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Supporting Healthier Members and Higher Cost Containment with Clinical Case Management
By proactively engaging through Case Management, a feature of the Clinical Engagement solution suite, Valenz transformed care outcomes for members covered by Coeur Plan Services, LLC’s clients to deliver significant cost containment in the 2025 plan year, including $2.67 million in total plan savings.
How a Self-Funded Plan Captured Nearly $4M in Potential Savings on High-Cost ABA Therapy
A self-funded plan sought assistance in repricing and paying outstanding claims for a pediatric ABA case. Using its Clinical Bill Review solution, the Valenz payment integrity team delivered an approximate 66% reduction on initial billed charges of more than $5 million for a total potential savings of nearly $4 million for the plan.
Driving Superior Cost Savings with Valenz Market-Sensitive (VMS®) Repricing
A comprehensive claims analysis comparing a client’s current out-of-network repricing solution to the Valenz Market-Sensitive (VMS®) repricing methodology identified an additional $31.1 million in incremental savings beyond the current approach — a 44.7% improvement in total possible savings for the client.
Read the Latest Reports
Take a deep dive into the healthcare industry’s inner workings as we explore trends, insights, and our solutions for ensuring your success.
Your Pre-Renewal Playbook for Smarter Healthcare Benefits Planning
In our latest white paper, discover three proactive strategies your organization can use to contain costs while boosting quality of care for your covered population.
Navigating Rising Healthcare Costs: A Roadmap for Self-Funded Employers
In our latest white paper, find a comprehensive list of the strategic opportunities available to help self-funded employers optimize the cost, quality, access, and utilization of healthcare through connected cost-containment solutions that create a feedback loop of continuous improvement.
Rethinking Stop Loss: A Strategic Approach to Self-Funded Success
In this roundtable discussion, members of the executive and stop loss teams at Valenz, as well as external industry experts, address the premium increases, higher deductibles, and rapidly escalating costs of care affecting today’s stop loss programs — and how more aligned solutions can solve for these challenges and deliver higher-value healthcare.
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Your Guide to Self-Funding
Self-Funded Insurance: An Innovative Approach to Employer-Provided Healthcare
Ready to Simplify Self-Insurance?
Your Journey Starts Here
Connect with a Valenz team member to explore the difference our solutions can make for you.