our services

Health Plans need ClearStone Solutions to compete in the Medicare, Medicaid, and Dual Eligible markets. Now!

 

ClearStone assesses the health plan’s needs and, in partnership with the health plan, determines those functions that can be improved through consulting or that should be outsourced for optimal efficiency and scale.

 

Typical outsourcing by health plans for transactional services often fails to take into consideration all the operational dependencies which may impact government program compliance and program administration.

ClearStone provides customized professional support services that streamline the suite of multiple vendors into a cohesive unit that promotes cost savings, improved compliance, and quality results, all while maintaining the health plan’s front facing profile to its market.

 

ClearStone is not a Business Process Outsourcer.

 

ClearStone is not an Administrative Services Organization.

 

ClearStone is a solution that allows the health plan to outsource just what is needed, focusing its energy on market facing activities such as sales and marketing and provider contracting, while ensuring that outsourced services are handled to minimize risk and support government program success.