Overview

Whether you run a managed care organization, a physician group, a health insurance unit, or a corporate healthplan, NIA's Radiology Benefits Management (RBM) solutions are clearly the best choice for payors.

The key to our leadership position in the marketplace is first to provide the highest-quality experts and system development experience in the industry, then to tailor a "best-fit" system for your organization to meet your goals.

The Result: NIA Radiology Benefits Management Systems Work

Our RBM systems provide proven cost reductions and quality improvements with the smoothest implementation and on-going system administration in the industry.

• NIA health plan clients can expect to save 20% to 30% on costs for advanced imaging diagnostics in the first year.
  
  
• Case studies and utilization data show that consulting with doctors to help them choose and implement appropriate imaging modalities at the time of ordering can reduce expenditures, while increasing the contribution of imaging diagnostics to patient healthcare outcomes. Click here for proof of NIA program results.

Here is why NIA is the leader in achieving those results.

• Programs Tailored to Meet Individual Client Needs. NIA takes a consultative partnering approach to understanding your needs and creating an RBM system tailored to the health, administrative, and financial needs of your networks and your members.
  
  
• The Most Professional Radiology Benefits Management Team in America. NIA brings you top-quality experts to design your program. This includes a team of highly experienced, board-certified radiology specialists, as well as experts in health law, finance, accounting, customer service, and healthcare management. Click here to review the background and credentials of the NIA Management Team.
  
  
• NIA's Comprehensive Knowledge Base. Throughout the RBM system design, implementation, and on-going maintenance process we draw on NIA's data repository. Powered by our proprietary Informa software, the database is continually updated with input from the thousands of imaging encounters we process daily. This enables NIA to better assist physicians and payors in pinpointing variations in practice patterns. As a result, corrective actions can be identified to address the potential under use, overuse, or misuse of imaging diagnostics.
  
  
• A Decade of Clinical Domain Expertise. In addition to our accumulated data repository, we bring the experience of network design and maintenance accumulated over a decade. NIA is clearly the leading RBM in the country.
  
  
• State and Local Expertise. NIA maintains strong relationships with all relevant state and local regulatory agencies to ensure our RBM services meet local regulatory guidelines. We also maintain an active dialogue with local physicians through our direct access to providers in NIA-supported health networks and through liaisons with physicians from the local community to address new technologies and emerging practice patterns, to review outcomes, and to evaluate clinical criteria.
  
  
• Multiple Lines of Business. NIA offers four interrelated RBM services - Opportunity Assessment, Network Development, Prior Consultation, and Physician Education - which may be taken as a package or separately to meet specific needs.
  
  
• Financial Strength and Independence. Financially and otherwise, NIA is among the strongest companies in the RBM industry, with major investors including Quest Diagnostics and TA Associates. Founded in 1995, NIA has no long-term debt and is cash flow positive.
  
  
• Assured Data Confidentiality. We know that confidentiality is crucial to all the network development, prior-consultation, and educational services that NIA provides. We therefore take strong steps to assure that all patient and physician data provided to NIA are held in strict confidence. This is done by applying and constantly updating the latest security software. In addition, NIA is accredited by independent organizations such as URAC and NCQA for meeting or exceeding the stringent privacy regulations in the Health Insurance Portability and Accountability Act of 1996. Click here for more on NIA accreditations.
  
  

For more information contact Jay Youell, Senior Vice President of Health Plans and Insurance Markets by e-mail at djyouell@magellanhealth.com.