ClearHealth Strategies

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.