Company Overview
Clarify Health is an AI-powered analytics company using machine learning and comprehensive clinical and claims data to evaluate provider performance across quality, cost, and outcomes dimensions. Health plans use Clarify's analytics to build high-performing provider networks, identify care variation, and make data-driven contracting decisions.
In the post-acute context, Clarify Health's provider performance analytics reveal which skilled nursing facilities, home health agencies, and other post-acute providers deliver better outcomes at lower costs for Medicare and MA patients — directly informing preferred network construction and value-based contract negotiations.
Products & Platform
Market Position
Clarify Health's AI-first approach enables more nuanced performance assessment than traditional medical economics analytics — understanding risk-adjusted outcomes across patient populations rather than simple cost and utilization rates. Increasingly relevant as MA plans take greater interest in post-acute quality and cost for preferred network construction.
Key Data & Metrics
| Metric | Detail |
|---|---|
| Total Funding | ~$100M raised |
| Founded | 2015 |
| Headquarters | San Francisco, CA |
| Key Use Cases | Network optimization, provider performance, care variation |
Recent News & Developments
How Dorthea Uses This Technology Category
Dorthea's AI co-pilot helps families understand how platforms like Clarify Health affect the quality and accountability of senior care facilities and home care agencies they are evaluating. Our free guidance helps families ask the right questions.