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$1,325.73M Raised in 74 Funding Rounds in the past 7 Days - View All

Funding Round Profile

ClarisHealth

start up
United States - Brentwood, Tennessee
  • 11/01/2024
  • Unknown
  • Undisclosed Amount

How are you addressing the annual $1 trillion in overspending on healthcare claims payments?

ClarisHealth, a Deloitte Technology Fast 500 company and recognized for prospective payment integrity solutions in the Gartner Hype Cycle, provides a payment integrity operating system for health plans. Our A.I.-powered enterprise technology platform Pareo® enables health plans to maximize avoidance and recoveries at an optimized cost for a 10x ROI.

This return is achieved through 50% faster time to recovery, 31% more overpayments recovered, and 50% cost savings from automation. Pareo’s configurable approach to payment integrity includes solutions for claims overpayment inventory management, third-party services vendor optimization, auditor workflow and analytics, fraud case management, prepay cost avoidance, reporting and business intelligence, and provider engagement.

As our client Erik Chase, director of payment integrity for L. A. Care Health Plan said, “With the clarity that Pareo® has given us, we’re able to track recoveries monthly, and we doubled our recoveries in the first year.”


Related People

Jeffrey McNeeseFounder

Jeffrey McNeese United States - Nashville Metropolitan Area

WHAT I DO:
I help health plans and payers grow recoveries from 1% to 7% or more by connecting payers, providers and third-party service suppliers with a single advanced technology platform designed to support transparent communication.

WHO I WORK WITH:
I partner with executives at health plans and payers including:
CFO
CEO
Director of Payment Integrity
Director of Provider Audit & Reimbursement
Cost Containment
SIU
FIPR
Fraud, Waste & Abuse (FWA)

WHY IT WORKS:
When you partner with ClarisHealth you get the most efficient and effective advanced payment integrity technology solution that health plans and payers are looking for right now. The solution is Pareo®, and one of our clients put it best:

“Pareo® is what I’ve conceived over the last 10 years. I just haven’t been able to build it.”

WHAT MAKES US DIFFERENT:
Virtually every health plan is looking to move their medical savings from a typical 1-2% today to something above 5% over the next few years. Oftentimes, health plans believe they don’t have the capacity to experience such a lift, so they take no action. We set out to address that in 3 ways:

Provide end-to-end oversight over your claims cost containment program
Bridge the gap between internal and third-party payment integrity functions
Enable maximum recoveries and avoidance at the most optimized cost

WHAT OTHERS SAY:
“With the clarity that Pareo® has given us, we’re able to track recoveries monthly, and we’re on track to double our recoveries from the previous year.” - Erik Chase, Director of Payment Integrity, L.A. Care Health Plan

HOW IT WORKS:
It’s easy to get started with ClarisHealth. We suggest you begin by joining our weekly, no-hassle demonstration of Pareo®. Sign up at https://go.clarishealth.com/pareo-demo-registration/

READY TO TALK?
Reach out to me directly here on LinkedIn, email me at jmcneese@clarishealth.com, visit us online at www.clarishealth.com or call me direct at 615-600-0256.