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 * Ecosystem
   
   * * * HEALTHCARE ECOSYSTEM OPTIMIZATION PLATFORM
         
         A single end-to-end platform of fully integrated health plan solutions
         that simplifies the complexity of healthcare for employers, members,
         providers, and payers.
     
     * * EMPLOYERS
         
         Health plan and risk affinity solutions including stop loss
         underwriting and data-driven risk analysis and plan alignment.
       
       * MEMBERS
         
         Member and clinicial advocacy starts with navigation and manages care
         across the healthcare journey.
     
     * * PROVIDERS
         
         Credentialing and compliance solutions along with validation, integrity
         and accuracy of claim submission and reimbursement.
       
       * PAYERS
         
         Maximize health plan savings with payment integrity, network design and
         market sensitive repricing solutions.
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ANNOUNCING KISX CARD IS NOW VĀLENZ® HEALTH

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VĀLENZ® HEALTH

Leveraging data and transparency for better health plans.

See what we mean



 * VĀLENZ® HEALTH:
   
   Leveraging data and transparency for better health plans.
   
   See what we mean


VALENZ BY THE NUMBERS

Our single end-to-end platform of fully integrated health plan solutions
delivers value and simplifies the complexity of healthcare for employers,
members, providers, and payers.

20-40%


Ecosystem
Savings Improvement


8:1 ROI


Care Navigation & Management


~85%


In-Network
Utilization Rates


100%


Transparency into Ecosystem Data


ENGAGING EARLY & OFTEN ACROSS THE MEMBER JOURNEY

Valenz integrates member-centric services with data-driven insights, connecting
the dots with personalized service and guidance for high-quality care and
improved outcomes. We engage early and often with results-driven education,
support and services to avoid more serious and costly health events.

1

2

3

4

5

6

1


Member enrolls in the health plan.
Valenz delivers quality-first provider networks and reimbursement strategies
with cost-saving, risk-reducing services to replace your high-cost contracted
network plan – and you choose which network model will best serve your business
and member needs.

2


Member seeks care services.
NaVcare provides concierge-level member guidance, directing care to in-network
providers for better savings, outcomes and experiences. Also includes telehealth
integration and referrals to care management.

3


Member is diagnosed and needs treatment.
RN-led, triple URAC-accredited care management targets the right care before
services are rendered. Improve quality of care and maximize savings with
personalized Case Management, Utilization Management and Disease Management.

4


Member is prescribed Rx therapy and needs close monitoring.
Wraparound care management services optimize care with specialty pharmacy
benefit solutions, remote monitoring for chronic conditions, specialized care
management for oncology, cardiology, diabetes, maternity and more.

5


Member’s claims are submitted for payment.
Protect payment integrity for your business and out-of-pocket costs for your
members with our complete set of tools and services for systematic claim review,
expert bill review with provider sign-off, claim and network repricing, stop
loss group captives, and balance billing support.

6


Member and health plan need costs to stop rising every year.
Through the power of the ecosystem, which includes unparalleled data
transparency and analytics across the life cycle of every claim, Valenz
continuously uncovers opportunities for improved quality and utilization to
lower costs. Reduce health spending year over year compared to ever-rising BUCAH
plan costs.


MAKE YOUR BUSINESS STRONG, VIGOROUS AND HEALTHY

With Valenz, you can have a healthier member population while also achieving
plan and member cost savings… year after year. For the tools and transparency
you need to make cost-effective, quality-first decisions, let’s find your path
to smarter, better, faster healthcare today.

Show me how


CASE STUDIES & WHITE PAPERS

With a suite of fully configurable solutions integrated into one ecosystem
strategy, the Valenz Platform offers extensive visualization into cost, quality
and utilization opportunities, along with a consistent omnichannel member
experience.

See how we partnered with a collaborative of three schools representing 700+
members in deploying a a fully integrated continuum of solutions to change the
rising cost trajectory while improving the quality of care.

Read full case study

The Valenz V-Rated Solution identifies the risks affecting the plan and aligns
them with the summary plan description and cost containment solutions.
Ultimately, V-Rated leverages alignment, balance and transparency to bring back
fiduciary responsibility while allowing an appropriate stop loss rating.

See the results of a roundtable conversation among executive team members at
Valenz Health and Certus Management Group regarding stop loss as the foundation
of building a self-funded plan.

See discussion highlights

View more resources


VALENZ NEWS


UNCOVERING ERRORS AND OVERPAYMENTS FOR MULTI-STATE HEALTH PLAN

January 12, 2024
Amid the growing trend of high-cost claims and the challenges…
Read more

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432 600 Maris Panjada
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Maris Panjada2024-01-12 17:26:572024-01-24 23:22:38Uncovering Errors and
Overpayments for Multi-State Health Plan


VĀLENZ® HEALTH NAMES FREDERICK KARUTZ AS EXECUTIVE VICE PRESIDENT, STRATEGIC
SOLUTIONS

December 22, 2023
PHOENIX, Ariz. (December 22, 2023) — Vālenz® Health announces…
Read more

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432 600 kamryn cain
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kamryn cain2023-12-22 15:20:282023-12-22 15:20:28Vālenz® Health Names Frederick
Karutz as Executive Vice President, Strategic Solutions


WITHOUT AGREEMENT AND ALIGNMENT, ACQUISITIONS CAN’T SUCCEED

November 17, 2023
PHOENIX, Ariz. (Nov. 17, 2023) — Rob Gelb, Chief Executive…
Read more

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432 600 kamryn cain
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kamryn cain2023-11-17 15:48:162023-11-20 15:49:10Without Agreement and
Alignment, Acquisitions Can’t Succeed


23048 N. 15th Ave
Phoenix, AZ 85027
United States of America

Toll-Free: (866) 762-4455
Main Fax: (888) 452-6512

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