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

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.

United Claim Solutions Becomes Vālenz

The UCS Family of Companies now operates under unified corporate name, delivers complete health administrative ecosystem

The United Claim Solutions Family of Companies – one of the nation’s leading medical cost reduction and claims flow management organizations serving the self-insured employer community directly and with partners in the benefit consultant, broker and payer communities – today announced the transformation of the organization through its new name: Vālenz™.  The new name unites a suite of solutions and completes the integration of all of the resources necessary to deliver the industry’s first complete healthcare administrative ecosystem.

“Valenz is a fully integrated, single-source, end-to-end platform that connects and analyzes cost and quality data to reduce the total cost of care while improving health outcomes,” said Rob Gelb, Chief Revenue Officer. “As data flow through the Valenz ecosystem, our analytic and predictive capabilities enable us to engage early and often for smarter, better, faster healthcare.”

Actionable data is key. The firm has spent years and invested in key resources building integrated data systems and fine-tuning solutions that support its client base of self-insured employers, third-party claim administrators, brokers and benefit consultants, labor and trust organizations, stop-loss carriers, integrated healthcare delivery networks, and health/dental plan payers.

Founded in 2004 as United Claim Solutions with a vision of creating comprehensive and innovative solutions to support the self-insured industry, over nearly two decades, the company has steadily expanded its development and use of analytics that drive new solutions and reset the expectations of a service partner.

In 2015, the company launched a division dedicated solely to filling the void in access to high-value medical networks and creating alignment between the payer, patient, employer, medical professional and health system. Two years later, they acquired and integrated a suite of care management offerings, followed quickly by another acquisition that brought software-based tools for payment integrity and compliance into the evolving health administrative ecosystem.

Today, the Valenz ecosystem comprises these services – powered by data from payers, employers, patients and health systems – to provide a highly innovative solution. Available as standalone products and as an integrated platform, the Valenz ecosystem includes Vālenz Care (formerly INETICO); Vālenz Access (formerly NX Health Network); Vālenz Claim (formerly United Claim Solutions); and Vālenz Assurance (formerly Zebu Compliance Solutions).

“As healthcare costs continue to rise, affecting the plan costs of employers and the out-of-pocket expenses of members, we are taking a fully integrated, data-driven approach that substantially impacts total medical spend in key areas,” said Gelb. “This complete ecosystem brings our clients superior cost savings and outcomes than they can achieve elsewhere by focusing action on the claims that drive these costs.”

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 currently 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.

The UCS Family of Companies Welcomes a New Executive Growth Leader

The United Claim Solutions (UCS) Family of Companies is pleased to announce and welcome Rob
Gelb as the company’s new Chief Revenue Officer. Rob will be responsible for all aspects of revenue
growth for the enterprise which will include direct oversight of all business development functions and
engaging related operational, product and financial resources that serve the needs of hundreds of
valued clients every day. Gelb will seek to build on the historical success of the company and will
focus on business development that will drive client expansion and position the UCS Family of
Companies for transformational business growth. He is an accomplished leader with a consistent
record of strategic and tactical success in organizing, operating, managing and expanding profitable
businesses.

“With over 20 years in expansive leadership roles including Senior Vice President of Strategic Sales
at Coventry Workers’ Comp Services, Managing Vice President at York Risk Services Group and
Executive Vice President of Business Development at MedLogix, Gelb’s direct experience in
healthcare, managed care, network development and mergers and acquisitions will greatly benefit our
expanding business model,” states Joshua Carder, Chief Executive Officer at the United Claim
Solutions Family of Companies. “UCS and its family of companies have great histories of innovative
solutions that consistently exceed the expectations of their customers. I am excited and proud to join
this team of professionals and look forward to being a part of our continued success going forward,”
adds Gelb.