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Your source for perspectives, case studies and resources on the trends shaping oncology and cardiology benefit management

  • Controlling Total Cost of Care in Oncology: Three Areas Where Health Plans Should Focus

    Controlling Total Cost of Care in Oncology: Three Areas Where Health Plans Should Focus

    Our CMO Dr. Andrew Hertler outlines value-based payment strategies and tools to help oncologists improve care across the patient journey.

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  • Four Ways to Drive High-Value Drug Utilization in Oncology

    Four Ways to Drive High-Value Drug Utilization in Oncology

    Oncology drug spending in the U.S. is on an unsustainable trajectory. Explore four paths to curb costs without compromising care.

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  • Four Ways to Adapt to New Oncology Value-Based Models

    Four Ways to Adapt to New Oncology Value-Based Models

    Our CMO Dr. Andrew Hertler is quoted extensively in this Managed Healthcare Executive roundup of strategies for driving value in cancer care.

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  • Oncology Care First: What Providers Need to Know About CMS’ Proposed Model for Value-Based Cancer Care

    Oncology Care First: What Providers Need to Know About CMS’ Proposed Model for Value-Based Cancer Care

    Learn how CMS aims to increase risk, cash flow and predictability for practices while reducing administrative burdens, through its next model for value-based oncology care.

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  • Cancer Spending in Medicaid: From Unmanaged Problem to Untapped Opportunity

    Cancer Spending in Medicaid: From Unmanaged Problem to Untapped Opportunity

    As cancer drug prices soar and innovation continues at a dizzying pace, Medicaid plans need a new set of tools to rein in spending and ensure high quality care.

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  • Five Ways Oncology Has Become More Personalized

    Five Ways Oncology Has Become More Personalized

    How do you deliver individualized cancer care from both a scientific and human perspective? Read Managed Care Executive for our CMO Dr. Andrew Hertler's thoughts.

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  • Lower Patient Costs Doesn’t Have to Mean Lower Profits

    Lower Patient Costs Doesn’t Have to Mean Lower Profits

    As the pace of treatment innovation threatens the financial health of both patients and oncology practices, it’s time to redefine reimbursement models to care for both financial and physical outcomes.

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  • Using Big Data and Predictive Analytics to Determine Patient Risk in Oncology

    Using Big Data and Predictive Analytics to Determine Patient Risk in Oncology

    Dr. Hertler, Chief Medical Officer at New Century Health, and others describe the potential of big data and predictive analytics to improve clinical risk stratification for cancer patients.

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  • Putting the CAR-T Before the Horse? Understanding CMS’ Recent Cancer Therapy Decisions

    Putting the CAR-T Before the Horse? Understanding CMS’ Recent Cancer Therapy Decisions

    Dr. Hertler, CMO at New Century Health, shares his thoughts and perspectives on the future of CAR T-cell therapy and the recent CMS announcements.

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  • Cancer Care Costs Everyone Too Much. Here's How We Fix It.

    Cancer Care Costs Everyone Too Much. Here's How We Fix It.

    Dr. Andrew Hertler, Chief Medical Officer at New Century Health, demonstrates how clinical pathways improve patient outcomes while decreasing waste and cost.

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  • Oncology Care Model: Looking Ahead to OCM 2.0

    Oncology Care Model: Looking Ahead to OCM 2.0

    Ashley Ridlon shares her insights into ways CMS can build on the benefits and momentum of the OCM and improve the program to help providers succeed in this model.

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  • Oncology Care Model: A Day in the Life from a Nurse’s Perspective

    Oncology Care Model: A Day in the Life from a Nurse’s Perspective

    Rani Khetarpal explores what the OCM model looks like at one oncology practice in Illinois and how the program can improve to help more organizations improve care delivery and generate savings.

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  • Are You Ready for the Next Wave of Specialty Care Management?

    Are You Ready for the Next Wave of Specialty Care Management?

    Dr. Andrew Hertler, Chief Medical Officer at New Century Health, explains how value-based arrangements lower the cost of specialty care while providing higher-quality treatment for patients.

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  • Positioning Providers to Take on Risk1:37

    Positioning Providers to Take on Risk

    As the market moves toward value-based care, one physician describes how New Century Health gave his practice the confidence and support to succeed in an advanced alternative payment model.

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  • Oncology Care Model: Key Benefits, Challenges and Considerations

    Oncology Care Model: Key Benefits, Challenges and Considerations

    Ed Bassin, SVP Provider Specialty Solutions, discusses the key components, benefits, challenges and financial incentives involved in the CMS Oncology Care Model (OCM).

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  • Case Study: A Delegated-Risk Model for Driving Down Cardiovascular Care Costs and Improving Quality

    Case Study: A Delegated-Risk Model for Driving Down Cardiovascular Care Costs and Improving Quality

    New Century Health's delegated-risk model leverages a specialist network to drive down cardiovascular care costs and improve quality for a Medicare Advantage plan.

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  • Taking the Pain Out of Prior Authorization1:59

    Taking the Pain Out of Prior Authorization

    Prior authorization is a burden for most practices. Two partner physicians share how New Century Health's approval-focused approach is different from other systems to actually facilitate patient care.

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