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Managed Care Made Clear

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Clearlink empowers Managed Care Organizations (MCOs) to establish and optimize clinically focused operations. Our specialized expertise spans population health, quality improvement, utilization management, care management, appeals and grievances, and HRA compliance, as well as market expansion through strategic product and network development initiatives.

By integrating advanced technology—from selection to implementation—and offering delegated solutions through Business Process as a Service (BPaaS), we help organizations achieve recurring, sustainable clinical excellence. This approach delivers measurable improvements in healthcare spend, operational efficiency, and member outcomes.

Expert Insights

Clearlink’s robust network of specialized consultants, clinicians, and industry leaders leverage expertise from every sector of the healthcare space with specific knowledge in managed care to implement solutions that link business needs, corporate goals, and industry trends. Our advisors don’t just apply basic business principles; as former healthcare executives, they tap into real-world experience to identify targeted areas for improvement that align with your organization’s priorities and help you reach new markets.

We’ve seen and solved countless industry roadblocks for top health plans, health systems, and state entities, and can act fast to make a difference in the way you manage clinical operations and other critical business functions. By partnering with hands-on experts who appreciate the larger financial implications of standard healthcare company practices, you’ll realize greater ROI and remain competitive as people and systems evolve.

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Innovative Processes

Clearlink encourages healthcare organizations to adopt current best practices that allow them to stay focused on elevating outcomes while managing risk. Working as an extension of your internal teams, we examine all elements of your existing managed care methods, from policies and contracts to documentation platforms and training materials, to build actionable strategies for increasing transparency, boosting performance, and lowering the unit cost of membership.

Through technology-enabled solutions, you’ll be well-equipped to establish a stable foundation for scalable growth that starts with cross-departmental alignment. Make smarter business moves with trusted processes that quantify the financial and operational value of your services and metrics that illuminate the impact of your decisions. Find clarity in your company’s vision and embark on bigger organizational initiatives that ultimately impact the health of the communities you serve.

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Comprehensive Solutions

Clearlink’s end-to-end clinical and operational management services are transformational initiatives that help healthcare organizations effectively increase quality, manage spend, and achieve new efficiencies at both the enterprise and operational level. By approaching problem-solving with clinical, operational, and technological-based insight and a deep understanding of what drives cost in complex populations, we are able to restructure key workflows and business systems around your culture and core processes, optimizing productivity and profit margins.

Using gap analyses, opportunity assessments, detailed roadmaps, and digital tools, we develop tailored solutions to overcome your unique challenges and provide full lifecycle support ensuring the success of everything we propose. At Clearlink, we believe in leading with pragmatic strategies that power intelligent, future-focused decision-making in care delivery, medical management, market entry, compliance, and countless other areas so you can navigate change and maintain the integrity of more sustainable enterprise-wide operations. Invest in your team’s advancement to enable the best possible outcomes for members and their families.

Leadership

Our History

After achieving enormous success providing medical management guidance to businesses throughout the healthcare space as part of a global consulting firm, our founders established Clearlink Partners in 2018 as an independent operating company. With our rapidly evolving clinical capabilities, we instantly became the preferred choice for managed care organizations and began expanding our suite of solutions to offer more robust operational resources, including population health management, new market entry, network development, program delivery, and other value-added services. Today, we’re known for our abilities to not only advise organizations on what changes they should implement, but also to assist in the execution of those recommendations achieving true transparency, continued improvement, and enterprise-wide alignment. Clearlink is proud to be a trusted advisor and partner to many top healthcare companies seeking support in an ever-changing managed care landscape.

Our History

After achieving enormous success providing medical management guidance to businesses throughout the healthcare space as part of a global consulting firm, our founders established Clearlink Partners in 2018 as an independent operating company. With our rapidly evolving clinical capabilities, we instantly became the preferred choice for managed care organizations and began expanding our suite of solutions to offer more robust operational resources and focus on total cost of care, including population health management, network development, program delivery, and other value-added services. Today, we're known for our abilities to not only advise organizations on what changes they should implement, but also to assist in the execution of those recommendations achieving true transparency, continued improvement, and enterprise-wide alignment. Clearlink is proud to be a trusted advisor and partner to many top healthcare companies seeking support in an ever-changing managed care landscape.