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Cost & Care

Optimized, end-to-end clinical and operational management programs.

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Clinical Management

Identify opportunities to adopt transformational and holistic clinical solutions, even for the most complex populations. Generate best-in-class outcomes, decrease total cost of care, and continually accelerate financial performance.

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Operational Management

Achieve optimal performance by successfully navigating and managing the complex operational, financial, and technological functions and activities of a constantly shifting healthcare environment. Become more equipped to stay agile with solutions that offer effective program and project management, system optimization, data-driven innovation, and cross-departmental alignment.

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Expert
Insights

Innovative
Processes

Comprehensive
Solutions

We engaged Clearlink to benefit from their national perspective, understanding of industry benchmarks, and experience with other health care organizations – especially Medicare Managed Care Organizations – to improve care management for our members. Our work with Clearlink allowed us to assess and implement opportunities for improvement while we continued to manage business as usual.

Marylou Buyse M.D., Chief Medical Officer, Neighborhood Health Plan of Rhode Island

The Clearlink Way

How we develop tailored, end-to-end programs that successfully manage total cost of care and achieve accelerated operational efficiency.

Experience our 5-Step Process

Discovery

We begin with an in-depth review of your existing processes, including relevant programs, policies, workflows, contracts, KPIs, and business systems. Then we discuss the biggest challenges you currently face and the goals you have for growth.

Analysis

We evaluate your performance against industry standards, accreditation needs, contractual compliance demands, and regulatory requirements applicable to your business model and share a preliminary plan for addressing identified gaps.

Strategy

We build and finalize a custom program and implementation timeline using select services from our suite of total cost of care solutions. This includes intended project tactics, key performance metrics, and projected results.

Delivery

We execute your strategic program through a dedicated team of specialized consultants who work as an extension of your organization to deliver comprehensive solutions and expertise with full lifecycle support.

Optimization

We continue to optimize your program to meet new needs and achieve efficiencies at the enterprise and operational level. We remain focused on helping your organization maintain sustainable processes and navigate change.

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Case Study

Compliant Case Management

A community-based care delivery organization holds a new delegation contract with a regional health plan to provide case management services for Special Needs Plan (SNP) members. In order to receive an additional assigned cohort of Severely Mentally Ill (SMI) members, the care delivery organization needed to demonstrate its ability to transition members incompliance with all NCQA standards, state regulations, and contractual requirements.

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