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Welcome Providers |
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We specifically created Valorcare for Primary Care Providers. We have been consultants to medical and dental professionals for more than 15 years. We are very aware of the impact healthcare reform is going to have on our clients. We fear that the quality end of primary care is going to leave the industry. When this happens the consumers only remaining choice is the local emergency room(s). In our opinion this is not a choice but an outcome. Not all consumers will care about maintaining a quality relationship with their primary care providers. Those are the consumers who will flood the emergency rooms and then cry long and loud about how poorly they were treated. These are not the people you want as patients. You want the patients who care about quality and are willing to pay to have it. We have created this program to help you create a relationship with those patients seeking quality. Our program provides a budget friendly payment for the patient, consistent cash flow for the provider, and loyalty between patient and provider. All of these are key cornerstones to a successful practice. We want your practice to succeed because we care about quality and want to do what ever we can to ensure quality stays. Additionally, take a look at the financial comparison below. We think you will see that a small change in process can result in significant financial improvements for your practice. We believe in working smarter, not harder. |
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That is easy. Click on the Create New Membership link and setup an account for your practice. Then call us so we can upgrade your account to the Provider level. Once your account has been upgraded you can start adding participants immediately. Additionally we will send a packet of materials for you and your staff to further explain the Valorcare Level Payment Program and how to implement it in your practice. We also offer additional levels of support to super charge the process for your practice. Details about these options will also be in your package. |
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All monetary amounts must be entered by the provider. Participants are not allowed to enter or change the agreed monthly payment. You must discuss with and approve any changes in the amount of the monthly payment. |
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Your patients control where their money is going to come from and the day of the month that we will process their payment. Since we may be tasked to distribute their funds to multiple providers we felt it was necessary to allow participants to control what and when. If they choose to utilize payroll deduction for their payments, we coordinate with their employer(s) for the collection of the their payment(s). |
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First, the relationship is established. Either party can initiate the establishment of the relationship. If the patient is not a Valorcare participant they can be easily setup with an account while they are in your office. An e-mail is sent to both parties to confirm the creation of the relationship. Second, a monthly payment amount is agreed upon and entered into our database. We recommend past utilization be used as a means of determining an appropriate starting point. An e-mail is sent to both parties to confirm the agreed monthly payment. Third, each year the patient’s past year of utilization is evaluated and the monthly payment is adjusted either up or down depending on their usage. This keeps healthy people happy and moves the heavy users to a payment level that fits their need. If, a patient’s health situation changes dramatically you can always change the agreed monthly payment as their needs change (you do not have to wait until the end of the year to make adjustments). An e-mail is sent to both parties any time the agreed monthly payment changes. Fourth, we process the participant’s payment and send to you the resulting income. If your total participant payments is less than $10,000, we send a payment (with report) once a month on the 5th. When total participant payments is greater than $10,000 we will send two payments (with reports) each month on the 5th and 20th. |
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The government has included in the reform package several items which we believe are very strong indicators of what will happen to reimbursements for primary care providers. Please navigate to the Healthcare Reform (HC Reform) page of our web site for more specific information. First was the inclusion of $1.5 billion to try and entice more medical students to pursue primary care. Second, was the inclusion of more than $11 billion to help offset the differences between Medicaid reimbursements and Medicare reimbursements. Third, in the governments estimation there are approximately 20 million uninsured who will qualify for participation at the Medicaid level. Fourth, in 2014 when the health exchanges become functionally, health insurance companies will be competing with Medicaid/Medicare for clients. It is our estimate that in order to compete health insurance companies will lower their reimbursements much to closer to Medicare rates. When all four of these items are considered it appears to us that a primary care provider can reasonably expect the average patient mix of their practice to reflect a much higher number of Medicare level payees unless they stop accepting Medicare level patients. Regardless of which way you choose to go the net result is a significant reduction in income for your practice. Following is a spreadsheet that shows an estimate of the revenue changes we anticipate for our clients and how the Valorcare program compares. We made some crude estimates like the Medicare rate would not go down (we already know that it is), never-the-less we think the numbers tell the story. |
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