Madeline Cashdollar Joins Vālenz® Health as Chief People Officer

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PHOENIX, Ariz. (Feb. 16, 2024) — Vālenz® Health proudly announces that Madeline Cashdollar, MBA, has joined the executive leadership team as Chief People Officer.

With a 25-year career that has touched on all aspects of human resources, Cashdollar most recently led her own consulting firm, advising clients on global HR strategy and talent management. She brings deep expertise in compensation and benefits, client and employee relations, organizational development, diversity and inclusion, performance measurement, and workforce solutions for all people-related challenges.

“Madeline is a tremendous fit for this position because she truly is all about people and the power of customer love,” said Rob Gelb, Chief Executive Officer of Valenz. “She thrives at the intersection of business and people strategies – quickly building relationships, diagnosing the problem, designing practical solutions, and moving the team in the right direction to improve business outcomes. We’re thrilled to have Madeline join us.”

Based in Florence, S.C., Cashdollar has served in executive and management roles within human resources, organizational development and client solutions for Sonoco, Aon Corporation and Hewitt Associates. As partner at Hewitt Associates, she managed numerous high-profile client relationships. Cashdollar earned a degree in mathematics from Wake Forest University and a master of business administration from the Yale School of Management.

“It’s exciting to see the team doing great things every day and really living the Valenz culture that elevates our company and keeps customers coming back,” Cashdollar said. “I’m looking forward to rolling up my sleeves as we continue to grow and build for the future with people as our greatest asset.”

About Vālenz® Health  

Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. For more information, visit valenzhealth.com.

Vālenz® Health, zakipoint Health Partner on Video Series: “Rewriting the Book: The Health Plan of the Future”

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PHOENIX, Ariz. (February 14, 2024) — Vālenz® Health and zakipoint Health have partnered on the production of an eight-chapter video series, designed to reset expectations for what a health plan should be for employers and their employees.

Titled “Rewriting the Book: The Health Plan of the Future,” the series spotlights Valenz CEO Rob Gelb and zakipoint CEO Ramesh Kumar as together they offer insightful approaches, tools and resources for a reimagined health plan option that feels better – and operates more efficiently and effectively than what’s available today.

“The rising trajectory of healthcare costs is not sustainable, and the lack of transparency into a complex healthcare system only serves to drive confusion about how to make the right decisions,” Gelb said. “That sparked our series of discussions on enabling a true health plan that optimizes the cost, quality and utilization of healthcare for everyone while boosting member satisfaction, and we are excited to now share it.”

The series of 2-minute videos covers actionable information about key topics including transparency, empowering members to make the right choices as consumers, rethinking contracts and networks, balancing the equation of cost, quality and utilization, and more. New chapters will be released weekly through March on the Valenz and zakipoint LinkedIn pages, ending with a final chapter-by-chapter review by Gelb and Kumar.

In September 2023, Valenz and zakipoint announced their collaboration on a digital front door to care called zConnect – a mobile app that engages members and enhances access to key healthcare data including cost and quality ratings, plan benefit details, comprehensive lists of in-network procedures and providers, and much more on the Valenz platform of fully integrated solutions.

About Vālenz® Health

Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. For more information, visit valenzhealth.com.

About zakipoint Health

zakipoint Health is a company on a mission to bring transparency, direction and personalization to healthcare consumers, bringing all benefit services, data, insights and tools into one place for members on a self-insured plan. With a best-in-class platform, reporting, and engagement tools, we identify risks, drive action, connect with members and track success, empowering companies to reduce risk and costs while creating healthier, more engaged members. For more information, visit zakipointhealth.com.

Vālenz® Health Serving as Corporate Sponsor of HCAA Executive Forum for Third Year

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PHOENIX, Ariz. (Feb. 9, 2024) — Returning for the third straight year as a corporate sponsor of the annual HCAA Executive Forum, Vālenz® Health is attending the key networking event for self-funded groups and third-party administrators later this month in Las Vegas.

“The Valenz team is always excited about kicking off the year with the HCAA Executive Forum,” said Rob Gelb, Chief Executive Officer of Valenz. “As we address key topics that are central to the Valenz mission – including adaptability through change, skating to the puck in the self-insured market, and leveraging transparency and our data-driven strengths – we expect to come away with new ideas and innovations that help us drive smarter, better, faster healthcare.”

The HCAA Executive Forum will be held Feb. 19-21 at the Bellagio. Jordan Hersh, EVP of Channel, Steve Illions, VP of Business Development, and Alex Ruiz, Client Services Executive, will attend from the Valenz team. Visit Valenz at Table 21 to learn more about how a reimagined health plan elevates experiences and simplifies the complexity of healthcare through a platform of fully integrated, member-centric solutions.

About Vālenz® Health  

Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. For more information, visit valenzhealth.com.

The Importance of Self-Disclosure in Your Compliance Monitoring Program

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We have spent a lot of time talking about ways to improve your compliance program on this blog: from best practices and recommendations from the OIG, to using EPStaffCheck to make your monthly compliance checks a breeze. One thing we haven’t really hit too hard yet though, is the worst case scenario when a mistake is made and your organization discovers a hole in your compliance monitoring program.

In this blog post we’ll highlight the steps a research hospital in Florida took to self-disclose improper claims they submitted from 2014-2020 for certain patient care items and services provided during research studies that were not eligible for reimbursement to the government. While the hospital was still fined by the OIG and Florida HHS, the important note here is that without self-disclosure and cooperation the end result would have been much worse.

Compliance Monitoring at Moffitt

From 2014 to 2020, the H. Lee Moffitt Cancer Center & Research Institute Hospital (Moffitt), a non-profit cancer treatment and research center based in Tampa, Florida, submitted claims to Medicare and other federal healthcare programs for services that were not reimbursable under Centers for Medicare and Medicaid Services rules governing reimbursement for clinical care provided in connection with clinical research trials. After learning of these issues, Moffitt began an independent investigation and compliance review, then they voluntarily provided the government with a written disclosure of its findings. Moffitt cooperated fully with the government’s investigation of the conduct and implemented prompt and substantial remedial measures. 

“Healthcare providers participating in federal healthcare programs must ensure that they comply with applicable rules and regulations, including those relating to the submission of claims in connection with clinical research,” said Principal Deputy Assistant Attorney General Brian M. Boynton, head of the Justice Department’s Civil Division. “As today’s settlement reflects, when providers run afoul of their obligations, they can mitigate the consequences by making timely self-disclosures, cooperating with investigations and taking appropriate remedial measures.”

The Outcome

The end result of the investigation was that Moffitt agreed to pay $19.5 million to resolve its civil liability under the False Claims Act. Despite the hefty price tag of the resolution, Moffitt was not excluded or sanctioned by the OIG, Florida Medicaid, or any other federal/state agency.

Moffitt provides a wonderful example for all organizations on how to ultimately handle a situation in which your organization makes the unfortunate discovery that they have run afoul of compliance laws and/or recommendations. Investigate the problem, voluntarily disclose what was done to proper authorities, cooperate with the government’s investigation, and, perhaps mostly importantly, implement swift and substantial remedial measures to ensure something similar does not happen again in the future.

Improve Your Compliance Program

To lower your chances of needing to self-disclose any compliance issues in the future, consider EPStaffCheck to help ensure your compliance monitoring program is comprehensive.

Click below for Self-Disclose forms/webpages:

https://oig.hhs.gov/compliance/self-disclosure-info/

Vālenz® Health Names TJ Morrison as Senior Vice President, Innovation

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PHOENIX, Ariz. (Feb. 2, 2024) — Vālenz® Health is pleased to announce that TJ Morrison has been named to a newly created executive position as Senior Vice President, Innovation.

Morrison first joined Valenz in September 2023 as Senior Vice President, Strategy, following the company’s acquisition of KISx Card, LLC. In his new role, he will steer the company’s product lifecycle management, from vision and innovation to development and marketing. Working closely with the marketing, sales and operations teams, he will lead the way in crafting products and services that bolster customer retention and align with the firm’s long-term strategic objectives.

“As a longtime champion of customer-centric solutions with a clear vision for the future, TJ is a perfect fit to take our product and service offerings forward,” said Maurice Steenland, Chief Product Officer of Valenz. “His tremendous background and skills will be key to advancing the Valenz culture of innovation, anticipating emerging market needs, and driving value as we work together to provide lasting results for our customers.”

For more than 15 years, Morrison has driven new solutions that pave the way for self-funded employers to control claim costs. Drawing from his deep experience with brokerages and TPAs, he founded KISx Card in 2016 to deliver bundled transparent pricing to local employers, and under his leadership it became one of the nation’s largest direct-contracting surgery and imaging networks. Morrison also previously held executive and management roles with Benefit Design Specialists, Inc.

“It’s been an honor to be part of this highly talented Valenz team, and I am extremely energized to take this next step in leading our product strategy,” Morrison said. “There is nothing more rewarding than creating genuine partnerships with our customers, and we have a unique opportunity at Valenz to offer groundbreaking solutions that make a real impact on the health plan of the future.”

Based in Harrisburg, Pa., Morrison earned his degree in Business Administration, Entrepreneurial Studies from Rider University.

About Vālenz® Health  

Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. For more information, visit valenzhealth.com.

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