Vālenz Access Contracted Network

Drive a higher standard of care and increase plan savings

High-quality, cost-effective care starts with having the right provider network for your members’ needs. Valenz Access Contracted Networks make quality the default choice by creating a custom network of rigorously vetted, top-performing physicians, hospitals and ancillary providers in your region. Through the power of the complete Valenz® ecosystem, we use advanced analytics to custom build high-value PPO networks that drive smarter, better, faster healthcare.

Physician interacting with patient/plan member

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 Drive Cost Savings

Leverage

We leverage patient volume to drive down hospital and physician fees through direct contracting with top performing health systems.

Performance

Our high-value networks reduce the number of readmissions and complications associated with poor hospital performance.

Credentialing

We conduct rigorous credentialing using NCQA accreditation standards that ensure your network comprises only highly qualified providers.

Additional Advantages

By consolidating healthcare into a highly efficient collective that includes only the top-performing hospitals and physicians in your region, quality improves while plan costs decrease. Specifically designed to meet the unique needs of your health plan and member population, the benefits of Valenz Access Contracted Networks also include:

  • No risk of balance billing
  • Access to provider directory on member portal
  • Full-service claim management
  • Network options: High performance, single case agreements and recurring discounted agreements

Get Started Today

Contact us today and we will provide a real-life view into the network savings your organization will experience with a Valenz Access Contracted Network. And because everything is made better through the full power of the Valenz ecosystem, we will also recommend ways to customize your network for better outcomes and increased cost savings.

Engaging early and often for smarter, better, faster healthcare – that’s the Valenz promise. Complete the form below or call us at (800) 834-2312 to get started with Valenz Access today.

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Valenz Access Solutions Suite

Explore the full breadth and depth of customizable, cost-saving options available in the Valenz Access Solutions Suite:

Access
Contracted
Network

Builds a new provider network to improve access, drive a higher standard of care and increase savings.

Access Contracted Networks are rigorously vetted, quality-first networks of top-performing physicians, hospitals and ancillary providers. We use advanced cost, quality and outcomes analytics to custom build and continuously optimize your high-value, high-performance contracted network.

Access
Navigated
Network

Directs care to in-network providers for lower costs with better outcomes and enhanced member experiences.

Access Navigated Networks add NaVcare care navigation for improved in-network utilization to enhance savings and performance. NaVcare provides a single point of entry with high-touch member onboarding and guidance to immediately drive engagement and elevate the member experience.

Access
Open
Solution

Maximizes plan dollars with a non-network reimbursement strategy that fosters equitable provider relationships.

Access Open Solution, an open, non-contracted reimbursement approach with NaVcare, provides an excellent alternative to standard reference-based pricing agreements. Our model provides transparent quality and outcomes data for fair, defensible and consistent reimbursement recommendations.

Access
Assured
Payment

Eliminates the risk of balance billing, member disruption and provider friction for the majority of your claims.

Access Assured Payment delivers assured payment options for an Access Open Solution, Access Navigated Network or Access Contracted Network. We blend payment, cost and charge-based data with biometrics and clinical data to ensure fair pricing, and we integrate comprehensive bill reviews to ensure accuracy.

Access
Eco
Complete

Replaces high-cost contracted network plans for long-term savings and enhanced member engagement.

Access Eco Complete is a fully integrated ecosystem to optimize the value of your Access choice and achieve total savings improvement of 20-40%. Includes supporting solutions for navigation and care management, claim management, high-dollar claim protection, pharmacy solutions and more.

Experience the Synergy

When we say the Valenz ecosystem is comprehensive, we mean it. With a complete selection of fully integrated wraparound solutions to complement the core solutions featured below, we deliver benefits far greater than the sum of all these parts individually.

Vālenz Access

Combine a quality-first provider network or open solution with a range of customized, data-driven services from the Access Solutions Suite.

Vālenz Care

Guide members to better care and outcomes at lower costs, for you and for them, with RN-led, triple URAC-accredited care management.

Vālenz Claim

Reduce costs and ensure accurate payments with comprehensive bill reviews and repricing methodologies, integrated analytics, and more.

Vālenz Assurance

Improve coding, reimbursement assurance, auditing, claim accuracy and compliance monitoring, all while saving time and costs.

v-Lens

Use advanced, drill-down analytics and predictive modeling to continuously disrupt the cost curve without compromising quality.

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