MDwise Partners with Valence Health To Support Health Plans

9/26/2016
 
Leading 400,000 Lives Health Plan Looks To Valence Health To Streamline Operations 

CHICAGO, IL – Valence Health, a leading provider of clinical integration, population health, and value-based care solutions and services, today announced that MDwise has selected the company to help administer certain aspects of the health plan. 

Jointly sponsored by Eskenazi Health and Indiana University Health, the Indianapolis-based company serves more than 400,000 members and is among the nation’s largest provider-sponsored Medicaid plans. MDwise, established in 1994, has a broad network of doctors and hospitals and was the top-rated Medicaid HMO in Indiana according to National Committee for Quality Assurance (NCQA)’s Medicaid Health Insurance Plan Ratings 2015-2016. 

“MDwise has more than 22 years of experience serving the most vulnerable residents in Indiana, ensuring that they have access to the excellent medical care in our state,” said Cesar Martinez, chief executive offer of MDwise. “Our goal is to help provide these residents with the best possible care in the most efficient way, helping keep costs down. We selected Valence Health, because they have a proven record of accomplishment assisting Medicaid plans in pursuit of this mission. We couldn’t be more pleased with our early work together so far, and look forward to working with them as partners.” 

“MDwise is among the most impressive such organizations in the country,” said Valence Health CEO R. Andrew “Andy” Eckert. “We’re thrilled to help MDwise support their members, and to welcome Cesar and the MDwise team to the Valence Health client family. MDwise is the largest client we have now, and we look forward to helping support their mission for years to come.” 

Under terms of the agreement, Valence Health will initially focus on processing medical claims for MDwise, beginning on January 1, 2017. Although financial terms of the agreement were not released, Eckert noted that the agreement was about twice the size of the company’s next largest client. 
 
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About Valence Health Valence Health provides value-based care solutions for hospitals, health systems and physicians to help them achieve clinical and financial rewards for more effectively managing patient populations. Leveraging 20 years of experience, Valence Health works with clients to design, build and manage customized value-based care models including clinically integrated networks, bundled payments, risk-based contracts, accountable care organizations and provider-sponsored health plans. Providers turn to Valence Health’s integrated set of advisory services, population health technology and managed services to make the volume-to-value transition with a single partner in a practical and flexible way. Valence Health’s more than 900 employees empower 85,000 physicians and 135 hospitals to advance the health of 20 million patients. For more information, visit www.valencehealth.com. 

 

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About MDwise

MDwise is an Indiana-licensed nonprofit health maintenance organization offering health care benefits to 300,000 Medicaid members. Since 1994 MDwise has provided access to compassionate, high-quality, coordinated health care and education to Medicaid members in communities throughout Indiana.
 
MDwise is a provider-owned health plan with a large network of doctors, specialists and hospitals located throughout the state. By meeting the basic requirements of the National Committee for Quality Assurance’s (NCQA’s) rigorous standards for consumer protection and quality improvement, MDwise was awarded NCQA’s accreditation status of Accredited for service and clinical quality. Ninety-seven percent of MDwise members surveyed would recommend MDwise to their family and friends. For more information, visit MDwise.org.


APO0268 (9/16)