Value-Driven Health Plan™ (VDHP) Services
Take control of rising healthcare costs with a reference-based pricing model that aligns transparency, cost savings, and value.
What is Value-Driven Health Plan (VDHP) Services?
Claritev’s Value-Driven Health Plan (VDHP) services combine the PHCS Network with transparent reference-based pricing (RBP) for facility claims to help drive differentiated value to employers and their members.
Claims Savings
Acceptance
Proprietary PHCS Network for
Value-Driven Health Plan Services:
VDHP services provide access to our proprietary and national NCQA-accredited PHCS network to create a more sustainable model of care.
- Members gain confidence with national access to a curated network of quality providers.
- Employers gain control with pricing transparency.
- Providers engage more efficiently through clear communication and reduced administrative friction.
Value-Driven Health Plan Services Are Built For:
Self-Insured Employers
Brokers
Third-Party Administrators
Benefits of Value-Driven Health Plan Services Include:
- Lowers plan costs
- Transparent pricing
- Reduces members’ out-of-pocket expenses
- Minimizes provider abrasion
Provider Friendly Solution
A key factor in helping employers control healthcare costs is high provider acceptance. That’s why Claritev’s Value-Driven Health Plan services engage with providers throughout the healthcare process.
With Value-Driven Health Plan services, providers enjoy:
Member steerage even without a provider contract
Transparent communication throughout the entire healthcare process
Easy to use provider portal with all relevant information
Members Feel Empowered, Informed and Protected
Members deserve more than just coverage. They deserve clarity.
Value-Driven Health Plan services enhance the member experience with:
- Access to our proprietary PHCS network
- A mobile app to compare providers by cost, quality, and likelihood of rate acceptance
- A Patient Advocacy Center (PAC) for billing questions or concerns
- Qwikpay to facilitate payment to providers at pre, post, or at the point of service, avoiding service disruptions for members
A Path to Direct-to-Employer (DTE) Success for Health Systems
Partner with a solution that simplifies contracting and strengthens your Direct-to-Employer strategy.
With Value-Driven Health Plan (VDHP) services, health systems can:
Receive payment within 7-10 days
Reduce bad debt and administrative burdens
Gain greater visibility into patient search tools
Access data-driven, transparent reimbursement
Benefit from member steerage, even without a provider contract
Drive Real Value to Your Clients
Value-Driven Health Plan Services for Brokers
Create lasting relationships with employers while driving down healthcare costs.
Ask about the 2025 Premier Broker Program, helping brokers grow their book fast and win bigger with Value-Driven Health Plan services.
Get in Touch
Contact us to explore how Value-Driven Health Plan (VDHP) services can help reduce the total cost of care while maintaining member satisfaction.
Thank you for your interest in Claritev’s VDHP services! A member of our team will contact you shortly.
