Vālenz Care

Empower members to be proactive about their health – a smarter way to manage cost and quality.

Health individual/plan member out cycling

Vālenz Care offers a suite of URAC-accredited care management services to improve access and target the most appropriate levels of care before services are rendered, resulting in dramatic savings for the plan and member. We provide your organization – and your members – with data and tools to move from reactive care to proactive health management.

By engaging early and often with personalized care management, we offer a smarter way to manage your health administrative costs and quality of care – empowering your members to work more collaboratively with their care teams to take control of their health.

Position your organization to succeed in population health initiatives by connecting the clinical dots with Valenz Care.

Utilization Management

Facilitates early identification of high-risk, high-cost cases, prevents rehospitalization and reduces costs.

Case Management

Improves quality of care while steering members to network providers and maximizing cost savings.

Disease Management

Combats chronic illness, reduces costs and helps members live healthier, more productive lives.

NaVcare

NaVcare empowers individuals to make better health decisions while controlling costs, improving outcomes and enhancing the experience. Working one-on-one with plan members, our care navigators deliver personalized, concierge-level guidance through each step of the patient journey.

Integrated virtual care

Valenz Care includes seamlessly integrated virtual care services. Your plan members have 24/7 access to board-certified physician care, minimizing your exposure to unnecessary ER visits and health risks while contributing to improved patient outcomes.

VzReturn

Valenz Care offers a comprehensive onsite solution for a safe return to work during the COVID-19 pandemic. Vālenz VzReturn helps employers meet their legal obligations while also limiting potential health risks for their employees by providing onsite testing, Personal Protective Equipment, and ongoing physical and emotional support.

v-Rx

The three core strategies of v-Rx enable clients to manage their pharmacy benefit spend year over year through long-term expense reductions, while delivering a personalized member experience with unmatched support and advocacy.

Specialty Solutions

With Valenz Care, you will have a proactive and cost-saving approach to offering the right care at the right place and the right time – every time. Our complete suite of Valenz Care services also includes:

Oncology Management

Improving outcomes and providing patients a personal edge in the fight against cancer.

Diabetes Management

Reducing complications from diabetes, yielding dramatic savings for you and the member.

Maternity Management

Promoting maternal health and prenatal care while containing the costs of high-risk pregnancies.

Wellness

Early identification, member education and referral to appropriate care management programs.

Dental PPO

National, regional and local dental PPO networks to positively impact dental plan costs.

Member Programs

Assessments and referrals for personal and family issues that may affect job performance.

URAC Accreditation

Valenz Care programs are accredited by URAC, a testament to our commitment to advancing healthcare quality in support of smarter, better, faster healthcare.

“I wanted to thank my nurse case manager for her advice and support through a very difficult time for me and my family. She provided great information and helped coordinate my care!”

– Jenn S., plan member

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.

Valenz News

Vālenz® Renews Triple URAC Accreditation

Continues legacy of excellence in clinical care combined with…

Vālenz® Promotes Nathan Nelson to Chief Revenue Officer

PHOENIX, Ariz. (December 3, 2021) — Vālenz®, the innovators…

Vālenz® Unveils Solutions to Replace Traditional Reference-Based Pricing

Innovative reimbursement strategies maximize plan dollars, improve…