ClearHealth Strategies

Hospitals and Health CareFlorida, United States11-50 Employees

ClearHealth Strategies a leading reference-based pricing organization in the commercial healthcare space.  The company specializes in providing health plans, including both fully insured and self-funded styles, with pricing that is considered fair and reasonable in a marketplace with continuously increasing medical trend.

The ClearHealth philosophy is such that a multiple of Medicare (what is allowed by Medicare) is the best way to enable its clients to reimburse medical claims for the following program styles:

-- Out-of-network (behind primary PPO network)
-- Narrow network (hospital direct network)
-- Full PPO replacement (no PPO network access)
-- Partial PPO replacement (either facility or professional claim replacement)

ClearHealth works with self-administered employers and third-party administrators to customize a best-in-class strategy, configured by group, claim type, geography, or provider.  Services also include managing provider inquiries or questions surrounding the use of the Medicare-based rate allowed by the health plan.

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