Clarify Health's Award-Winning Payer Solutions Revolutionizing Healthcare Analytics with Dr. Neechi Mosha, the Senior Vice President of Growth, and John Barzydlo, the Vice President of Customer Success at Clarify

[00:00:02] Hello everybody and welcome back to another episode of Outcomes Rocket.

[00:00:06] I'm so excited to be here at Hymns 2024 with two outstanding guests.

[00:00:12] I want to welcome back Dr. Nechi Moshe,

[00:00:14] Senior Vice President of Growth at Clarify Health,

[00:00:18] as well as his colleague John Barzidlo,

[00:00:21] Vice President of Customer Success at Clarify,

[00:00:23] to a special edition of Outcomes Rocket at Hymns 2024.

[00:00:28] First off, I want to say congratulations to both of you

[00:00:31] and the Clarify Health Organization

[00:00:34] for winning the best in class,

[00:00:36] for healthcare analytics repairs,

[00:00:38] a big accomplishment.

[00:00:40] And what does that mean for Clarify Health?

[00:00:42] We'll start with you, John.

[00:00:43] Yeah, so it's a massive accomplishment.

[00:00:46] Testimony to our customers more so than anything else.

[00:00:48] We work with them on a regular basis to try to drive

[00:00:51] improvements in quality, reduction in cost.

[00:00:54] And we feel like we're making headway there

[00:00:55] and it's nice to be recognized in you.

[00:00:57] And so our entire mission is focused on trying to improve

[00:00:59] the healthcare ecosystem.

[00:01:01] So anything that we can do to get there is fantastic.

[00:01:03] And the fact that our customers are seeing the value

[00:01:06] from our platform, from our analytics

[00:01:08] is really a reinvigorating in the industry, right?

[00:01:11] Healthcare costs keep going up,

[00:01:12] prices are more expensive for everyone.

[00:01:14] The fact that we're making a little bit of a dent in that,

[00:01:16] we're hoping that healthcare ecosystem improved is massive

[00:01:19] and we couldn't do that without our customers,

[00:01:21] but it's a huge award and we're really excited.

[00:01:23] Congratulations, it's a big deal.

[00:01:25] Yeah, no it's really exciting to hear it

[00:01:26] from a third party too.

[00:01:28] It's one thing to speak to our customers

[00:01:30] and hear from them firsthand.

[00:01:31] It's another thing for us to spend all day talking

[00:01:34] with our product teams and our customer teams

[00:01:37] around how we can improve.

[00:01:38] But to get a third party to have that level of recognition

[00:01:41] for us is really amazing.

[00:01:42] And yes the award was for the payer solutions

[00:01:45] in particular but it's the same common platform

[00:01:47] across everything that we do at Clarify.

[00:01:49] So it's really a recognition of just the entire tool

[00:01:51] that's been built in the platform we built.

[00:01:53] So we're excited.

[00:01:54] Yeah, well congratulations.

[00:01:55] And by the way folks, for anybody curious

[00:01:58] about the platform, we'll link it up in the show notes

[00:02:00] to make sure you can take advantage of the platform

[00:02:03] for your organization.

[00:02:04] The other news is that Clarify has a new claims data

[00:02:08] partner giving you all one of the largest claims datasets

[00:02:11] in the country.

[00:02:12] Netshi how did this come about?

[00:02:14] Yeah so we for the past six, seven years

[00:02:16] have been building what we wanted to be

[00:02:19] the largest healthcare dataset.

[00:02:20] And we finally can say that out loud

[00:02:22] which is amazing now that we've brought on this new partner

[00:02:25] and this new partner brings in additional sources

[00:02:27] that we've not historically had.

[00:02:29] And now we can leverage all of that information

[00:02:31] to provide the best insights to feed into the platform

[00:02:34] that John was talking about

[00:02:35] that classes just provided us the recognition against.

[00:02:38] But we can start to uncover new areas

[00:02:40] where we can enable providers

[00:02:41] or where we can assess provider performance

[00:02:43] in ways that we're able to just stitch together

[00:02:45] this longer longitudinal journey

[00:02:47] against care that's being done.

[00:02:48] That's really the crux of it for us

[00:02:50] is how do we get as much information

[00:02:52] so that we can stitch together the longest journey

[00:02:54] and provide insights based on that?

[00:02:55] Well, definitely lots of insights,

[00:02:57] lots of news with you guys,

[00:02:59] especially at this conference.

[00:03:00] And so how will you leverage this claims data assets?

[00:03:04] Like it's a big deal.

[00:03:06] How do you plan on leveraging it?

[00:03:07] In a variety of different ways.

[00:03:08] So first and foremost as Netshi mentioned

[00:03:10] it will stitch together our patient journey logic.

[00:03:12] So our ability to understand what a patient

[00:03:15] is going through throughout their entire healthcare journey

[00:03:17] from diagnosis through treatment.

[00:03:20] We'll have a better understanding of that

[00:03:21] so we can better treat that patient,

[00:03:22] work with clinicians and provide better care.

[00:03:24] Secondly it'll allow us to understand

[00:03:27] the market dynamics a lot better.

[00:03:28] We're gonna have much more signal on the given market

[00:03:31] which will allow for us to pinpoint

[00:03:32] the specific opportunities for a hospital or a home land

[00:03:35] to drive performance improvement on their side as well.

[00:03:37] So there's a myriad of applications

[00:03:39] that we're gonna drive it towards

[00:03:40] but it's really focused first and foremost

[00:03:41] on the patient, improving their care.

[00:03:43] And then secondly the market dynamics

[00:03:45] and how we can help organizations

[00:03:47] increase their footprint throughout their market

[00:03:49] or their given area of focus.

[00:03:50] Thank you for that.

[00:03:51] No, it's exactly what John said

[00:03:53] and I think we can start to also talk about

[00:03:55] who else in the ecosystem can we start working with now?

[00:03:58] And we've always historically worked

[00:04:00] with health systems and health plans

[00:04:02] but we like to start working with more

[00:04:04] and more digital health companies

[00:04:05] that are out here at HIMS

[00:04:06] and we can start to inform

[00:04:07] how they're thinking about things.

[00:04:09] We can also talk to benefit consultants

[00:04:11] who work with employers really closely.

[00:04:13] So we're really excited for the year

[00:04:14] that we've got ahead of us

[00:04:15] so that we can start to unlock

[00:04:17] more and more of the healthcare ecosystem.

[00:04:18] How do we supply them with the information they need

[00:04:20] to succeed and to do their best jobs?

[00:04:22] Well, definitely exciting.

[00:04:24] And how will this impact current

[00:04:26] and prospective customers?

[00:04:28] That's John's world.

[00:04:29] Yeah.

[00:04:30] More coverage is better for everyone, right?

[00:04:32] It gives them more signal into their given market.

[00:04:34] So if we think about existing customers

[00:04:36] you will now have access

[00:04:37] to much more data than you had historically.

[00:04:39] You were already a leading organization

[00:04:42] in the space of data collection

[00:04:43] and being able to allume data insights through that.

[00:04:45] Now it's just even more pronounced.

[00:04:47] So existing customers will have much more data

[00:04:49] for fingertips that they can leverage

[00:04:51] for whatever their use cases are.

[00:04:53] And prospective customers now have insight into areas

[00:04:55] that they otherwise wouldn't from other organizations.

[00:04:57] So whether it is that longitudinal journey

[00:05:00] and you mentioned through a patient's insight

[00:05:02] or it's focused on just signaling to a given market

[00:05:04] we now have that more in spades than we did in the past.

[00:05:07] So it's more data, it's more analytics

[00:05:09] of their fingertips

[00:05:10] and hopefully more insights that they can drive

[00:05:11] towards whatever their goals are

[00:05:13] cost reduction, patient improvement.

[00:05:15] The other thing that really helps

[00:05:16] on the prospective customer side

[00:05:18] is oftentimes folks will come to us

[00:05:20] and clarify might be a new name to them candidly.

[00:05:22] They've not spent time with us before

[00:05:24] they've not heard from our other customers

[00:05:26] providing that class recognition

[00:05:28] and also the reality that we're

[00:05:30] the biggest data set in the industry

[00:05:31] both of those things together really help

[00:05:33] actually we were speaking together

[00:05:35] John and I were speaking to a prospective customer

[00:05:37] and they were saying it was really helpful

[00:05:38] for their internal discussions to know

[00:05:40] that oh, Clarify has been ranked by class

[00:05:42] as number one that helps bounds

[00:05:44] for them to justify internally Clarify's the best

[00:05:47] and that's what we've always wanted to be

[00:05:49] and we're extremely excited to be here.

[00:05:51] That's exciting.

[00:05:51] Thank you guys so much

[00:05:52] and folks a lot to be proud of

[00:05:54] at this time at Clarify Health.

[00:05:57] Look, there's a lot going on

[00:05:58] with the no surprises act price transparency

[00:06:01] and from what I understand

[00:06:03] there's something big developing in July of this year.

[00:06:06] Do you guys wanna tell us a little bit more about that

[00:06:08] and what our listeners and viewers should keep in mind?

[00:06:11] Sure, so for everyone

[00:06:12] that's obviously aware of this data

[00:06:14] we've been plagued by inaccuracies

[00:06:17] or incomplete data within the market, right?

[00:06:19] Whether it's hospitals or health plans

[00:06:21] we struggle to get the most accurate information

[00:06:23] across the board which has impacted folks' ability

[00:06:25] to use that data to drive meaningful insights

[00:06:28] as it relates to contractual negotiations.

[00:06:30] So on the 1st of July we're going to be rolling out

[00:06:32] CMS is gonna be rolling out more standardized templates

[00:06:35] for how you can be populating your price transparency

[00:06:37] information from a hospital angle.

[00:06:39] And we're really hoping

[00:06:40] and we started to see this already with some files

[00:06:43] the standardization will be better data quality

[00:06:45] which will allow for us to make use of the data

[00:06:47] in a different and kind way

[00:06:48] than we've been able to in the past.

[00:06:50] So as of 1-1 some organizations have already started

[00:06:53] to comply and you can start to see in their files

[00:06:55] or fitting the structure that we wanna see

[00:06:57] which is fantastic

[00:06:58] and the data quality has already started to jump

[00:07:00] but at the end of the day

[00:07:01] we wanna make sure that an organization

[00:07:03] can compare themselves to their competitors

[00:07:05] understand where there's opportunity

[00:07:07] and really drive better rates for their hospitals

[00:07:09] or the inverse from health plan perspective as well.

[00:07:12] If we can reduce the variability

[00:07:14] in how folks are posting the information

[00:07:16] it just makes it so much easier

[00:07:17] for you to read it on the other side

[00:07:19] get quick access to that date.

[00:07:21] So we're excited about being able to pull this data

[00:07:23] so much more quickly

[00:07:24] and get it to our customers as quickly as possible

[00:07:26] in the most standardized format.

[00:07:28] One of the other things that's cool

[00:07:29] is that we actually have some prospective customers

[00:07:31] now reaching out to us to say,

[00:07:32] hey, Clarify, can you help us with posting the data?

[00:07:34] And we're starting to have more and more

[00:07:35] of those conversations.

[00:07:37] So lots coming, we're excited for the year ahead

[00:07:39] and we'll see where things go.

[00:07:41] Very exciting.

[00:07:42] Thank you both.

[00:07:43] And for everybody listening and viewing today

[00:07:45] these are real issues that you're grappling with.

[00:07:48] You don't have to deal with them alone.

[00:07:49] So make sure you check out the show notes

[00:07:51] for best ways to get in touch

[00:07:53] and find out more about how you can make the most

[00:07:55] out of Clarify Health solutions.

[00:07:57] Thank you guys for being with us today.

[00:07:59] Thank you so much.

[00:08:00] Yeah, thanks all.