Build a Quality Network at an Affordable Price with In-Network Repricing
Balance Claim Cost and Care Quality with Custom Network Designs
Increase Savings, Improve Quality, and Enhance Access
High-Quality, Cost-Effective Care Starts Here
Having the right healthcare provider for your members’ needs is critical. When offering access to quality care and maintaining compliance with industry standards, you can’t just settle for “one-size-fits-all” solutions.
Build a network that works harder for your members—and your bottom line—with Valenz In-Network (INN) Repricing.
Vālenz Health® makes quality the default choice by creating a unique network of rigorously vetted, top-performing healthcare facilities and providers in your region. Our advanced analytics bolster custom-built, high-performing networks and ancillary preferred provider organization (PPO) networks that drive smarter, better, faster healthcare.
Meeting the Unique Needs of Your Health Plan
Improve Quality While Minimizing Plan Costs
In-Network Repricing consolidates healthcare into a highly efficient collective that includes only the top-performing facilities, hospitals, and physicians in your region.
Get the benefits of a solution specifically designed to meet the unique needs of your health plan and member population:
No risk of balance billing
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Full-service claim management
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High-performance networks
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Access to ancillary and PPO networks
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Single case and recurring discounted agreements
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Reduce Costs
20%–40% savings improvement compared to BUCAH plans
Improve Utilization
Up to 85% in-network utilization
Improve Quality
10%–25% improvement in hospital quality
How We Achieve Cost Savings
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Leverage patient volume to drive down hospital and physician fees through direct contracting
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Reduce the number of readmissions and complications with our diligently vetted networks
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Conduct rigorous credentialing using NCQA accreditation standards to ensure high-quality providers
Additional Features to Support You
Enhancing Network Access and Savings
Our In-Network Repricing solution can support you with additional features and opportunities to ensure your success.
High-Performance Networks
Our rigorously vetted, quality-first contracted networks are comprised of top-performing healthcare facilities and providers. Secure healthcare access for employees, drive a higher standard of care, and increase savings through data-driven selection based on quality and outcomes metrics.
Our High-Performance Networks are currently located in:
- California
- Illinois
- Indiana
- Kansas
- Michigan
- Missouri
- Nebraska
- Nevada
- Ohio
- Tennessee
- Texas
- Virginia
- West Virginia
Access to Ancillary and PPO Networks
To support you, the In-Network Repricing solution can also provide access to other networks, including national PPOs and ancillary networks.
National PPO Networks
Get access to a large network of doctors, hospitals, and other healthcare providers across the country, giving members the freedom to receive care across state lines at competitive rates, with no referrals needed.
Ancillary Networks
Connect members with non-primary, non-hospital providers and services to support every stage of their care journey.
All Your Health Insurance Solutions on One Platform
Explore the Vālenz Health® Integrated Platform for Simplified Healthcare
Seamlessly unite member experience, payment integrity, provider quality, and plan performance with our integrated platform. Discover how we optimize the utilization of high-value healthcare across the entire member journey.
Greater Efficiency, Improved Care Quality
Explore the Vālenz Health® Difference
Multi-State Health Plan
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Children’s Hospital
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High-Dollar Claims
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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.