Looking for a better understanding of how Vālenz® Health solutions will support your business by engaging early and often for smarter, better, faster healthcare? These resources are designed to help! View our case studies, white papers and webinars below – and contact us today for more information.
See how our Full Claim Review Solution created second pass additional savings of $120M ($40K average per claim) by supplementing the payment integrity program of a large multi-state health plan.
Our methodology to analyze and report cost savings after implementing the Valenz platform has achieved Program Validation for Savings from the Validation Institute. See how we partnered with a collaborative of three schools representing 700+ members in deploying a fully integrated continuum of solutions to change the rising cost trajectory while improving the quality of care and member experience.
See how our Full Claim Review Solution created second pass additional savings of $120M ($40K average per claim) by supplementing the payment integrity program of a large multi-state health plan.
See how we partnered with a collaborative of three schools representing 700+ members in deploying a fully integrated continuum of solutions to change the rising cost trajectory while improving the quality of care and member experience.
Learn how our nurse case manager helped an asthma patent improve quality of life, reduce medical expenses by $4,800 per year and avoid $14,400 in costs.
See how our Disease Management services helped a 53-year-old diabetes patent improve A1C levels, decrease emergency room visits, and save on insulin pumps and supplies.
Learn how we helped a premature infant avoid a prolonged stay in the NICU by providing intensive home health services and parental education, saving an estimated $54,200.
See how we intervened in a high-risk pregnancy and helped avoid serious complications, saving an estimated $43,900 while also resolving the member’s medication issues.
See how we helped one member avert end-stage renal disease, dialysis and even a transplant, saving her and her employer hundreds of thousands of dollars in treatment and liabilities.
See how we found opportunities for 13.86% in additional savings above PPO discounts, and secured provider signoff to deliver our client $129,648 in net savings.
Learn how our detailed line-by-line bill review delivered $93,798 in net savings, secured provider signoff and ensured no balance billing to the patient.
See how our credentialed reviewers utilized our fact-based model and strong working relationship with providers to secure signoff on savings 23.8% above the PPO discount in less than two hours.
For self-insured health plans, transparency and fiduciary responsibility go hand in hand. Data and insights into the costs of medical services are critical for a plan to evaluate all claims received, as well as proactively guide its members to affordable care and improved health outcomes.
See how transparency is essential to everything a health plan does, from expanding networks and selecting high-quality and low-cost providers to navigating members across the healthcare journey.
The Valenz V-Rated Solution identifies the risks affecting the plan and aligns them with the summary plan description and cost containment solutions. Ultimately, V-Rated leverages alignment, balance and transparency to bring back fiduciary responsibility while allowing an appropriate stop loss rating.
See the results of a roundtable conversation among executive team members at Valenz Health and Certus Management Group regarding stop loss as the foundation of building a self-funded plan.
From healthcare providers to educators, vendors and contractors, verifying and reimbursing a sanctioned or unlicensed individual for services can have dire consequences.
Here are five critical success factors for ensuring your compliance program is searching all necessary sources to minimize risks associated with exclusions, lapsed licenses and other disciplinary measures.
Even in cases of relatively limited exposure, the implications of non-compliance can be devastating. Managing millions of records across many disparate sources every month is a very time-consuming and detail-critical task.
Whether you need a partner to manage exclusion, license and disciplinary monitoring for you or you just need to make sure your team covers all the right bases, use the following information as a guide to comprehensive eligibility screening and compliance monitoring.
This roundtable discussion focuses on how the next generation of reference-based pricing programs drive active collaboration between all parties to improve health outcomes while ensuring transparency.
Watch as Valenz CEO Rob Gelb and Adam V. Russo, Esq., Co-Founder and CEO of The Phia Group, discuss how innovative reimbursement strategies can bring balance to the quality-utilization-cost equation.
23048 N. 15th Ave
Phoenix, AZ 85027
United States of America
Toll-Free: (866) 762-4455
Main Fax: (888) 452-6512