ClearAdmin
Joining ClearChoice Health Plans means you don’t just join a captive — you choose how your plan is built. Whether you want a fully built, best-in-class configuration or the flexibility to incorporate preferred partners, ClearAdmin ensures every configuration meets ClearPoint’s performance standards.
Because choice should never compromise results.
ClearChoice Complete Health Plan
Our Fully Integrated, Performance-Governed Health Plan Infrastructure.
ClearChoice Complete represents the highest level of integration within the ClearChoice ecosystem. By operating within a unified medical and pharmacy claims environment, ClearChoice Complete eliminates data silos and enables real-time clinical risk management across the entire health plan. It transforms our captive model from retrospective reporting into active risk governance.
What Makes ClearChoice Complete Different
Fully Unified Claims Platform
Medical and pharmacy claims are adjudicated within one ecosystem – creating holistic member visibility and eliminating fragmented data flows.
This gives us control over:
- Claims adjudication logic
- Eligibility and accumulators
- Plan design configuration
- Clinical triggers
- Pharmacy + medical integration
- Reporting and predictive analytics
Every signal becomes visible and every lever becomes actionable.
Real-Time Clinical Signal Detection
Integrated data allows earlier identification of:
- Emerging high-cost claimants
- Oncology and specialty drug exposure
- Chronic condition escalation
- Utilization anomalies
We move from reacting at renewal to intervening in real time.
Configurable Plan & Network Strategy
ClearChoice Complete supports advanced plan design flexibility, including:
- Tiered network configurations
- Steerage incentives
- Custom copay strategies
- Value-based plan design
With ClearChoice One, structure is not static. It is actively engineered.
Embedded Navigation: Human + Intelligent Technology
ClearChoice One supports advanced plan design flexibility, including:
- Tiered network configurations
- Steerage incentives
- Custom copay strategies
- Value-based plan design
With ClearChoice One, structure is not static. It is actively engineered.
Want More Flexibility?
ClearChoice Offers an Additional Framework for Those Who Have a Preferred Healthplan Stack.
Flex
Maximum Customization, Full Performance Standards
Flex allows you to bring every part of the health plan together, including your preferred TPAs, PBMs, Networks and vendors — provided they meet ClearPoint’s strict vetting and performance criteria. ClearAdmin ensures:
- Every partner meets captive standards
- Data exchange requirements are met
- Cost management alignment is maintained
- Underwriting intent remains intact
Designed For:
- Employers with proven self-funded track record and validated partners
- Advisors who are adept at self-funding and believe they can outperform with customization
- Advisors who are interested in building their own cell based around their preferred stack
The ClearAdmin Difference
For those in our open architecture cell, no matter which stack an employer is on, ClearAdmin ensures:
- Every partner is rigorously vetted
- Performance standards are upheld
- Data feeds are validated and unified
- Compliance and stop-loss alignment are protected
- The captive’s integrity remains intact
This isn’t vendor assembly. It’s structured performance engineering.
The SAFE Standard
Our Performance & Data Framework
Every partner inside ClearChoice must meet SAFE – our structured vetting and alignment model. SAFE ensures every stack is:
S
Seamless
Partners that integrate member experiences, data exchange, and outcomes with other partners in the health plan
A
Aligned
Partner incentives supports and member interests and captive performance.
F
Fiduciary
Partner has transparent pricing and acts in the best interest of the member and the collective risk pool.
E
Effective
Partner has validated clinical and financial outcomes.
No vendor partner enters our captive without meeting our annual SAFE standards.
Why This Matters
Traditional captives weaken over time when flexibility turns into fragmentation. ClearAdmin — with SAFE — ensures:
- Good risk is retained
- Engaged employers are rewarded
- Data drives action
- Performance compounds year over year
- The captive’s integrity remains intact
This is how ClearChoice builds a captive that gets stronger — not riskier — over time.
Ready to Build Your Plan?
Explore which ClearChoice configuration aligns with your strategy.
Schedule a ClearChoice Strategy Conversation
