- Rising healthcare costs
- Shift towards population/disease management
- More than $100B in overpayments
- 45,000,000 uninsured
- Increase in fraud and abuse
- Increasing demand for data and analytics
- Consumer involvement
- Competition from new entrants
- Major health plans
- Blue Cross/Blue Shield plans
- Medicare/Medicaid and other government plans
- Administrators (TPA, HSA)
- Brokers and Financial Institutions
- Case and disease management companies
- PPOs
- Reinsurers
- Self-insured employers
- Stop-loss carriers
Data mining, COB and Subrogation Recovery; Medical and Disease Management ROI Analysis, Savings Reporting, Opportunity Assessment; Medical Management Health Risk Assessment and Outreach; Underwriting and Actuarial Support; Outsourced Data management, analytics and predictive modeling; Claims Adjudication and Management; and Membership and Provider Management.
Our customized solutions are designed and supported by an expert pool of clinical, legal, analytical, and domain experts who are passionate about the healthcare industry. With our proprietary technology platforms, we can rapidly and efficiently build applications, tools, and databases to fit your specific needs. Flexible engagement and delivery models will help you reduce costs and increase revenue.
By partnering with SCIOinspire, you can streamline your business processes to provide better service and better outcomes.