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New Century Health Parent Company Acquires Specialty Benefit Management Organization NIA

Lower Costs with Appropriate Sleep Apnea Testing and Treatment

More than 80% of the approximately 25 million Americans affected by obstructive sleep apnea (OSA) are undiagnosed. When left untreated, OSA increases the risk for serious health complications, including hypertension, stroke, heart disease, diabetes and other comorbidities, which account for approximately $30 billion in increased health care utilization and medication costs. With NIA’s sleep health solution, providers can connect members to the right test to cost-effectively diagnose and treat obstructive sleep apnea.

Expert-informed Clinical Guidelines

Currently, more than 70% of sleep tests are conducted in sleep facilities, which can be expensive and inconvenient for patients. Our Sleep Health Solution, designed with sophisticated clinical intake algorithms, guides providers in selecting the most appropriate sleep test for each patient and recommends the more convenient and cost-effective at-home tests when clinically indicated.

  • Minimize repeat testing
  • Reduce clinical variation
  • Simplify the testing process for patients

Automatic Approvals

Requests that meet medical necessity criteria are automatically approved, enabling providers and patients to more quickly access appropriate testing and treatment. When cases require review, our expert staff step in to ensure medical necessity and clinical appropriateness.

  • Streamline intake and approval
  • Receive guidance from our specially trained staff of pulmonologists, otolaryngologists, neurologists and psychiatrists when needed
  • Get patients on the path to testing and treatment quickly

Actionable Insights

Once diagnosed, fewer than half of patients adhere to their prescribed sleep therapy. With our robust analytics, plans can easily monitor utilization and understand trends and related costs.

  • Understand treatment efficacy through comprehensive data
  • Manage costs and reduce waste
  • Help patients overcome utilization issues and increase adherence

We can help you lower OSA costs and reduce waste by ensuring appropriate testing for the right patients and the right time. Contact us to learn more.