Vālenz^® Health Contracted Network

Drive a higher standard of care and increase plan savings

High-quality, cost-effective care starts with having the right provider network for your members’ needs. Valenz Contracted Networks make quality the default choice by creating a custom network of rigorously vetted, top-performing physicians, hospitals and ancillary providers in your region. Through the power of the complete Vālenz^® Health platform, we use advanced analytics to custom build high-value PPO networks that drive smarter, better, faster healthcare.

Reduce Costs

20-40% savings improvement
compared to BUCAH plans

Improve Utilization

Up to 85%
in-network utilization

Improve Quality

10-25% improvement
in hospital quality

How We Drive Cost Savings

Leverage

We leverage patient volume to drive down hospital and physician fees through direct contracting with top performing health systems.

Performance

Our high-value networks reduce the number of readmissions and complications associated with poor hospital performance.

Credentialing

We conduct rigorous credentialing using NCQA accreditation standards that ensure your network comprises only highly qualified providers.

Additional Advantages

By consolidating healthcare into a highly efficient collective that includes only the top-performing hospitals and physicians in your region, quality improves while plan costs decrease. Specifically designed to meet the unique needs of your health plan and member population, the benefits of Valenz Contracted Networks also include:

No risk of balance billing
Access to provider directory on member portal
Full-service claim management
Network options: High performance, single case agreements and recurring discounted agreements

Get Started Today

Contact us today and we will provide a real-life view into the network savings your organization will experience with a Valenz Contracted Network. And because everything is made better through the full power of the Valenz platform, we will also recommend ways to customize your network for better outcomes and increased cost savings.

Engaging early and often for smarter, better, faster healthcare – that’s the Valenz promise. Complete the form below or call us at (800) 834-2312 to get started with Valenz today.

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Valenz Network Design Solutions Suite

Explore the full breadth and depth of customizable, cost-saving options available in our Network Design Solutions Suite:

Open Solution

Maximizes plan dollars with a non-network reimbursement strategy that fosters equitable provider relationships.

Open Solution, an open, non-contracted reimbursement approach with NaVcare, provides an excellent alternative to standard reference-based pricing agreements. Our model provides transparent quality and outcomes data for fair, defensible and consistent reimbursement recommendations.

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MEC Solution

Replaces wrap networks with Minimum Essential Coverage for assured payment and minimal risk of balance billing.

MEC Solution is an open-access network solution, complete with assured payment options that minimize member disruption and provider friction for the vast majority of claims. Includes access to high-quality providers and facilities at fair, reasonable costs for substantial savings improvement.

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Assured Payment

Eliminates the risk of balance billing, member disruption and provider friction for the majority of your claims.

Assured Payment delivers assured payment options for our Open Solution, Navigated Network or Contracted Network solutions. We blend payment, cost and charge-based data with biometrics and clinical data for fair pricing, integrating comprehensive bill reviews to ensure accuracy.

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Contracted Network

Builds a new provider network to improve access, drive a higher standard of care and increase savings.

Contracted Networks are rigorously vetted, quality-first networks of top-performing physicians, hospitals and ancillary providers. We use advanced cost, quality and outcomes analytics to custom build and continuously optimize your high-value, high-performance contracted network.

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