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Vālenz® Health Announces the Acquisition of MCM, Expands Care Management and Population Health Solutions

July 27, 2022/in Announcements, Featured, Integrations, Press, Valenz Care/by kamryn cain

PHOENIX, Ariz. (July 27, 2022) — Vālenz® Health announced today it has acquired Medical Cost Management Corporation, d.b.a. MCM Solutions for Better Health and its subsidiary, Med-Care Management, Inc, (MCM), a leading provider of managed care and population health management programs spanning the entire continuum of care for self-funded plans. In May, Valenz announced the acquisition of VerifPoint, a credential verification organization today recognized as VPoint™.

As a Valenz company, the combined MCM and Med-Care subsidiary which have served the multi-employer labor space for more than 35 years, will adopt the trade name Valenz Care. Valenz Care offers member and clinical advocacy through concierge navigation and triple URAC-accredited services for care management, disease management and utilization review. The acquisition accelerates the collective ability to deliver data-driven medical cost management and population health management to labor and public entities, as well as commercial customers.

“Valenz continually explores new ways to deliver on our core promise to engage early and often for smarter, better, faster healthcare, and we are thrilled to now deliver that promise to MCM customers and their members,” said Rob Gelb, Chief Executive Officer of Valenz. “The addition of MCM solutions clearly aligns with the Valenz commitment to deliver care optimized solutions that influence member choices prior to costly healthcare decisions being made. Together, we will prospectively – and continually – address member care needs for improved outcomes and cost containment throughout the member’s healthcare journey.”

The partnership with MCM further fortifies the Valenz Healthcare Ecosystem Optimization Platform, an end-to-end, fully integrated suite of solutions that drives value and assures alignment of the member, payer and provider to enable better decision-making, starting long before care is provided and continuing long after a claim is paid.

“We look forward to introducing our customers to the highly innovative Valenz ecosystem and expanding opportunities to provide cost-efficient and comprehensive care management across the health continuum,” said Thomas J. O’Connor, President of MCM. “Our companies share a dedication to serving the self-insured industry, advocating for plan members, and ensuring high quality, cost-effective care, making our partnership a natural fit.”

MCM, a physician-directed company, is URAC accredited in health utilization management and is licensed in all states with requirements. Its solution portfolio also includes chronic disease management, catastrophic care management, a comprehensive health and wellness program, health risk assessments, predictive modeling, and data reporting.

 

 

 

 

 

 

 

 

 

 

About Vālenz® Health

Vālenz® Health simplifies the complexities of self-insurance by offering an end-to-end Healthcare Ecosystem Optimization Platform that manages the cost and quality of care for employers and their members. To balance the relationship between healthcare quality, advocacy and cost, the Valenz enterprise-level solution suite aligns the member, provider and payer. Supported by a dynamic, innovation-first culture and a steadfast commitment to data transparency and decision enablement, Valenz leverages its technology infrastructure and enterprise data warehouse to drive value across clinical and member advocacy, network development and the validation, integrity and accuracy (VIA) of claims. Learn more about how Valenz engages early and often for smarter, better, faster healthcare. Valenz is backed by Great Point Partners.

About MCM

A pioneer in medical management, Medical Cost Management Corporation, dba MCM Solutions for Better Health, was founded by Michael O’Connor in 1986 to meet the population health management needs of self-funded plans, Taft-Hartley Trusts, associations and claim payers. MCM and its subsidiary Med-Care Management, Inc., provided services to more than 550 plans representing over 600,000 members nationwide. MCM is now part of the Valenz Health family.

https://www.valenzhealth.com/wp-content/uploads/2022/06/Valenz_MCM_News-Annc-600x432-final.jpg 432 600 kamryn cain https://www.valenzhealth.com/wp-content/uploads/2023/01/valenz-logo-1-23-3.png kamryn cain2022-07-27 01:05:312022-12-16 23:06:26Vālenz® Health Announces the Acquisition of MCM, Expands Care Management and Population Health Solutions

Vālenz® Renews Triple URAC Accreditation

December 3, 2021/in Announcements, Featured, Press, Valenz Care/by Maris Panjada

Continues legacy of excellence in clinical care combined with claim validity, integrity and accuracy  

PHOENIX, Ariz. (December 3, 2021) — Vālenz® is proud to announce the renewal of its three URAC accreditations in Health Utilization Management, Case Management and Disease Management. URAC is the independent leader in promoting healthcare quality through leadership, accreditation, measurement and innovation. By achieving this status, Valenz has demonstrated a comprehensive commitment to quality care, improved processes and better patient outcomes.

“Because it underscores our staunch commitment to meeting rigorous standards in quality and accountability for clinical care management, we are very proud to renew our URAC accreditation,” said Janet Koch, RN, BSN, CCM, Vice President of Care Management at Valenz.

Rob Gelb, Chief Executive Officer, explains how clinical quality is integral to optimization within the entire claim-cost continuum – and pinpointing quality-first, cost-saving solutions for self-funded health plans requires the ability to see all intricacies and connections between clinical care and reimbursement.

“Valenz is unique in the way we combine clinical care management, advocacy and navigation for every member with assurance in the validity, integrity and accuracy of every claim,” said Rob Gelb, Chief Executive Officer. “Within the Valenz ecosystem, these two functions are inextricably linked – and fueled by data to ensure all claims are valid and true for accurate payments.”

That innovative and proprietary approach is foundational to the true value of the Valenz ecosystem and its ability to deliver the desired returns for Valenz clients. “Ensuring we consistently meet the high standards required for URAC accreditation is just one of many ways we keep our promise to engage early and often for smarter, better, faster healthcare,” said Gelb.

For more information about Valenz, 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.

About URAC

Founded in 1990, URAC is the independent leader in promoting healthcare quality through leadership, accreditation, measurement and innovation. URAC is a nonprofit organization using evidence-based measures and developing standards through inclusive engagement with a range of stakeholders committed to improving the quality of healthcare. Our portfolio of accreditation and certification programs span the healthcare industry, addressing healthcare management, healthcare operations, health plans, pharmacies, telehealth providers, physician practices, and more. URAC accreditation is a symbol of excellence for organizations to showcase their validated commitment to quality and accountability.

https://www.valenzhealth.com/wp-content/uploads/2021/12/Valenz_URAC-Renewal-PR-600x432-1.jpg 432 600 Maris Panjada https://www.valenzhealth.com/wp-content/uploads/2023/01/valenz-logo-1-23-3.png Maris Panjada2021-12-03 19:47:402021-12-03 19:47:40Vālenz® Renews Triple URAC Accreditation

Four Solutions to Support Employees’ Mental Health During COVID-19

December 16, 2020/in Featured, Valenz Care/by kamryn cain

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 health issues among the U.S. population. Consider these recent statistics:

  • According to a Kaiser Family Foundation (KFF) health tracking poll in July, 53 percent of U.S. adults say COVID-related stress has negatively affected their mental health – up from 39 percent in May.
  • Census Bureau surveys have found up to 40 percent of U.S. adults struggling with anxiety, depressive disorder or substance abuse since the pandemic hit.
  • More than half of behavioral health organizations are seeing higher demand for services, according to the National Council for Behavioral Health – but capacity is diminishing.
  • In addition, KFF found most U.S. adults think the worst of the pandemic is yet to come.

Mental health claims within our ecosystem are significantly on the rise, and clients are reporting increased concern about pandemic-related effects on their employees – adding new life to discussion about modifying care delivery models. The healthcare industry is acknowledging the significant correlations between physical and mental health, traditionally cared for as separate conditions. Integrated care solutions that treat the whole person could deliver improved outcomes with less expense.

To that end, in the face of continuing upheaval and stress from COVID-19, what resources can self-insured employers offer to support their employees? Here are four solutions to consider:

1: Use data to identify members at risk.

Employers are increasingly turning to data to identify employees at risk and proactively offering them the resources they need. Today’s technologies are providing new insights by leveraging real world data (RWD), which refers to health-related information collected and reported by diverse sources on patient health status, population trends and the routine delivery of care.

Within an ecosystem like ours, RWD come from multiple sources including electronic medical and health records, claims and case management databases – even from employees themselves. We anticipate self-assessments, social media and health-related wearables as emerging data sources that will soon be added into the mix to more precisely predict those in need of behavioral health services.

2: Offer a care management program with personalized support and navigation.

Poor mental health and behavioral choices make physical health and chronic care conditions more challenging and expensive to manage. To meet the patient’s physical and mental health needs, comprehensive care management involves the active monitoring of behavioral health to help prevent serious health events and navigate care across multiple providers and settings.

A full-service care management program with a nurse navigator as a central point of contact can personalize its services for employees who may benefit from more comprehensive attention. As they coordinate care and guide patients to an individualized treatment plan for better behavioral health, nurse case managers can help relieve anxiety and make at-risk patients feel more in control and proactively managing their health.

3: Ensure networks provide access to mental health services with telehealth options.

Demand for behavioral health services is expected to stay high for the foreseeable future. According to the National Alliance on Mental Illness (NAMI), however, many people do not have the same access to mental health specialists as they do for other medical providers – nor do they have as many available options. When they can find a mental health professional, they may be forced to go out of network to receive treatment.

This leads to higher out-of-pocket costs for mental health care compared with other types of primary or specialty care. When people face increased expenses, it may lead to seeking less care — or going without any care at all. Access to mental health services, clearly communicated to employees, is key to seeking and receiving treatment, which in turn improves productivity and retention.

A coordinated care team is better able to meet both the mental and physical health needs of the patient with improved outcomes.  Along those lines, the American Medical Association has established the Behavioral Health Integration (BHI) Collaborative with seven other physician associations to promote the integration of behavioral and mental health care into primary care practices. Such steps are critical for greater access and a robust telemedicine plan that addresses the issue of fewer available mental health providers by incorporating primary care into the solution.

4: Include an Employee Assistance Program in your benefits package.

People are struggling more than ever in the wake of COVID-19. An Employee Assistance Program (EAP) provides confidential support for numerous concerns, including mental health issues and personal, family or work problems. Counselors and other specialists can assist with stress, depression, substance abuse or financial issues. Identify an EAP that responds quickly when employees reach out.

The benefits of an EAP make such a program a worthy investment. NAMI estimates that untreated mental illness costs the United States up to $193 billion annually in lost productivity.

When employees are able to successfully manage their health, employers can expect to see improved job performance, productivity, engagement and retention; while minimizing the impact to their bottom line due to turnover, absenteeism, increased mental health services and higher insurance costs.

Data-driven solutions

The COVID-19 pandemic has forced all of us to find new solutions for improved health and access to the right care delivery. Through the mental, physical and financial implications of this global health crisis, Valenz remains committed to delivering on our core promise of smarter, better, faster healthcare – so our clients and their employees are strong, vigorous and healthy.

 

***

Amy Gasbarro is Chief Operating Officer of Vālenz™, one of the nation’s leading data-driven, medical cost containment and care management organizations offering an ecosystem of expanded data and service solutions to support the self-insured industry.

https://www.valenzhealth.com/wp-content/uploads/2020/12/shutterstock_1782703286-3.jpg 432 600 kamryn cain https://www.valenzhealth.com/wp-content/uploads/2023/01/valenz-logo-1-23-3.png kamryn cain2020-12-16 15:44:132020-12-16 16:42:40Four Solutions to Support Employees’ Mental Health During COVID-19

Vālenz™ NaVcare Delivers Data-Driven Care Navigation, Improves Network Utilization, Member Satisfaction and Health Outcomes

September 25, 2020/in Announcements, Featured, Press, Valenz Care/by ryan kesner

PHOENIX, Ariz. (Sept. 25, 2020) – As part of its triple-URAC-accredited Vālenz Care suite, Valenz has announced the launch of NaVcare, a concierge-level care navigation program that combines data with service delivery to improve utilization, member satisfaction and health outcomes. Based on intelligence from multiple sources within the Valenz ecosystem – including claim, pharmaceutical and demographic data – NaVcare is tailored to each employer with personalized services for each health plan member.

“We place the patient at the center of care, starting with high-touch member onboarding to empower individuals in making better healthcare decisions, improving outcomes and enhancing their experience,” said Amy Gasbarro, Chief Operating Officer. “Working one-on-one with plan members, our care navigators provide expert knowledge of the health plan, care plan and provider network to guide members toward high-quality, low-cost care and medication.”

NaVcare brings member-centric services and data-driven insights into the patient journey, connecting the dots for smarter, better, faster healthcare. NaVcare navigators serve as a central hub for care coordination, providing personalized education, collaboration and communication.

“When integrated with the full Valenz ecosystem, real-time intelligence allows us to target the 5-15 percent of claims that drive 70 percent of an employer’s health spend,” explained Rob Gelb, Chief Executive Officer. “By integrating the high value network design of Vālenz Access with care navigation, Valenz is helping our clients achieve up to 85 percent in-network participation within 12 months, resulting in significant plan and member savings.”

For more information, call (602) 792-5371.

About Valenz

Through a complete health administrative ecosystem, Valenz connects cost and quality data on a single-source, end-to-end analytics platform for smarter, better, faster healthcare. Valenz solutions integrate data from comprehensive care management services (Valenz Care), high-value provider networks (Valenz Access), claim flow management (Valenz Claim) and solutions for payment integrity, revenue cycle management and eligibility compliance (Valenz Assurance) into the ecosystem. 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.

https://www.valenzhealth.com/wp-content/uploads/2020/09/Valenz_NavCare-web.jpg 433 601 ryan kesner https://www.valenzhealth.com/wp-content/uploads/2023/01/valenz-logo-1-23-3.png ryan kesner2020-09-25 21:23:182020-09-25 21:23:18Vālenz™ NaVcare Delivers Data-Driven Care Navigation, Improves Network Utilization, Member Satisfaction and Health Outcomes

v-Rx: Significant Savings and Enhanced Services

June 30, 2020/in Announcements, Featured, Valenz Care/by kamryn cain

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 offers innovative cost-reduction and containment strategies that significantly enhance the benefits and services traditionally offered by a pharmacy benefits manager.

“While PBMs focus on getting the best discounts and the biggest rebates, we believe those should be considered short-term solutions. The real opportunity is to deliver long-term strategies that contain costs perpetually and help self-insured employers regain control of their pharmacy spend,” said Rob Gelb, Chief Executive Officer for Valenz.

With a suite of services comprising three core offerings, v-Rx creates long-term reductions in pharmacy benefit spend with average annual savings of 43 percent, while also delivering a concierge-style experience for members.

“Traditional PBM solutions base their savings on discounts without taking pharmaceutical inflation into account. The V-Rx solution gives the group the ability to dramatically reduce their spend and maintain that reduction year-over-year,” said Jordan Hersh, Vice President, Enterprise Solutions for Valenz. “At the same time, members receive highly personalized service and advocacy to assure that they never have to go without their medication.”

The three tiers of v-Rx services include:

  • Specialty Pharmacy: Alternative funding is used to reduce specialty drug costs by up to 100%.
  • Co-Pay Optimization: The full-service co-pay card optimization program enhances group savings without changes or disruption for individual members.
  • International Pharmacy: Dramatic savings for many brand-name, domestically equivalent medications, including temperature-sensitive items.

The v-Rx solution further expands the Valenz ecosystem, offering seamless pharmacy benefits delivery and a superior platform for healthier and more satisfied members.

Learn more about v-Rx here.

About Valenz

Through a complete health administrative ecosystem, Valenz connects cost and quality data on a single-source, end-to-end analytics platform for smarter, better, faster healthcare. Valenz solutions integrate data from comprehensive care management services (Valenz Care), high-value provider networks (Valenz Access), claim flow management (Valenz Claim) and solutions for payment integrity, revenue cycle management and eligibility compliance (Valenz Assurance) into the ecosystem. More information is available at valenzhealth.com. Valenz is backed by Great Point Partners.

 

https://www.valenzhealth.com/wp-content/uploads/2020/06/v-Rx-600x432-1.jpg 432 600 kamryn cain https://www.valenzhealth.com/wp-content/uploads/2023/01/valenz-logo-1-23-3.png kamryn cain2020-06-30 13:38:062021-06-14 19:09:33v-Rx: Significant Savings and Enhanced Services

Vālenz VzReturn Offers Employers Safe Return-to-Work Solution During COVID-19 Pandemic

May 22, 2020/in Featured, Valenz Care/by kamryn cain

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 and offers immediate value to self-insured employers.

Valenz VzReturn helps employers meet their legal obligations while also limiting potential health risks for their workforce by providing onsite temperature checks, personal protective equipment and antibody testing where available, prior to and upon their employees’ return to work. The solution also includes a variety of management tools and educational resources for Human Resources leaders and employees to improve emotional fitness and physical well-being.

According to Amy Gasbarro, Chief Operating Officer for Valenz, employers may also access Valenz Care’s personalized health coaching via multiple channels, including telephone, in-person and web chat, as well as Textcoach,™ a secure messaging platform for employees to connect with a licensed mental health counselor to address concerns such as coping, stress, depression or anxiety.

“COVID-19 has presented unprecedented economic and operational challenges for employers, especially now given the lack of consistent guidance related to safe return-to-work policies and procedures,” said Rob Gelb, Chief Executive Officer for Valenz. Gelb added that Valenz is dedicated to offering client-centric solutions like VzReturn to help clients engage early and often to mitigate employer risk while meeting employee health and safety needs during the pandemic response.

“Providing this safe return-to-work onsite solution offers a clearly defined path for employers as they reopen their businesses and resume normal operations. Additionally, with VzReturn, our clients have the tools to continually protect the workforce should employees encounter virus exposure outside the workplace, requiring additional stays of quarantine,” Gelb said. “The Valenz VzReturn solution is just one more component of our promise to support our clients in achieving smarter, better, faster healthcare.”

Click here to learn more about Valenz VzReturn.

About Valenz

Through a complete health administrative ecosystem, Valenz connects cost and quality data on a single-source, end-to-end analytics platform for smarter, better, faster healthcare. Valenz solutions integrate data from comprehensive care management services (Valenz Care), high-value provider networks (Valenz Access), claim flow management (Valenz Claim) and solutions for payment integrity, revenue cycle management and eligibility compliance (Valenz Assurance) into the ecosystem. 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.

https://www.valenzhealth.com/wp-content/uploads/2020/05/VzReturn_600x432.jpg 432 600 kamryn cain https://www.valenzhealth.com/wp-content/uploads/2023/01/valenz-logo-1-23-3.png kamryn cain2020-05-22 14:51:282020-05-22 14:51:28Vālenz VzReturn Offers Employers Safe Return-to-Work Solution During COVID-19 Pandemic

Right Care, Right Time: Three Ways Nurse Case Managers Deliver Integrated, Patient-Centered Care

April 7, 2020/in Featured, Valenz Care/by Maris Panjada

Through attentive care, dedicated service and comprehensive guidance, nurse case managers make a tremendous impact on patient outcomes. As an integral part of Vālenz Care, a triple-URAC accredited solution within the complete Vālenz™ ecosystem, Valenz nurse case managers work closely with patients, providers, employers and payers to ensure the right care at the right place and time, paving a more cost-effective path to healthy outcomes.

As we recognize World Health Day on April 7 – and because 2020 has been named the International Year of the Nurse by the World Health Organization – we are celebrating the vital role nurses play in keeping the world healthy. How do nurse case managers accomplish this?

Valenz Care Management Senior Manger Sylvia Robinson, RN, COHN, says their most significant role in today’s healthcare is coordinating and managing patient care. “Care coordination is a collaborative process that involves navigating treatment with physicians, social workers, patient families and other providers, such as home health and physical therapists,” she says. “Ultimately, our goal is aimed at determining the care that plan members need and guiding them on improving health while also minimizing healthcare expenses.”

For patients, nurse case managers are the central point of contact and advocates for high-quality, lower-cost care. For self-insured employers and other professional stakeholders, they help manage health administrative costs and quality by reducing unnecessary and/or preventable emergency room visits, hospitalizations, tests and other high-dollar claim events.

“The Valenz promise is to engage early and often for smarter, better, faster healthcare, and our nurse case managers are essential to that promise,” said Amy Gasbarro, Chief Operating Officer. “Their work improves quality and outcomes while empowering our clients to move from reactive plan models to proactive population health management.”

This level of care and service results in healthier outcomes for all involved. Here are three primary ways our nurse case managers positively impact care quality and healthy outcomes:

 Patient Education and Support

By providing continuous, evidence-based guidance and education, nurse case managers fulfill a key responsibility in helping patients and families fully comprehend health conditions and treatment options, so they can stay on the path to better long-term health.

“When patients have greater awareness and understanding of the treatment plan – and when they receive support from nurse case managers – we tend to see a much better likelihood of compliance,” says Valenz Nurse Case Manager Jessica Mangum, RN, OCN, CCM.

Nurse case managers also provide guidance to patients on effectively self-managing chronic conditions, so patients can take charge of their health and be their own catalysts in making positive lifestyle changes.

“A key component of the education process is to also evaluate the patient’s understanding of that education and his or her ability to take action on it,” Robinson says. “That includes setting short-term goals that they can achieve and celebrating those successes with positive feedback.”

Avoiding Unnecessary Costs

While providing comprehensive care that is appropriate for the patient’s needs, nurse case managers strive to minimize out-of-pocket costs.

When our Nurse Utilization Managers are notified of a new diagnosis or treatment recommendation, they conduct a clinical review to determine that the criteria are met for medical necessity and ensure alignment with the most appropriate level of care, according to evidence-based guidelines for that diagnosis. This helps eliminate expenses tied to unnecessary or excessive treatments.

“When we can manage the length of stay and promote case management, we can achieve effective cost containment while providing excellent service to the members and the plan,” says Valenz Nurse Utilization Manager Staci Cunningham, LPN.

In addition, the shift in focus to proactive health management – getting regular medical care before serious illness strikes – enables nurse case managers to help reduce or eliminate the need for costly medications and physician or emergency visits. That’s a benefit for both members and payers.

Navigating the Health System

For many people, the complexities of the healthcare system can feel so overwhelming, they don’t know where to start.

“Some of the biggest challenges patients face in navigating their care is lack of understanding of the healthcare industry,” Robinson says. “The average patient does not grasp how insurance and healthcare work. They often become frustrated and give up, and then they lose trust in anyone in the healthcare field.”

That’s where a nurse case manager comes in: providing guidance and information on what is covered by a patient’s insurance, managing co-pays, controlling out-of-pocket expenses, and accessibility to care, among many other issues.

“Patients need an advocate to get them through this journey,” says Nurse Utilization Manager Nichole Barone, LPN. “We can research insurance plan documents to give patients the clarity they need; help them understand what benefits they are entitled to; determine whether they need pre-certification before treatment; and assist them in securing all those things.”

Also, people with serious diagnoses like cancer may need a wide range of procedures and tests, which can quickly become confusing for a stressed patient. “By tackling these procedures one by one, we ensure the patient gets the proper, necessary care at the correct time,” Barone says. “We support patients by guiding them through the process so they can focus on getting back to the best possible health.”

Celebrating Nurses on World Health Day

As we celebrate World Health Day in 2020, which is also the International Year of the Nurse, the recognition of our nurse case managers and the amazing work they do takes the spotlight – and it is well deserved. We are proud to acknowledge nurses’ contributions on the front lines of patient care all across the globe, and we share our deep appreciation for the critical role they play in keeping people and communities healthy everywhere.

 About Valenz

Through a complete health administrative ecosystem, Valenz connects cost and quality data on a single-source, end-to-end analytics platform for smarter, better, faster healthcare. Valenz solutions integrate data from comprehensive care management services (Valenz Care), high-value provider networks (Valenz Access), claim flow management (Valenz Claim) and solutions for payment integrity, revenue cycle management and eligibility compliance (Valenz Assurance) into the ecosystem. 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.

https://www.valenzhealth.com/wp-content/uploads/2020/04/shutterstock_405111418_600x432.jpg 432 600 Maris Panjada https://www.valenzhealth.com/wp-content/uploads/2023/01/valenz-logo-1-23-3.png Maris Panjada2020-04-07 14:48:402020-04-07 14:48:40Right Care, Right Time: Three Ways Nurse Case Managers Deliver Integrated, Patient-Centered Care

2020 Year of the Nurse: Vālenz Celebrates the Impact of Nursing Excellence

February 6, 2020/in Featured, Valenz Care/by kamryn cain

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 most appropriate levels of care before services are rendered, resulting in substantial savings for plans and members.

“Nurse case managers are essential to the Valenz promise of engaging early and often for smarter, better, faster healthcare,” said Amy Gasbarro, President of Vālenz Care, a triple-URAC accredited solution within the firm’s complete healthcare administrative ecosystem. “Their work improves quality and outcomes while also empowering our clients to move from reactive plan models to proactive population health management.”

For patients, nurse case managers are advocates for high-quality, lower-cost care – and many registered nurses on the Valenz team specialize in common and costly health conditions such as diabetes, cancer and pregnancy, among others. For self-insured employers and other professional stakeholders, nurse case managers help manage health administrative costs and quality by reducing expensive, unnecessary and/or preventable emergency room visits, hospitalizations, tests and other high-dollar claim events.

“Driven by actionable data — both individualized and aggregated — our Case Management solution ensures comprehensive care while minimizing out-of-pocket costs,” said Rob Gelb, Chief Revenue Officer of Valenz. “Our nurses serve as a central point of contact, guiding clients through treatment, so they can focus on what matters most — returning to good health.”

For all these reasons and more, says Gelb, Valenz is proud to celebrate the incredible impact of nursing excellence – this year and every year. For more information about Valenz Care, call (877) 601-2200.

About Valenz

Through a complete health administrative ecosystem, Valenz connects cost and quality data on a single-source, end-to-end analytics platform for smarter, better, faster healthcare. Serving self-insured employers, third-party claim administrators, brokers and benefit consultants, trust and labor organizations, stop-loss carriers, integrated healthcare delivery networks, and health/dental plan payers, Valenz solutions integrate data from comprehensive care management services (Valenz Care), high-value provider networks (Valenz Access), claim flow management (Valenz Claim) and solutions for payment integrity, revenue cycle management and eligibility compliance (Valenz Assurance) into the ecosystem. More information is available online 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. GPP is currently making new private equity investments from GPP III. Great Point manages capital in private (GPP I, $156 million and GPP II, $215 million of committed capital, and GPP III which has $306 million in committed capital) and public (BioMedical Value Fund family, approximately $1.1 billion) equity funds. Great Point Partners has provided growth equity, growth recapitalization, and management buyout financing to more than 100 growing healthcare companies. The private equity funds invest across all sectors of the healthcare industry, with particular emphasis on biopharmaceutical services and supplies, outsourcing and alternate site care, pharmaceutical infrastructure and information technology-enabled businesses. The firm pursues a proactive and proprietary approach to sourcing investments and tuck-in acquisitions for its portfolio companies. Visit Great Point at www.gppfunds.com.

https://www.valenzhealth.com/wp-content/uploads/2019/10/shutterstock_644852659-600x432-1.jpg 432 601 kamryn cain https://www.valenzhealth.com/wp-content/uploads/2023/01/valenz-logo-1-23-3.png kamryn cain2020-02-06 17:03:042020-02-10 19:50:582020 Year of the Nurse: Vālenz Celebrates the Impact of Nursing Excellence

Celebrating the Case Manager’s Critical Role in Smarter, Better, Faster Healthcare

October 16, 2019/in Featured, Valenz Care/by Holly Lawton

This week, in honor of National Case Management Week (Oct. 13-19), leaders at Vālenz are sending a message to case managers across the country: Thank you.

“Case managers are pivotal in the complex process of ensuring safe, effective and timely patient care,” said Rob Gelb, Chief Revenue Officer of Valenz. “In the nationwide effort to reduce healthcare costs while improving quality and outcomes, case management delivers big wins for everyone, especially patients and self-insured employer groups.”

Case management is one of three primary, URAC-accredited services offered via Vālenz Care, a core solution within the complete healthcare administrative ecosystem recently unveiled by Valenz. Dedicated nurse case managers work closely with patients, providers, employers and payers to target the most appropriate levels of care before services are rendered, resulting in dramatic savings for the plan and member.

“Driven by actionable data – both individualized and aggregated – the work of our care management team helps our clients move from a plan model of reactive care to one of proactive population health management,” explained Amy Gasbarro, President of Valenz Care.

For patients, case managers are care coordinators, navigators, and advocates for high-quality care that comes at a lower cost because it is the right care at the right place at the right time – every time. For self-insured employers and other professional stakeholders, they offer a value-focused path to managing health administrative costs and quality by reducing expensive emergency room visits, hospitalizations and other high-dollar claim events.

For all that and more, the entire team at Valenz is grateful to case managers – this week and every week.

About Valenz

Through a complete health administrative ecosystem, Valenz connects cost and quality data on a single-source, end-to-end analytics platform for smarter, better, faster healthcare. Serving self-insured employers, third-party claim administrators, brokers and benefit consultants, trust and labor organizations, stop-loss carriers, integrated healthcare delivery networks, and health/dental plan payers, Valenz solutions integrate data from comprehensive care management services (Valenz Care), high-value provider networks (Valenz Access), claim flow management (Valenz Claim) and solutions for payment integrity, revenue cycle management and eligibility compliance (Valenz Assurance) into the ecosystem. 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 health care 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. GPP is currently making new private equity investments from GPP III. Great Point manages capital in private (GPP I, $156 million and GPP II, $215 million of committed capital, and GPP III which has $306 million in committed capital) and public (BioMedical Value Fund family, approximately $1.1 billion) equity funds. Great Point Partners has provided growth equity, growth recapitalization, and management buyout financing to more than 100 growing health care companies. The private equity funds invest across all sectors of the health care industry, with particular emphasis on biopharmaceutical services and supplies, outsourcing and alternate site care, pharmaceutical infrastructure and information technology enabled businesses. The firm pursues a proactive and proprietary approach to sourcing investments and tuck-in acquisitions for its portfolio companies. Reach Great Point at 203-971-3300 or www.gppfunds.com.

https://www.valenzhealth.com/wp-content/uploads/2019/10/shutterstock_733524661_600x432.jpg 432 600 Holly Lawton https://www.valenzhealth.com/wp-content/uploads/2023/01/valenz-logo-1-23-3.png Holly Lawton2019-10-16 16:08:482020-02-06 16:55:44Celebrating the Case Manager’s Critical Role in Smarter, Better, Faster Healthcare

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