Remember the famous Benjamin Franklin quote, “An ounce of prevention is worth a pound of cure.” That’s absolutely true for health plans who want to focus on payment integrity. The key to preventing leakage and bad claims? Optimizing your use of big data, which allows a health plan to make decisions faster, make meaningful progress on payment integrity, set up new value frameworks, deploy predictive modeling, and embrace transparency.

10. Embrace advanced technology.

If you haven’t already adopted a form of AI technology into your health plan processes, now’s the time. (And if you aren’t sure what AI is — and isn’t — read our primer here.) Integrating systems and processes is key to lowering health plan costs. Advanced technology gives health plans the capability to connect information in a single source portal to eliminate silos and improve efficiencies. In fact, we think health plans are in a better position than any other health organization to adopt and scale meaningful change by embracing technology.

 

Talk to ClarisHealth about how Pareo® can transform your health plan’s payment integrity operations.

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Provider to Health Plan: It’s not me, it’s you.

Provider to Health Plan: It’s not me, it’s you.

Are you playing a costly game of “Who’s got the medical record”? 90% of your health plan’s cost containment efforts are the source of provider friction.

Your health plan has one directive: control medical spend. And despite tight timelines, a shortage of skilled internal resources, and bare-bones technology, you are laser-focused on your goal. So, you pay or deny claims and call on your trusted third-party payment integrity vendors to fill in the gaps.

But who’s focused on how many medical records and other information requests are being submitted to your providers to satisfy your cost containment goals? Nobody? Someone keeping track via spreadsheet? That explains the new directive: control medical spend while minimizing provider friction. How is your health plan communicating with its providers, who understandably grow tired of repetitive and inefficient requests?

It’s Not Me, It’s You.

Cost containment efforts at health plans are expected to increase as organizations look to maximize recoveries, but if not done correctly, these activities can increase provider abrasion. Health plans have options, and using multiple payment integrity vendors and multi-pass strategies, along with internal efforts, is a strong path to containing costs. However, without a centralized technology solution to coordinate efforts of all parties, overlapping information requests are sure to occur.

Instead, payers sometimes implement a “solution” that actually makes matters worse. Requests are funneled through a single staff member who keeps track on a spreadsheet or home-grown database. And “just in case,” auditors may request full medical records for every claim. Recent research shows that physicians spend up to half their time on electronic health records (EHRs). That means that most of their time isn’t actually with patients, which proves more than frustrating for most providers. Tack onto that the heavy burden of unnecessary medical record requests, and it’s a recipe for provider abrasion.

 

“As physician practices spend an average of 3 hours a week interacting with health plans at a national cost of $23 billion to $31 billion a year, the administrative complexity created by multiple documentation requirements to varying billing, precertification, and credentialing forms takes time away from clinical care.”

Institute of Medicine (US) Roundtable on Evidence-Based Medicine

 

How can medical records requests be improved in a way that contributes to the payer-provider relationship? In addition to communicating over claims, providers and payers are linked by their patients/members. Consumers also pay a price for provider abrasion, and at a time when the focus on member satisfaction is high, plans will want to avoid unintended negative consequences to their enrollees.

Payer-Provider Alignment Improves Cost Containment Efforts

Health plans can make strides in cost containment efforts by evaluating their requests. For instance, how detailed are the requests you send to providers? Are they sent months after the date of service? Badly informed and belated medical records requests can frustrate providers and lead to unnecessary delays.

Value-based care and bundled payment initiatives promise to better align payers and providers, but these new payment models will only increase information requests. A study released last year by NEJM Catalyst shows that most (64%) payers and providers are “not very” aligned when it comes to value-based care. Bundled payments are promising but tricky, writes David Hollerith. He notes that accurate data is required to correctly price an entire episode of care, and collecting the data can create or contribute to administrative complexity.

Health plans that don’t get this process right should prepare for the fallout:

 Providers dropping out of networks

 Dissatisfied members

 Damage to plan reputation making it difficult to attract other providers to your network

Complicating the process of getting paid leads providers to grow distrustful of payers. Plans can take a good-faith step to mitigating these concerns by improving processes typically wrought with abrasiveness. The correct technology can streamline medical record requests, automating the process to avoid duplications and delays.

How Pareo® Improves the Payer-Provider Relationship

Pareo® seamlessly addresses this aspect of the payer-provider relationship by offering a centralized workflow through its enterprise content management functionality. This system minimizes provider abrasion, creates an opportunity to add multi-pass vendors, and optimizes vendor rates of recovery. Barriers to successful cost-containment can be significantly reduced by this single-source platform, allowing health plans to manage multiple moving parts in real time.

 

Pareo® Provider features:

Dynamic Workstreams.

Build dynamic workstreams around image requests. Automate content requests and generate letters for fulfillment center. Create triggers and automation workflows that route incoming content to correct audit locations for review.

Unique Tagging.

Tag claims to content requests so nothing gets overlooked.

Overlap Controls.

No more duplication of requests for sensitive health plan member data. Allows for seamless adding of payment integrity vendors to multi-pass positions with no risk for overlap.

Relevant Reporting.

Create reports by content type, age of requests by provider, inventory by status, providers not adhering to requests.

Integrated OCR and Audit Validation Enhancements.

Automatically unlock previously unreadable text into usable data.

Talk to ClarisHealth about how Pareo® can transform your health plan’s payment integrity operations.

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4 Elements of Payment Integrity that Affect Provider NPS

4 Elements of Payment Integrity that Affect Provider NPS

Here’s how payment integrity affects the net provider score (NPS) with providers in your network. Two elements essential to health plan operations all too often find themselves at odds:
  1. Health plans put payment integrity processes in place to ensure they are paying claims appropriately.
  2. Health plans rely upon the satisfaction of their network of healthcare providers as key to their services’ value to their members.
What if your health plan’s payment integrity processes could augment the payer-provider relationship rather than damage it? Every interaction with your providers is an opportunity to build that relationship – if you have the proper tools in place to support mutual goals and transparent communication.  

“The Net Promoter Score (NPS) — a 14-year old metric that’s traditionally managed by insights and marketing departments – is driving growth and direction at a healthcare company that occupies sixth spot on the Fortune 500, has an operating income of $13 billion, and boasts 260,000 staff.” –WARC, October 2017

  These 4 key elements of Payment Integrity affect provider net promoter scores: 1. False Positive Rates A concept either generated internally or by a third-party can create an overpayment false positive, meaning the health plan “thinks” it’s an overpayment when it actually isn’t. False positive rates have the potential to cause great harm to your health plan’s NPS score, as it may create damage that is more difficult to correct than to prevent. Without good data, insight into this problem is minimal and extremely siloed. While many providers may feel it easier to pay for what an insurance company has determined to be an overpayment, there are some legal cases where health plan error has caused overpayments to be mistakenly claimed. These “clawbacks” are sure to leave a negative mark on provider’s perception of your health plan if they feel the claims to be erroneous. Pareo®’s concept management capabilities give plans all of the needed documentation, descriptions and rules, including sample claims, to prevent false positives before approving a new concept. While it sounds simple, the ability to combine all necessary information into a singular interface that health payers can access and make decisions from is a unique benefit.
2. Medical Record Request The old, manual way of requesting medical records is a big burden on providers and fraught with potential minefields. Notably, payers can reopen cases on “good cause”, instances which are often attributed to ignoring medical record requests. If a provider is deemed as an outlier, they can be a target for medical requests that may seem (to them) redundant. That’s because insight to the information behind the request is limited. Pareo® workflows minimize duplicate requests, enable quick and secure sending/sharing, and supports request detail to allow for HIPAA-compliant information to be exchanged. The discreet and accurate advantage that Pareo® gives to the medical record requests is more straightforward than manual systems. With everything at their fingertips and compliance with requests made much easier, resolving the outdated processes of medical record requests is an easy way to boost provider NPS. 3. Full Claim Denials Many times, a health plan will deny an entire claim when only a line item or two are incorrect because their systems are inflexible. The inability for said systems to be dynamic and responsive is a big detractor when it comes to provider NPS. For one thing, denials are very costly to providers. The process is hardly straightforward and despite both providers and payers being frustrated by denied claims, it is the provider who is at risk for not getting paid. This alone can create undue stress and added tension, which may boil over at technology inefficiencies. Health plans and payers are entering into a more symbiotic relationship, and more can be done to improve the workflow of claims denials.  

“A study by the Medical Group Management Association found the cost to rework a denied claim is approximately $25, and more than 50 percent of denied claims are never reworked.” AAFP.Org

  Pareo® gives health plans the capability to deny claims at the claim line level to avoid the costly back-and-forth with providers. Part of a broader value involving analytics and ROI, our technology solution streamlines the claims process to reduce costs and improve efficiencies. By addressing claims denials at a granular level, a provider can more accurately correct information where needed. 4. Provider Outreach No more vague letters and the same type of denial over and over again. Pareo® supports provider education and detailed explanations for transparent communication and real-time feedback. This can help the provider-payer relationship, which often breaks down over poor communication. Specifically, Pareo® provides a “log” of communications between providers and payers that can prove vital in clearing up issues. Pareo®’s portal easily combines claims, supporting medical records requests, and other necessary information along with communications records securely so that health plans can more effectively manage their provider relationships. Data Visibility Makes the Difference In April, United Healthcare shared the news that their NPS score reached an all-time high in 2017. This is due to aligning priorities with customer feedback, says UHC, and in 2018  the health insurer is giving enrollees the ability to make strategic decisions based on data – at customer demand. In fact, UHC has focused on several top priorities this year that center around the ability to clearly see and utilize data – at the consumer and provider stages.

Talk to ClarisHealth about how Pareo® can transform your health plan’s payment integrity operations.

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Are Your Plan’s Healthcare Providers Happy? Tips on Boosting Your Net Promoter Score

Are Your Plan’s Healthcare Providers Happy? Tips on Boosting Your Net Promoter Score

Keeping your health plan’s providers happy will also keep your members satisfied. Here’s how technology can support your net promoter score with providers. “How likely are you to recommend this health insurer to your business associates?” Do you know how the healthcare providers in your network would answer this question about your health plan? On a simple 1-10 answer scale, this question aims to understand how successful your health plan is with experience, satisfaction and most importantly, loyalty. Across many industries, this metric is commonly called a Net Promoter Score.  

Net Promoter Score (NPS): A way of measuring customer satisfaction based on how likely consumers are to recommend your company to others.

  While your health plan may be familiar with the “Net Promoter Score” metric as it pertains to members, don’t forget that your health plan also serves healthcare providers’ needs as well. And their experiences interacting with your health plan’s processes can directly impact your relationship with your members. Surveying Your Providers Since a Net Promoter Score is based on survey responses, a series of categories are used to segment the providers in your network. An NPS survey asks responders to scale answers from 1-10. Here’s how the responses are grouped:
A

Detractors (0-6)

Unhappy providers
A

Passives (7-8)

Satisfied but not excited
A

Promoters (9-10)

Providers that are loyal to you
You get your Net Promoter Score by subtracting the percentage of promoters from the percentage of detractors. NPS Benchmarks reports that on average, consumer-facing healthcare companies have a NPS of 67, while an average score for an insurance company is 42.6. The industry average for healthcare insurance companies is 0. “Scores higher than 0 are typically considered to be good and scores above 50 are considered to be excellent,” writes CustomerGuru, who reports that a large health plan with a Net Promoter Score of 1 is considered “good”. The large gap between other industry scores, even healthcare provider scores and insurance plans, suggests that health plans have some catching up to do when it comes to NPS metrics. “We shouldn’t merely aim to exceed standards set by other industries, but rather hold ourselves to an ever rising standards of our own,” writes Tashfeen Ekram, MD for Becker’s Hospital Review. While providers seek to improve patient experience, health payers have a unique opportunity to join them in doing so by improving their relationship with in-network providers.
Why Should You Care What Providers Think? It surely comes as no shock to you when we point out that the relationship between providers and payers isn’t all that great. Communication break downs that lead to provider abrasion are common. But tracking and aiming to improve a Net Promoter Score between providers and payers is a unique opportunity to forge a more-powerful partnership. Given the blurring lines between payers and providers and the data behind member satisfaction (which depends on provider service), most health plans have a pretty good idea that keeping providers happy is gaining importance. Nonetheless, approaching provider satisfaction as an actual goal may be a disruptive idea at your health plan. Treat providers as customers? Sounds odd, you might think. But the most powerful companies know that building brand loyalty is important to every business relationship.

Tips for Your Net Promoter Score Survey

This could be due to several factors. For one thing, providers have traditionally done well with their patient Net Provider Score. In many instances, when care is poorly coordinated with insurance companies, claims are denied, or bill costs shocking, consumers tend to blame health plans. But providers can change that perception if they are informed with knowledge that is beneficial and specific to patients. Communicating effectively with providers, who in turn can better coordinate care (and be mindful of treatment costs), will translate into improved Net Promoter Scores for both members and in-network care providers. “As the industry shifts to value-based performance – driven by the health care consumer – plans must shift from a B2B to a B2C model to be successful,” writes Novu, a provider of health plan member engagement technology. How Pareo® Supports Net Promoter Score Improvement Companies with high net provider scores have a few things in common: They are reliable, fast, quick to communicate and easy to access, and they make the experience personal. Health plans are often too complex and too siloed to achieve this level of service. That’s where Pareo® makes a difference. With total transparency across your health plan’s departments, answers to questions can be delivered in real-time. More business partners can plug-in with a faster implementation time and higher-level of coordination, all thanks to the technology that ClarisHealth delivers. Some of our health plan clients have found such success with Pareo® that they are already scaling our processes towards improving provider relationships. In fact, health plans are increasingly interested in Pareo’s provider engagement module that greatly streamlines financial transaction management among the payer and provider and significantly reduces friction inherent in traditional, paper-based methods. By sincerely soliciting feedback from your providers, your health plan can improve. And when issues arise or as the industry continues to shift, your providers will be more likely to stick with you if your health plan has put in effort to improve your Net Promoter Score.

Talk to ClarisHealth about how Pareo® can transform your health plan’s payment integrity operations.

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