This article is third in our series examining how the self-insured industry can respond to the long-term effects of COVID-19 on member health. The COVID-19 pandemic has impacted almost every part of our daily lives, including physical, financial and emotional health. As the pandemic continues to worsen, we are gaining greater visibility into emerging mental […]
If your profession involves compliance management, you know the Office of Inspector General’s List of Excluded Individuals/Entities (OIG LEIE) is the federal database for all Medicaid sanctions – and no doubt your team checks it regularly for sanctioned providers. However, many investigations are conducted by state Medicaid offices and do not always include federal participation. […]
To help prevent fraud and abuse – and all the punitive setbacks that come with broken health care laws and unmet regulations – having a robust compliance program is key. There is no one-size-fits-all approach to compliance management, however, and it is most effective to tailor your program to your organization’s structure and type. The […]
PHOENIX, Ariz. (Sept. 14, 2020) – To accelerate fair and accurate claim repricing and ensure market-supported reimbursements, Vālenz™ has introduced the V3 Repricing Engine. Fueled by the volume, variety and velocity of data within the Valenz ecosystem, V3 supports strategic decision-making and creates value for the payer, the provider and the patient. The V3 Repricing […]
PHOENIX, Ariz. (June 30, 2020) – Costs of prescription drugs continue to rise exponentially, with total spending in the United States predicted to reach $610 billion in 2021. As pharmacy benefits represent a significant expense for self-insured employers, Vālenz™ is changing the approach to prescription drug coverage with its latest solution. v-Rx, powered by ScoutRx, […]
PHOENIX, Ariz. (May 22, 2020) – As America turns its attention to re-opening the economy and employers plan for their employees’ return to work, Vālenz™ is introducing VzReturn, a solution for protecting workforce health and safety during the COVID-19 pandemic. A Valenz Care solution, this comprehensive client-centric set of services further expands the Valenz ecosystem […]
PHOENIX, Ariz. (May 12, 2020) – In response to surging demand for electronic claim payments, leaders at Vālenz™ today announced the rollout of the Valenz payment solution. This development further expands the Valenz ecosystem to include fully automated solutions for electronic provider payments. With the Valenz payment solution, payers and third-party administrators can automate and […]
PHOENIX, Ariz. (April 13, 2020) – Vālenz™ is pleased to announce that Ed Zwicker, MBA, has joined the team as Vice President, Information Technology. Based in Philadelphia, Zwicker brings 35 years’ experience in design, development, and implementation of highly robust data systems and business intelligence applications. He carries out innovative IT initiatives that add value […]
As the innovators behind a new, data-driven ecosystem that reduces medical claim costs and promotes quality healthcare, Vālenz™ joins the World Health Organization in recognizing 2020 as the Year of the Nurse. Integral to Valenz’s services is its team of nurse case managers, who work closely with patients, providers, employers and payers to target the […]
PHOENIX, Ariz. (January 9, 2020) – Vālenz™ is pleased to announce that it has become a Diamond member company of the Self-Insurance Institute of America, Inc. (SIIA). Diamond membership signifies the highest level of support for SIIA and demonstrates a company’s leadership position within the self-insurance/captive insurance marketplace. “We are proud and honored to support SIIA in its […]
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