Ventegra is a new class of trade offering an innovative model for cost-efficient medical benefit services. We strive to maximize the benefits for payors, providers, and patients. Our understanding encompasses the unique needs and concerns of employers, managed care organizations (MCOs), providers (both pharmacy and medical), trade organizations, and pharmaceutical vendors. At Ventegra, our dedicated team of professionals brings together decades of combined skills and experience to help our clients improve efficiencies, lower costs, and improve the overall quality of care.
Our Clients
Achieve balance of clinical and cost considerations.
Ventegra's Clinical Programs (VCP) focus on our clients' individual needs. We engage our clients, provide them with solid and reliable clinical information, and assist them to make educated clinical and business decisions that work best for them and those they serve.
Clinical Advisory Committee centered as the cornerstone of our clinical programs.
Evidence-based clinical programs.
Partnerships with respected academic institutions that maintain high quality clinical advice.
Ventegra helps clients develop effective strategies to shift utilization patterns and realize marked decreases in PMPM costs through effective utilization management programs (e.g. step edits, quantity limits, etc.) as well as other benefit design choices.
Our Manifesto's emphasis on fostering respectful, collaborative relationships with our clients guides our clinical decisions. We believe that transparent communication around clinical efficacy, safety, and pharmacoeconomics is a driving factor in ensuring that clients achieve best-in-class patient outcomes and cost savings.
Mariana Ritchie, MPH
Vice President, Industry Relations
Our Clients
Benefit from our transparent and collaborative approach.
We are a stable company of healthcare professionals that truly understands the business of managed care, pharmacy, and medications. Ventegra conducts all business operations with the highest degree of integrity.
Ventegra is a Public Benefit Corporation committed to channeling innovative, impactful healthcare solutions to improve the quality of care in the communities we serve. The principles below guide our integrity that aligns financial incentives as we strive for excellence- to our team, our clients, and our partners.
We value our relationships and show respect, always.
We actively participate; our thoughts and actions make a difference.
We are dedicated to uplifting diversity in ideas, perspectives, partners, and employees.
We are proactive, not reactive.
We do what is right and are always mindful of the whole.
We are accountable, responsive, and engaged.
Our work begins and ends with TRUTH and INTEGRITY. It is our name. It is our core. It is how we do business.
Our Clients
Gain flexibility and control with customized solutions.
We also know one-size does not fit all. Our revolutionary healthcare model enables our clients to manage their own pharmacy benefit program by eliminating hidden costs, and offering an a la carte menu of services and programs from which to choose. We listen and respond to your business, creating comprehensive and innovative solutions that are customized to work for you and those you serve. Learn more about our innovative, cost-saving solutions designed for:
Our drug list and formularies are designed to provide our clients with a choice of pharmacy products that meet all of the essential clinical conditions while addressing economic needs, and providing quality of care, affordability and choice.
Ventegra was founded to create balance between profitability and affordable patient care in an industry burdened by misplaced priorities. Our team applies our core values of integrity and transparency to create new healthcare delivery channels that are more consolidated and efficient. We channel our resources to positively impact the lives of others and create value for society as a whole.
Policies
HIPAA Compliance Policy
Ventegra has adopted a General HIPAA Compliance Policy in order to comply with the Health Insurance Portability and Accountability Act (“HIPAA”), as amended by the Health Information Technology for Economic and Clinical Health (“HITECH”) Act of 2009 (Title XIII of division A and Title IV of division B of the American Recovery and Reinvestment Act “ARRA”) and the HIPAA Omnibus Final Rule (Effective Date: March 26, 2013). We acknowledge that full compliance with the HIPAA Final Rule is required by or before September 23, 2013.
Ventegra hereby acknowledges our duty and responsibility to protect the privacy and security of Individually Identifiable Health Information (“IIHI”) generally, and Protected Health Information (“PHI”) as defined in the HIPAA Regulations, under the regulations implementing HIPAA, other federal and state laws protecting the confidentiality of personal information, and under principles of general and professional ethics. We also acknowledge our duty and responsibility to support and facilitate the timely and unimpeded flow of health information for lawful and appropriate purposes.
This policy governs general HIPAA Compliance for Ventegra. All personnel of Ventegra must comply with this policy. Demonstrated competence in the requirements of this policy is an important part of the responsibilities of every member of our workforce. Officers, employees, Business Associates, contractors, affected vendors, temporary workers, and volunteers must read, understand, and comply with this policy in full and at all times.
Privacy Notice
Effective Date: March 1, 2021
This privacy notice discloses the privacy practices for www.ventegra.com. This privacy notice applies solely to information collected by this website, except where stated otherwise. It will notify you of the following:
What information we collect;
With whom it is shared;
How it can be corrected;
How it is secured;
How policy changes will be communicated; and
How to address concerns over misuse of personal data.
Information Collection, Use, and Sharing
We are the sole owners of the information collected on this site. We only have access to/collect information that you voluntarily give us via email or other direct contact from you. We will not sell or rent this information to anyone.
We will use your information to respond to you, regarding the reason you contacted us. We will not share your information with any third party outside of our organization, other than as necessary to fulfill your request, e.g., to ship an order.
Unless you ask us not to, we may contact you via email in the future to tell you about specials, new products or services, or changes to this privacy policy.
Your Access to and Control Over Information
You may opt out of any future contacts from us at any time. You can do the following at any time by contacting us via the email address or phone number provided on our website:
See what data we have about you, if any.
Change/correct any data we have about you.
Have us delete any data we have about you.
Express any concern you have about our use of your data.
Security
We take precautions to protect your information. When you submit sensitive information via the website, your information is protected both online and offline.
Wherever we collect sensitive information (such as credit card data), that information is encrypted and transmitted to us in a secure way. You can verify this by looking for a closed lock icon at the bottom of your web browser, or looking for "https" at the beginning of the address of the web page.
While we use encryption to protect sensitive information transmitted online, we also protect your information offline. Only employees who need the information to perform a specific job (e.g., billing or customer service) are granted access to personally identifiable information. The computers/servers on which we store personally identifiable information are kept in a secure environment.
Notification of Changes
Whenever material changes are made to this privacy notice updates will be reflected here on our website.
Other Provisions as Required by Law
Numerous other provisions and/or practices may be required as a result of laws, international treaties, or industry practices. It is up to you to determine what additional practices must be followed and/or what additional disclosures are required. Please take special notice of the California Online Privacy Protection Act (CalOPPA), which is frequently amended and now includes a disclosure requirement for “Do Not Track” signals.
If you feel that we are not abiding by this privacy policy, you should contact us immediately via telephone at 858-551-8111 or info@ventegra.com.
Fraud, Waste & Abuse
Part of our efforts to improve the healthcare system, Ventegra is committed to detecting, preventing and correcting fraud, waste and abuse.
What are Fraud, Waste, and Abuse?
FRAUD is generally defined as knowingly and willfully executing, or attempting to execute, a scheme or artifice to defraud any health care benefit program or to obtain (by means of false or fraudulent pretenses representations, or promises) any of the money or property owned by, or under the custody or control of, any health care benefit program. (18 U.S.C. § 1347)
WASTE is overutilization of services or other practices that, directly or indirectly, result in unnecessary costs to the health care system, including the Medicare and Medicaid programs. It is not generally considered to be caused by criminally negligent actions, but by the misuse of resources.
ABUSE includes any action(s) that may, directly or indirectly, result in one or more of the following:
Unnecessary costs to the health care system, including the Medicare and Medicaid programs
Improper payment for services
Payment for services that fail to meet professionally recognized standards of care
Services that are medically unnecessary
Abuse involves payment for items or services when there is no legal entitlement to that payment.
How to Report Fraud, Waste, and Abuse
If you suspect fraud, waste, or abuse in the healthcare system, please report it. To report suspected fraud, waste, or abuse, you can contact Ventegra:
