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Clarify Health

Healthcare analytics and outcomes optimization for health systems across all payment models.

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Overview

Clarify Health develops healthcare analytics software for health systems, health plans, and life sciences companies. Its flagship platform, Clarify Meridian, is a tech-enabled outcomes solution designed to optimize quality and financial performance across all payment models, with health systems reported to capture between $50 million and $85 million annually in identified opportunity.

Underlying all of Clarify Health's solutions is the Clarify Atlas Platform®, a data foundation built on over 20 billion data-powered insights and linked records covering 300 million patient lives. The platform applies measurement and benchmarking methodologies and incorporates AI to process and clarify complex healthcare data at scale.

Core Platform and Capabilities

  • Clarify Meridian: A tech-enabled outcomes solution that identifies hidden financial and quality improvement opportunities across all payment models.
  • Clarify Atlas Platform®: The underlying data infrastructure, architected from over 20 billion data-powered insights and 300 million linked patient lives, augmented by AI-driven efficiency.
  • AI-powered analytics: Applied to clarify clinical and financial complexity, supporting decision-making for provider partners and payer organizations.
  • Quality and financial performance optimization: Tools to surface unwarranted clinical variation, support in-network referral management, and identify revenue growth opportunities.

Reported Customer Outcomes

  • Clarify Health reports having unlocked $2.6 billion in ROI across its customer base.
  • A top-10 Blues Plan used Clarify's insights to address $285 million in unwarranted clinical variation, with the ability to pinpoint specific intervention opportunities across care settings.
  • A large health system used Clarify to increase in-network referrals with a reported 10x efficiency improvement, using data to inform analytics-driven decision-making.
  • A leading genetic testing company used Clarify to unlock an estimated $35 million in revenue growth by identifying previously untargeted high-priority providers.

Customer Segments

  • Health systems seeking to optimize quality metrics and financial performance across value-based and fee-for-service payment models.
  • Health plans, including large Blues Plan organizations, looking to reduce clinical variation and improve provider transparency.
  • Life sciences and genetic testing companies seeking to identify and prioritize provider opportunities using claims and outcomes data.

Clarify Health positions its platform as a data foundation for healthcare organizations seeking to move from fragmented analytics to a unified, insight-driven approach to clinical and financial performance management.