STOW, Ohio (November 1, 2019) – With healthcare spending projected to rise more than 5 percent each year and three-quarters of that spending tied to chronic disease, the need to better manage medical costs has never been greater. To provide self-insured employers, third party administrators, health plans and others with data that drive smarter, more cost-effective decisions, ProServe Health Informatics is pleased to be part of the Vālenz ecosystem.
Through Planwatch, its flagship product, ProServe Health adds deep, integrated financial analytics to fuel Vālenz Claim, a core component of the Valenz ecosystem. By aggregating and mining in-network and out-of-network medical claim data, Planwatch provides intuitive and detailed financial reporting, as well as plan modeling to help direct and systemically lower healthcare spend.
Including Planwatch in the Valenz ecosystem enables more proactive decision-making and a greater opportunity to disrupt the cost curve. “We are leveraging interoperability with partners like ProServe Health to provide actionable business intelligence that helps clients reduce plan costs, not just in the short term but on a more sustained basis,” said Rob Gelb, Chief Revenue Officer at Valenz. “For robust visibility into in-network and out-of-network medical claims savings, Planwatch supports our promise to engage early and often for smarter, better, faster healthcare.”
Georgeann Seuffert, Vice President of Sales at Planwatch, agrees. “We are pleased to take our existing relationship with Valenz to the next level because we share a common goal to provide solutions that substantially influence better health outcomes and reduce total cost of care,” she said. “It is very refreshing to partner with an organization that wants to invest back into their clients. The Valenz commitment to Planwatch as a value-added service speaks volumes about their dedication to healthcare delivery and savings.”
About ProServe Health Informatics
Planwatch is a product of ProServe Health Informatics. It was developed in 2005 by company co-founders who recognized both the need and the solution for an economical, user-friendly, high level data analysis, web-based reporting, benchmarking, disclosure and plan modeling tool for the Payor community. Planwatch examines historical, current, and future health plan dimensions, integrates, combines and compares pharmacy and medical costs, identifies cost drivers and performance metrics, and provides tested solutions to minimize plan expenditures. Query and produce ad-hoc reports by cost, coverage areas, procedure codes, POS, geographical locations, network performance, prescriptions, and over 150 query fields by employer, participant or payor block of business. For more information about Planwatch, visit their website: www.plan-watch.com or contact Georgeann Seuffert, Vice President of Sales at (888) 275-2242 or gseuffert@proservehealth.com.
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. For more information about Valenz, visit www.valenzhealth.com or call (866) 762-4455.
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.
Colin Glen Joins Senior Executive Team at Vālenz Assurance
/in Announcements, Featured, Valenz Assurance /by Holly LawtonVālenz, a leading innovator for solutions that reduce medical claim costs and promote quality healthcare, has recently expanded its strategic acumen by welcoming Colin Glen to the executive team. Glen is now Vice President of Business for Vālenz Assurance, which delivers solutions for assured compliance and payment integrity as part of the firm’s comprehensive health administrative ecosystem.
Having held leadership positions at such firms as Intelligent Medical Solutions, Oration, WhiteCloud Analytics and, most recently, Relias, Glen brings nearly 20 years’ experience to his new role.
“Throughout his career, Colin has excelled at serving the needs of the health industry with technology and data-driven solutions,” said Rob Gelb, Chief Revenue Officer at Valenz. “He has an in-depth understanding of our clients’ needs and how to address them with our innovative and uniquely comprehensive platform. We are thrilled to have him on the Valenz team.”
Glen is well-positioned to support the Valenz growth strategy – and that growth, he says, is a key component to smarter, better, faster healthcare. “We ensure the integrity of data for clients who rely on our coding, compliance and credentialing solutions, as well as for the Valenz ecosystem,” Glen explained. “Ultimately, our solutions positively affect our clients’ capacity to reduce costs while improving care quality and outcomes.”
For more information about the complete health administrative ecosystem or any of its core components available through Valenz, call 877-762-4455.
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. For more information about Valenz, visit www.valenzhealth.com or call (866) 762-4455.
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.
Vālenz Embeds Planwatch into Claim Workflow for Actionable Data
/in Announcements, Featured, Valenz Claim /by Diane MorganSTOW, Ohio (November 1, 2019) – With healthcare spending projected to rise more than 5 percent each year and three-quarters of that spending tied to chronic disease, the need to better manage medical costs has never been greater. To provide self-insured employers, third party administrators, health plans and others with data that drive smarter, more cost-effective decisions, ProServe Health Informatics is pleased to be part of the Vālenz ecosystem.
Through Planwatch, its flagship product, ProServe Health adds deep, integrated financial analytics to fuel Vālenz Claim, a core component of the Valenz ecosystem. By aggregating and mining in-network and out-of-network medical claim data, Planwatch provides intuitive and detailed financial reporting, as well as plan modeling to help direct and systemically lower healthcare spend.
Including Planwatch in the Valenz ecosystem enables more proactive decision-making and a greater opportunity to disrupt the cost curve. “We are leveraging interoperability with partners like ProServe Health to provide actionable business intelligence that helps clients reduce plan costs, not just in the short term but on a more sustained basis,” said Rob Gelb, Chief Revenue Officer at Valenz. “For robust visibility into in-network and out-of-network medical claims savings, Planwatch supports our promise to engage early and often for smarter, better, faster healthcare.”
Georgeann Seuffert, Vice President of Sales at Planwatch, agrees. “We are pleased to take our existing relationship with Valenz to the next level because we share a common goal to provide solutions that substantially influence better health outcomes and reduce total cost of care,” she said. “It is very refreshing to partner with an organization that wants to invest back into their clients. The Valenz commitment to Planwatch as a value-added service speaks volumes about their dedication to healthcare delivery and savings.”
About ProServe Health Informatics
Planwatch is a product of ProServe Health Informatics. It was developed in 2005 by company co-founders who recognized both the need and the solution for an economical, user-friendly, high level data analysis, web-based reporting, benchmarking, disclosure and plan modeling tool for the Payor community. Planwatch examines historical, current, and future health plan dimensions, integrates, combines and compares pharmacy and medical costs, identifies cost drivers and performance metrics, and provides tested solutions to minimize plan expenditures. Query and produce ad-hoc reports by cost, coverage areas, procedure codes, POS, geographical locations, network performance, prescriptions, and over 150 query fields by employer, participant or payor block of business. For more information about Planwatch, visit their website: www.plan-watch.com or contact Georgeann Seuffert, Vice President of Sales at (888) 275-2242 or gseuffert@proservehealth.com.
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. For more information about Valenz, visit www.valenzhealth.com or call (866) 762-4455.
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.
Celebrating the Case Manager’s Critical Role in Smarter, Better, Faster Healthcare
/in Featured, Valenz Care /by Holly LawtonThis 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
/in Featured, Press /by ryan kesnerThe 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
/in Press /by ryan kesnerThe 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.
United Claim Solutions Completes Acquisition of Zebu Compliance Solutions
/in Featured, Press /by ryan kesnerUnited Claim Solutions (“UCS”), a Great Point Partners-backed company, has acquired Portsmouth, Ohio-based Zebu Compliance Solutions (“Zebu”). Zebu is a software enabled business, providing payment integrity and ongoing credentialing solutions to payors, clearinghouses, and provider organizations across the United States. The acquisition of Zebu brings additional resources and capabilities to UCS, augmenting its suite of payment integrity solutions and expanding its customer base.
“UCS and Zebu have had a strong working relationship over the past seven years. Formalizing our partnership with Zebu enhances our service offering and technology capabilities, enabling us to better serve our clients’ needs,” Josh Carder, CEO of UCS, stated. “Zebu brings us an experienced and talented team, led by industry veteran Francesca Hartop, Zebu’s Founder and CEO. Francesca has deep industry knowledge that has helped establish a comprehensive suite of tools across both payor and provider markets.”
“The Zebu-UCS platform will facilitate high-value integrated and complementary services to better serve our existing customers and further extend our product offerings into new customer segments. Our goal is to create efficiency and integrity across the health care landscape. Zebu’s partnership with UCS creates a comprehensive suite of health care claims management and compliance solutions,” commented Ms. Hartop.
As added by Noah Rhodes, Managing Director of Great Point Partners, “the addition of Zebu provides UCS with added scale and access to over 1,000 new customers. Zebu’s technology, knowledge base and product suite will help UCS continue to improve its payment integrity solutions.”
Great Point Partners-Backed United Claim Solutions Completes Acquisition of INETICO
/in Featured, Press /by Adam LeeGreat Point Partners (“GPP”) today announced that United Claim Solutions (“UCS”), a GPP II portfolio company, has acquired Tampa, Florida-based INETICO. INETICO focuses on providing health care cost containment services to self-funded, third party administrator (“TPA”) and stop-loss clients across the United States and Puerto Rico. The addition of INETICO brings additional resources and capabilities to UCS and will augment its suite of payment integrity solutions.
“UCS’ acquisition of INETICO expands our service offering and further deepens our commitment to the highest level of customer service when addressing our clients’ needs,” Josh Carder, CEO of UCS, stated. “The addition of INETICO brings us a great team, led by Founder, CEO, and industry veteran, Joe Hodges. Joe has a record of exceptional service, products and quality in the payment integrity industry.”
“UCS and INETICO joining forces will help drive innovation in the payment integrity market. The addition of INETICO will add care management and new repricing services to UCS, and will help UCS continue to drive down health care costs for our clients,” added Noah Rhodes, Managing Director at Great Point Partners.
“We believe that together, our two companies will create a leader in payment integrity solutions. Our goal is to work with our self-insured, TPA and stop-loss clients to create a one-stop shop for their cost containment needs. UCS’ savings rates and innovative solutions combined with INETICO’s care and negotiation services will be a driving force in the industry,” commented Joe Hodges, Founder of INETICO.
In conjunction with this acquisition announcement, UCS is also unveiling NX Health Network, its high-performance custom network solution for self-insured groups that reduces medical costs and increases patient and provider satisfaction.