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Case Studies

Powering Health Equity Progress

A California Medicaid health plan serving approximately 300,000 members sought fast support to deliver on an urgent state-mandated initiative. The organization partnered with Clearlink to develop and launch a strategic program to incentivize smaller providers to apply for state funding aimed at advancing health equity. See how Clearlink’s collaborative, research-backed approach led to a fully documented, on-time program launch that expands access and drives community impact.

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Blogs

What is BPaaS? Revolutionizing Healthcare Operations & Outcomes

Whether it’s support during a regulatory audit, help scaling operations to accommodate new membership, or guidance on improving clinical workflows, outside experts can deliver high-impact results without adding permanent overhead. Learn more about the tangible benefits of investing in strategic support through health plan consulting and health insurance outsourcing.

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Case Studies

Integrating Care for Tailored Plan Success

To meet the demands of North Carolina’s Medicaid Tailored Plan initiative, behavioral health specialty Medicaid plan Vaya Health needed to unify physical and behavioral health services into a unified, whole-person care model for high-need populations, including members with IDD, SUD, and SMI needs.

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Case Studies

Empowering Effective D-SNP Case Management

One regional health plan struggled to meet CMS expectations for its Dual-Eligible Special Needs Plans (D-SNP) case management program, risking sanctions due to documentation issues, staffing gaps, and audit vulnerabilities. See how they partnered with Clearlink to remediate operations, deploy a co-sourced team, and pass their CMS audit with confidence, all while laying the groundwork for long-term program success.

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Case Studies

Charting a New Course for D-SNP Compliance

One regional health plan struggled to meet CMS expectations for its Dual-Eligible Special Needs Plans (D-SNP) case management program, risking sanctions due to documentation issues, staffing gaps, and audit vulnerabilities. See how they partnered with Clearlink to remediate operations, deploy a co-sourced team, and pass their CMS audit with confidence, all while laying the groundwork for long-term program success.

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Case Studies

Improving BH Strategy Through Rapid Assessment

A large, state-based health plan faced an urgent need to strengthen its behavioral health strategy to compete for a new line of business. With limited time and integration challenges ahead, it turned to Clearlink for a rapid yet comprehensive evaluation. See how our team delivered a high-impact assessment that uncovered gaps, set a clear roadmap, and helped the health plan win the bid, fully prepared to meet new regulatory expectations and elevate outcomes.

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