Vālenz® Renal Dialysis Specialty Solution:

Reduce your risk for high-cost claims

The skyrocketing expense of dialysis services has made a huge impact on health plans, payers and patients. With charges averaging $6,000 or more for each treatment, self-funded plans need a proactive approach to dialysis claim management so they can limit exposure to catastrophic costs while also protecting the patient.

The Vālenz® Renal Dialysis Specialty Solution, as part of our comprehensive Healthcare Ecosystem Optimization Platform, identifies hemodialysis claims and negotiates predictable, lower-cost monthly or annual fixed reimbursement with providers to lower plan costs, eliminate member and provider friction, and positively influence stop loss premiums.

In the absence of a provider agreement, Valenz applies Medicare or our proprietary market-based VMS® repricing to reduce charges and ensure consistency with plan designs. And, as with all our claim services, we manage any resulting appeals. Regardless of the repricing methodology employed, we work with you to ensure pricing is consistent with Medicare Secondary Payer requirements in the event that a member becomes eligible for Medicare coverage.

With 12 years of experience successfully negotiating agreements with the BUCAHs, Valenz engages early in the process to drive lower, predictable costs – typically with a net savings of 70% on billed charges.

The Valenz Renal Dialysis Specialty Solution delivers:

  • Negotiated letters of agreements/elimination of balance billing when successful
  • Low-cost, flexible fee structures for our services
  • Lower, predictable fixed monthly costs for high-utilization/high-cost members
  • Alignment between provider and member

Contact us today to learn more about minimizing high-cost dialysis claims with the Valenz Renal Dialysis Specialty Solution: (866) 762-4455.

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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