Clarify Health Acquires Loyal Health to Create Healthcare’s First Closed-Loop Network Intelligence and Patient Activation Platform
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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
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,
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
From Friction to Flow: How AI and Mandates are Modernizing Prior Authorization Read More »
A new bid to fix the process for resolving surprise billing disputes may not make a dent in the massive backlog of cases. Providers and insurers have been sparring over how to settle claims for out-of-network services almost from the moment Congress protected privately insured patients from getting stuck with huge, unexpected costs. Rather than
New Surprise Billing Fix May Not Reduce Disputes Read More »
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New Surprise Billing Fix May Not Reduce Disputes Read More »
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