Health Plans & Payor Services

Clarify Health Acquires Loyal Health to Create Healthcare’s First Closed-Loop Network Intelligence and Patient Activation Platform

Clarify Health (“Clarify”), a tech-enabled outcomes company delivering referral intelligence, quality measurement, and network performance solutions for health systems, announces it has completed the acquisition of Loyal Health Holdings, Inc. (“Loyal”), a healthcare-specific patient activation platform. Loyal’s Care Activation Platform manages more than 80,000 provider and location profiles. It powers millions of patient searches and

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Sheridan Capital Partners Completes Investment in National Alternative Health Insurance Technology Company Tres Health

Sheridan Capital Partners (“Sheridan”) announces the completion of its investment in Tres Health, Inc. (“Tres” or the “Company”), a national alternative health insurance and technology company. The investment reflects Sheridan’s multi-year investment thesis on the employer‑sponsored benefits and alternative health plan market, which is seeing sustained annual growth in demand for program management, support services,

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From Friction to Flow: How AI and Mandates are Modernizing Prior Authorization

The industry is at a pivotal moment as the long-standing friction of prior authorization gives way to a modernized, tech-enabled future. By integrating real-time adjudication capabilities and AI-powered operational tools, the industry is moving toward a system that prioritizes transparency and patient access. These advancements, further enforced and accelerated by federal mandates, represent a fundamental

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About 8% of the Country Lacked Health Insurance in 2025, New Data Shows. That Could Rise Next Year

The proportion of Americans without health insurance held steady at around 8% of the population in 2025, according to new findings from the U.S. Centers for Disease Control and Prevention. The national survey results show the all-ages uninsured rate has stayed significantly down from where it was several years ago, but the ranks of the

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