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 currently represent approximately $90 billion and $290 billion, respectively, in total healthcare costs.

New Century Health’s focus on quality driven specialty care management enables payers to improve the level of evidence-based care and achieve quantifiable savings of more than 15%. We leverage technology to integrate evidence-based medicine at the point-of-care with advanced medical, pharmacy, and claims management techniques.


Our Products

New Century Health’s suite of solutions helps clients realize their specialty care management objectives. Our products have a proven track record in effective oncology and cardiology care management. They accelerate the delivery of evidence-based, cost effective care by:

  • Defining effective care pathways

  • Automating prior authorization processes

  • Reducing administrative burden

  • Reducing treatment variation

  • Increasing the utilization of evidenced based therapies

New Century Health Solutions Core Product Features Appropriate For Clients Who Want Typical Client Cost Savings
Care NavigatorSM
  • CareProSM platform

  • Evidence-based treatment pathways

  • Instant authorizations for evidence-based treatment requests

  • Physician outreach & collaboration

  • Quality Improvement Programs

  • Population-based fee structure

  • Patient or case-based fee structure

8% to 15%
Care Navigator PlusSM
  • CareProSM platform

  • Evidence-based treatment pathways

  • Instant authorizations for evidence-based treatment requests

  • Physician outreach & collaboration

  • Quality Improvement Programs

  • Referrals management

  • Claims management

  • Remittance processing

  • Capitated fee structure

  • Significant savings against current utilization experience and trend

More than 15%
Care Navigator Private LabelSM
  • A program that is seamlessly integrated within your current operations

  • CareProSM platform

  • Evidence-based treatment pathways

  • Physician outreach & collaboration

  • Instant authorizations for evidence based treatment requests

  • Products configured to meet client-specific requirements

8% to 15%

Program Implementation

New Century Health’s standardized implementation approach can have a Care NavigatorSM solution up and running for a client in as little as 90 days. We have leveraged over a decade of client implementation experience to develop an implementation methodology that enables us to consistently and rapidly deploy our programs. Throughout the distinct phases of our implementation methodology, we have predefined work plans, processes, and solution templates to support a wide range of the activities that must be completed by all of the functional areas involved in the implementation. This approach enables us to configure the program to your needs and consistently deliver exceptional results for our clients:

  • Minimizing the impact on required client resources

  • Mitigating any potential provider disruption

  • Maintaining continuity of care

  • Ensuring successful implementation