Care Bundles and Navigation for Better Costs and Quality
As the costs and complexities of healthcare continue to skyrocket, the methods of pricing for provider services and the way the industry looks at care are facing a much-needed change.
Historically, providers have received separate payments for each individual service or patient treatment. This fee-for-service reimbursement model, used by many commercial payers, relies on provider networks and focuses on the quantity of services provided, rather than the total package of care and the cost and quality of those services. In addition, when coupled with the complications of insurance billing and reimbursement, fee-for-service models often lead to inflated costs for patients and providers.
Vālenz® Health believes employers can generate greater savings, appropriate utilization and higher quality of care when deploying healthcare models built on episodes of care, as demonstrated through the Valenz comprehensive range of care bundles. Although bundled pricing is not new, the Valenz model is distinctly different, as it deploys numerous reliable data sources to arrive at defensible local market-sensitive rates while driving members to high-value care.
By aggregating years of robust data from thousands of provider network cases with industry-leading sources of payment-, cost-, charge-based and clinical data sets, together with intuitive member navigation, Valenz optimizes cost, quality and utilization of care. Read more in our white paper.
