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.
Vālenz® Appoints Eric Hanna as Vice President, Claim and Access Solutions
/in Announcements, Events, Featured/by Maris Panjada15-year veteran joins leadership team
PHOENIX, Ariz. (Sept. 27, 2021) — Vālenz®, the innovators behind a data-driven ecosystem of solutions that lower costs while improving quality and access for self-funded health plans, recently promoted Eric Hanna to the position of Vice President, Claim and Access Solutions. Eric brings 15 years’ leadership experience in implementation management and claims analysis at Valenz, as well as expertise in business, finance and client services.
“With his deep claims, data and implementation expertise, Eric keeps his eye trained on the goal of client success,” said Amy Gasbarro, Valenz Chief Operating Officer. “After 15 years with our firm, he has proven time and time again that he is always focused on the future of network strategy and innovative medical cost containment solutions for the self-insured employer.”
Eric brings leadership experience working with self-insured employers, third-party administrators and brokers in the areas of network strategy, claim management, employee benefits design and implementing technology solutions to streamline and accelerate claim operations. “I’ve long considered it an honor to be part of the Valenz team and having the opportunity to help our clients achieve greater levels of cost containment while improving the health outcomes of their members,” said Eric. “Today, I am proud to join the leadership team to accelerate ecosystem expansion for smarter, better, faster healthcare in the self-insured industry.”
Before his promotion to Vice President, Eric most recently served as Director of Networks and Implementation at Valenz. In 2019, Eric was selected for the prestigious Valenz Extended Leadership Team (ELT). He is a Certified Professional Coder (CPC) in claim coding and graduated Cum Laude with a bachelor’s degree in Business Administration and Management from Northern Arizona University.
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.
Vālenz® Promotes Brandy Robinson to Client Services Executive
/in Announcements, Events, Featured/by Maris PanjadaRobinson brings expertise with Vālenz Assurance and 15+ years’ experience leading client accounts
PHOENIX, Ariz. (September 10, 2021) — Vālenz®, the innovators behind the industry’s most transparent, data-driven ecosystem for providers and payers in healthcare, recently announced that Brandy Robinson has been promoted to Client Services Executive.
Robinson’s new role – under the leadership of Brian Campbell, Vice President of Client Services – will involve working closely with Valenz Assurance clients, both providers and payers, to deliver a complete, customizable range of solutions that ensure credentialing compliance and payment integrity for every claim and episode of care. Robinson’s promotion comes four years after joining Valenz as an account manager.
“Brandy brings a versatile range of talents to the table, including excellence in client service,” said Campbell. “She listens to individual client needs and delivers on her promises. That is how you build relationships for the long term, and connecting people with services that improve business and financial health is what Brandy does best.”
Robinson agrees that listening and collaborating with clients is key to mutual success. “Through Valenz Assurance we are absolutely committed to ensuring provider credentialing excellence and clean claims to improve our clients’ experiences and outcomes – whether they are providers, payers or patients,” said Robinson. “I think my clients have always valued business partners who listen carefully and give honest, thoughtful feedback and recommendations born from years of industry experience.”
Robinson first joined the firm in 2017 and brings 15+ years of experience as an account executive in sales. She has a degree in Human and Consumer Sciences from Ohio University.
“Valenz is consistently named one of America’s fastest-growing private companies, and I am thrilled to be part of it,” she said. “Harnessing the value of transparency and trust with a client-centered team paves the way to 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.
Vālenz® Promotes Alex Ruiz to Client Services Executive
/in Announcements, Events, Featured/by Maris PanjadaRuiz brings 20+ years’ experience leading client accounts and delivering client-focused service
PHOENIX, Ariz. (August 27, 2021) — Vālenz®, a leading innovator for a data-driven ecosystem of solutions that reduce medical claim costs and promote quality healthcare, recently announced that Alex Ruiz has been promoted to Client Services Executive.
Ruiz’s promotion comes just over a year after joining Valenz as a sales representative. His new role – under the leadership of Brian Campbell, Vice President of Client Services – will involve building client awareness of new opportunities and solutions, as well as ensuring overall satisfaction with the Valenz ecosystem and client experience.
“Early on, Alex stood out for his energy and rapport with our clients and partners at Valenz,” said Brian Campbell. “We’ve watched him deliver daily on our company promise to engage early and often for smarter, better, faster healthcare. His work ethic and commitment to client service exemplifies the strong, vigorous, healthy mindset at this company’s core.”
Ruiz first joined the firm in 2020 after more than two decades as an account executive in sales, most recently in the field of healthcare technology. Ruiz has a degree in International Business from Kean University, and he also serves as a peer mentor for ALPFA New Jersey, a professional chapter of the Association of Latino Professionals for America. In this capacity, Ruiz works with young professionals to help them achieve career and personal growth goals by sharing his own personal, business and life experiences.
“My career has taught me that connecting people and companies with the products and services that will best serve them should always be at the heart of what you do,” said Ruiz. “If you focus on the needs of the client, trust is developed and true partnerships are born. Valenz encouraged my client-focused philosophy from day one, and I am excited to grow with this company as we serve the phenomenal roster of clients we have here at Valenz.”
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.
Captives of the Future: On-Demand Webinar from Vālenz®, MSL Captive Solutions and True Captive Insurance
/in Announcements, Events, Featured/by Maris PanjadaAs healthcare costs continue to rise, group captives offer pathways for self-insured employers to optimize health plans while accelerating risk and cost management.
Consider the next generation of MSL group captives. It may be a smart move for self-insured employers who want more control over their healthcare costs, effective strategies to manage risk, and long-term stability in the health plan.
Vālenz® hosted a roundtable discussion on reducing risk and gaining control of health plan spending through an innovative approach to medical stop-loss group captives. The focus was on self-insured employer groups and the brokers, TPAs and others who support self-funded health plans.
Watch Valenz CEO Rob Gelb, Managing Director of MSL Captive Solutions Phil Giles, and True Captive Insurance CEO David Voorhees as they explored how collaboration in a captive powered by a complete ecosystem of solutions can enable better decisions across the life of a claim.
Click here to download a PDF of the slides.
Vālenz® Promotes Brian Campbell to Vice President, Client Services
/in Announcements, Events, Featured/by Maris PanjadaCampbell 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.
Vālenz® Ranks Two Years in a Row on Inc. 5000 List of Fastest-Growing Private Companies
/in Announcements, Featured/by Maris PanjadaPHOENIX, 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.
Captives of the Future: Vālenz®, MSL Captive Solutions and True Captive Insurance to Host Aug. 18 Webinar
/in Announcements, Events, Featured/by Maris PanjadaAs 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.
Vālenz® Appoints Brian Fabbro as Vice President, Business Development
/in Announcements, Events, Featured/by Maris PanjadaPHOENIX, 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.
Vālenz® Announces Partnership with Beecher Carlson
/in Announcements, Featured, Press/by Maris PanjadaRisk 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.
Pairing Member-Centric Provider Access with Supporting Services Is Key to Sustainable Health Spending
/in Announcements, Featured/by Diane MorganSelf-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.
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.
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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.