Digital Solutions

Supporting early engagement between plan members and providers

We meet members where they are to diagnose, treat and manage health conditions more effectively. Our digital tools, combined with an empathetic, human touch, support members across the healthcare journey with a suite of fully integrated solutions. Through intuitive navigation, a digital front door to care, and the ease of telehealth options, we engage early and often to position members to take charge of their health and ensure continuity of care.

Increasing accessibility, maximizing convenience

The benefits of Vālenz® Health include seamlessly integrated virtual care services for plan members, with 24/7 access to:

  • A U.S. board-certified doctor, available wherever the member is through the convenience of phone, video or mobile app visits
  • Prompt treatment (talk to a doctor in minutes)
  • A network of doctors that can treat every member of the family
  • Prescriptions sent to the member’s pharmacy of choice if medically necessary
  • Digital tools and devices that support remote patient monitoring for high blood pressure, diabetes, heart conditions, COPD, sleep apnea, and many other conditions

Virtual visits create a more affordable option than expensive emergency room visits or urgent care for high-quality medical care. In addition, remote providers can securely share information on the patient visit with the member’s primary care team (with member consent) and our navigators and case managers, helping to ensure a complete patient record for routine and follow-up care.

Member experience soars with digital front door

Valenz delivers market-leading member experience with our digital front door offering, providing members access to digital versions of Valenz solutions in the palm of their hand. The Voyager™ app has seen 35 new referrals within the first 30 days of launching, and the first campaign saw 9% new member engagement.

  • 24-7 access to omnichannel options
  • 1:1 live chat with NaVcare and nurse case managers
  • Benefit Hub includes medical, pharmacy, 401(k), telehealth, dental, vision and more
  • Pocket tools such as ID card, Summary of Benefits and Coverage, Transparency in Coverage Compliant Search, and Digital Wallet

Transparency for better care choices, true consumerism

Our digital front door to care is powered by the data members need to choose the right provider at the right cost and take control of their health journeys. It also offers access to the Valenz platform of integrated solutions for health plans, empowering healthcare consumerism to take hold. Driven by data transparency, our omnichannel approach provides different access points for members to make informed choices about their own healthcare spend.

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Convenient access to quality care

The Provider Locator allows members to search for a provider based on various pieces of information, including provider name, specialty, or location. If you have any issues locating a provider in your area, please call the Member Services telephone number on the back of your member identification card.

Provider Locator

Our digital front door solution demonstrated remarkable results for a 4,500 member group within the first three months:

25%

Increase in new
member engagement

30%

Increase in new
engagement of
high-risk population

4.5%

Of the population newly identified as high-risk & engaged in case management

Rewriting the Book: The Health Plan of the Future

Enabling a true health care plan

At a time when member satisfaction with commercial insurance plans is declining and premiums increasing, employers need a fully integrated digital front door for their health plan solutions. With 24-7 access, AI capabilities and live chat with nurse navigators, actionable insights with real time data, and improved member experience and outcomes, the Voyager™ app engages members and enhances access to key healthcare data — including cost and quality ratings, plan benefit details, comprehensive lists of in-network procedures and providers, and more.

Read News Release

Chapter 1: Introduction

As Vālenz® Health and zakipoint Health “rewrite the book” on the health plan of the future, we’re putting members right at the center, where they belong. We envision a plan that empowers members to become true healthcare consumers, with transparency into what care really costs so they can make the right choice for themselves with the elevated experience they deserve.

Chapter 2: Consumerism

Healthcare consumerism starts with supporting members like online shoppers, and with omnichannel solutions – transparently showing them what is available, what it costs, and how to compare with all other options. Learn how the health plan of the future puts control in the members’ hands for more informed decisions, improved satisfaction and better health outcomes.

Chapter 3: Member Navigation

Intuitive care navigation elevates the entire member experience. Engaging early and often throughout the healthcare journey, navigators provide personalized, data-driven coordination to the setting, provider, and cost of care that best meets each member’s needs. It all comes down to advanced digital tools, fully transparent data, and a human touch to change healthcare for the better.

Chapter 4: Digital Front Door

The health plan of the future delivers a personalized point of entry to the healthcare system – a digital front door that encourages early member engagement and taking charge of their choices. The front door to care from Valenz and zakipoint offers seamless omnichannel access to the Valenz platform of fully integrated solutions via phone, online, or using the Voyager™ app – everything members need to make informed decisions about their care, right in the palm of their hand.

Chapter 5: Transparency

We believe top-to-bottom data transparency has to filter through the entire member journey – and then, only when the plan, provider, payer and member are aligned on costs, services and payments can we drive smarter decisions about the member’s care. Successful plans make this happen on our comprehensive platform to simplify healthcare. More visibility means less worry about making the right choices – and that’s how healthier outcomes happen.

Chapter 6: Achieving Balance

How does the health plan of the future optimize healthcare for the member, employer, payer and provider? It begins with providing solutions that balance an equation of the cost, quality and utilization of proper healthcare. Bringing visibility into that equation through transparency tools – as delivered by Valenz and zakipoint – gets everyone on the same page and gives members access to the insights they need.

Chapter 7: Contracts & Networks

Redesigning the network of the future depends on collaborating with providers to ensure a fair and reasonable market-sensitive price for care while providing members full transparency and personalized navigation to the most cost-effective, high-quality care options based on their financial status and health needs.

Chapter 8: Financing

Self-funded employers who leverage enhanced analytics to assess financial risk and align stop loss underwriting with cost-containment solutions outlined in the Summary Plan Description ensure that their premiums are fully representative of the value of cost containment. Not only do they drive meaningful savings, they also can more easily predict costs year after year.

Series Wrap-Up

Join Rob and Ramesh for a final discussion recapping the 8-chapter video series, with topics ranging from consumerism and member navigation to transparency, contracts & networks, and financing – all culminating in the fully integrated digital front door for health plan solutions, Voyager™.

Contact us today

For more information about our digital solutions and how to integrate them into a self-insured health plan, reach out to our team:

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

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

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