Reduce Healthcare Costs and Maintain Quality Networks
Optimize Your Plan Performance with Tailored Solutions
Solving Health Plan Challenges
Strengthen Financial Outcomes and Eliminate System Inefficiencies
Amid rising healthcare costs and employer demands, today's health plans need smarter, scalable solutions to control spend, stay compliant, and deliver high-value care—something often easier said than done.
Vālenz Health® provides the support you need to deliver the smarter, better, faster healthcare your clients and their members deserve. Reduce expenses and optimize your health plan’s performance with our tailored, results-driven solutions today.
Deliver Stronger Health Plan Performance
Streamline Plan Operations for Better Results
For stronger, more efficient health plan performance, look no further than Valenz.
Through our suite of fully integrated solutions, we’ll help you optimize payment integrity, streamline claims processing, and proactively manage your risk to deliver better results for you, your clients, and their valued members.
Enhance Cost Control
Unlike traditional cost-containment solutions, we take a proactive approach to payment integrity, intervening early and often in the claim journey to make the biggest impact from day one.
Our expert review of both in-network (INN) and out-of-network (OON) claims identifies medical necessity, coding accuracy, and network alignment before the claim is paid—reducing waste, errors, and inappropriate reimbursements.
The result: Maximum savings on every claim, every time.
Elevate Member Outcomes
With our extensive provider data libraries and utilization tracking, we ensure plan members find the right care from the right providers—and at the right price—wherever they are in the healthcare journey.
It’s a win-win: Members make smarter decisions about their care options, leading to better outcomes, fewer downstream claim costs, and stronger plan retention.
Personalize Plan Offerings
Your clients aren’t one-size-fits-all, so why should your plan offerings be?
We support health plans of all sizes with tailored strategies aligned to unique plan design and population needs. Choose from various models to best serve your client demands, with the flexibility to adapt over time.
Ensure Compliance
From member engagement and pricing transparency to OON claims processing and payment, we enable full compliance with the No Surprises Act (NSA) and the Transparency in Coverage (TiC) regulations every step of the way.
Your Integrated Platform for Simplified Healthcare
Engage Early and Often with Vālenz Health® Streamlined Solutions
Don't waste your valuable time searching for fixes when a new challenge arises. At Valenz, we anticipate the challenges you’ll face and have the right solutions to solve them.
Proven Performance, Powerful Stories
Health Plan Management Group
"Thanks to the robust front-end care navigation solution, Valenz unlocked the true value of [our client's] new plan—members are now guided to high-quality, in-network providers."
Health Plan Member
“Love it! With our new plan, not only are my out-of-pocket costs lower, but filling my specialty drug prescriptions is so much easier."
Valenz Maternity Case Manager
“The new mom appreciated the support and was grateful to have prevented unnecessary out-of-pocket costs for the NICU. Her employer was grateful for the cost-savings, too—and for our help in making it possible for their employee and her baby to live strong, vigorous, and healthy lives.”
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Your Journey Starts Here
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