Vālenz® Ecosystem

Your path to smarter, better, faster healthcare.

  • Vālenz® Ecosystem:

    Your path to smarter, better, faster healthcare.

    Learn more
    Corporate meeting

Valenz by the Numbers

20-40%

Ecosystem
Savings Improvement

10:1 ROI

Care Navigation & Management

~85%

In-Network
Utilization Rates

100%

Transparency into Ecosystem Data

Engaging Early & Often Across the Member Journey

Valenz integrates member-centric services with data-driven insights, connecting the dots with personalized service and guidance for high-quality care and improved outcomes. We engage early and often with results-driven education, support and services to avoid more serious and costly health events.

1

Member enrolls in the health plan.
Access Solution Suite delivers quality-first provider networks and reimbursement strategies with cost-saving, risk-reducing services to replace your high-cost contracted network plan – and you choose which network model will best serve your business and member needs.

2

Member seeks care services.
NaVcare provides concierge-level member guidance, directing care to in-network providers for better savings, outcomes and experiences. Also includes telehealth integration and referrals to care management.

3

Member is diagnosed and needs treatment.
RN-led, triple URAC-accredited care management targets the right care before services are rendered. Improve quality of care and maximize savings with personalized Case Management, Utilization Management and Disease Management.

4

Member is prescribed Rx therapy and needs close monitoring.
Wraparound care management services optimize care with specialty pharmacy benefit solutions, remote monitoring for chronic conditions, specialized care management for oncology, cardiology, diabetes, maternity and more.

5

Member’s claims are submitted for payment.
Protect payment integrity for your business and out-of-pocket costs for your members with our complete set of tools and services for systematic claim review, expert bill review with provider sign-off, claim and network repricing, stop loss group captives, and balance billing support.

6

Member and health plan need costs to stop rising every year.
Through the power of the ecosystem, which includes unparalleled data transparency and analytics across the life cycle of every claim, Valenz continuously uncovers opportunities for improved quality and utilization to lower costs. Reduce health spending year over year compared to ever-rising BUCAH plan costs.

Make Your Business Strong, Vigorous and Healthy

With Valenz, you can have a healthier member population while also achieving plan and member cost savings… year after year. For the tools and transparency you need to make cost-effective, quality-first decisions, let’s find your path to smarter, better, faster healthcare today.

Case Studies

Vālenz ProteKHt™ provides customized solutions for the challenges of paying medical claims accurately. Line-by-line bill reviews, performed by registered nurses, certified coders and practicing specialists, uncover inappropriate billing and care provided.

See how we found opportunities for one client to achieve 13.86% in additional savings above BUCAH PPO discounts, securing provider signoff to deliver $129,648 in net savings for a single oncology patient.

Vālenz Care proactively identifies members who will benefit from care management, engaging early and often to enable better health decisions while controlling costs and reducing the risk of more serious and high-dollar events.

See how we helped one member avert end-stage renal disease, dialysis and even a transplant, saving her and her employer hundreds of thousands of dollars in treatment and liabilities.

Valenz News

Brandy Robinson, Client Services Executive

Vālenz® Promotes Brandy Robinson to Client Services Executive

Robinson brings expertise with Vālenz Assurance and 15+ years’…

Vālenz® Promotes Alex Ruiz to Client Services Executive

Ruiz brings 20+ years’ experience leading client accounts and…
Captives of the Future Roundtable

Captives of the Future: On-Demand Webinar from Vālenz®, MSL Captive Solutions and True Captive Insurance

As healthcare costs continue to rise, group captives offer pathways…