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New Century Health Parent Company Acquires Specialty Benefit Management Organization NIA

Minimize Avoidable MSK Spend and Curtail Unnecessary Surgery

Although MSK represents one-sixth of all U.S. healthcare spending, many interventional procedures and surgeries do not meet medical necessity criteria. NIA’s clinically intensive MSK solution ensures appropriateness of musculoskeletal pain management and surgery procedures while promoting the use of appropriate, lower-cost settings.

Comprehensive Scope

Our MSK solution manages both surgical and non-surgical musculoskeletal care, including spine and large joints, as well as physical medicine and place of service.

  • Reduce provider burden with advanced intake algorithms
  • Manage multiple targeted interventional pain management procedures and spine and joint surgeries
  • Redirect procedures to alternate facilities when medically appropriate

Clinical Expertise

Relying on proprietary evidence-based guidelines, our highly specialized team of MSK clinical experts helps plans ensure consistent quality of musculoskeletal care.

  • Ensure quality care through in-depth specialty reviews by highly qualified surgeons and pain management physicians
  • Avoid inappropriate procedures and reduce potential morbidity
  • Minimize unnecessary treatments for patients

Detailed Analytics

We analyze outcomes to hone our product and achieve best practices and savings for clients while also providing a complete set of metrics to facilitate optimal care.

  • Analyze clinical care and quality indicators
  • Identify high-performing providers and facilities, support provider outreach, and help drive the creation of high-performance networks
  • Understand regional care variation and physician practice patterns

We can help you leverage clinical expertise to manage variations in care, minimize avoidable MSK spend, and curtail unnecessary surgery and member discomfort. Contact us to learn more.