Clarity Health Navigator (CHN)

Quality Is What Changes the Outcome

Low cost solves only half the problem. Clarity Health
Navigator helps identify high-quality, high-value
physicians so Alithias advocates can guide employees
toward better care and better value.

Price is half the decision.
Quality is the other half.

A surgeon who appears inexpensive based on allowed cost can ultimately cost more when complications, readmissions, additional procedures and site of care are considered. Clarity Health Navigator looks at quality and cost together.

More context before the referral.

Alithias analyzes more than 300 million episodes of care, risk-adjusts every patient, and evaluates physicians using procedure-specific clinical metrics. The result is a clearer picture of both quality and value.

Filter the Market

Search by episode, specialty, CBSA, city, ZIP, NPI, physician name or facility.

Quality Score + Rating

Compare a numeric quality score together with a one-to-five-star quality rating.

Episode Cost + Volume

See average standard episode cost alongside physician case volume.

Complication Detail

Review readmissions, length of stay, mortality, revision, infection and other clinical measures.

The Quintile Advantage

Start with stronger-performing physicians.

CHN places physicians into five performance tiers. Advocates can focus first on surgeons in the top two quality quintiles.

10–30% Lower episode cost using surgeons in the top two quintiles compared with surgeons in the bottom three quintiles.

Top Tier

Use These

Second Tier

Use These

Middle Tier

Fourth Tier

Bottom Tier

Why stronger physician performance can lower total cost.

Fewer Complications

CHN evaluates readmission, revision, reoperation, infection and other avoidable clinical events.

Shorter, Cleaner Stays

Length of stay and discharge-to-home help show
whether care pathways are efficient

Lower 90-Day Spend

Quality and cost are considered across the commercial episode rather than the surgeon’s
fee alone.

Local and Specific

Advocates can filter physicians by procedure, location and facility before presenting options.

How an Advocate uses CHN on a call.

Open Care Navigator

Start in the Commercial or Medicare view.

Filter the Episode

Search procedure, specialty, city or ZIP.

Stay in the Top Two Tiers

Sort physicians by quality score and star rating.

Open Complication Detail

Confirm case volume, cost, outcomes and site.

A clearer view of physician quality and value.

CHN helps employers understand where lower-quality physicians may be driving additional spend and gives advocates better information to guide members.

300M+

Episodes analyzed

60+

Surgical specialties and procedures

30 / 60 / 90

Day complication windows

Use it with Alithias Advocates or with your own team.

Option 01

The Advocate Model

Alithias advocates take the employee call,
explain the benefit plan and use CHN to identify
higher-quality physicians for the specific procedure.

Option 02

The Platform Alone

License Clarity Health Navigator for your benefits team or customer-service desk and use the platform to identify strong quality-and-value physicians.

Put physician quality behind every referral.

Talk with Alithias about bringing Clarity Health Navigator into your care-navigation strategy