Simplify High-Cost Surgical and Imaging Care

Q: How does Valenz Surgical and Imaging help reduce healthcare costs?

Our surgical and imaging solutions include direct contracting with high-value facilities, which can meet surgical and imaging needs at a more affordable cost for the plan and the member receiving care. By directing members to these facilities before costs are incurred, Valenz Surgical and Imaging reduces unnecessary spend while ensuring member access to high-quality care.

Q: What types of procedures are included?

Valenz Surgical and Imaging bundles cover common outpatient procedures, such as orthopedic surgeries (hip, knee, shoulder, spine, etc.), gastroenterology procedures (colonoscopies, endoscopies, etc.), general surgeries (hernia repair, gallbladder removal, etc.), and imaging (MRI, CT scans, etc.).

Q: How much can health plans and employers save with Valenz Surgical and Imaging?

By utilizing direct contracting and bundled pricing structures, Valenz Surgical and Imaging delivers an average of 50% savings per procedure and an average $310 per employee per year savings.

Q: Can Valenz Surgical and Imaging be integrated with an existing health plan?

Yes. With facilities in all 50 states, and integrations with 45 TPAs around the country, Valenz Surgical and Imaging can easily be incorporated into an existing health plan and network design.

Q: How does direct contracting and surgical and imaging bundles improve the member experience?

Valenz Surgical and Imaging guides members through every step of the care journey to simplify the complexity and cost of common outpatient procedures. Nurse navigators help identify and schedule care with high-quality, low-cost facilities and providers in the member's area. Members travel less than 60 miles to receive care and pay $0 out-of-pocket for eligible, in-network providers (subject to plan coverage requirements).

Q: Why choose Valenz for surgical and imaging solutions?

Valenz Surgical and Imaging offers the nation's largest surgical and imaging direct contracting solution, covering more than 400 common procedures and offering facilities across all 50 states. Unlike other direct contracting solutions, we provide valuable care navigation to members to simplify the care journey and reduce costs for all involved.

Connect Members to High-Value Care Through Direct Contracting and Navigation

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Help Members Find the Right Care Before Costs Escalate

Surgical & Imaging Solutions that Support High-Value, Low-Cost Care

Lower costs and simplify the member experience with smarter surgical and imaging management.

Valenz Surgical & Imaging guides members to high-quality, low-cost providers through one of the largest direct contracting networks in the nation.

Combining bundled pricing, clinical navigation, and concierge support, we help members get care at a predictable cost while reducing unnecessary healthcare spend.

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400+

procedures available

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50%

average savings

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45+

TPA integrations

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<60

miles of typical member travel

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copays for in-network providers*

*Incentives subject to plan coverage requirements; HSA plans require first dollar coverage from patient before procedure, up to IRS minimum, before program incentives are received.

Delivering Value for Every Procedure

Why Health Plans Choose Valenz Surgical & Imaging

NATIONWIDE ACCESS

Facilities found in all 50 states

PREDICTABLE SAVINGS

Bundled pricing with an average savings of 50%

CONCIERGE SUPPORT

Dedicated guidance from nurse navigators

BETTER MEMBER EXPERIENCE

Less stress, fewer surprise bills, and higher satisfaction

Customizable for Your Needs

Seamlessly Embedded Surgical Bundles and Imaging Solutions

Available as a single, combined program or as standalone solutions for integration with existing health plan designs.

Surgical & Imaging

Our bundled payment solution provides transparent pricing for more than 400 procedures. Members are guided to high-quality facilities through our direct contracting network and supported by a dedicated nurse navigator.

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Valenz Imaging

Valenz Imaging steers members toward high-value, low-cost outpatient imaging centers for MRI, CT, and PET scans. Members benefit from convenient scheduling while employers realize significant savings.

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A Simpler Member Journey

How Surgical & Imaging Works

1. Member needs surgery or imaging.

2. A nurse navigator identifies a high-value provider or facility based on the member’s needs.

3. Nurse navigator coordinates with the provider and assists with scheduling.

4. Member receives care at a high-value facility with little to no out-of-pocket cost.

5. The plan reduces healthcare spend while members receive a simpler, more supported care experience.

Proactive Engagement for Better Cost Containment

Connected Strategies that Intervene Across the Member Journey

Provide superior member support throughout the care journey by combining Valenz Surgical and Imaging bundles with other Member Experience solutions.

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