About

Versant Health is the nation’s largest managed vision care company with more than 20 years of experience working in government.

Dedicated to whole-person health, we collect, analyze and share data along the continuum of care to help our health plans identify and drive best practices for optimal outcomes and cost of care savings.

Trusted Managed Vision Care Solutions for Government Plans

As a Versant Health customer, your health plan will benefit from our expertise in meeting Medicaid and Medicare requirements—ensuring delivering high-quality services to your members and helping to reduce cost of care spend. With two decades of experience working with health plans that serve government-sponsored programs such as D-SNP, Medicaid, Medicare Advantage, and CHIP, you can trust that we have the resources to meet the ever-changing regulatory and compliance requirements.

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Medicare members
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Medicaid members
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Dual-eligible members
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members nationwide
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member satisfaction

Source: Internal Reporting (November 2021)

Solutions

Our success model is based on helping health plans reach their goals, not as a vendor but as a strategic partner. We distinguish ourselves from other health plans by providing tremendous savings, the ability to offer product exclusivity, and years of experience and expertise in the managed vision care industry. In alignment with your financial goals, we are confident we can provide savings through managed care administration while offering a robust vision benefit offering that your members will find attractive.

Our core services deliver exceptional, individualized care while managing costs across the continuum.

  • Routine vision care plans. Provide vision exams and corrective eyewear while promoting early detection and treatment of chronic conditions.
  • Member-centric care delivery options. Remove access to care barriers and support your quality benchmarks, including in-home exams, health education and coaching.
  • Clinical outreach programs. Engage at-risk populations through programs that will help achieve HEDIS/STAR goals.
  • Utilization management. Ensure your members get the proper care in the right place at the right time. Ensuring vision services meet strict criteria prevents fraud and abuse and protects the well-being of the member receiving care.
  • Medical claims review. See cost savings by eliminating reimbursement for unnecessary and duplicative procedures. Our Fraud, Waste and Abuse (FWA) Program rigorously applies pre-payment and post-payment measures.
  • Consultative vision benefit design. We will work together to design a tailored plan offering to add value and meet your target markets and membership needs.
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Differentiators

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Dedicated client management growth team focused 100% on health plans

  • Versant Health’s unique industry-leading client success model offers our partners more resources, assets and a team of dedicated and experienced professionals exclusively focused on health plans’ government businesses.
  • Success model built to fuel partnership growth and increased market penetration by employing a collaborative sales strategy approach and time-tested best practices.
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Products and Innovation

  • An industry leader in offering the lowest member out-of-pocket cost, historically saving members 20-25% more than our competitors.
  • Continuously invest in innovation and explore emerging vision care technologies and services that help improve access and outcomes for patients.
  • We are not owned by manufacturers, optical labs, retail chains or private retail, allowing distraction-free exploration of new offerings to increase provider and member value.

Whole-health approach through vision care and comprehensive eye care

  • Demonstrated ability to manage full spectrum eye and vision care in various risk models showing cost of care savings and improved care outcomes for our health plan partners.
  • Mature and robust, fully NCQA and CMS compliant Utilization Management Program.
  • An established and robust medical management foundation that permeates our service delivery and program design – ensuring the best outcomes, continuity of care, and support for quality measures, HEDIS scores, and HCC RAF.
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Member-focused provider network

  • One of the industry’s largest and diverse vision networks with more than 118,000 provider access points, consisting of optometrists and ophthalmologists, private optical practices, and regional and national optical retail chains.
  • We offer members in-network solutions that include seamless integration with vision benefits.
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Claims and clinical data

  • Delivers data and analytics supporting whole-person health, captured during routine vision care exams, for early identification of chronic conditions and development of treatment programs.
  • Shared encounter files that include line-level procedures and diagnoses support a wide range of API’s for claim data submission, eligibility status, member benefits, and more.
  • Member engagement and clinical outreach programs for members with diabetes or other chronic conditions to help mitigate medical claims costs.
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Ongoing commitment to operational excellence

  • Recent transformation of oversight for operations and service levels.
  • Continual investment in the latest technologies to support operations and long-term partnerships by creating efficiencies and enhancing client and member experience.

Resources

Infographic: SEE the Versant Health Difference

From over two decades of experience to supporting the largest number of government-sponsored members in the country, SEE the Versant Health difference with this infographic.

Flyer: Diabetic Outreach

The Versant Health Diabetes Outreach program offers a focused engagement strategy to motivate your diabetic members to see their optometrist for their annual eye exam. Learn more in this flyer.

Versant Health Executive Summary

Learn more about Versant Health’s extensive expertise in the government health plans space by taking a look at the executive summary.

Government / Health Plan Blogs

View a library of blog articles specifically related to government and health plans.

White Paper: The Prevalence of Falls among Older Adults

Each year about $50 billion is spent on non-fatal fall injuries and $754 million is spent on fatal falls. The financial toll is expected to increase as the population ages.

White Paper: The Health and Financial Cost of Diabetic Retinopathy

Read about the true financial impact of diabetic retinopathy and explore how you can stay proactive in combating this disease.

Video: Make Vision a Priority

By making vision a cornerstone of member health plans, you can support healthy bodies and minds — as well as productive, active lifestyles. Don’t let vision be an afterthought when it comes to health care. Make sight a priority instead.

Have Any Questions? Let Us Know.​

We know your needs are unique, which is why we’re looking forward to lending you our expertise. Let us lighten your administrative burden and help you deliver outstanding vision care offerings at the same time.

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