ClearHealth Strategies and GlobalCare Announce Strategic Partnership to Drive Increased Savings on Out-of-Network Claims

NAPERVILLE, Ill., June 17, 2014 /PRNewswire/ -- ClearHealth Strategies, the industry leader in Medicare-based pricing programs, and GlobalCare, a PPO network management and cost containment company, announced today a strategic partnership.   As part of this agreement, GlobalCare customers and prospects will have access to the ClearHealth Medicare-based pricing program. The program is targeted towards health plans, third-party administrators (TPA's) , stop loss, reinsurance groups, and cost containment managers looking to drive greater savings from their cost containment programs by using Medicare as a basis for the pricing mechanism for out-of-network claims or for organizations looking to replace their PPO networks entirely with a Medicare-based pricing program.

"Combining our network management expertise together with ClearHealth's pricing programs provides a new opportunity for our customers looking to drive greater savings from their programs." said Bob Marcoux, Vice President of Sales and Marketing, GlobalCare. "We looked at partnering with a number of different companies but the value of having a complete program, including appeal management and complex customization support made ClearHealth an obvious choice."

The strategic agreement between the organizations provides GlobalCare customers with seamless access to a complete Medicare-based pricing program. ClearHealth provides pricing for all 16 Medicare pricing methodologies and the option of using ClearHealth's provider relations expertise to handle any provider appeals.

"We're excited that GlobalCare has chosen to work with us on this partnership.   We understand the great reputation GlobalCare enjoys in the market and the strong loyalty they enjoy from their customers," said Bill Zaun, President, ClearHealth. "We installed the first GlobalCare customers in September of 2013 and have continued to add new clients on a monthly basis." 

There has been a fundamental shift in the cost containment industry recently with more and more cost management activity using Medicare-based pricing as the out-of-network standard.   ClearHealth's program of Medicare-based pricing, appeal management, and plan- or client-level configuration is uniquely positioned to help organizations move in this direction.

About ClearHealth

ClearHealth Strategies (www.clearhealthstrategies.com) is a leading provider of cost containment solutions to health plans, payers, third-party administrators (TPA's), workers compensation, property and casualty, and cost containment consultants. The company offers Medicare-based pricing, claim negotiations, network routing, appeal management, and patient advocacy services in a software-as-a-service (SaaS) model.

SOURCE ClearHealth Strategies