Value-Based Services

As healthcare delivery transforms to a value-based model, providers lack solutions that transform clinical and financial data into actionable insights. We partner with our clients to help them administer and manage various forms of "risk contracts", payment programs, and even provider-sponsored health plans.

Valence Solution

Valence Health routinely performs core functions on behalf of its clients, allowing them to focus on their patients. From medical management to claims processing to financial reporting, Valence creates customized services in partnership with each client. 

  • Provider relations
  • Complete member management
  • Benefit coordination
  • Member and provider call center
  • Claims processing
  • Financial accounting and reporting (internal and regulatory)
  • Care management
  • Cost and utilization analyses management
  • Provider capitation and reimbursement payments
  • Broker commission management

Results

Valence Health

  • Processed more than $10 billion in premiums
  • Paid more than $10 million claims
  • Provided analytics for more than 50 million member months

Driscoll Health Plan

  • Covers more than 100,000 patient lives

RightCare Scott & White Health Plan

  • Medicaid plan went live in less than 12 months

Alliant Health Plans

  • Now the dominant payer in their service area

“Valence Health’s strong
data and analytical skills
have been a vital
part of our long term
profitability.”

Sara Carpenter, CFO
Alliant Health Plans, Inc


Upcoming Webinars

      

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What providers should know about value-based care