M&A: Vālenz Acquires Health Cost Control

What You Should Know:

– Vālenz has acquired Health Cost Control Inc., a national provider of medical cost containment solutions with more than 25 years’ experience. Financial details of the acquisition were not disclosed.

– With specialization in claim and cost review services for high-dollar claims, including dialysisair ambulance and behavioral health billing, Health Cost Control offers custom-designed programs for health plans, third-party administrators, insurance companies and employers.

Health Cost Background

Health Cost Control registered nurses conduct thorough claim reviews for duplication, unbundling, data entry errors and other discrepancies that often go unnoticed and result in higher costs for employer groups. With deep experience covering most clinical settings and understanding related operational costs, Health Cost Control also has expertise in repricing claims to usual, customary and reasonable levels, often garnering 70%+ savings off billed charges.

The acquisition marks the fourth company acquired by Valenz since May 2022, Health Cost Control ensures provider adherence to the national guidelines that govern inpatient and outpatient billing, identifying significant savings from inaccurate billing and incomplete documentation.