The Clear View Solutions team is dedicated to improving access to quality health care for special needs populations through innovative coverage options with enhanced care coordination, grounded in analytics.
We work with health plans, providers and vendors to form and implement successful market facing products and services. We are pleased to now offer services to organizations seeking to launch a Program of All Inclusive Care for the Elderly (PACE). Since 2019 we have assisted several PACE sponsors to assess the opportunity, file applications, contract provider networks and get ready for State and Federal reviews.
The Clear View team identifies superior cost effective administrative solutions appropriate to each individual client that gain access to best-in-class, purpose driven components for target populations that include Medicare beneficiaries, long term care residents, dually eligible and those with chronic diseases.
Operational implementation and program launches are supported through the combined management talents and technical skills of the Clear View Team in all aspects of managed care programs. With deep expertise in health care analytics, regulatory compliance and business strategy our team enables health care organizations to better serve their members, residents and patients.
Our clients include:
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Medicare Advantage and Prescription Drug Plans
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Long term care provider organizations seeking to form Special Needs Plans (SNPs)
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Sponsors of PACE organizations
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Health organizations seeking to expand geographic footprint or product offerings
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Vendor organizations providing services to health plans including home care, care coordination and outreach
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Trade organizations and others
Our services include all aspects of Plan formation and administration including:
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Business strategy development and feasibility analysis
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Health plan and PACE licensure, application and Model of Care (State and Federal)
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Provider network strategy, contract development and contract negotiations
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CMS and State adequacy assessments and provider directory development
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Health Plan administration and vendor service procurement
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Benefit design, strategy and care coordination programs
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Compliance and policy