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# Clearlink Partners: Managed Care Made Clear

> An industry\-leading healthcare management consulting firm specializing in total cost of care and market expansion services\.

## Pages
- [Contact](https://clearlink.loc/faq/)
- [Thank You](https://clearlink.loc/resources/thank-you/)
- [Resources](https://clearlink.loc/resources/)
- [How We Work](https://clearlink.loc/how-we-work/)
- [Clinical Management](https://clearlink.loc/services/clinical-management/)

## Posts
- [D\-SNP 2026: Navigating CMS’s New Enrollment Rules \& Industry Preparedness](https://clearlink.loc/blog/dsnp-2026-cms-enrollment-preparedness/): Contract Year 2026 brings a different operating reality for Dual Eligible Special Needs Plans \(D\-SNP\)\. Monthly Special Enrollment Periods \(SEPs\) introduced in 2025 are now the market’s “new normal,” steering full\-benefit duals toward integrated offerings and reshaping how plans compete outside AEP\. Meanwhile, the Medicare Advantage Value Based Insurance Design \(VBID\) model sunsets after 2025, removing a lever many plans used for $0 drug copays and broad supplemental benefits\. Layer on top the 2026 final rule’s protections around appeals/prior authorization, codified guardrails for Special Supplemental Benefits for the Chronically Ill \(SSBCI\), and automatic renewal for the Prescription Payment Plan, and you get a year defined by operational execution, not just benefit design\.
- [Optimizing Data Integration During Clinical System Implementation](https://clearlink.loc/blog/optimizing-data-integration-during-clinical-system-implementation/): Examine the healthcare cybersecurity challenges faced by health plan fiduciaries, the current regulatory landscape, and actionable steps to protect your digital assets\.
- [2026 AI\-Driven Utilization Management Strategies](https://clearlink.loc/tip-sheet/2026-ai-driven-utilization-management-strategies/): The Centers for Medicare \& Medicaid Services is advancing new rules that directly address the use of artificial intelligence in utilization management and prior authorization\. These regulations put a spotlight on transparency, auditability, and fairness, shaping how payers, providers, and members experience UM\. For managed care organizations, this is an opportunity to align operational efficiency with compliance while building trust through responsible AI integration\. Learn more by requesting the free tip sheet\.
- [Clinical Platform Transformation: Reducing Cost of Care with AI \& Digital Health](https://clearlink.loc/blog/clinical-platform-transformation-reducing-cost-of-care-ai-digital-health/): Health plans and managed care organizations are dealing with unprecedented complexity heading into 2026\. Rising costs, D\-SNP regulations, and changing Medicaid policy are constantly reshaping how payers must operate\. And at the same time, members expect better care coordination, faster responses, and truly digital\-first engagement options while still receiving the value that only human interactions can provide\. Review high\-level tactics for clinical platform transformation and reducing cost of care via new technologies to build resilient, compliant, and scalable operations\.
- [Why Denials Happen: Common Causes \& How to Prevent Them](https://clearlink.loc/blog/why-denials-happen-common-causes-and-prevention/): Denials are an unavoidable reality in healthcare, but they don’t have to be a constant obstacle\. Review the most common causes of denials and discover how to avoid them with effective strategies\.

## Leadership
- [Sean Murphy](https://clearlink.loc/leadership/sean-murphy/)
- [Jim Dandy](https://clearlink.loc/leadership/jim-dandy/)
- [Christina Turner](https://clearlink.loc/leadership/christina-turner/)
- [Bruce Cox](https://clearlink.loc/leadership/bruce-cox/)