Delivering results by driving members to high-quality, in-network care
Valenz Access Navigated Networks are high-value contracted networks with NaVcare care navigation included as an extra layer for improved in-network utilization. To enhance network savings and performance, Valenz Access Navigated Networks bring personalized guidance into the patient journey, empowering individuals to make better health decisions while controlling costs, improving outcomes and enhancing the member experience.
Providing a Central Hub for Care Coordination
As the ideal complement to any network design, particularly the high-value networks of Vālenz Access, NaVcare provides high-touch member onboarding that immediately drives in-network engagement and elevates the member experience.
Our care navigators are coverage and benefits experts with detailed knowledge of the health plan and network. Through effective education, collaboration and communication, NaVcare combines with network solutions and care management excellence to improve utilization, member satisfaction and health outcomes.
Advantages of NaVcare’s concierge-level services
- Guides members to high-quality, in-network care
- Coordinates with care providers, including where available
- Facilitates appointments and transportation as needed
- Aligns cost-effective pharmacy solutions with member needs
- Explains plan benefits and out-of-pocket costs
- Assists members with claim denials and appeals
- Connects members to helpful health resources, including a member portal with provider quality and cost data
- Ensures two-way communication with members, families, providers, administrators, benefit consultants and payers
- Includes integrated, full-service claim management with your Access Navigated Network
Integrating Data and Service for Meaningful Results
Like all Valenz solutions, NaVcare is fueled by data. Based on multi-source ecosystem intelligence, we tailor our NaVcare program for each employer and member, proactively identifying individuals who may need personalized guidance to prevent more serious, costly illnesses.
By gathering and analyzing data within the Valenz® ecosystem we deliver real-time insights and data-driven services that pinpoint the 5-15% of claims driving up to 70% of the employer’s health spend.