Some re-introductions are in order! Today, we’re thrilled to officially announce our rebrand from Voluware to Valer®, taking the name of our industry-leading #PriorAuthorizations and #ReferralManagement solution. This evolution accompanies a new era of company growth, product innovation, partnership expansion, enhanced client service, and more. While there’s a good bit of change ahead, Valer will continue to be the gold standard for automating complex manual prior auth workflows. We’re really excited about this next chapter for our clients, partners, and team. Learn more in our latest press release (and take a look around the new website!): https://hubs.la/Q02gBCZk0
Valer
Software Development
Huntington Beach, California 1,240 followers
One Platform, Built Around You™.
About us
Our technology speeds and simplifies prior authorization and referral management by automating submissions, status checking, verification, reporting, and EHR synchronization across all your healthcare settings, specialties, and payers from one platform and portal. Let us streamline your prior authorization workflow and join our roster of clients who have seen significant results for their organization: * 45% less staff time for submissions * 11% more staff productivity * 13 days extended from 5 days in authorized days out * 80% reduction in manual authorization processing time Learn more or request a demo today at valer.health.
- Website
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https://valer.health/
External link for Valer
- Industry
- Software Development
- Company size
- 11-50 employees
- Headquarters
- Huntington Beach, California
- Type
- Privately Held
- Founded
- 2011
- Specialties
- Hospital & Health Services, Healthcare Information Technology, Healthcare Administrative Transaction Automation, Healthcare Revenue Cycle, Healthcare Innovation, and Prior Authorization Automation
Locations
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Primary
5912 Bolsa Ave
Huntington Beach, California 92649, US
Employees at Valer
Updates
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A recent American Medical Association Update explored the findings of the organization’s 2023 Prior Authorization Physician Survey. AMA President Dr. Bruce Scott shared his firsthand experiences and the survey's key takeaways, highlighting the urgent need for reform. Major Findings: • Patient Care Delays: 94% of physicians report that prior authorization delays necessary patient care. • Adverse Effects: Nearly 25% of physicians indicate that prior authorization has led to serious adverse effects for patients. • Non-Evidence-Based Delays: Over a third of physicians state that prior authorization is rarely or never evidence-based. Progress and Advocacy: • Legislative Wins: The AMA has achieved legislative victories in Vermont, Colorado, and Illinois. • Federal Advances: CMS has mandated electronic prior authorization for Medicare Advantage plans, potentially saving $15 billion over ten years. • Ongoing Efforts: The AMA continues to push for comprehensive reforms to reduce the volume of prior authorizations, enhance transparency, and improve patient access to care. For the full piece, follow this link: https://hubs.la/Q02Hhn120
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We’re just ONE week away from our next webinar hosted by Patient Access Collaborative, featuring an engaging conversation between patient access and RCM professionals on the benefits of optimizing the prior authorization process and how this can impact patient access to care. Attendees will hear from Kevin Jennings at Children’s Healthcare of Atlanta and Ryanne Laurence at Oregon Health & Science University. Register today: https://hubs.la/Q02HhtCJ0
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AI significantly impacts the health insurance market, especially by automating #PriorAuth processes. Insurance companies use AI to streamline processes and eliminate administrative overhead – which is encouraging – but concerns remain about the accuracy of the AI models. Automating the PA process for both payers and providers leads to more efficient operations and better patient care. However, the conversation about AI safeguards and next steps continues to evolve. To learn more, follow this link: https://hubs.la/Q02HgNvD0
AI And Health Insurance Prior Authorization: Regulators Need To Step Up Oversight | Health Affairs Forefront
healthaffairs.org
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Prior authorization regulations and policies are moving the industry in the right direction. However, there’s still room for improvement, and there are distinct areas where regulations don’t go far enough to create a lasting impact. Our CEO, Steve S. Kim, MD, MBA, MSCE, authored a piece for Fierce Healthcare diving into the current landscape of #PriorAuth regulations. Read today to learn more about: • State and federal legislative movement • How these regulations will be applied across the industry • Potential impacts on administrative teams and patient access • What’s missing from the legislation and what’s next https://hubs.la/Q02GZjPh0
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Prior authorizations can often hinder patient access, with complex payer requirements and burdensome workflows draining staff resources and causing frustration for patients. Join us for an insightful webinar where industry leaders share strategies to tackle these challenges. Speaker Highlights: • Kevin Jennings, CPAR, CHAA, Director of Patient Access at Children's Healthcare of Atlanta and leader of the Patient Access Collaborative's Prior Authorization Cohort, will discuss tactics health systems use to streamline the prior auth process and improve patient scheduling. • Ryanne Laurence from Oregon Health & Science University will share how they implemented technology and improved processes to expedite and simplify prior authorization management. • Elizabeth Woodcock from Patient Access Collaborative will moderate the session. Don't miss the opportunity to learn how to reduce barriers and enhance patient access by optimizing prior authorization processes. Register today: https://hubs.la/Q02GCTY20
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Last week, the U.S. Department of Health and Human Services (HHS) released a proposed rule aimed at improving health information sharing and interoperability, including criteria to support the Centers for Medicare & Medicaid Services' January 2024 Interoperability and Prior Authorization final rule. The HTI-2 rule sets new certification criteria for health IT, boosting public health response and advancing value-based care. This is a step forward in making prior auths more efficient and patient centered. Learn more here: https://hubs.la/Q02GCYD10
HHS releases proposed rule designed to improve patient engagement, information sharing, interoperability | AHA News
aha.org
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The U.S. Department of Health and Human Services (HHS) recently announced it will investigate Medicare Advantage Organizations' #PriorAuth denials for post-acute care following a hospital stay. The investigation will examine MAOs' processes for reviewing prior authorization requests for long-term acute care hospitals, inpatient rehabilitation facilities, and skilled nursing facilities. It will also assess how often these requests are denied and where patients are discharged after hospitalization. Findings are expected in 2026.
HHS announces investigation of MA prior authorization use for post-acute care: https://ow.ly/1EKW50SuZQI #AHAToday
HHS announces investigation of MA prior authorization use for post-acute care | AHA News
aha.org
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A proposal aimed at streamlining prior authorization through CPT codes was recently withdrawn after the American Medical Association revealed that prior authorization is already specified in the long descriptions of certain CPT codes—information rarely accessed by physicians. A Fierce Healthcare piece by Noah Tong emphasizes the need for better access to and understanding of these descriptions to ensure proper billing and reimbursement. The AMA is working to publish new resources on its website to help physicians better understand the codes and provide answers to coding and billing questions. https://hubs.la/Q02FHnPk0
House Republicans calling for investigation into improper ACA enrollment
fiercehealthcare.com
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You’re not going to want to miss our next webinar, focused on the tactics that health systems are using to streamline the #PriorAuth process. The session will be moderated by Elizabeth Woodcock at Patient Access Collaborative and feature an engaging conversation between Ryanne Laurence from OHSU and Kevin Jennings from CHOA. Register now to reserve your spot: https://hubs.la/Q02FHnyq0
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