ClearCare
Clinically Driven. Data Activated. Employer Guided.
ClearCare is what makes ClearChoice Health Plans undeniably different. It is the clinical engine that identifies rising risk early, translates data into action, and provides hands-on guidance to employers every step of the way. Most captives share risk. ClearCare actively manages it.
Built to Support You from Day One
From onboarding through renewal, ClearConcierge brings consistency, clarity, and action to how your plan is managed.
ClearConcierge is built on three things:
A defined implementation and onboarding process
We guide you through setup, program activation, and data integration—so your plan starts strong from day one.
A structured, quarterly performance cycle
Each quarter has a purpose—from enrollment insights to optimization to renewal planning—ensuring your plan is continuously improving, not reacting.
Ongoing access and support when you need it
With monthly ClearCompass reporting, quarterly ClearRewards tracking, and direct access to our team, you’re never managing your plan alone.
ClearConcierge is the dedicated team behind the day-to-day captive experience.
From implementation through renewal, employers have a consistent ClearPoint team helping guide onboarding, coordinate ongoing plan activity, deliver meaningful reporting, support key decisions, and keep the plan operating smoothly throughout the year.
Highly Supportive. Intentionally Guided.
Being clinically driven does not mean being clinical in experience. ClearCare is intentionally supportive. You are never left to interpret data alone.
Every Employer Receives:
- A dedicated success team
- A structured onboarding roadmap
- Monthly performance conversations
- Mid-year optimization strategy
- Renewal readiness modeling
- Ongoing, 24/7 access to ClearConcierge
We Guide Employers & Advisors Through:
- Risk mitigation decisions
- Clinical program activation
- Plan language improvements
- Engagement strategy
- Financial alignment
Clinical Intervention that Protects the Pool
ClearCare installs a proactive clinical oversight layer that identifies emerging high-cost exposure and intervenes before volatility compounds.
When complex or high-cost clinical episodes arise, we engage through a coordinated clinical framework:
ClearGuard
A proactive, high-touch clinical model with omnichannel, 24/7 access to virtual support. ClearGuard engages members facing high-acuity or complex conditions, helping guide care decisions in real time and ensuring treatment pathways are both clinically appropriate and cost-effective.
ClearClaim
A structured, retrospective review process focused on payment integrity and medical appropriateness. ClearClaim evaluates complex claims to ensure services align with evidence-based standards and contractual intent — reducing unnecessary spend while protecting quality of care.
Monthly ClearCompass Reports Also Surface
Pharmacy Risk Intervention
Rapid evaluation of specialty drug exposure, including biosimilar assessments and alternative sourcing opportunities.
This helps mitigate laser risk and control one of the fastest-growing cost drivers in employer plans.
Alternative Care Pathway Identification
Clinical review of treatment plans to identify high-value providers, Centers of Excellence, and evidence-based alternatives when appropriate.
This is how we:
- Avoid unnecessary lasers
- Reduce volatility
- Protect renewal positioning
- Strengthen long-term performance
Why This Matters in a Captive
Traditional captives weaken when rising risk goes unmanaged.
ClearCare ensures:
- Good risk stays
- Engaged employers are rewarded
- Volatility is addressed early
- Financial incentives align with behavior
It is the mechanism that connects clinical action to financial outcome. Without ClearCare, a captive is a funding structure. With ClearCare, it becomes a clinically-focused performance model.
Ready to Experience a Clinically Driven Captive?
See how ClearCare turns risking risk into measurable performance
Schedule a ClearChoice Strategy Conversation
