Clearlink Partners

Health plans need flexible, strategic support to manage utilization, coordinate care, and drive better health outcomes. Clearlink’s clinical management services offer expert oversight and tailored solutions that reduce administrative burden while improving efficiency. How do we help? ?? Proactive utilization management ?? Coordinated case management ?? Scalable support for health plans By integrating clinical expertise with operational support, we help health plans navigate complex care challenges while maintaining compliance and controlling costs. Learn more about our approach: https://hubs.ly/Q03cQq280 #HealthPlans #IntegratedCare #ManagedCare #healthcare

This is a gamechanger !!!! We are combining clinical expertise with complex populations and the industry leading technology platform in a bundled PMPM engagement structure. With so many high priority initiatives, health plans can now look to us to help stand up a DSNP product or manage a complex population within an existing program with minimal capital investment and significantly reduced execution risk.

Health plans face mounting pressures to improve efficiency, control costs, and adapt to industry changes. That’s where Business Process as a Service (BPaaS) comes in. Clearlink’s Clinical Operations BPaaS solutions provide scalable, tech-enabled support for utilization management, care management, and appeals & grievances functions—freeing up internal teams to focus on strategy and patient outcomes. Why BPaaS? ?? Improves operational agility ?? Reduces administrative burden ?? Enhances quality and compliance With BPaaS, health plans can streamline processes while improving member experiences and overall performance. See how Clearlink can help: https://hubs.la/Q03cx0RX0 #HealthPlans #BPaaS #ManagedCare #healthcare

Health plans need strategic clinical management to balance quality care, cost efficiency, and compliance. Clearlink delivers expert utilization and case management solutions designed to improve member health while ensuring adherence to regulatory standards. Our services help health plans: ? Reduce administrative burden ? Improve care coordination ? Maintain compliance with regulations With tailored solutions that enhance patient care and optimize workflows, we help organizations drive better outcomes at every stage. Let’s talk: https://hubs.la/Q03bVB6b0 #HealthPlans #HealthcareManagement #healthcare

Looking for assistance in navigating the complex healthcare landscape? Our team of specialized industry experts is ready to support your goals with end-to-end managed care consulting services. We're here for you, always. Connect with us: https://hubs.la/Q03b6t-h0 #Healthcare #ManagedCare #HealthPlans #HealthPlans #payers

Understanding how to improve HEDIS scores can help payers adopt a strategic approach to meeting the stringent standards set by NCQA. Learn more about strategic approaches, best practices, and industry benchmarks in an information-packed blog to elevate your organization to new levels of excellence: https://hubs.la/Q039G0JT0 #HEDIS #NCQA #HEDISMeasures #PatientCare #HealthcareInnovation

Achieving high performance in Medicare STAR ratings requires more than just tracking prescriptions and the progression of chronic disease—it demands a data-driven, proactive, and strategic approach to chronic condition management. At Clearlink Partners, we specialize in helping health plans boost STAR ratings by improving adherence rates for antidepressant medication management (AMM) and adherence to antipsychotic medications — important measures impacting your Plan’s STAR performance in medication adherence and management of chronic conditions. Here’s how we deliver measurable impact: ?? Advanced Data Analytics – We identify at-risk members and predict adherence gaps before they happen, allowing for timely interventions. ?? Provider Incentives & Engagement – We equip providers with real-time, accurate adherence reports and performance-based incentives, ensuring they stay engaged in patient medication adherence. ? Real-Time, Actionable Reporting – No more stale data. Our reports flag non-adherent patients in real time, enabling immediate outreach. ?? Direct Patient & Member Contact – Our team collaborates directly with Plans and Providers to craft personalized member outreach via calls, texts, and digital engagement, addressing barriers like medication side effects, cost concerns, or appointment gaps. The result? Higher adherence rates, improved STAR ratings, and better patient outcomes. Want to learn more directly from our expert team of consultants? Reach out to Angela Smith-Hietikko to connect! https://lnkd.in/gZ-hde9D

Health plans are juggling costs, compliance, and member outcomes—Clearlink’s #BPO solutions help lighten the load. Scale operations, improve efficiency, and drive better healthcare management with expert support. Unlock operational efficiency and achieve sustainable, high-quality healthcare management. Learn how Clearlink’s BPO solutions can support your organization: https://hubs.la/Q035Jg4k0 #HealthPlans #ManagedCare #Healthcare #BPO

Clearlink partners with managed care organizations to build clinically focused operations. From population health and quality improvement to utilization management, care management, and appeals and grievances, we provide the expertise and strategic support health plans need to enhance care delivery and operational efficiency. Through Business Process as a Service (BPaaS) and seamless technology integration, we help teams achieve sustainable clinical excellence, improved healthcare spend, and better member outcomes. And our solutions are designed to scale with your needs, ensuring long-term success in an evolving healthcare landscape. Stronger processes. Smarter operations. Better care. Let’s talk: https://hubs.la/Q035Jkmb0 #HealthPlans #ManagedCare #OperationalExcellence #BPO #HealthcareEfficiency

Health plans need partners who adapt to their needs—not one-size-fits-all solutions. That’s why co-sourcing is one of the ways we work with MCOs, blending internal expertise with external support to drive better efficiency, compliance, and care management. With co-sourcing, teams gain strategic guidance, specialized staffing, and operational support while maintaining control over key initiatives. Whether it’s compliance monitoring, utilization management, or care coordination, this collaborative approach keeps projects on track, on time, and on budget. This Valentine’s Day, find a partner that fits. Explore how flexible engagement models can enhance your operations: https://hubs.la/Q035JxFH0 #ValentinesDay #Valentine #HealthPlans #ManagedCare #HealthcareCollaboration