FAQ

What are the next steps to become a provider affiliate of the ValueHealth Transformation Center ACE Network™?

If you are interested in becoming a provider affiliate or need more information, please contact our provider relations team via email at info@valuehealth.com or fill out the website contact form to speak with a network leader.

What technology drives the patient steerage program?

ValueHealth Transformation Center has technology that supports the patient steerage program with a scheduling and coordination application and a dedicated call center.

Why has ValueHealth Transformation Center created Ambulatory Centers of Excellence™?

ValueHealth Transformation Center knows that shifting care from hospitals to ambulatory settings drives down the total cost of care. ValueHealth Transformation Center aligns physicians, facilities and payors to bring cost-effective, high-quality care to patients. And ValueHealth Transformation Center provides information and incentives to patients to facilitate and drive choice to suitable sites of service.

What is an ACE Network?

In certain markets, ValueHealth Transformation Center establishes ACE Networks. These are partnering arrangements between qualified select surgical facilities and ValueHealth Transformation Center. Each Ambulatory Center of Excellence (ACE) is a credentialed surgery center participating in ValueHealth Transformation Center programs and committed to delivering high-quality, cost-effective care to patients.

In what locations does ValueHealth Transformation Center develop ACE Networks?

ACE Networks are developed within specific markets in response to payor and/or self-funded employer needs to reduce significantly the cost of care. As ValueHealth Transformation Center partners with payors and employers, ACE Networks will be launched in select markets.

What are the benefits to a physician or facility for participating in an ACE Network?

An ACE Network offers the opportunity for providers to:

  • Receive financial quality incentives achieved through performing surgeries in the appropriate high-quality settings.
  • Improve patient compliance with undergoing necessary elective procedures.
  • Increase case volumes as patients are motivated to use network physicians and facilities.
  • Have patients enjoy lower out-of-pockets costs for surgery.

With whom will an ACE Network contract?

An ACE Network will contract with commercial payors or employers for the principal purpose of shifting high-cost surgeries to clinically appropriate, high-quality value sites of service. This is a contract between ValueHealth Transformation Center and the payor or employer to administer the value programs.

Will Becoming an ACE Network Affiliate affect existing payor contracts?

No. Your existing agreements with payors are between your facility and each third-party payor. Neither ValueHealth Transformation Center nor the ACE Network is party to those existing agreements. The additional cases generated for your practice or facility by ValueHealth Transformation Center will have coverage consistent with the payor agreements you have in place.

How long will my agreement be in effect with ValueHealth Transformation Center?

Providers joining the network sign a base participation agreement which also references each contracted payor in the local market. The term of each payor addendum is negotiated between ValueHealth Transformation Center and that payor. Since this is a messenger model, you have the option to accept or decline each addendum.

How will ValueHealth Transformation Center help us increase case volumes?

ValueHealth Transformation Center will inform and educate consumers about SurgerySavings™, a consumer-facing program that aligns consumers and providers to appropriate sites of service and reduces patient out-of-pocket costs. A qualified discount program, SurgerySavings is the glue that brings patients together with physicians, surgical facilities and health plan sponsors to lower the cost of surgery.

What is an ACE Network™?

In certain markets, ValueHealth Transformation Center establishes ACE Networks. These are partnering arrangements between qualified select surgical facilities and ValueHealth Transformation Center. Each Ambulatory Center of Excellence (ACE)™ is a credentialed surgery center participating in ValueHealth Transformation Center programs and committed to delivering high-quality, cost-effective care to patients.

Why has ValueHealth Transformation Center created Ambulatory Centers of Excellence?

ValueHealth Transformation Center knows that shifting care from hospitals to ambulatory settings drives down the total cost of care. ValueHealth Transformation Center aligns physicians, facilities and payors to bring cost-effective high-quality care to patients. And ValueHealth Transformation Center provides information and incentives to patients to facilitate and drive choice to suitable sites of service.

In what locations does ValueHealth Transformation Center develop ACE Networks?

ACE Networks are developed within specific markets in response to payor and/or self-funded employer needs to reduce significantly the cost of care. As ValueHealth Transformation Center partners with payors and employers, ACE Networks will be launched in select markets. ACE Networks are customized to meet the needs of each plan sponsor; insuring contracted procedures are shifted appropriately. Payors and employers determine their pain points and ValueHealth Transformation Center delivers solutions.

What are the benefits for payors or self-funded employers to work with ValueHealth Transformation Center?

ValueHealth Transformation Center’s parent company, ValueHealth, has more than 20 years experience partnering with independent physicians and ambulatory surgery centers. That experience uniquely positions ValueHealth to work with providers and ambulatory surgery centers (ASC) leaders to deliver programs that decrease cost and improve outcomes within a payor’s network. An ACE Network™ offers the opportunity for payors to realize:

  • Reduced total claims costs for necessary elective surgeries
  • Higher quality outcomes
  • Care provided in appropriate sites of service
  • Higher member satisfaction

How will ValueHealth Transformation Center drive care to the appropriate sites of service?

ValueHealth Transformation Center will inform and educate consumers about SurgerySavings™, a consumer-facing program that aligns consumers and providers to appropriate sites of service and reduces patient out-of-pocket costs. A qualified discount program, SurgerySavings is the glue that brings patients together with physicians, surgical facilities and health plan sponsors to lower the cost of surgery.

What technology drives SurgerySavings™?

ValueHealth Transformation Center has technology that supports the patient steerage program with a scheduling and coordination application and a dedicated call center.

What are the next steps for a payor or employer that want to consider the benefits of an ACE Network?

If you are interested in ACE Networks or would like more information, please contact our payor relations team via email at info@valuehealth.com or fill out the website contact form to speak with a network leader.