Smart Strategies. Measurable Returns. Clarity Where It Counts.
Navigating the Business of Health
At McClure Health Solutions, we bring clarity to complexity, empowering health care organizations to reduce friction in relationships between payors and providers, and help them achieve a competitive advantage. We are healthcare value drivers with decades of experience in healthcare economics. And we know where to look, what to ask, and how to favorably impact results.
71%
of all No Surprises Act (NSA) claims go unchallenged.
84%
of providers prevail in NSA arbitration cases.
Texas Tightens the Clock on Out-of-Network Disputes
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Texas Tightens the Clock on Out-of-Network Disputes •
Strategic Consulting Services
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Independent Dispute Resolution
Strategy and Automation services to challenge out-of-network underpayments through federal and state independent dispute resolution processes powered by data insights, deep industry experience, and technology.
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Competitive Market Analysis
Actionable insights into negotiated payments, market trends, and network adequacy to negotiate from a place of knowledge and competitive strength.
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Managed Care Strategy
Performance-driven contract reviews, payor negotiation support, and relationship-building strategies that boost your financial and operational goals.
What Sets Us Apart
Choosing the right partner for healthcare consulting can make all the difference in achieving sustainable success and a competitive edge. Here’s what sets McClure Health Solutions apart:
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With decades of experience with payors and providers, we bring insider insight that empowers you to lead — not just respond — at the negotiation table.
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Our tailored insights uncover hidden revenue, pinpoint inefficiencies, and create financial opportunities that impact your bottom line, fast.
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No two health systems, health plans, or physician practices are alike. We tailor our approach to fit your internal structure, strengthen your workflow, and move with you, at your pace, without slowing you down.
Inside Knowledge, Outsized Impact
McClure Health Solutions brings strategic clarity to each step of your managed care journey.
Chart a Smarter Course Forward
If your team is navigating managed care contracting, out-of-network, underpayments, or shifting payor dynamics, we’re here to help. Let’s explore where McClure can make the biggest impact.