Payers

Many payers are having difficulty dealing with preventable, inappropriate treatments and rapidly escalating costs and uneven quality health care delivery. This is especially true in the oncology and cardiology specialties, which are generally among the most challenging care delivery categories for many payers. New Century Health’s quality and cost management services enable payers to partner with physicians to enhance the level of evidence-based care and achieve significant savings


Our Products

New Century Health’s suite of solutions helps clients realize their specialty care management objectives. Our products have demonstrated effectiveness in oncology and cardiology care management. They ensure the delivery of quality-based based, affordable care by

  • Offering evidence-based, cost-effective care pathways for physician selection

  • Automating prior authorization processes

  • Reducing unnecessary treatment variation

  • Reducing administrative burden

New Century Health Solutions Core Product Features Appropriate For Clients Who Want  
Care NavigatorSM
  • Online prior-authorization system

  • Evidence-based treatment pathways

  • Instant authorizations for compendia-based treatment requests

  • Physician education & support

  • Quality Performance Programs

  • Increased physician satisfaction

  • Measurable clinical quality

  • Lower treatment costs

  • Population-based or case-based administrative fee structures

 
CapAssure SM
  • All CareNavigatorSM features

  • Referrals management

  • Claims management

  • Remittance processing

  • Quality-based high performance provider network

  • Measurable clinical quality

  • Assured financial savings and predictability

  • Significant savings against current utilization experience and trend

  • Risk-based pricing

  • Innovative provider reimbursement models

  • Reduced investment in specialty care administrative costs

 

Program Implementation

New Century Health’s standardized implementation methodology enables us to consistently and rapidly deploy our programs for a client’s Medicare, Medicaid, commercial or ASO members. Throughout the distinct phases of our approach, we have predefined work plans, processes, and solution templates to support all of the functional areas involved in the implementation. This process enables us to configure the program to client requirements and consistently deliver exceptional results:

  • Minimizing the impact on required client resources

  • Mitigating any potential provider disruption

  • Maintaining continuity of care

  • Ensuring successful implementation