• News
  • Contact
  • Provider and client login
  • 0Shopping Cart
Valenz
  • Why Vālenz
    • Why Valenz
    • Healthcare Ecosystem Optimization Platform
    • V-Rated Solution
    • Case Studies & White Papers
  • Solutions
    • Network Design
      • Valenz Access
        • Access Contracted Network
        • Access Navigated Network
        • Access Open Solution
        • Access Assured Payment
        • Access Amplified
        • Access MEC Solution
        • Access Eco Complete
    • Care Management
      • Valenz Care
        • Utilization Management
        • Case Management
        • Disease Management
        • NaVcare
        • Care Value Optimizer
        • Telehealth
        • Pharmacy Solutions
    • Claim Management
      • Valenz Claim
        • Valenz ProteKHt™
        • Renal Dialysis Specialty Solution
        • Air Ambulance Solution
        • VMS® Market-Sensitive Repricing
        • CaptiV
    • Compliance & Payment Integrity
      • Valenz Assurance
        • VPoint™ Credentialing
        • EPStaffCheck™
        • ClaimScrub™
        • DataTank™
        • ABN Assistant™
  • Decision Enablement
    • Decision Enablement
    • Data & Transparency
  • Company
    • About Us
    • Leadership
    • Careers
  • News
  • Contact
  • Client & Provider Login
  • Search
  • Menu Menu

Vālenz® Promotes Brian Campbell to Vice President, Client Services

August 20, 2021/in Announcements, Events, Featured/by Maris Panjada

Campbell brings 20+ years’ experience leading national accounts and delivering excellence in client service

PHOENIX, Ariz. (August 20, 2021) — Vālenz®, the innovators behind the industry’s most transparent, data-driven ecosystem for self-funded employers and their health plan partners, recently announced that Brian Campbell has been promoted to Vice President, Client Services.

Campbell joined the firm in January 2019 as a senior client services executive. In his new role under the leadership of Nathan Nelson, Senior Vice President, Growth, Campbell now oversees the client services team.

“Since joining us nearly three years ago, Brian has exemplified the character, culture and vision of our company – he lives our values and promotes the strong, vigorous, healthy mindset at the core of the Valenz brand,” said Rob Gelb, Chief Executive Officer. “His ability to collaborate and lead will serve him, our team, our clients and our company well as we move forward and further our ecosystem vision for all stakeholders of the self-insurance community.”

Brian’s career spans two decades of proven success in client-focused relationships in the healthcare and financial services industry. Prior to joining Valenz, his career highlights included leading national accounts in commercial insurance, workers’ compensation, reinsurance and more. Brian also has a degree in Marketing/International Business from Kansas State University.

“I am extremely energized to take this next step at Valenz,” said Campbell. “My account management approach has always been to put clients first and create genuine partnerships, and it’s an honor to do so as part of this extraordinary leadership team. I believe in limitless potential for our clients as we partner with them to engage early and often for smarter, better, faster healthcare.”

For more information about Valenz and its leadership team, visit valenzhealth.com.

 

About Valenz

Valenz enables self-insured employers to make better decisions that control costs across the life of a claim while empowering their members to lead strong, vigorous and healthy lives. Valenz offers transparency through data to pinpoint members at highest risk, address gaps in network designs, ensure appropriate and accurate charges, and expertly navigate employees to optimal care solutions for substantial cost savings and improved health outcomes. More information is available at valenzhealth.com. Valenz is backed by Great Point Partners.

https://www.valenzhealth.com/wp-content/uploads/2021/08/Brian-C-Promotion_600x432-2.jpg 432 600 Maris Panjada https://www.valenzhealth.com/wp-content/uploads/2023/01/valenz-logo-1-23-3.png Maris Panjada2021-08-20 19:52:392021-08-20 19:56:12Vālenz® Promotes Brian Campbell to Vice President, Client Services

Vālenz® Ranks Two Years in a Row on Inc. 5000 List of Fastest-Growing Private Companies

August 17, 2021/in Announcements, Featured/by Maris Panjada

PHOENIX, Ariz. — Inc. magazine today announced that Vālenz® ranks No. 3424 on the annual Inc. 5000 list and No. 268 within the Health industry category. The Inc. 5000 lists the most prestigious ranking of America’s fastest-growing private companies and represents a unique look at America’s most successful businesses. Over the years it has included such leading-edge organizations as Microsoft, Patagonia, Intuit, Under Armour, Zappos.com and many others.

“We are honored to be recognized as one of the fastest-growing private companies in America, and it reinforces what our clients already know – transparent data engagement and integrated solutions deliver a path to lower costs, better health outcomes and enhanced member lives,” said Rob Gelb, Chief Executive Officer at Valenz. “Our rapid growth is a function of everything we do to manage quality, utilization and costs while streamlining opportunities for employers, TPAs, and brokers to achieve smarter, better, faster healthcare.”

Moving forward, the company is poised for future growth. As the industry’s first fully transparent, end-to-end ecosystem, Valenz integrates a comprehensive suite of solutions with deep and continuous data analysis across the life of every claim. From network design to care delivery, expert bill reviews, claim management, payment integrity and more, the ecosystem enriches data and decision-making at every step.

Companies on the 2021 Inc. 5000 list have been very competitive within their markets, but this year’s list also proves especially resilient and flexible given 2020’s unprecedented challenges. Among the 5,000, the average median three-year growth rate soared to 543 percent, and median revenue reached $11.1 million. Together, those companies added more than 610,000 jobs over the past three years, according to Inc. officials. Complete results of the Inc. 5000 can be found at www.inc.com/inc5000.

About Valenz

Valenz enables self-insured employers to make better decisions that control costs across the life of a claim while empowering their members to lead strong, vigorous and healthy lives. Valenz offers transparency through data to pinpoint members at highest risk, address gaps in network designs, ensure appropriate and accurate charges, and expertly navigate employees to optimal care solutions for substantial cost savings and improved health outcomes. More information is available at valenzhealth.com. Valenz is backed by Great Point Partners.

About Great Point Partners

Great Point Partners (“GPP”), founded in 2003 and based in Greenwich, CT, is a leading healthcare investment firm, currently with approximately $1.8 billion of equity capital under management and 28 professionals, investing in the United States, Canada and Western Europe. Learn more at www.gppfunds.com.

About Inc. Media
The world’s most trusted business-media brand, Inc. offers entrepreneurs the knowledge, tools, connections, and community to build great companies. Its award-winning multiplatform content reaches more than 50 million people each month across a variety of channels including websites, newsletters, social media, podcasts, and print. Its prestigious Inc. 5000 list, produced every year since 1982, analyzes company data to recognize the fastest-growing privately held businesses in the United States. For more information, visit www.inc.com.

https://www.valenzhealth.com/wp-content/uploads/2021/08/Valenz_Inc-5000-2021-600x432-1.jpg 432 600 Maris Panjada https://www.valenzhealth.com/wp-content/uploads/2023/01/valenz-logo-1-23-3.png Maris Panjada2021-08-17 11:49:392021-08-17 20:55:14Vālenz® Ranks Two Years in a Row on Inc. 5000 List of Fastest-Growing Private Companies
Captives of the Future Roundtable

Captives of the Future: Vālenz®, MSL Captive Solutions and True Captive Insurance to Host Aug. 18 Webinar

August 6, 2021/in Announcements, Events, Featured/by Maris Panjada

As healthcare costs continue to rise, group captives offer pathways for self-insured employers to optimize health plans while accelerating risk and cost management

For self-insured employer groups – and the brokers, TPAs and others who support self-funded health plans – leaders at Vālenz®, MSL Captive Solutions and True Captive Insurance are co-hosting a webinar on Aug. 18. The interactive roundtable discussion will focus on reducing risk and gaining control of health plan spending through an innovative approach to medical stop-loss group captives.

The webinar, Captives of the Future Roundtable: Reduce risks and gain control of your health plan spend with data-driven collaboration, begins at 1:00 p.m. Eastern time. Online registration is now open for anyone who wishes to attend or receive the full recording once the webinar is complete: valenzhealth.rallypointwebinars.com/register/3994

Presenters will include Rob Gelb, CEO of Valenz; David Voorhees, CEO of True Captive Insurance; and Phil Giles, Managing Director of MSL Captive Solutions. Together they will explore how collaboration in a captive powered by a complete ecosystem of solutions can enable better decisions across the life of a claim.

“This webinar is a must-attend if you want to learn how a group captive can open pathways to risk mitigation, cost reduction, increased underwriting credibility and long-term rate stability,” said Gelb. “I am delighted to team up with visionaries like Mr. Voorhees and Mr. Giles to discuss how group captives offer safety in numbers, collective predictability and increased efficiency for self-insured health plans.”

Captives of the Future Roundtable

Wednesday, Aug. 18

1:00 p.m. ET / 12:00 p.m. CT

Reserve your spot now to see how the right group captive program empowers self-insured employers to discover network gaps and improve network design, pinpoint high-risk employees for early engagement in care management, decrease the overall cost of care, and improve health outcomes.

About Valenz

Valenz enables self-insured employers to make better decisions that control costs across the life of a claim while empowering their members to lead strong, vigorous and healthy lives. Valenz offers transparency through data to pinpoint members at highest risk, address gaps in network designs, ensure appropriate and accurate charges, and expertly navigate employees to optimal care solutions for substantial cost savings and improved health outcomes. More information is available at valenzhealth.com. Valenz is backed by Great Point Partners.

About MSL Captive Solutions

MSL Captive Solutions is the insurance industry’s only platform devoted exclusively to the development and delivery of comprehensive (re)insurance and service solutions for medical stop-loss captives. MSL Captive Solutions provides consultative underwriting support to some of the industry’s leading stop-loss carriers. More information is available at mslcaptives.com.

About True Captive Insurance

True Captive is disrupting the health insurance industry by providing access to innovative health care options that have typically been reserved for large companies with big profit centers. By combining forces through a captive insurance model, small- to medium-sized businesses are able to leverage carriers to get best in class services at rates that are usually reserved for larger employers. More information is available at truecaptive.com.

https://www.valenzhealth.com/wp-content/uploads/2021/08/Captives-Webinar_600x432.jpg 432 600 Maris Panjada https://www.valenzhealth.com/wp-content/uploads/2023/01/valenz-logo-1-23-3.png Maris Panjada2021-08-06 20:17:442021-08-26 14:23:03Captives of the Future: Vālenz®, MSL Captive Solutions and True Captive Insurance to Host Aug. 18 Webinar
Brian Fabbro, Vice President, Business Development

Vālenz® Appoints Brian Fabbro as Vice President, Business Development

July 16, 2021/in Announcements, Events, Featured/by Maris Panjada

PHOENIX, Ariz. (July 16, 2021) — Vālenz®, a leading innovator for a data-driven ecosystem of solutions that reduces medical claim costs and promotes quality healthcare, today announced the appointment of Brian Fabbro as Vice President, Business Development. With more than 14 years’ experience in sales and account management in the health industry, Fabbro is highly skilled in business and market development and client services.

“With a tremendous background in developing strategic partnerships and delivering innovative medical cost containment solutions to the self-insured employer community, Brian is very well positioned for this key role in accelerating growth for the company,” said Nathan Nelson, Senior Vice President, Growth. “He offers a winning combination of creating and executing enterprise initiatives that exceed sales targets and take the company forward. We are excited to welcome him to the Vālenz team.”

Fabbro brings leadership experience in the healthcare and insurance industries and specializes in consultative benefit planning, cost management, and tailoring high-impact self-funded solutions to client needs. He excels in managing distribution channels, cultivating business partnerships, and developing new territories and revenue streams.

“It’s truly an honor to join a company that is leading the way toward lowering costs holistically and improving health outcomes through its unique ecosystem of data-driven services,” Fabbro said. “Valenz is an excellent fit for my skills, and I look forward to supporting business growth that aligns with better, more cost-effective healthcare.”

Before joining Valenz, Fabbro most recently served as Sales Director for a tech-enabled third-party administrator in St. Louis, Mo. He also has held key positions at other companies including Benefit Planning Consultants Inc., Cigna, and Washington National Insurance Company. Fabbro is a graduate of Butler University in Indianapolis, Ind.

 

About Valenz

Valenz enables self-insured employers to make better decisions that control costs across the life of a claim while empowering their members to lead strong, vigorous and healthy lives. Valenz offers transparency through data to pinpoint members at highest risk, address gaps in network designs, ensure appropriate and accurate charges, and expertly navigate employees to optimal care solutions for substantial cost savings and improved health outcomes. More information is available at valenzhealth.com. Valenz is backed by Great Point Partners.

https://www.valenzhealth.com/wp-content/uploads/2021/07/Fabbro-Web_600x432-2.jpg 432 600 Maris Panjada https://www.valenzhealth.com/wp-content/uploads/2023/01/valenz-logo-1-23-3.png Maris Panjada2021-07-16 16:58:122021-07-16 19:12:36Vālenz® Appoints Brian Fabbro as Vice President, Business Development

Vālenz® Announces Partnership with Beecher Carlson

July 12, 2021/in Announcements, Featured, Press/by Maris Panjada

Risk Bearing Provider Organization Assessment Can Help Minimize Risk, Drive Savings for Value-Based Care

PHOENIX, Ariz. (July 12, 2021) — Vālenz® has announced a strategic partnership with Beecher Carlson, an insurance brokerage firm that leverages advanced analytics for optimal risk management. Through this partnership, Valenz and Beecher Carlson collaboratively offer the industry’s most in-depth Risk Bearing Provider Organization (RBPO) Assessment for thorough, data-driven analysis of whether an organization is positioned successfully for two-sided risk contracts in a value-based payment model.

Value-based payment models offer significant opportunities to reduce costs, enhance quality and improve outcomes. However, the pay-for-performance reimbursement structure might not be right for every health system or provider group. This RBPO Assessment identifies areas that need assistance and offers solutions to address potential deficiencies. It also helps determine if the program goals and incentives are aligned with the organization’s expected results and endorsed by all stakeholders.

“While there is a high level of interest and enthusiasm for value-based care, the clinical and financial risks need to be carefully considered – and in a two-sided contract, cultural and operational requirements must be in place to ensure success,” said Rob Gelb, Chief Executive Officer of Valenz. “Through this partnership with Beecher Carlson, we are excited to provide actionable insights and proven solutions to guide our clients’ approach to value-based care.”

As noted by Brad Lawson, Senior Vice President-Provider Risk Solutions of Beecher Carlson, the RBPO Assessment financial models assess risk-reward ratios, quantifying maximum probable gains as well as the maximum probable losses. “The 360-degree data and trend analyses account for real-world conditions, allowing organizations to stay nimble, proactively manage risk, and prepare for developing situations – such as an influx of more serious cases following the COVID-19 pandemic as a result of delayed care,” he said.

 

About Valenz

Valenz enables self-insured employers to make better decisions that control costs across the life of a claim while empowering their members to lead strong, vigorous and healthy lives. Valenz offers transparency through data to pinpoint members at highest risk, address gaps in network designs, ensure appropriate and accurate charges, and expertly navigate employees to optimal care solutions for substantial cost savings and improved health outcomes. Valenz is backed by Great Point Partners.

 

About Beecher Carlson

Beecher Carlson is a large account risk management broker that values depth of industry and product knowledge. Operating as a single profit center organized by specialization, we align our service teams to be structured based on what is best for clients’ business rather than geographic convenience. We go beyond one-off transactions and utilize advanced analytics on every program. By quantifying the effects each decision will have on a company’s risk profile, we take the mystery out of buying insurance. Execution on analytical findings is our true differentiator in mitigating losses and affecting process changes. Our collective success is earned by creating the ideal risk management solution for our clients. To learn more, visit beechercarlson.com.

https://www.valenzhealth.com/wp-content/uploads/2021/07/Valenz-Beecher-Annc_Blog-600x432-1.jpg 432 600 Maris Panjada https://www.valenzhealth.com/wp-content/uploads/2023/01/valenz-logo-1-23-3.png Maris Panjada2021-07-12 21:30:352021-07-12 21:30:35Vālenz® Announces Partnership with Beecher Carlson
Image of business leaders with venn diagram illustrating the point where Quality, Utilization and Cost converge

Pairing Member-Centric Provider Access with Supporting Services Is Key to Sustainable Health Spending

June 7, 2021/in Announcements, Featured/by Diane Morgan

Self-insured employers understand the importance of providing access to high-performing, high-value providers to ensure members are offered the most effective health plan. Designing a network to achieve smarter, better, faster healthcare requires far more than a network of providers and facilities.

Employers require data transparency to identify the specific healthcare services their members need. They also need flexibility in network design to provide that access, along with quality and overall program value for their health plans.

For example, a high-performing contracted network might be appropriate for a health plan with members in close geographic proximity, while an open access solution could be a more aligned approach for a self-insured employer with a remote workforce. Others could benefit from a hybrid design that leverages aspects of both models while creating consistency across their program.

A strong place to start is considering how to balance quality, utilization and costs as you establish your network as the foundation of a broader platform for your members. When you combine a well-crafted, data-driven network with defensible market-based pricing and a range of care and claims management solutions, the result is a fully integrated health ecosystem – built to enhance transparency, enable quality decision-making, and improve total spend savings by 20-40 percent.

Low-value care is a significant source of inefficiency in the U.S. healthcare system, with estimates suggesting that 10-20 percent of annual healthcare spending (around $350 billion to $490 billion) is lost on unnecessary and often harmful care and wasteful spending. A high-value network model, “credentialed” through the use of big data and advanced analytics, will consistently drive quality care and sustain high customer satisfaction alongside lower plan expenses.

And as healthcare costs continue to increase, employers’ interest is trending in the direction of value-based care contracting models. While only 6 percent of employers had developed direct contracts with providers in 2019, 22 percent were considering a move to that model. Based on feedback from employers we engage with each day, the number of employers interested in value-based and direct contracting models is climbing.

Whichever model of provider access makes sense for your plan, you’ll need supporting solutions to drive optimal improvements in quality, utilization and costs across the life cycle of every claim. A holistic ecosystem will integrate high-value networks and open access models with enhanced solutions that bridge the divide between robust analytics and member-centric services.

  • To ensure you optimize your network model, consider evaluating and integrating comprehensive supporting solutions that could include:
  • Access to provider quality and cost data for transparency
  • Concierge-level navigation for personalized member guidance to the right care at the right time and right place
  • URAC-accredited case, disease and utilization management offerings to validate quality and improve access and target appropriate levels of care before services are rendered
  • Solutions that target quality, proper utilization and enhanced cost savings for high-cost services such as behavioral health, cancer care, dialysis, maternity care and ambulatory surgery
  • Detailed analysis of claims pre- and post- payment to ensure fair, defensible, market-supported reimbursements
  • Open, non-contracted reimbursement strategies as a stand-alone option or wrap solution. Historically referred to as RBP, these models have advanced considerably since their inception.
  • Solution for seamless, assured claim reimbursement
  • Expert bill review with provider signoff for high-dollar claims in and out of network
  • Cost-saving specialty pharmacy solutions
  • Full-service claims management
  • Advanced analytics and predictive modeling to uncover continuous cost-saving opportunities

With fully insured health plan costs rising by roughly 9 percent each year, the key to sustainable spending lies in the power of the fully integrated health ecosystem and a review of self-insured and self-funding options. When you combine all the elements necessary to drive improvements in quality, utilization and costs, you create synergy that lowers the Claim Cost ArcSM and supports strong, vigorous and healthy lives.

***

About the Author: Rob Gelb is Chief Executive Officer of Vālenz®, the industry-leading ecosystem offering self-insured employers unrivaled data transparency to pinpoint members at highest risk, address gaps in network designs, ensure appropriate and accurate charges, and expertly navigate members to optimal care solutions for substantial cost savings and improved health outcomes.

https://www.valenzhealth.com/wp-content/uploads/2021/06/Valenz-Ecosystem-Pulse_News-no-logo_600x432.jpg 432 600 Diane Morgan https://www.valenzhealth.com/wp-content/uploads/2023/01/valenz-logo-1-23-3.png Diane Morgan2021-06-07 23:18:052021-06-07 23:18:05Pairing Member-Centric Provider Access with Supporting Services Is Key to Sustainable Health Spending

Nathan Nelson Promoted to Senior Vice President, Growth at Vālenz®

June 2, 2021/in Announcements, Events, Featured/by Maris Panjada

Nelson brings 20+ years’ experience in accelerating business growth to his new role

PHOENIX, Ariz. (June 2, 2021) — Leaders at Vālenz have announced that Nathan Nelson, MBA, has been promoted to Senior Vice President, Growth. Nelson joined the firm as Vice President, Business Development in April 2019. In his new role, he oversees the sales organization and will lead the company forward for strong business growth across all areas of revenue.

“Since joining the team two years ago, Nathan has been a catalyst for ensuring our vision and organizational strategies are delivered to the market, and for enabling brand awareness consistently,” said Rob Gelb, Chief Executive Officer. “He is the consummate team player and works to collaborate with every member of sales, client services and leadership.”

Nathan’s career spans two decades of proven success in sales and account management for the healthcare industry, primarily in the managed care segment. Prior to joining Valenz, highlights from his extensive career include sales and leadership in claim management, workers’ compensation, underwriting and account management. Nathan graduated magna cum laude with his master’s in business administration from Webster University in St. Louis, Mo.

“I am honored and excited to take this next step as a Senior VP at Valenz for many reasons, not the least of which is the extraordinary innovation Valenz delivers for the self-insured industry, as well as the providers and partners who support them,” Nelson said. “As we continue to grow our ever-expanding ecosystem – which is fueled by data and optimized by data transparency unlike anything other firms can provide – the growth opportunities for our team are limitless, as are the savings improvement opportunities for our clients.”

Nelson’s promotion is effective immediately. For more information about Valenz and its leadership team, visit valenzhealth.com.

About Valenz

Valenz enables self-insured employers to make better decisions that control costs across the life of a claim while empowering their members to lead strong, vigorous and healthy lives. Valenz offers transparency through data to pinpoint members at highest risk, address gaps in network designs, ensure appropriate and accurate charges, and expertly navigate employees to optimal care solutions for substantial cost savings and improved health outcomes. More information is available at valenzhealth.com. Valenz is backed by Great Point Partners.

https://www.valenzhealth.com/wp-content/uploads/2021/06/Nathan-Promotion_600x432-3.jpg 432 600 Maris Panjada https://www.valenzhealth.com/wp-content/uploads/2023/01/valenz-logo-1-23-3.png Maris Panjada2021-06-02 15:45:042021-06-02 15:50:59Nathan Nelson Promoted to Senior Vice President, Growth at Vālenz®
Vālenz® Announces Strategic Partnership with Turquoise Health

Vālenz Announces Strategic Partnership with Turquoise Health

April 26, 2021/in Announcements, Featured, Press, Valenz Access/by Maris Panjada

Database of negotiated hospital rates elevates consumer transparency and choice

PHOENIX, Ariz. (April 26, 2021) — Vālenz® announced today a partnership with Turquoise Health, a software solutions company that facilitates consumer transparency through its newly launched platform listing payer-negotiated hospital rates.

With new price transparency regulations requiring hospitals to share previously undisclosed rates for many services, Turquoise Health has created the first comparison engine for consumers to make cost-effective decisions about their care.

With full access to Turquoise Health’s database of hospital rates, Valenz will incorporate the comparison information into its concierge-level navigation program and self-service member portal. Valenz also will utilize the data to build highly efficient networks that drive quality care and customer satisfaction alongside cost savings.

“Our partnership with Turquoise Health aligns with our data-driven ecosystem and helps us take a significant step toward providing the transparency our clients and their members need,” said Rob Gelb, CEO of Valenz. “Not only can we share the cost structure of hospital services to help guide members’ decisions, but we can also help them gauge the quality of the service. It’s a key component of the Valenz promise to assure smarter, better, faster healthcare.”

As of Jan. 1, 2021, the federal rule requires hospitals to publish a machine-readable file listing their negotiated payment rates for hundreds of medical procedures, as well as a website where consumers can search for services and prices. Initial compliance has been mixed, with reports of some hospitals blocking their pricing from showing up on web searches – making the Turquoise Health platform all the more valuable in elevating transparency.

CEO Chris Severn says its database currently has more than 2,000 verified rates, and the list continues to grow as Turquoise painstakingly combs through and verifies hospital pricing data.

“This is just the beginning of making hospital billing more clear and patient-friendly,” Severn said. “Using both public price rates data and Turquoise participating provider data, we are showing there is a market for transparency in healthcare. We help put negotiating power where it belongs — in the hands of the consumer.”

 

About Valenz

Vālenz® enables self-insured employers to make better decisions that control costs across the life of a claim while empowering their members to lead strong, vigorous and healthy lives. Valenz connects cost and quality data from comprehensive care management services (Valenz Care), high-value provider networks (Valenz Access), claim flow management (Valenz Claim), complete bill review (Valenz ProteKHt), and solutions for payment integrity, revenue cycle management and eligibility compliance (Valenz Assurance) for smarter, better, faster healthcare. More information is available at valenzhealth.com. Valenz is backed by Great Point Partners.

 

About Turquoise Health

Turquoise Health launched in 2020 with a vision to simplify healthcare reimbursement through price transparency. CTO Adam Geitgey, formerly a Director of Engineering at Groupon, brings deep consumer marketplace experience to the healthcare sector. Turquoise invites providers and payers to become Turquoise Verified partners. Using the software suite, organizations create “price certainty” for patients while easing claims adjudication on the back end. Turquoise already counts major revenue cycle partners and hospital systems as satisfied clients. To learn more, visit turquoise.health or email info@turquoise.health.

https://www.valenzhealth.com/wp-content/uploads/2021/04/Valenz_Turquoise-Annc-601x433-1.jpg 433 601 Maris Panjada https://www.valenzhealth.com/wp-content/uploads/2023/01/valenz-logo-1-23-3.png Maris Panjada2021-04-26 17:19:492021-04-26 17:19:49Vālenz Announces Strategic Partnership with Turquoise Health

Engaging Early and Often to Manage the Boomerang Effect of COVID-19

April 22, 2021/in Announcements, Featured/by Maris Panjada

The COVID-19 pandemic continues to prompt many people to delay diagnostic testing and obtaining necessary medical care, leading to a decrease in both procedures and diagnoses. The result is the creation of unexpected utilization patterns, which the industry is only beginning to understand and attempt to reconcile.

While some patients delayed care for just a few months, others – including those with chronic conditions – have not yet returned for follow-up care and routine health screenings such as colonoscopies and mammograms. Researchers have predicted that patients will emerge with more serious health conditions, including later-stage diagnoses and more advanced stages of diseases such as cancer and certain cardiac-related conditions.

Consider these findings:

  • Nearly half of Americans (47%) said they delayed or canceled health care services since the pandemic started.
  • Among households with delayed care, most contain people with chronic illnesses who should be getting routine medical attention.
  • Advanced cancer diagnoses are currently on the rise because many people decided not to get screening tests in 2020 that may have indicated the presence of cancer earlier.

Engaging early and often to prevent long-term health consequences and increased costs caused by delayed care has never been more critical. Guided by insights from biometrics, utilization data and paid claims analysis, self-insured employers can identify gaps in care and engage members with real-time interventions, providing navigation to the right care path before serious issues occur.

Today’s technologies deliver insights from patient data, clinical drivers and social determinants of health to identify members at risk before their condition deteriorates. Once identified, care coordination to connect them with key resources 24 hours a day is possible. This level of continuous, evidence-based engagement guides better long-term health decisions while allowing self-insured employers to target the 5-15% of claims that drive up to 70% of health plan spending.

Self-insured employers will position themselves well to offer this level of support for their members through:

  • Concierge-level navigation for advocacy, education, and direction of quality care that results in positive medical experiences
  • Predictive analytics combined with member-centric services during the patient journey
  • Full-service care management programs that identify at-risk members and offer personalized services to improve health outcomes
  • Guidance and information on what is covered by a member’s benefit plan, managing co-pays, controlling out-of-pocket expenses, and accessibility to care
  • Using the power of data-driven solutions to provide the right care at the right place at the right time

But it is not just about engaging the member. Establishing a central point of contact for everyone across the care continuum, from members to care providers and payers, delivers comprehensive care with transparency.

With the right tools and information, delivered in real time, self-insured employers will find actionable information at each step in the life cycle of a claim. From high-performance network design through comprehensive and complete bill reviews, data-driven insights lead to health care costs that are fair, defensible, transparent and consistent for everyone.

Long before the current health crisis began, we have embraced the Vālenz® core promise of delivering smarter, better, faster healthcare. Although COVID-19 has created numerous challenges, maintaining the health and well-being of our clients and employees is more important than ever. We remain committed to early health engagement and ensuring the right care paths to keep everyone strong, vigorous and healthy.

***

Rob Gelb is Chief Executive Officer of Vālenz®, an ecosystem of data-driven solutions that creates new opportunities for self-insured employers to control costs while empowering members to lead strong, vigorous and healthy lives.

https://www.valenzhealth.com/wp-content/uploads/2021/04/Valenz_EEO-LI-Pulse-Social-1_News.jpg 433 601 Maris Panjada https://www.valenzhealth.com/wp-content/uploads/2023/01/valenz-logo-1-23-3.png Maris Panjada2021-04-22 16:52:132021-04-22 16:52:13Engaging Early and Often to Manage the Boomerang Effect of COVID-19
Portrait of Maurice Steenland, Vice President, Strategic Enablement at Vālenz

Maurice Steenland Joins Vālenz® Leadership Team

April 9, 2021/in Announcements, Events, Featured/by Maris Panjada

As Vice President, Strategic Enablement, Steenland appointed to accelerate value for Valenz clients

PHOENIX, Ariz. (April 9, 2021) — Vālenz® is pleased to announce the appointment of Maurice Steenland as Vice President, Strategic Enablement.

In his new role, Steenland will be responsible for synchronizing departments to accelerate strategic initiatives that bring greater value to Valenz clients, fulfilling the company’s strategic vision and mission. He will continue to drive the expansion of the firm’s data engagement solution, v-Lens, to advance predictive modeling, data-driven decision enablement and transparency across the ecosystem.

“We are excited to welcome Maurice to this key strategic role on our senior leadership team,” said Rob Gelb, Chief Executive Officer of Valenz. “With deep expertise in uncovering operational efficiencies and enabling data and analytics to inform better decisions, Maurice is an excellent fit for the Valenz team. His highly strategic and analytical approach will no doubt add higher levels of transparency across our data-driven ecosystem to deliver smarter, better, faster healthcare.”

Steenland brings 20-plus years in executive roles for health-related organizations. Most recently, he was principal consultant for SISIX, LLC after serving as Vice President, Informatics for Optum, where he managed the Informatics and advanced analytics and data science teams that developed client outcomes reporting, predictive tools and methods to identify emerging risk and cost containment programs.

Steenland also has held leadership positions at CIGNA Healthcare, Coventry Health Care and Intracorp, with specialization in operations, utilization management, strategy and business development. He earned his master’s in business administration from the prestigious Wharton School of the University of Pennsylvania.

“I’m thrilled to join such a future-focused team at Valenz and have the opportunity to pave the way toward quality, utilization and cost transformation through transparency, efficiency and data-driven solutions,” Steenland said. “As we combine analytics-driven approaches with influencing skills to drive change and efficiencies, I look forward to providing greater savings and solutions for our clients in the self-insured industry.”

 

About Valenz

Valenz enables self-insured employers to make better decisions that control costs across the life of a claim while empowering their members to lead strong, vigorous and healthy lives.  Valenz connects cost and quality data from comprehensive care management services (Valenz Care), high-value provider networks (Valenz Access), claim flow management (Valenz Claim), complete bill review (Valenz ProteKHt), and solutions for payment integrity, revenue cycle management and eligibility compliance (Valenz Assurance) for smarter, better, faster healthcare. More information is available at valenzhealth.com. Valenz is backed by Great Point Partners.

https://www.valenzhealth.com/wp-content/uploads/2021/04/Steenland_600x432.jpg 432 600 Maris Panjada https://www.valenzhealth.com/wp-content/uploads/2023/01/valenz-logo-1-23-3.png Maris Panjada2021-04-09 20:30:152021-07-16 15:05:24Maurice Steenland Joins Vālenz® Leadership Team
Page 5 of 9«‹34567›»

Categories

  • Announcements (76)
  • Events (17)
  • Featured (89)
  • Integrations (5)
  • Misc. (4)
  • Press (36)
  • Valenz Access (4)
  • Valenz Assurance (4)
  • Valenz Care (9)
  • Valenz Claim (5)

Archive

  • January 2023 (1)
  • December 2022 (1)
  • November 2022 (3)
  • October 2022 (1)
  • September 2022 (2)
  • August 2022 (3)
  • July 2022 (2)
  • June 2022 (2)
  • May 2022 (2)
  • March 2022 (2)
  • February 2022 (5)
  • January 2022 (2)
  • December 2021 (5)
  • November 2021 (1)
  • October 2021 (3)
  • September 2021 (3)
  • August 2021 (5)
  • July 2021 (2)
  • June 2021 (2)
  • April 2021 (4)
  • March 2021 (1)
  • February 2021 (1)
  • December 2020 (4)
  • November 2020 (1)
  • October 2020 (1)
  • September 2020 (2)
  • August 2020 (2)
  • June 2020 (1)
  • May 2020 (3)
  • April 2020 (2)
  • March 2020 (3)
  • February 2020 (4)
  • January 2020 (4)
  • December 2019 (2)
  • November 2019 (3)
  • October 2019 (1)
  • September 2019 (1)
  • January 2019 (1)
  • June 2018 (1)
  • August 2017 (1)

23048 N. 15th Ave
Phoenix, AZ 85027
United States of America

Toll-Free: (866) 762-4455
Main Fax: (888) 452-6512

Solutions

Vālenz Access
Vālenz Care
Vālenz Claim
Vālenz Assurance

About Valenz

Power of the Ecosystem
Company Values
History
Leadership
Sales Team
Careers

Resources

Case Studies
White Papers
Webinars
News

For Clients

Login
Help Center
v-Lens Portal

Terms and Conditions

Privacy Policy

Social Media Policy

© Vālenz®

Scroll to top