Tim McConville's Colleagues at ClearHealth Strategies
Tim McConville's Contact Details
414-899-4100
ClearHealth Strategies
Tim McConville's Company Details
ClearHealth Strategies a leading reference-based pricing organization in the commercial healthcare space. The company specializes in providing health plans, including both fully insured and self-funded styles, with pricing that is considered fair and reasonable in a marketplace with continuously increasing medical trend.The ClearHealth philosophy is such that a multiple of Medicare (what is allowed by Medicare) is the best way to enable its clients to reimburse medical claims for the following program styles:-- Out-of-network (behind primary PPO network)-- Narrow network (hospital direct network)-- Full PPO replacement (no PPO network access)-- Partial PPO replacement (either facility or professional claim replacement)ClearHealth works with self-administered employers and third-party administrators to customize a best-in-class strategy, configured by group, claim type, geography, or provider. Services also include managing provider inquiries or questions surrounding the use of the Medicare-based rate allowed by the health plan.