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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Case Studies
Navigating MLTSS Implementation for Market Entry
One managed care organization set out to launch a Medicaid Managed Long Term Services and Supports (MMLTSS) program but lacked internal experience with its requirements. See how they partnered with Clearlink Partners to develop a compliant, scalable strategy from the ground up, gain operational clarity, and move confidently toward program readiness and implementation success.
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Blogs
How Small to Mid-Size Health Plans Benefit from Outsourcing & Consulting
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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Blogs
How AI is Transforming Prior Authorization: Real-World Examples & Future Implications
As healthcare organizations continue to seek solutions that reduce costs and improve patient outcomes, AI-driven prior authorization is proving to be a game-changer. Explore how AI is transforming the prior authorization process and discover real-world examples of how it’s being implemented across the healthcare landscape.
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