While the factors contributing to rising health plan costs are nuanced, key drivers are inflation, increased popularity of #GLP1 drugs, and enhanced benefits to cover developing member needs. Explore five strategies #selffunded employers can implement to combat these cost increases while maintaining attractive benefit offerings: https://hubs.li/Q03143wB0
Vālenz® Health
Insurance
Radnor, PA 8,509 followers
Smarter, better, faster healthcare
About us
Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. For more information, visit valenzhealth.com.
- Website
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https://www.valenzhealth.com
External link for Vālenz® Health
- Industry
- Insurance
- Company size
- 501-1,000 employees
- Headquarters
- Radnor, PA
- Type
- Privately Held
- Founded
- 2004
- Specialties
- Bill Review, Out-of-Network Repricing, Primary PPO and Alternative Repricing Administration, EDI and Clearinghouse Solutions, Medical Management, Data Warehousing, Data Analytics and Plan Modeling, Bill Edits, Credentialing, Risk Management, Health Plan Replacement, Medical Networks, Care Management & Navigation, Utilization Review, Disease Management, Data Transparency, Market-Sensitive Repricing, Payment Integrity, Compliance Management, Healthcare Ecosystem, and Stop Loss
Locations
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Primary
Get directions
Radnor, PA, US
Employees at Vālenz® Health
Updates
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With 2025 upon us, employers expect a third consecutive year with employee benefit cost increases of more than 5%. These year-over-year increases require #selfinsured employers to implement solutions that help mitigate financial burdens while ensuring members have the resources they need to receive high-value #healthcare. Learn more: https://hubs.li/Q030PdxF0
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As #healthcare costs continue to climb, #selfinsured employers face complex challenges in 2025. Learn how employers can address these challenges with strategies and partners that help control costs, while maintaining comprehensive benefit offerings: https://hubs.li/Q030NWtZ0
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We’re #hiring a Case Management Nurse in our Mechanicsburg, PA, location. Join one of America’s fastest growing private companies, where you’ll liaise between patients and provider facilities to ensure timely appointment scheduling and procedure execution. Learn more and apply: https://hubs.li/Q030zV080 #casemanagement #RNcareers #RNjobs
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Traditional reference-based pricing (#RBP) solutions often use a percentage-of-Medicare approach as the sole repricing data source, causing unnecessary noise and disruption for plans, providers, and members. Learn how the Valenz Market-Sensitive (VMS®) repricing methodology leverages a wide range of data sets for every claim to determine fair and reasonable reimbursement, reducing friction for all stakeholders: https://hubs.li/Q0301MH20
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Each year, children and relatives of Vālenz® Health employees showcase their creativity by contributing to the design of our holiday cards. As this festive season begins, we’re pleased to share a selection of imaginative, hand-drawn designs from these young artists. Here’s to many more well-remembered holiday traditions!
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Engaging early and often through pre-negotiation, the Vālenz® Health team recently collaborated across stakeholders to facilitate significant savings for a #healthplan and rapid medical care for a member. Learn how Valenz negotiated a 70% cost reduction, resulting in expeditious patient care—true to our mission of optimizing the utilization of high-value #healthcare to protect the patient and the employer: https://hubs.li/Q02_Drh20
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#TPAs can ensure NSA and TiC compliance for self-insured employers by working with a partner to enhance transparency, engage members, manage out-of-network claim processes and payments, and minimize independent dispute resolutions (#IDR). Read more about the benefits of a partner with access to comprehensive cost and quality data, as well as the ability to expertly navigate all aspects of claim services: https://hubs.li/Q02_ftSj0