Cardiology

Loading...

Cardiology

Tackling the Total Cost of Care

Nearly one third of adults are affected by heart disease and rely on their cardiologists for cost-effective, evidence-based cardiovascular care. Since 2002, New Century Health’s delegated-risk cardiology program has effectively supported payers in reining in costs and increasing care quality. We offer cardiologists point-of-care guidance and automatic pre-approvals that promote the use of evidence-based protocols, and value-based physician reimbursement models that align incentives to significantly reduce unnecessary diagnostics and preventable hospitalizations.

Unparalleled Experience

For nearly two decades, New Century Health has successfully managed cardiology under delegated risk models. But we’re not resting on our laurels—our team of physicians, nurses, pharmacists, data scientists and independent scientific advisory boards are constantly evaluating ways to improve the way we support cardiologists to drive better outcomes.

Comprehensive Scope

Through capitated risk agreements, New Century Health takes full clinical and financial accountability for cardiology spending so you can focus on tackling other health care challenges. Our clinical depth and comprehensive scope (including claims administration services) enable us to manage the total cost of care through evidence-based clinical delivery for 98% of all cardiovascular care services, including many sub-specialties in clinical cardiology, cardiovascular interventions, electrophysiology and surgeries.

Dynamic Clinical Decision Support

Our point-of-care tool for physician practices incorporates the latest care guidelines and appropriate use criteria into a streamlined, user-friendly workflow that enables instant treatment authorization. Cardiologists rely on our clinical quality reporting for patient level scoring and practice pattern benchmarking.

Health Plans Need a Comprehensive Strategy.

Overuse, misuse and underuse of cardiovascular services are three distinct problems, and yet traditional health plan approaches have relied on one remedy for them all—denying requested services through utilization management. Our new insight brief to explores the components of a comprehensive strategy to tackle all three of these challenges without alienating providers.

Read the Brief